HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM, PEDIATRICS HESI PN
REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
QUESTIONS WITH CORRECT ANSWERS
After uinrrepeating uinrthe uinrvital uinrsigns uinrfor uinra uinrnewborn uinrwho uinris uinr4 uinrhours uinrold,
uinrthe uinrpractical uinrnurse uinr(PN) uinrobtains uinran uinraxillary uinrtemperature uinrof uinr97.2 uinrF
uinrand uinrplaces uinrthe uinrnewborn uinrunder uinra uinrradiant uinrheat uinrwarmer. uinrWhich
uinradditional uinrfinding uinrshould uinrthe uinrPN uinrobserve uinrin uinrthe uinrnewborn? uinr- uinrANS--
Tremors uinrof uinrthe uinrhands uinrduring uinrcrying.
Which uinrinformation uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide uinrthe uinrparents
uinrabout uinrthe uinrpurpose uinrof uinrinstilling uinrerythromycin uinr(llotycin) uinrophthalmic
uinrointment uinrin uinrthe uinrnewborn's uinreyes. uinr- uinrANS--Prophylactic uinrtreatment uinrfor
uinrgonorrheal uinrand uinrchlamydia uinrinfection.
What uinris uinrthe uinrmost uinrimportant uinraction uinrby uinrthe uinrpractical uinrnurse uinr(PN) uinrin
uinrpreventing uinrneonatal uinrinfection? uinr- uinrANS--Hand uinrwashing.
a uinrclient uinrwho uinrtook uinriron uinrsupplements uinrduring uinrpregnancy uinrdelivers uinrand
uinrinfant uinrby uinrcesarean uinrsection. uinrOn uinrthe uinrsecond uinrpostpartum uinrday, uinrthe
uinrclient uinrreports uinrhaving uinra uinrconstipated uinrstool uinrthat uinris uinrgreenish-black uinrin
uinrcolor. uinrWhich uinraction uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrimplement? uinr-
uinrANS--Record uinrcolor uinrand uinrconsistency uinrof uinrthe uinrstool.
A uinrclient uinris uinr5 uinrweeks uinrpregnant uinrcall uinrthe uinrclinic uinrto uinrreport uinrthat uinrher
uinrhome uinrpregnancy uinrtest uinris uinrpositive. uinrShe uinrasks uinrwhat uinrshe uinrshould uinrbe
uinrconcerned uinrabout uinrduring uinrthe uinrweeks uinrbefore uinrher uinrfirst uinrvisit. uinrWhich
uinrsigns uinrand uinrsymptoms uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrtell uinrthe uinrclient
uinrto uinrreport uinrimmediately uinrto uinrthe uinrhealthcare uinrprovider? uinr(select uinrall uinrthat
uinrapply) uinr- uinrANS--A. uinrVaginal uinrbleeding
D. uinrMembrane uinrrupture
E. uinrSevere uinrheadaches
A uinr3-day-old uinrnewborn uinrwho uinrweighed uinr7 uinrpounds, uinr8 uinrounces uinrat uinrbirth uinris
uinrbreast uinrfeeding uinrand uinrnow uinrweighs uinr6 uinrpound uinrand uinr15 uinrounces. uinrWhich
,uinraction uinrshould uinrthe uinrpractical uinrnurse uinrtake? uinr- uinrANS--Document uinrthe uinrweight
uinrloss
Which uinrmedication uinris uinrprescribed uinrfor uinrthe uinrprevention uinrof uinrophthalmia
uinrneonatorum? uinr- uinrANS--Erythromycin uinr(iilotycin)
A uinrmultiparous uinrclient's uinrmembranes uinrrupture uinrafter uinr8 uinrhours uinrof uinrlabor.
uinrwhich uinraction uinrshould uinrthe uinrpractical uinrnurse uinrimplement uinrat uinrthis uinrtime? uinr-
uinrANS--Assess uinrthe uinrfetal uinrheart uinrrate uinr(FHR) uinrand uinrpattern.
