HESI OB PEDS EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
VERSION!!!
When examining a client after delivery, the nurse finds the fundus soft, boggy,
and displaced above and to the right of the umbilicus. After performing fundal
massage and having the client empty her bladder when should the nurse recheck
fundus?
A. q 15 minutes *4 (1 hour)
B. q 45 minutes *2 (1.5 hour)
C. q 30 minutes *4 (2 hours)
D. q 30 minutes *2 (1 hour) - ANSWER-A.
The nurse should recheck fundus q 15 minutes *4 (1 hour); q 30 minutes *2
hours
Internal rotation is harder to achieve when the pelvic floor is relaxed by
anaesthesia resulting in persistent occiput posterior of foetus. What regional
blocks often result in assisted delivery due to the inability to push effectively in
the 2nd stage?
A. Epidermis
B. Anal Sphincter
C. Rectal mucosa
D. Caudal - ANSWER-D.
Regional blocks, especially epidural and caudal, often result in assissted
delivery due to the inability to push effectively in 2nd stage
,Nerve lock anaesthesia (spinal or epidural) during labour bloks motor as well as
nerve fibers. What does result from vasodilation below the level of the block?
A> Maternal hypertension
B. Maternal hypotension
C. Low BP
D. High BP - ANSWER-B.
Vasodialation below the level of the block results in blood pooling in the lower
extremities and maternal hypotension.
Vasodialation below the nerve blok results in pooling in the lower extremities
and maternal hypotension. Which is the quanity of IV lactated ringers the client
should be hydrated with 20 minutes prior to operation?
A. 100-200 cc
B. 300-500 cc
C. 500-1000 cc
D. 600-800 cc - ANSWER-C.
Approximately 20 minutes prior to nerve block anesthesia, the client should be
hydrated with 500-1000 cc of lactated ringers IV
Approximately 20 prior to nerve block anesthesia, the client should be hydrated
with 500-1000 cc of lactated ringers IV. What should the nurse do if
hypotension offurs?
A. Administer Stadol
B. Administer O2 at 10 L/min by face mask
C. Administer CO2 at 10 L/min by face mask
D. Administer Nubain - ANSWER-B.
If hypotension occurs- turn client to her side, administer O2 at 10 L/min by face
mask, and increase IV rate
,Regardless of who performs the physical assessment , the nurse must know
normal versus abnormal variations of the newborn. What is the difference
between caput succedaneum and cephalhematoma?
A. cephalhematoma crosses suture lines and is usually present at birth
B. Cephalhematoma does NOT cross suture lines and manifests a few hours
after birth
C. Cephalhematoma: edema under scalp
D. Caput succedaneum : blood under teh periosteum - ANSWER-B.
It is difficult to differentiate between caput succedaneum (edema under the
scalp) and cephalhematoma (blood under the peristeum). The caput crosses
suture lines and is usually present at birth, while cephalhematoma does not
cross suture lines and manifests a few hours after birth.
A full term infant admitted to the newborn nursery has a blood glucose level of
35 mg/dL. The nurse should monitor this baby carefully for which of the
following?
1. Jaundice
2. Jitters
3. Erythema toxicum
4. Subconcunctival hemorrhages - ANSWER-2.
Babies who are hypoglycemic will often develop jitters
A jaundice neonate must have a heel stick to assess bilirubin levels. Which of
the following actions should the nurse make during the procedure?
1. Cover the foot with an iced wrap for one minute prior to the procedure
2. Avoid puncturing the lateral heel to prevent damageing sensitive structures
3. Blot the site with a dry gauze after rubbing it with an alcohol swab
4. Firmly grasp the calf of the baby during the procedure to prevent injury -
ANSWER-3.
Alcohol can irritate the punctured skin and cause hemolysis
, A newborn admitted to the nursery has a positive direct Coombs' test. Which of
the following is an appropriate action by the nurse?
1. Monitor the baby for jitters
2. Assess the blood glucose level
3. Assess the rectal temperature
4. Monitor the baby for jaundice - ANSWER-4.
When the neonatal blood stream contains antibodies, hemolysis of the red blood
cells occurs and jaundice develops
An 18 hour old baby is placed under the bili lights with an elevated bilirubin
level. Which of the following is an expected nursing action in these
circumstances?
1. Give the baby oral rehydration therapy after all feedings
2. Rotate the baby from side to back to side to front every two hours
3. Apply restraints to keep the baby under the light source
4. Administer intravenous fluids via pump per doctor orders - ANSWER-2.
Rotating the baby's position maximizes the therapeutic response because the
more skin surface that is exposed to the light source, the better the results are
A nurse makes the following obsevations when admitting a full term,
breastfeeding baby, into the neonatal nursery: 9lb 2 oz, 21 inches long, TPR:
96.6 F, 158,62, jittery, pink body with bluish hands and feet, crying. Which of
the following actions is of highest probability?
1. Swaddle the baby to provide warmth
2. Assess the glucose level of the baby
3. Take the baby to the mother for feeding
4. Administer the neonatal medications - ANSWER-2.
The glucose level should be assessed to determine whether or not this baby is
hypoglycemic
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
VERSION!!!
