HESI Mid-curricular
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's blood pressure is
150/96, edema of the face and hands is noted, 3+ protein in the urine, and serum albumin level is 3
gm/dL. Which of the following instructions by the nurse is MOST impor...
hesi mid curricular the nurse in the prenatal clinic assesses a client at 31 weeks gestation the clients blood pressure is 15096
edema of the face and hands is noted
3 protein in the urine
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HESI Mid-curricular
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's blood pressure is
150/96, edema of the face and hands is noted, 3+ protein in the urine, and serum albumin level is 3
gm/dL. Which of the following instructions by the nurse is MOST important?
1. The client should decrease caloric intake.
2. The client should eliminate all salt from her diet.
3. The client should ensure adequate protein.
4. The client should increase her intake of iron.
The client should ensure adequate protein.
A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client's last
menstrual period was five months ago, and the client is sure she is pregnant because she has been
feeling the baby move. Which of the following responses byt he nurse is BEST?
1. "Since you have felt fetal movement, I am sure that you are pregnant."
2. "Lie down so that I can listen for fetal heart tones with the Doppler."
3. "We'll collect a urine specimen for testing to confirm that you are pregnant."
4. "Have you noticed feeling more fatigued lately?"
"Lie down so that I can listen for fetal heart tones with the Doppler."
The nurse notes that a two-day old infant shows a tendency to bleed. The nurse understands this is
MOST likely caused by which of the following?
1. Hemophilia.
2. Absence of intestinal bacteria needed for the production of vitamin K.
3. Immature liver that is unable to synthesize clotting factors.
4. Excessive breakdown of red blood cells coupled with a delayed production of new ones.
Absence of intestinal bacteria needed for the production of vitamin K.
The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST important for the
nurse to take which of the following actions?
1. Apply ice to the area.
2. Reposition the patient for comfort
3. Carefully transport the specimen to the lab
4. Observe for bleeding.
Observe for bleeding.
The nurse admits a patient to the postpartum unit two hours after a vaginal delivery. Three hours after
admission the nurse ambulates the patient to the bathroom, and the patient states there is a sudden
gush of bleeding from her vagina. The nurse understands that the increase in amount of bleeding is due
to which of the following?
,1. The lochia pooled in the patient's vagina when she was lying in bed.
2. The patient has a tear in her cervix that needs to be repaired.
3. The patient's fundus is relaxed and requires massaging.
4. The patient's bladder is distended because she needs to void.
The lochia pooled in the patient's vagina when she was lying in bed.
A woman comes to the clinic pregnant with her second child. She questions the nurse about the amount
of exercise that is acceptable for her to perform during her pregnancy. Which of the following is the
MOST important response by the nurse?
1. "You can continue your activities but rest when you get tired."
2. "You should take a brisk walk daily."
3. "You can exercise as much as you want but limit household activities."
4. "What is your usual type of exercise?"
"What is your usual type of exercise?"
The health care provider orders a colposcopy for the client. The nurse explains to the client that which is
the purpose of this procedure?
1. Magnify the tissue for examination
2. Directly examine ovaries, fallopian tubes, uterus, and small intestine.
3. View structures in the pelvic cavity,
4. Visualize the bladder.
Magnify the tissue for examination
The nurse monitors a client at 30 weeks gestation, and the client states that she has periodic heartburn.
It is MOST important for the nurse to make which of the following recommendations?
1. Lie down after eating a meal.
2. Eat frequent small meals.
3. Take Alka-Seltzer as needed.
4. Sip iced tap water.
Eat frequent small meals.
The nurse instructs the woman about how to prevent conception using the basal body temperature
(BBT) method. The nurse explains that during ovulation the woman's basal body temperature will
change in which direction?
1. Lowers significantly
2. Rises significantly
3. Is unchanged
4. Rises slightly
Rises slightly
, A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities into
the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes?
1. Tonic neck
2. Moro's
3. Babinski's
4. Rooting
Moro's
When administering phototherapy to a newborn with jaundice, it is MOST important for the nurse to
take which of the following actions?
1. Expose only the infant's back to the light.
2. Remove the infant from the light for 15 minutes each hour.
3. Cover the infant's eyes with protective pads during therapy.
4. Check the infant's temp every hour.
Cover the infant's eyes with protective pads during therapy.
The nurse cares for a patient in labor. The patient suddenly shouts, "I have to push! I have to push!" The
nurse determines that the patient is 8 cm dilated. Which of the following actions should the nurse take
FIRST?
1. Instruct the patient to take a deep breath and bear down.
2. Apply pressure to the patient's fundus.
3. Coach the patient in relaxation techniques.
4. Encourage the patient to pant with pursed lips.
Encourage the patient to pant with pursed lips.
A 25-year-0ld primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with the
nurse. The nurse reinforces the importance of regular prenatal care and explains changes in insulin
requirements will include which of the following?
1. Insulin requirements will increase during pregnancy and decrease after delivery.
2. Insulin requirements will decrease during pregnancy and increase after delivery.
3. Insulin requirements will increase during pregnancy and remain increased after delivery.
4. Insulin requirements decrease during pregnancy and remain decreased after delivery.
Insulin requirements will increase during pregnancy and decrease after delivery.
By the fifth month of pregnancy, a 32 year old multipara of average prenatal height and weight has
gained 14 pounds. Which of the following actions by the nurse is MOST important?
1. Advise the client she has gained too much weight and her diet should be reevaluated.
2. Advise the client she has not gained enough weight and her diet should be reevaluated.
3. Inform the client her weight gain is appropriate and she should continue on her present diet.
4. Inform the client she may have difficulties later in pregnancy and more frequent visits to the physician
are indicated.
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