The uinrpractical uinrnurse uinr(PN) uinrpalpates uinrfundal uinrheight uinrat uinrthe uinrumbilicus uinrof
uinra uinrmultiparous uinrclient uinrwho uinrhas uinrjust uinrgiven uinrbirth uinrto uinran uinr8-pound uinrboy
uinrwhen uinrdark uinrred uinrblood uinrcomes uinrfrom uinrthe uinrclient's uinrvagina. uinrWhat uinraction
uinris uinrmost uinrimportant uinrfor uinrthe uinrPN uinrto uinrimplement? uinr- uinrANS--Continue uinrto
uinrmassage uinrthe uinrfundus uinruntil uinrfirm.
Which uinrclient uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrclosely uinrmonitor uinrfor
uinrsevere uinrafter uinrpains? uinr- uinrANS--A uinrmultigravida uinrwho uinris uinrbreastfeeding.
The uinrpractical uinrnurse uinr(PN) uinris uinrassessing uinra uinrclient uinr2 uinrhours uinrafter uinra
uinrvaginal uinrdelivery uinrof uinra uinr7-pound uinr3-ounce uinrnewborn uinrand uinrdetermines uinrthe
uinrclient's uinrbladder uinris uinrdistended. uinrWhich uinradditional uinrfinding uinrshould uinrthe uinrPN
uinrreport uinrto uinrthe uinrcharge uinrnurse? uinr- uinrANS--Excessive uinrbleeding uinron uinrthe
uinrperineal uinrpad.
The uinrpractical uinrnurse uinr(PN) uinrplaces uinra uinrnewborn uinrwho uinris uinr4 uinrhours uinrold
uinrwith uinran uinraxillary uinrtemperature uinrof uinr97.2 uinrF uinrunder uinrthe uinrradiant uinrheat
uinrwarmer. uinrWhich uinrrationale uinrsupports uinrthe uinrPN's uinraction? uinr- uinrANS--The
uinrnewborn's uinrthin uinrlayer uinrof uinrsubcutaneous uinrfat uinrprovides uinrpoor uinrinsulation.
Which uinrstrategy uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrimplement uinrto uinrprevent
uinra uinrpuerperal uinrinfection uinrfor uinra uinrclient uinrduring uinrthe uinrfirst uinrpostpartum uinrweek?
uinr- uinrANS--Implement uinrstrict uinrmedical uinrand uinraseptic uinrtechnique.
Which uinrclient uinris uinra uinrcandidate uinrfor uinrthe uinradministration uinrof uinrhuman uinrimmune
uinrglobulin uinr(RhoGam) uinrafter uinrdelivery? uinr- uinrANS--The uinrRh-negative uinrmother
uinrwho uinrdelivers uinra uinrRh-positive uinrbaby.
Which uinrphysiological uinrcause(s) uinrfor uinrconstipation uinrduring uinrpregnancy uinrshould
uinrthe uinrpractical uinrnurse uinr(PN) uinrexplain uinrto uinra uinrclient uinrin uinrthe uinrfirst uinrtrimester?
uinr(Select uinrall uinrthat uinrapply.) uinr- uinrANS--A. uinrDisplacement uinrof uinrthe uinrcolon.
E. uinrDecrease uinrin uinrperistalsis.
A uinr14-week uinrgestational uinrclient, uinrwho uinrweighed uinr125 uinrpounds uinrbefore
uinrpregnancy, uinrcomes uinrinto uinrthe uinrhealth uinrclinic uinrfor uinra uinrprenatal uinrappointment.
uinrThe uinrclient's uinrweight uinrtoday uinris uinr129 uinrpounds. uinrWhat uinraction uinrshould uinrthe
,uinrpractical uinrnurse uinr(PN) uinrimplement? uinr- uinrANS--Document uinrthe uinrfinding uinrin uinrthe
uinrmedical uinrrecord.
The uinrpractical uinrnurse uinr(PN) uinris uinrreviewing uinrthe uinrinformational uinrpackets uinrwith
uinra uinrclient uinrwho uinris uinrat uinrrisk uinrfor uinrpreeclampsia. uinrWhich uinrinformation uinris
uinrmost uinrimportant uinrfor uinrthe uinrPN uinrreinforce uinrwith uinrthe uinrclient? uinr- uinrANS--Notify
uinrthe uinrclinic uinrif uinrany uinrvision uinrchanges uinrare uinrexperienced.
