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HESI RN · HESI Maternity · HESI Maternity 55 Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 4-year-old boy presents with a rash and is diagnosed with varicella (chickenpox). What is the most appropriate intervention to manage this condition?

A. Administer oral acyclovir.
B. Apply calamine lotion to soothe itching.
C. Encourage scratching to relieve itching.
D. Encourage bed rest to avoid spreading the rash.

Expert Explanatory Rationale

Correct Answer: Apply calamine lotion to soothe itching.

Question 2 of 5

Why is complete bedrest necessary for a pregnant client with mitral stenosis Class III?

A. Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
B. We want your baby to be healthy, and this is the only way we can ensure that will happen.
C. I know you're upset. Would you like to talk about some activities you could do while in bed?
D. Labor is difficult, and you need to use this time to rest before assuming child-caring duties.

Expert Explanatory Rationale

Correct Answer: Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.

Question 3 of 5

A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?

A. Inform her that a repeat alpha-fetoprotein (AFP) should be evaluated.
B. Discuss options for intrauterine surgical correction of congenital defects.
C. Reassure the client that the AFP results are likely to be a false reading.
D. Explain that a sonogram should be scheduled for definitive results.

Expert Explanatory Rationale

Correct Answer: Explain that a sonogram should be scheduled for definitive results.

Question 4 of 5

At 20 weeks gestation, a client is scheduled for an ultrasound. In preparing the client for the procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to obtain which information?

A. Sex and size of the fetus.
B. Chromosomal abnormalities.
C. Fetal growth and gestational age.
D. Lecithin-sphingomyelin ratio.

Expert Explanatory Rationale

Correct Answer: Fetal growth and gestational age.

Question 5 of 5

After administering the varicella vaccine to a 5-year-old child, which instruction should the nurse provide the child's parent?

A. Chewable children's aspirin will not help prevent inflammation.
B. Keep the child home for the next two days.
C. Any fever should be monitored and reported if severe.
D. Apply a cool pack to the injection site to reduce discomfort.

Expert Explanatory Rationale

Correct Answer: Apply a cool pack to the injection site to reduce discomfort.

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