SSPEDS/OB HESI
1. A mother brings her 8 mo. old baby boy to clinic bc he
has been vomitting and had diarrhea for last 3 days.
Which assessment is most important for nurse to
make?
a. Assess infant abdomen for tenderness
b. Determine if the infant was exposed to a virus
c.Measure the infant’s pulse
d.Evaluate the infant’s cry
2. While obtaining the vital signs of a 10 year old who
had a tonsillectomy this morning, the nurse observes
the child swallowing every 2-3 minutes. Which
assessment should the nurse implement?
a.Inspect the posterior oropharynx
b. Assess for teeth clenching or grinding
c. Touch the tonsillar pillars to stimulate the gag
reflex
d. Ask the child to speak to evaluate change in voice
tone
3. The parents of a 3-year old boy who has Duchenne
muscular dystrophy ask, “How can our son have this
disease? We are wondering if we should have any more
children.” What information should the nurse provide
to parents?
a. This is an inherited X-linked recessive
disorder, which primarily affects male children in
the family
b. The striated muscle groups of males can be
impacted by a lack of the protein dystrophin in
their mothers
, c. The male infant had a viral infection that went
unnoticed and untreated so muscle damage was
incurred
d. Birth trauma with a breech vaginal birth causes
damage to the spinal cord, thus weakening the
muscles
4. A 2-week-old female infant is hospitalized for the
surgical repair of an umbilical hernia. After returning
to the postoperative neonatal unit, her RR and HR
have increased during the last hour. Which
intervention should the nurse implement? a. Notify
the HCP of these findings
b.Administer a PRN analgesic prescription
c. Record the findings in the child’s record
d. Wrap the infant tightly and rock in rocking chair
5. A 2-year-old girl is brought to the clinic by her 17 year
old mother. When the nurse observes that the child is
drinking sweetened soda from her bottle, what
information should the nurse discuss with this mother?
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking
soda c.Drinking soda is related to childhood
obesity
d.Toddlers should be sleeping 10 hours a night
e.Toddlers should be drinking from a cup by
age 2
6. A mother brings her 3 month old infant to the clinic
because the baby does not sleep through the night.
Which finding is most significant in planning care for
this family?
, a.The mother is a single parent and lives with her
parents
b. The mother states the baby is irritable during
feedings
c. The infant’s formula has been changed twice
d.The diaper area shows severe skin breakdown
7.The nurse determines that an infant admitted for
surgical repair of an inguinal hernia voids a urinary
stream from the ventral surface of the penis. What
action should the nurse take?
a.Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
8. A 16 year old with acute myelocytic leukemia is
receiving chemotherapy (CT) via an implanted
medication port at the outpatient oncology clinic.
What action should the nurse implement when the
infusion is complete? a. Administer Zofran
b.Obtain blood samples for RBCs, WBCs, and platelets
c.Flush mediport w/ saline and heparin solution
d.Initiate an infusion of normal saline
9. A mother brings her 3-week old infant to the clinic
because the baby vomits after eating and always
seems hungry. Further assessment indicates that the
infant’s vomiting is projectile, and the child seems
listless. Which additional assessment finding indicates
the possibility of a life threatening complication?
10. a. Irregular palpable pulse
b. Hyperactive bowel sounds
c. Underweight for age
, d. Crying without tears
11. Thenurse is performing a routine assessment of a 3-
year old at a community health center. Which behavior
by the child should alert the nurse to request a follow-
up for a possible autistic spectrum disorder?
a.Performs odd repetitive behaviors
b. Shows indifference to verbal stimulation
c. Strokes the hair of a hand held doll
d. Has a history of temper tantrums
11. Following admission for cardiac catheterization, the
nurse is providing discharge teaching to the parents of
a 2-year-old toddler with tetralogy of Fallot. What
instruction should the nurse give the parents if their
child becomes pale, cool, lethargic? a. Encourage oral
electrolyte solution intake
b.Assess the child to a recumbent position
c.Contact their HCP immediately
d.Provide a quiet time by holding or rocking the
toddler
12. A
mother brings her 2 year old son to the clinic
because he has been crying and pulling on his earlobe
for the past 12 hours. The child’s oral temperature is
101.2 F. Which intervention should the nurse
implement? a. Ask the mother if the child has
had a runny nose
b. Cleanse purulent exudate from the affected ear
canal
c. Apply a topical antibiotic to the periauricle area
d. Provide parent education to prevent recurrence
1. A mother brings her 8 mo. old baby boy to clinic bc he
has been vomitting and had diarrhea for last 3 days.