A uinrprimigravida uinrat uinr33-weeks uinrgestation uinris uinradmitted uinrafter uinrbeing uinrinvolved
uinrin uinra uinrmotor uinrvehicle uinrcollision uinr(MVC). uinrThe uinrclient uinrhas uinrno uinrcomplaints
uinrof uinrabdominal uinrpain uinrand uinrno uinrevidence uinrof uinrvaginal uinrbleeding. uinrWhich
uinraction uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinranticipate uinrimplementing uinrfor
uinrthe uinrclient? uinr- uinrANS--Obtain uinra uinrbiophysical uinrprofile.
A uinrprimigravida uinrclient uinrasks uinrthe uinrpractical uinrnurse uinr(PN). uinr"How uinrwill uinri
uinrknow uinrthat uinrI uinrwill uinrbe uinrgoing uinrinto uinrlabor uinrsoon?" uinrWhich uinrsign uinrshould
uinrthe uinrPN uinrprovide uinrthat uinris uinra uinrcommon uinrsign? uinr- uinrANS--Burst uinrof uinrenergy.
A uinrprimigravida uinrclient uinrwho uinris uinrat uinr39-weeks uinrgestation uinrarrives uinrat uinrthe
uinrclinic uinrand uinrtells uinrthe uinrpractical uinrnurse uinr(PN) uinrshe uinris uinrhaving uinrcontractions
uinrevery uinr5 uinrminutes. uinrThe uinrhealthcare uinrprovider uinrdetermines uinrshe uinris uinrdilated
uinr3 uinrcm uinrand uinrin uinrearly uinrlabor. uinrWhat uinraction uinrshould uinrthe uinrpractical uinrnurse
uinr(PN) uinrimplement uinrwhen uinrthe uinrclient uinrgroans uinrwith uinreach uinrcontraction? uinr-
uinrANS--Demonstrate uinrsimple uinrrelaxation uinrmeasures.
A uinrprimiparous uinrclient uinrasks uinrthe uinrpractical uinrnurse uinr(PN) uinrhow uinrmuch uinrher
uinrnewborn uinrbaby uinrshould uinrsleep uinrevery uinrday. uinrWhat uinrinformation uinrshould uinrthe
uinrPN uinrprovide? uinr- uinrANS--A uinrnewborn uinrsleeps uinrmost uinrof uinrthe uinrday uinrand
uinrgradually uinrwill uinrhave uinrincreasing uinrperiods uinrof uinrwakefulness.
The uinrmother uinrasks uinrthe uinrpractical uinrnurse uinr(PN) uinrwhat uinrher uinrinfant uinrmay
uinrneed uinrif uinrthe uinrphenylketonuria(PKU) uinrtest uinris uinrpositive. uinrWhat uinrtype uinrof
uinrtreatment uinrshould uinrthe uinrPN uinrtell uinrthe uinrmother uinrwill uinrbe uinrrequired? uinr- uinrANS--
Lifelong uinrdietary uinrmanagement.
The uinrpractical uinrnurse uinr(PN) uinris uinrdiscussing uinraspects uinrof uinrnewborn uinrhygiene
uinrwith uinrthe uinrnew uinrparents uinras uinrthey uinrprepare uinrfor uinrdischarge. uinrWhich
uinrinformation uinrshould uinrthe uinrPN uinrprovide? uinr- uinrANS--Create uinra uinrdraft-free
uinrenvironment uinrwhen uinrbathing uinrthe uinrbaby.
A uinrmother uinrwho uinris uinrpreparing uinrfor uinrdischarge uinrbegins uinrasking uinrthe uinrpractical
uinrnurse uinr(PN) uinrquestions uinrabout uinrbottle uinrfeeding uinrher uinrinfant. uinrWhat
uinrinformation uinrshould uinrthe uinrPN uinrreinforce? uinr- uinrANS--Burp uinrthe uinrnewborn
uinrperiodically uinrduring uinrthe uinrfeeding.
