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PEDS & OB HESI QUESTIONS AND
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ANSWERS
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Monitoring ofor ofetal oposition ois oimportant obecause othe omother ocannot otell oyou oshe
ohas oback opain, owhich ois othe ocardinal osign oof opersistant oposterior ofetal oposition. oWhy
odo othe oregional oblocks, oespecially oepidural oand ocaudal, ooften oresult oin oassisted
odelivery? o
A. inability oto opush oeffectively oin o3rd ostage o
B. inability oto opush oeffectively oin o4th ostage o
C. inability oto opush oeffectively oin o1st ostage o
D. inability oto opush oeffectively oin o2nd ostage o- o o ocorrect oanswer. o oD. o
Regional oblocks, oespecially oepidural oand ocaudal, ooften oresult oin oassisted odelivery
odue oto oinability oto opush oeffectively oin othe o2nd ostage. o
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Early odetection oof orheumatoid oarthritis ocan odecrease othe oamount oof obone oand ojoint
odestruction oand ooften othe odisease owill ogo ointo oremission. oWhat oactivity
orecommendations oshould othe onurse oprovide oa oclient owith orheumatoid oarthritis? oA.
oExercise oof opainful, oswollen ojoints oto ostrengthen othem o
B. Exercise ojoint oto othe opoint oof opain oso othat othe opain olessens o
C. Make oJerky omovements oduring othe oexercise oso othat othe opain olessens o
D. Perform oexercises oslowly oand osmoothly o- o o ocorrect oanswer. o oD. o
A onurse oshould oadvise othe oclient oto operform oexercises oslowly oand osmoothly oso othat
ono oextra opain ooccurs o
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A opatient owho ois o32 oweeks ogestation ohas othe ofollowing osymptoms: odark, ored ovaginal
obleeding, o100 obpm oFHR, origid oabdomen oand osevere opain. oWhat ois othe odifference
obetween oabruptio oplacentae oand oplacenta oprevia? o
A. Aruptio oplacentae: opainless obright ored obleeding ooccurring oin othe othird otrimester o
B. Abruptio oplacentae: ooccurs oin othe osecond otrimester o
C. Placenta oprevia: ooccurs oin othe osecond otrimester o
D. Placenta oprevia: opainless obright ored obleeding ooccurring oin othe othird otrimester o- o o
ocorrect oanswer. o oD. o
The onurse omust ouse oknowledge obase oto odiffferentiate obetewwn oabruptia oplacentae
ofrom o
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placenta
oprevia.
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,A opatient owho ois o32 oweeks ogestation ois oexperiencing odark ored ovaginal obleeding oand
othe onurse odetermines othe oFHR oto obe o100 obpm oand oher oabdomen ois origid oand
oboard olike. o
What oaction oshould othe onurse otake ofirst? o
A. Administer oO2 oper oface omask o
B. Abdominal omanipulation o
C. vaginal omanipulation o
D. Abdominal oexam o- o o ocorrect oanswer. o oA. o
The onurse oshould oimmediately onotify othe ohealthcare oprovider oand ono oabdominal oor
ovaginal omanipulation oor oexams oshould obe odone. oAdminister oO2 oper oface omask oand
omonitor ofor obleeding oat oIV osites oand ogums odue oto othe oincreased orisk oof oDIC o
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A onurse omust ouse oknowledge obase oto odifferentiate obetween oabruptio oplacentae ofrom
oplaventa oprevia. oWhat oassessments oshould obe odone oin ocase oof oa opatient osuspected
oof oabruptio oplacentae oor oplacenta oprevia. o
A. abdominal oor ovaginal omanipulation o
B. Leopold's omaneuvers o
C. internal omonitoring o
D. Monitor ofor obleeding oat oIV osites oand ogums odue oto oincreased orisk oof oDIC o- o o
ocorrect oanswer. o oD. o
Patients owith oabruptio oplacentae oor oplacventa oprevia oshould ohave oNo oabdominal oor
ovaginal omanipulation. oNo oLeopold's omaneuvers. oNo ovaginal oexams. oNo orectal