Which assessment is most important for nurse to
make?
a. Assess infant abdomen for tenderness
b. Determine if the infant was exposed to a virus
c.Measure the infant’s pulse
d.Evaluate the infant’s cry
2. While obtaining the vital signs of a 10 year old who
had a tonsillectomy this morning, the nurse observes
the child swallowing every 2-3 minutes. Which
assessment should the nurse implement?
a.Inspect the posterior oropharynx
b. Assess for teeth clenching or grinding
c. Touch the tonsillar pillars to stimulate the gag
reflex
d. Ask the child to speak to evaluate change in voice
tone
3. The parents of a 3-year old boy who has Duchenne
muscular dystrophy ask, “How can our son have this
disease? We are wondering if we should have any more
children.” What information should the nurse provide
to parents?
a. This is an inherited X-linked recessive
disorder, which primarily affects male children in
the family
b. The striated muscle groups of males can be
impacted by a lack of the protein dystrophin in
their mothers
, c. The male infant had a viral infection that went
unnoticed and untreated so muscle damage was
incurred
d. Birth trauma with a breech vaginal birth causes
damage to the spinal cord, thus weakening the
muscles
4. A 2-week-old female infant is hospitalized for the
surgical repair of an umbilical hernia. After returning
to the postoperative neonatal unit, her RR and HR
have increased during the last hour. Which
intervention should the nurse implement? a. Notify
the HCP of these findings
b.Administer a PRN analgesic prescription
c. Record the findings in the child’s record
d. Wrap the infant tightly and rock in rocking chair
5. A 2-year-old girl is brought to the clinic by her 17 year
old mother. When the nurse observes that the child is
drinking sweetened soda from her bottle, what
information should the nurse discuss with this mother?
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking
soda c.Drinking soda is related to childhood
obesity
d.Toddlers should be sleeping 10 hours a night
e.Toddlers should be drinking from a cup by
age 2
6. A mother brings her 3 month old infant to the clinic
because the baby does not sleep through the night.
Which finding is most significant in planning care for
this family?
, a.The mother is a single parent and lives with her
parents
b. The mother states the baby is irritable during
feedings
c. The infant’s formula has been changed twice
d.The diaper area shows severe skin breakdown
7.The nurse determines that an infant admitted for
surgical repair of an inguinal hernia voids a urinary
stream from the ventral surface of the penis. What
action should the nurse take?
a.Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
8. A 16 year old with acute myelocytic leukemia is
receiving chemotherapy (CT) via an implanted
medication port at the outpatient oncology clinic.
What action should the nurse implement when the
infusion is complete? a. Administer Zofran
b.Obtain blood samples for RBCs, WBCs, and platelets
c.Flush mediport w/ saline and heparin solution
d.Initiate an infusion of normal saline
9. A mother brings her 3-week old infant to the clinic
because the baby vomits after eating and always
seems hungry. Further assessment indicates that the
infant’s vomiting is projectile, and the child seems
listless. Which additional assessment finding indicates
the possibility of a life threatening complication?
10. a. Irregular palpable pulse
b. Hyperactive bowel sounds
c. Underweight for age
, d. Crying without tears
11. Thenurse is performing a routine assessment of a 3-
year old at a community health center. Which behavior
by the child should alert the nurse to request a follow-
up for a possible autistic spectrum disorder?
a.Performs odd repetitive behaviors
b. Shows indifference to verbal stimulation
c. Strokes the hair of a hand held doll
d. Has a history of temper tantrums
11. Following admission for cardiac catheterization, the
nurse is providing discharge teaching to the parents of
a 2-year-old toddler with tetralogy of Fallot. What
instruction should the nurse give the parents if their
child becomes pale, cool, lethargic? a. Encourage oral
electrolyte solution intake
b.Assess the child to a recumbent position
c.Contact their HCP immediately
d.Provide a quiet time by holding or rocking the
toddler
12. A
mother brings her 2 year old son to the clinic
because he has been crying and pulling on his earlobe
for the past 12 hours. The child’s oral temperature is
101.2 F. Which intervention should the nurse
implement? a. Ask the mother if the child has
had a runny nose
b. Cleanse purulent exudate from the affected ear
canal
c. Apply a topical antibiotic to the periauricle area
d. Provide parent education to prevent recurrence
