HESI Pediatric (PEDS) RN Exit Exam V1 & V2 All questions correct answered.pdf

Maternity HESI Test Bank o o o o


EXAMoQUESTIONSoANDoANSWERSo100%oCORRECToLATESToo
oo




1. Ao38-
weekoprimigravidaowhooworksoasoaosecretaryoandositsoatoaocomputeroforo8ohoursoeachod
ayotellsotheonurseothatoherofeetohaveobegunotooswell.oWhichoinstructiono wouldobeomostoe
ffectiveoinopreventingopoolingoofobloodoinotheoloweroextremities?


Moveoaboutoeveryohour


Poolingoofobloodoinotheoloweroextremitiesoresultsofromotheoenlargedouterusoexertingop
ressureo ono theo pelvico veins.o Movingo abouto everyo houro willo straighteno outo theope
lvicoveinsoandoincreaseovenousoreturn.


2. Ao26-year-old,ogravidao2,oparao1oclientoisoadmittedotootheohospitaloato28-
weeksogestationoinopretermolabor.oSheoisogiveno3odosesoofoterbutalineosulfateo(Brethine)o0
.25omgosubcutaneouslyotoostopoherolaborocontractions.oTheonurseoplansotoomonitoroforow
hichoprimaryosideoeffectoofoterbutalineosulfate?


Tachycardiaoandoaofeelingoofonervousness


Terbutalineosulfateo(Brethine),oaobeta-sympathomimeticodrug,ostimulatesobeta-
adrenergicoreceptorsoinotheouterineomuscleotoostopocontractions.oTheobeta-
adrenergicoagonistopropertiesoofotheodrugomayocauseotachycardia,oincreasedocardiacooutp
ut,orestlessness,oheadache,oandoaofeelingoofo"nervousness".

,3. Whato doeso ao diaphragmatico herniao lookolike
?oScaphoidoabdomenoandoanorexia
4. Aonewomotheroisoafraidotootouchoherobaby'soheadoforofearoofohurtingotheo"largeosoftospot."o
Whichoexplanationoshouldotheonurseogiveotoothisoanxiousoclient?


There'so ao strong,o tougho membraneo thereo too protecto theo babyo soo youo needo noto beoafra
idotoowashoorocombohis/herohair.


5. Aoclientowhooisoattendingoantepartumoclassesoasksotheonurseowhyoherohealthcareop
roviderohasoprescribedoironotablets.oTheonurse'soresponseoisobasedoonowhatoknow
ledge?


Itoisodifficultotooconsumeo18omgoofoadditionaloironobyodietoalone.


Consumingoenoughoiron-
containingofoodsotoofacilitateoadequateofetalostorageoofoironoandotoomeetotheodemandsoof
pregnancyoisodifficultosooironosupplementsoareooftenorecommended.
o



6. Whato iso megaloblastico anemiao causedoby
?ofolicoacidodeficiency


7. Aowomanowhoothinksosheocouldobeopregnantocallsoheroneighbor,oaonurse,otooaskowhenos
heocouldouseoaohomeopregnancyotestotoodiagnoseopregnancy.oWhichoresponseoisobest?


Aohomeopregnancyotestocanobeousedorightoafteroyourofirstomissedoperiod.


Homeourineotestsoareobasedoonotheochemicalodetectionoofohumanochorionicogonado
trophin,o whicho beginso too increaseo 6o too 8o dayso aftero conceptiono ando isobestodete
ctedoato2oweeks’gestationooroimmediatelyoafterotheofirstomissedoperiod.


8. Ao28-year-
oldoclientoinoactiveolaborocomplainsoofocrampsoinoheroleg.oWhatointerventionoshouldotheo
nurseoimplement?

, Extendotheolegoandodorsiflexotheofoot


Dorsiflexingotheofootobyopushingotheosoleoofotheofootoforwardoorobyostandingo(ifotheoclientoiso
capable)oandoputtingotheoheeloofotheofootoonotheoflooroisotheobestomeansooforelievingolegocr
amps.


9. Aoclientoato30-
weeks’gestation,ocomplainingoofopressureooverotheopubicoarea,oisoadmittedoforoobservatio
n.oSheoisocontractingoirregularlyoandodemonstratesounderlyingouterineoirritability.oVaginaloe
xaminationorevealsothatoherocervixoisoclosed,othick,oandohigh.oBasedoonotheseodata,owhichoi
nterventionoshouldotheonurseoimplementofirst?


Obtainingoaourineoanalysisoshouldobeodoneofirstobecauseopretermoclientso withouterineo
irritabilityoandocontractionsoareooftenosufferingofromoaourinaryotractoinfection,oandothiso
shouldobeoruledooutofirst.


10. Aoclientoinoactiveolaboroisoadmittedowithopreeclampsia.oWhichoassessmentofindingoisomostos
ignificantoinoplanningothisoclient'socare?


Ao4+oreflexoinoaoclientowithopregnancy-
inducedohypertensiono indicatesohyperreflexia,owhichoisoanoindicationoofoanoimpendin
goseizure.


11. WhatoisoEpogenofor?


Changesoanoapicaloheartorateofromotheo180sotootheo140s.


Epogen,ogivenotoopreventoorotreatoanemia,ostimulatesoerythropoietinoproduction,oresulting
inoanoincreaseoinoRBCs.oSinceotheobodyohasonotohadotoocompensateoforoanemiaowithoanoi
o



ncreasedoheartorate,ochangesoinoheartorateofromohighotoonormaloisooneoindicatorothatoEpog
enoisoeffective



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, 12. Theohealthcareoprovideroprescribesoterbutalineo(Brethine)oforoaoclientoinopretermolabor.oB
eforeo initiatingo thiso prescription,o ito iso mosto importanto foro theo nurseo too assesso theocli
entoforowhichocondition?


Gestationalodiabetes.


Theo nurseo shouldo evaluateo theo cliento foro gestationalo diabeteso becauseoterbutalineo
(Brethine)oincreasesobloodoglucoseolevels.




13. AoclientowithoNOoprenatalocareoarrivesoatotheolaborounitoscreaming,o"Theobabyoisocoming!"oT
heonurseoperformsoaovaginaloexaminationothatorevealsotheocervixoiso3ocentimetersodilatedo
ando75%oeffaced.oWhatoadditionaloinformationoisomostoimportantoforotheonurseotooobtain?


Dateoofolastonormalomenstrualoperiod.


Evaluatingotheogestationoofotheopregnancyotakesopriority.oIfotheofetusoisopretermoandothe

fetaloheartopatternoisoreassuring,otheohealthcareoprovideromayoattemptotooprolongothe
pregnancyoandoadministerocorticosteroidsotoomatureotheolungsoofotheofetus.
o




14. Theonurseoassessesoaoclientoadmittedotootheolaboroandodeliveryounitoandoobtainsotheofollo
wingodata:odarkoredovaginalobleeding,outerusoslightlyotenseobetweenocontractions,oBPo11
0/68,oFHRo110obeats/minute,ocervixo1ocmodilatedoandouneffaced.oBasedoonotheseoassess
mentofindings,owhatointerventionoshouldotheonurseoimplement?


MonitoringobleedingofromoIVosites


Monitoringobleedingofromoperipheralositesoisotheopriorityointervention.oThisoclientoisopres
entingowithosignsoofoplacentaloabruption.oDisseminatedointravascularocoagulationo(DIC)oi
soaocomplicationoofoplacentaloabruptio,ocharacterizedobyoabnormalobleeding.


15. Immediatelyoafterobirthoaonewbornoinfantoisosuctioned,odried,oandoplacedounderoaoradianto

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