oexams, oenemas, oor osuppositories. oNo ointernal omonitoring o
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A opatient osuspected oof oabruptio oplacentae oor oplacenta oprevia oshould obe omonitorized
ofor obleeding oat oIV osites oand ogums odue oto oincreased orisk oof oDIC. oWhat oisn't oDIC
orelated oto? o
A. cervical ocarcinoma o
B. fetal odemise o
C. infection/sepsis o
D. pregnancy-induced ohypertension o- o o ocorrect oanswer. o oA. o o
DIC ois orelated oto ofetal odemise, oinfection/sepis, opregnancy-induced ohypertension o( o
Preeclampsia) oand oabruptio oplacentae. oCervical ocarcinoma ois orelated oto opodophyllin o
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If oa ochild ois oon ooral oiron omedication, othe ofamily oshould obe otaught oby othe onurse ohow
oit oshould obe oadministered. oOut oof othe ofollowing ooptions, owhat ooral oiron
oadministration oadvise ois oinappropriate? o
A. Oral oiron oshould obe ogiven oon oempty ostomach o
B. Oral oiron oshould obe ogiven owith ocitrus ojuices o
C. Oral oiron oshoule obe ogiven owith odairy oproducts o
D. A odropper oor ostraw oshould obe oused oto oavoid odiscoloring oteeth o- o o ocorrect oanswer.
o oC. oIron ocan obe ofatal oin osevere ooverdose oand oas oa oresult, oit oshould obe okept
oaway ofrom ochildren. oAlso, odo onot ogive owith odairy oproducts. o
o
, In oautosomal orecessive odisease, oboth oparents omust obe ohererozygous, oor ocarriers oof
othe o
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recessive otrait, ofor othe odisease oto obe oexpressed oin otheir ooffspring. oIf oboth oparents
oare
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heterozygous, owhat ois othe ochance othe obaby oto ohave othe odisease oas
owell?
o
A. 1:2 oo
B. 1:3
C.
o1:4
o o
D. o1:1 o- o o ocorrect oanswer. o
oC.
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With oeach opregnancy, othere ois oa o1:4 ochance oof othe oinfant ohaving othe
odisease.
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When oit ocomes oto oX-linked orecessive olinked orecessive otrait, othe otrait ois ocarried oon
othe ox ochromosome, otherefore, ousually oaffects omale ooffspring. oWhat ois othe ochance
ofor oa opregnant owoman ocarrier oher ooffspring oto oget othe odisease? o
A. Male ochild: o75% oof ohaving othe odisease o
B. Female ochild: o50% oof ohaving othe odisease o
C. Male ochild: o50% oof ohaving othe odisease o
D. Female ochild: o25% oof ohaving odisease o- o o ocorrect oanswer. o oC. o
With oeach opregnancy oof oa owoman owho ois oa ocarrier othere ois oa o25% ochance oof
ohaving oa ochild owith ohemophilia. oIf othe ochild ois omale, ohe ohas oa o50% ochance oof
ohaving ohemophilia. oIf othe ochild ois ofemale, oshe ohas oa o50% ochance oof obeing oa
ocarrier. o
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Supplemental oiron ois onot ogivento oclients owith osickle ocell oanemia obecause othe
oanemia ois onot ocaused oby oiron odeficiency. oWhat oaspect ois overy oimportant oin
otreatment oof osickle ocell odisease obecause oit opromotes ohemodilution oand ocirculation
oof ored ocells othrough othe oblood ovessels? oA. oHgbAS o
B. HGBS o
C. Hydration o
D. Hydrotherapy o- o o ocorrect oanswer. o oC. o o
Hydration ois overy oimportant oin otreatment oof osickle ocell odisease obecause oit opromotes
ohemodilution oand ocurculation oof ored ocells othrough oblood ovessels o
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An oinfant owith ohypothyroidism ois ooften odescribed oas oa o"good, oquite obaby" oby othe
oparents. oWhat oearly odisease odetection ois oessential oin opreventing omental oretardation
oin oinfants? o o
A. Hyperthyroidism o
B. Phenylketonuria o
C. Diabetes oMellitus o
D. Ketoacidosis o- o o ocorrect oanswer. o oB. o o