, An uinrinfant uinrwho uinrweight uinr4550 uinrgrams uinris uinrdelivered uinrusing uinrforceps-assisted
uinrvaginal uinrdelivery. uinrWhat uinraction uinris uinrmost uinrimportant uinrfor uinrthe uinrpractical
uinrnurse uinr(PN) uinrto uinrimplement? uinr- uinrANS--Monitor uinrfor uinrsigns uinrof uinrhypoglycemia.
A uinryoung uinradult uinrfemale uinrcomes uinrto uinrthe uinrhealth uinrclinic uinrto uinrconfirm uinra
uinrpositive uinrhome uinrpregnancy uinrtest. uinrAfter uinrdetermining uinrthe uinrclient's uinrlast
uinrmenstrual uinrperiod uinr(LMP) uinras uinrAugust uinr5, uinrwhat uinrexpected uinrdate uinrof uinrbirth
uinr(EDB) uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrcalculate? uinr- uinrANS--May uinr12
The uinrpractical uinrnurse uinr(PN) uinrquickly uinrmoves uinrthe uinrcrib uinrof uinra uinrmale uinrnewborn
uinrand uinrnotices uinrthat uinrhis uinrlegs uinrflex. uinrarms uinrfan uinrout, uinrand uinrthen uinrreturn
uinrtoward uinrhis uinrmidline. uinrWhat uinraction uinrshould uinrthe uinrPN uinrimplement? uinr- uinrANS--
Document uinrthe uinrnewborn uinrdemonstrates uinra uinrMoro uinrreflex.
Which uinrfinding uinrfor uinra uinr2-week-old uinrinfant uinrshould uinrthe uinrpractical uinrnurse uinr(PN)
uinrreport uinrto uinrthe uinrhealthcare uinrprovider? uinr- uinrANS--Yellowish uinrtinge uinraround uinrthe
uinreyes.
Which uinrintervention uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide uinra uinrneonate
uinrduring uinrhospitalization? uinr- uinrANS--Offer uinrthe uinrneonate uinra uinrpacifier uinrbetween
uinrfeedings.
A uinrfather uinrexpresses uinrconcern uinrthat uinrhis uinr3-day-old uinrinfant uinrlooks uinr"yellow."
uinrWhich uinrinformation uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide? uinr- uinrANS--
Physiologic uinrjaundice uinroccurs uinrfrom uinra uinrnormal uinrreduction uinrin uinrred uinrblood
uinrcells.
The uinrpractical uinrnurse uinr(PN) uinris uinrmonitoring uinra uinrchild uinrwho uinris uinrmanifesting
uinrsigns uinrof uinrshock uinrafter uinra uinrmotor uinrvehicle uinrcollision. uinrWhich uinrfinding uinris
uinrmost uinrimportant uinrfor uinrthe uinrPN uinrto uinrreport uinrto uinrthe uinrcharge uinrnurse?
a) uinrnarrowing uinrpulse uinrpressure
b) uinrapprehension
c) uinrirritability
d) uinrthirst uinr- uinrANS--Answer: uinrA
Rationale:
As uinrshock uinrprogresses, uinrperfusion uinrin uinrthe uinrmicrocirculation uinrbecomes
uinrmarginal uinrdespite uinrcompensatory uinradjustments, uinrand uinrthe uinrsigns uinrof
uinrdecompensated uinrshock uinrbecome uinrpronounced, uinrsuch uinras uinrtachycardia uinrand
uinrnarrowing uinrpulse uinrpressure uinr(A). uinr(The uinrdifference uinrbetween uinrsystolic uinrand
uinrdiastolic uinrblood uinrpressure), uinrwhich uinrshould uinrbe uinrreported uinrimmediately. uinr(B,C,
uinrand uinrD) uinrare uinrnot uinras uinrsignificant uinras uinr(A).
