HESI Maternal Questions N271 Exam With
Complete Solutions
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax,
back, and abdomen. What action should the nurse implement? - answer Document the
finding in the infant's record.
Which assessment finding should the nursery nurse report to the pediatric healthcare
provider? - answer Central cyanosis when crying.
At 14 weeks gestation, a client arrives at the Emergency Center complaining of a dull pain
in the RLQ of the abd. The nurse obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abd pain and a shoulder pain.
Assessment findings including diaphoresis, a HR of 120 bpm, and a BP of 86/48. Which
action should the nurse implement next? - answer Increase the rate of IV fluids.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while
her husband is screening for someone to help his wife. What intervention has the highest
priority? - answer Put the newborn to breast.
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important to assess the client for which
condition? - answer Gestational diabetes.
A full term infant is transferred to the nursery from L & D. Which information is most
important for the nurse to receive while planning care for the newborn? - answer Infant's
condition at birth and treatment received.
A client who is in the second trimester of pregnancy tells the nurse she wants to use
herbal therapy. Which response is best for the nurse to provide? - answer It is important
you want to take part in your care.
The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside? -
answer Lubricant, a sterile glove, and an anmnihook.
The nurse is performing a gestational age assessment on a full-term newborn during the
first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the