When examining a client after delivery, the nurse finds the fundus soft, boggy,
and displaced above and to the right of the umbilicus. After performing fundal
massage and having the client empty her bladder when should the nurse recheck
fundus?
A. q 15 minutes *4 (1 hour)
B. q 45 minutes *2 (1.5 hour)
C. q 30 minutes *4 (2 hours)
D. q 30 minutes *2 (1 hour) - ANSWER-A.
The nurse should recheck fundus q 15 minutes *4 (1 hour); q 30 minutes *2
hours
Internal rotation is harder to achieve when the pelvic floor is relaxed by
anaesthesia resulting in persistent occiput posterior of foetus. What regional
blocks often result in assisted delivery due to the inability to push effectively in
the 2nd stage?
A. Epidermis
B. Anal Sphincter
C. Rectal mucosa
D. Caudal - ANSWER-D.
Regional blocks, especially epidural and caudal, often result in assissted
delivery due to the inability to push effectively in 2nd stage
,Nerve lock anaesthesia (spinal or epidural) during labour bloks motor as well as
nerve fibers. What does result from vasodilation below the level of the block?
A> Maternal hypertension
B. Maternal hypotension
C. Low BP
D. High BP - ANSWER-B.
Vasodialation below the level of the block results in blood pooling in the lower
extremities and maternal hypotension.
Vasodialation below the nerve blok results in pooling in the lower extremities
and maternal hypotension. Which is the quanity of IV lactated ringers the client
should be hydrated with 20 minutes prior to operation?
A. 100-200 cc
B. 300-500 cc
C. 500-1000 cc
D. 600-800 cc - ANSWER-C.
Approximately 20 minutes prior to nerve block anesthesia, the client should be
hydrated with 500-1000 cc of lactated ringers IV
Approximately 20 prior to nerve block anesthesia, the client should be hydrated
with 500-1000 cc of lactated ringers IV. What should the nurse do if
hypotension offurs?
A. Administer Stadol
B. Administer O2 at 10 L/min by face mask
C. Administer CO2 at 10 L/min by face mask
D. Administer Nubain - ANSWER-B.
If hypotension occurs- turn client to her side, administer O2 at 10 L/min by face
mask, and increase IV rate
,Regardless of who performs the physical assessment , the nurse must know
normal versus abnormal variations of the newborn. What is the difference
between caput succedaneum and cephalhematoma?
A. cephalhematoma crosses suture lines and is usually present at birth
B. Cephalhematoma does NOT cross suture lines and manifests a few hours
after birth
C. Cephalhematoma: edema under scalp
D. Caput succedaneum : blood under teh periosteum - ANSWER-B.
It is difficult to differentiate between caput succedaneum (edema under the
scalp) and cephalhematoma (blood under the peristeum). The caput crosses
suture lines and is usually present at birth, while cephalhematoma does not
cross suture lines and manifests a few hours after birth.
A full term infant admitted to the newborn nursery has a blood glucose level of
35 mg/dL. The nurse should monitor this baby carefully for which of the
following?
1. Jaundice
2. Jitters
3. Erythema toxicum
4. Subconcunctival hemorrhages - ANSWER-2.
Babies who are hypoglycemic will often develop jitters
A jaundice neonate must have a heel stick to assess bilirubin levels. Which of
the following actions should the nurse make during the procedure?
1. Cover the foot with an iced wrap for one minute prior to the procedure
2. Avoid puncturing the lateral heel to prevent damageing sensitive structures
3. Blot the site with a dry gauze after rubbing it with an alcohol swab
4. Firmly grasp the calf of the baby during the procedure to prevent injury -
ANSWER-3.
Alcohol can irritate the punctured skin and cause hemolysis
, A newborn admitted to the nursery has a positive direct Coombs' test. Which of
the following is an appropriate action by the nurse?
1. Monitor the baby for jitters
2. Assess the blood glucose level
3. Assess the rectal temperature
4. Monitor the baby for jaundice - ANSWER-4.
When the neonatal blood stream contains antibodies, hemolysis of the red blood
cells occurs and jaundice develops
An 18 hour old baby is placed under the bili lights with an elevated bilirubin
level. Which of the following is an expected nursing action in these
circumstances?
1. Give the baby oral rehydration therapy after all feedings
2. Rotate the baby from side to back to side to front every two hours
3. Apply restraints to keep the baby under the light source
4. Administer intravenous fluids via pump per doctor orders - ANSWER-2.
Rotating the baby's position maximizes the therapeutic response because the
more skin surface that is exposed to the light source, the better the results are
A nurse makes the following obsevations when admitting a full term,
breastfeeding baby, into the neonatal nursery: 9lb 2 oz, 21 inches long, TPR:
96.6 F, 158,62, jittery, pink body with bluish hands and feet, crying. Which of
the following actions is of highest probability?
1. Swaddle the baby to provide warmth
2. Assess the glucose level of the baby
3. Take the baby to the mother for feeding
4. Administer the neonatal medications - ANSWER-2.
The glucose level should be assessed to determine whether or not this baby is
hypoglycemic