PRACTICE EXAM, PEDIATRICS HESI PN
REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
QUESTIONS WITH CORRECT ANSWERS
After uinrrepeating uinrthe uinrvital uinrsigns uinrfor uinra uinrnewborn uinrwho uinris uinr4 uinrhours uinrold,
uinrthe uinrpractical uinrnurse uinr(PN) uinrobtains uinran uinraxillary uinrtemperature uinrof uinr97.2 uinrF
uinrand uinrplaces uinrthe uinrnewborn uinrunder uinra uinrradiant uinrheat uinrwarmer. uinrWhich
uinradditional uinrfinding uinrshould uinrthe uinrPN uinrobserve uinrin uinrthe uinrnewborn? uinr- uinrANS--
Tremors uinrof uinrthe uinrhands uinrduring uinrcrying.
Which uinrinformation uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide uinrthe uinrparents
uinrabout uinrthe uinrpurpose uinrof uinrinstilling uinrerythromycin uinr(llotycin) uinrophthalmic
uinrointment uinrin uinrthe uinrnewborn's uinreyes. uinr- uinrANS--Prophylactic uinrtreatment uinrfor
uinrgonorrheal uinrand uinrchlamydia uinrinfection.
What uinris uinrthe uinrmost uinrimportant uinraction uinrby uinrthe uinrpractical uinrnurse uinr(PN) uinrin
uinrpreventing uinrneonatal uinrinfection? uinr- uinrANS--Hand uinrwashing.
a uinrclient uinrwho uinrtook uinriron uinrsupplements uinrduring uinrpregnancy uinrdelivers uinrand
uinrinfant uinrby uinrcesarean uinrsection. uinrOn uinrthe uinrsecond uinrpostpartum uinrday, uinrthe
uinrclient uinrreports uinrhaving uinra uinrconstipated uinrstool uinrthat uinris uinrgreenish-black uinrin
uinrcolor. uinrWhich uinraction uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrimplement? uinr-
uinrANS--Record uinrcolor uinrand uinrconsistency uinrof uinrthe uinrstool.
A uinrclient uinris uinr5 uinrweeks uinrpregnant uinrcall uinrthe uinrclinic uinrto uinrreport uinrthat uinrher
uinrhome uinrpregnancy uinrtest uinris uinrpositive. uinrShe uinrasks uinrwhat uinrshe uinrshould uinrbe
uinrconcerned uinrabout uinrduring uinrthe uinrweeks uinrbefore uinrher uinrfirst uinrvisit. uinrWhich
uinrsigns uinrand uinrsymptoms uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrtell uinrthe uinrclient
uinrto uinrreport uinrimmediately uinrto uinrthe uinrhealthcare uinrprovider? uinr(select uinrall uinrthat
uinrapply) uinr- uinrANS--A. uinrVaginal uinrbleeding
D. uinrMembrane uinrrupture
E. uinrSevere uinrheadaches
A uinr3-day-old uinrnewborn uinrwho uinrweighed uinr7 uinrpounds, uinr8 uinrounces uinrat uinrbirth uinris
uinrbreast uinrfeeding uinrand uinrnow uinrweighs uinr6 uinrpound uinrand uinr15 uinrounces. uinrWhich
,uinraction uinrshould uinrthe uinrpractical uinrnurse uinrtake? uinr- uinrANS--Document uinrthe uinrweight
uinrloss
Which uinrmedication uinris uinrprescribed uinrfor uinrthe uinrprevention uinrof uinrophthalmia
uinrneonatorum? uinr- uinrANS--Erythromycin uinr(iilotycin)
A uinrmultiparous uinrclient's uinrmembranes uinrrupture uinrafter uinr8 uinrhours uinrof uinrlabor.
uinrwhich uinraction uinrshould uinrthe uinrpractical uinrnurse uinrimplement uinrat uinrthis uinrtime? uinr-
uinrANS--Assess uinrthe uinrfetal uinrheart uinrrate uinr(FHR) uinrand uinrpattern.
The uinrpractical uinrnurse uinr(PN) uinrpalpates uinrfundal uinrheight uinrat uinrthe uinrumbilicus uinrof
uinra uinrmultiparous uinrclient uinrwho uinrhas uinrjust uinrgiven uinrbirth uinrto uinran uinr8-pound uinrboy
uinrwhen uinrdark uinrred uinrblood uinrcomes uinrfrom uinrthe uinrclient's uinrvagina. uinrWhat uinraction
uinris uinrmost uinrimportant uinrfor uinrthe uinrPN uinrto uinrimplement? uinr- uinrANS--Continue uinrto
uinrmassage uinrthe uinrfundus uinruntil uinrfirm.
