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Exam (elaborations)

HESI Maternity Pediatrics (PEDS) New 2023 Exam Answered

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HESI Maternity Pediatrics (PEDS) New 2023 Exam Answered 7 y/o brought to school clinic because he fainted on the playground. 3 ft 7 in, 55 lbs, and BMI 20.9. Which assessment finding is most important to address? Since age 3 he has experienced exercise induced asthma The nurse is using the Ages and Stages Questionnaire (ASQ) to assess a 24-month-old. What is the best intervention for the nurse to initiate after the assessment is completed? • -A Review the child's birth history. • -B Provide the parents with a list of stimulating activities. • -C Meet with a social worker to review the results. • -D Assess for changes in the vital signs. • -B Provide the parents with a list of stimulating activities. 17 y/o with CF talks with school nurse about disease and wonders how it will effect getting married and having kids. Which relevant information would nurse include? • He is likely to have infertility problems and further evaluation 4 y/o taken to ER because of fever for last 24 hrs. No cough, pulling at ears, drooling, cyanotic, inspiratory stridor, expiratory wheeze. Which intervention is most important? Emergency trach Nurse giving IV antibiotics to a 16 month old with pneumonia. No allergies and been walking without assistance for 1 month. Which technique should select for administration? • A Administer the injection into the middle of the lateral aspect of the thigh. • B Use a needle length of ½ inch (1.25cm) to avoid deep tissue damage. •C Divide the gluteal area into quarters and give IM into the upper outer quadrant. •D Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process. • A Administer the injection into the middle of the lateral aspect of the thigh. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? A) Place the infant in side-lying position to facilitate the exam B) Hold the penis and retract the foreskin gently C) Cleanse the penis with an antiseptic-soaked pad D) Place the infant in a warm room and use a calm approach D) Place the infant in a warm room and use a calm approach An infant who has been diagnosed with a tracheoesophageal fistula (TEF). Which nursing intervention is indicated for this infant prior to surgical repair? A• Provide frequent sips of liquid B• Give isotonic enemas as prescribed C• Maintain nothing by mouth status D• Prepare the infant for a barium enema C• Maintain nothing by mouth status Nurse gets a call from a mother of a 10 y/o that just returned from camp with expanding circular red rash on arm. Mom asks what over the counter product is safe to use. How should the nurse respond? Explain need for immediate exam (lyme disease) What nutritional info to provide mom of a 6-month old regarding solid food? Initiate one at a time in 4-7 day intervals A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What action should the nurse implement first? A• Initiate an IV site and begin infusing normal saline• Type and cross for possible transfusion B• Monitor the child's vital signs frequently C• Apply ice pack and compression dressing to knee C• Apply ice pack and compression dressing to knee A breast feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to meet her infant's dietary requirements. Which suggestion should the nurse provide to this mother? A• Mix infant formula with breast milk B• Supplement with an iron-rich formula C• Introduce baby food for one meal daily D• Offer a follow-up transitional formula B• Supplement with an iron-rich formula

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