Peds & OB HESI EXAM QUESTIONS AND ANSWERS

Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage - Answer- D. Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability to push effectively in the 2nd stage. Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction and often the disease will go into remission. What activity recommendations should the nurse provide a client with rheumatoid arthritis? A. Exercise of painful, swollen joints to strengthen them B. Exercise joint to the point of pain so that the pain lessens C. Make Jerky movements during the exercise so that the pain lessens D. Perform exercises slowly and smoothly - Answer- D. A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain occurs A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio placentae and placenta previa? A. Aruptio placentae: painless bright red bleeding occurring in the third trimester B. Abruptio placentae: occurs in the second trimester C. Placenta previa: occurs in the second trimester D. Placenta previa: painless bright red bleeding occurring in the third trimester - Answer- D. The nurse must use knowledge base to diffferentiate betewwn abruptia placentae from placenta previa. A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the nurse determines the FHR to be 100 bpm and her abdomen is rigid and board like. What action should the nurse take first? A. Administer O2 per face mask B. Abdominal manipulation C. vaginal manipulation D. Abdominal exam - Answer- A. The nurse should immediately notify the healthcare provider and no abdominal or vaginal manipulation or exams should be done. Administer O2 per face mask and monitor for bleeding at IV sites and gums due to the increased risk of DIC