Which uinrclient uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrclosely uinrmonitor uinrfor
uinrsevere uinrafter uinrpains? uinr- uinrANS--A uinrmultigravida uinrwho uinris uinrbreastfeeding.
The uinrpractical uinrnurse uinr(PN) uinris uinrassessing uinra uinrclient uinr2 uinrhours uinrafter uinra
uinrvaginal uinrdelivery uinrof uinra uinr7-pound uinr3-ounce uinrnewborn uinrand uinrdetermines uinrthe
uinrclient's uinrbladder uinris uinrdistended. uinrWhich uinradditional uinrfinding uinrshould uinrthe uinrPN
uinrreport uinrto uinrthe uinrcharge uinrnurse? uinr- uinrANS--Excessive uinrbleeding uinron uinrthe
uinrperineal uinrpad.
The uinrpractical uinrnurse uinr(PN) uinrplaces uinra uinrnewborn uinrwho uinris uinr4 uinrhours uinrold
uinrwith uinran uinraxillary uinrtemperature uinrof uinr97.2 uinrF uinrunder uinrthe uinrradiant uinrheat
uinrwarmer. uinrWhich uinrrationale uinrsupports uinrthe uinrPN's uinraction? uinr- uinrANS--The
uinrnewborn's uinrthin uinrlayer uinrof uinrsubcutaneous uinrfat uinrprovides uinrpoor uinrinsulation.
Which uinrstrategy uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrimplement uinrto uinrprevent
uinra uinrpuerperal uinrinfection uinrfor uinra uinrclient uinrduring uinrthe uinrfirst uinrpostpartum uinrweek?
uinr- uinrANS--Implement uinrstrict uinrmedical uinrand uinraseptic uinrtechnique.
Which uinrclient uinris uinra uinrcandidate uinrfor uinrthe uinradministration uinrof uinrhuman uinrimmune
uinrglobulin uinr(RhoGam) uinrafter uinrdelivery? uinr- uinrANS--The uinrRh-negative uinrmother
uinrwho uinrdelivers uinra uinrRh-positive uinrbaby.
Which uinrphysiological uinrcause(s) uinrfor uinrconstipation uinrduring uinrpregnancy uinrshould
uinrthe uinrpractical uinrnurse uinr(PN) uinrexplain uinrto uinra uinrclient uinrin uinrthe uinrfirst uinrtrimester?
uinr(Select uinrall uinrthat uinrapply.) uinr- uinrANS--A. uinrDisplacement uinrof uinrthe uinrcolon.
E. uinrDecrease uinrin uinrperistalsis.
A uinr14-week uinrgestational uinrclient, uinrwho uinrweighed uinr125 uinrpounds uinrbefore
uinrpregnancy, uinrcomes uinrinto uinrthe uinrhealth uinrclinic uinrfor uinra uinrprenatal uinrappointment.
uinrThe uinrclient's uinrweight uinrtoday uinris uinr129 uinrpounds. uinrWhat uinraction uinrshould uinrthe
,uinrpractical uinrnurse uinr(PN) uinrimplement? uinr- uinrANS--Document uinrthe uinrfinding uinrin uinrthe
uinrmedical uinrrecord.
The uinrpractical uinrnurse uinr(PN) uinris uinrreviewing uinrthe uinrinformational uinrpackets uinrwith
uinra uinrclient uinrwho uinris uinrat uinrrisk uinrfor uinrpreeclampsia. uinrWhich uinrinformation uinris
uinrmost uinrimportant uinrfor uinrthe uinrPN uinrreinforce uinrwith uinrthe uinrclient? uinr- uinrANS--Notify
uinrthe uinrclinic uinrif uinrany uinrvision uinrchanges uinrare uinrexperienced.
A uinrprimigravida uinrat uinr33-weeks uinrgestation uinris uinradmitted uinrafter uinrbeing uinrinvolved
uinrin uinra uinrmotor uinrvehicle uinrcollision uinr(MVC). uinrThe uinrclient uinrhas uinrno uinrcomplaints
uinrof uinrabdominal uinrpain uinrand uinrno uinrevidence uinrof uinrvaginal uinrbleeding. uinrWhich
uinraction uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinranticipate uinrimplementing uinrfor
uinrthe uinrclient? uinr- uinrANS--Obtain uinra uinrbiophysical uinrprofile.
A uinrprimigravida uinrclient uinrasks uinrthe uinrpractical uinrnurse uinr(PN). uinr"How uinrwill uinri
uinrknow uinrthat uinrI uinrwill uinrbe uinrgoing uinrinto uinrlabor uinrsoon?" uinrWhich uinrsign uinrshould
uinrthe uinrPN uinrprovide uinrthat uinris uinra uinrcommon uinrsign? uinr- uinrANS--Burst uinrof uinrenergy.
A uinrprimigravida uinrclient uinrwho uinris uinrat uinr39-weeks uinrgestation uinrarrives uinrat uinrthe
uinrclinic uinrand uinrtells uinrthe uinrpractical uinrnurse uinr(PN) uinrshe uinris uinrhaving uinrcontractions
uinrevery uinr5 uinrminutes. uinrThe uinrhealthcare uinrprovider uinrdetermines uinrshe uinris uinrdilated
uinr3 uinrcm uinrand uinrin uinrearly uinrlabor. uinrWhat uinraction uinrshould uinrthe uinrpractical uinrnurse
uinr(PN) uinrimplement uinrwhen uinrthe uinrclient uinrgroans uinrwith uinreach uinrcontraction? uinr-
uinrANS--Demonstrate uinrsimple uinrrelaxation uinrmeasures.
A uinrprimiparous uinrclient uinrasks uinrthe uinrpractical uinrnurse uinr(PN) uinrhow uinrmuch uinrher
uinrnewborn uinrbaby uinrshould uinrsleep uinrevery uinrday. uinrWhat uinrinformation uinrshould uinrthe
uinrPN uinrprovide? uinr- uinrANS--A uinrnewborn uinrsleeps uinrmost uinrof uinrthe uinrday uinrand
uinrgradually uinrwill uinrhave uinrincreasing uinrperiods uinrof uinrwakefulness.
The uinrmother uinrasks uinrthe uinrpractical uinrnurse uinr(PN) uinrwhat uinrher uinrinfant uinrmay
uinrneed uinrif uinrthe uinrphenylketonuria(PKU) uinrtest uinris uinrpositive. uinrWhat uinrtype uinrof
uinrtreatment uinrshould uinrthe uinrPN uinrtell uinrthe uinrmother uinrwill uinrbe uinrrequired? uinr- uinrANS--
Lifelong uinrdietary uinrmanagement.
The uinrpractical uinrnurse uinr(PN) uinris uinrdiscussing uinraspects uinrof uinrnewborn uinrhygiene
uinrwith uinrthe uinrnew uinrparents uinras uinrthey uinrprepare uinrfor uinrdischarge. uinrWhich
uinrinformation uinrshould uinrthe uinrPN uinrprovide? uinr- uinrANS--Create uinra uinrdraft-free
uinrenvironment uinrwhen uinrbathing uinrthe uinrbaby.
A uinrmother uinrwho uinris uinrpreparing uinrfor uinrdischarge uinrbegins uinrasking uinrthe uinrpractical
uinrnurse uinr(PN) uinrquestions uinrabout uinrbottle uinrfeeding uinrher uinrinfant. uinrWhat
uinrinformation uinrshould uinrthe uinrPN uinrreinforce? uinr- uinrANS--Burp uinrthe uinrnewborn
uinrperiodically uinrduring uinrthe uinrfeeding.
, An uinrinfant uinrwho uinrweight uinr4550 uinrgrams uinris uinrdelivered uinrusing uinrforceps-assisted
uinrvaginal uinrdelivery. uinrWhat uinraction uinris uinrmost uinrimportant uinrfor uinrthe uinrpractical
uinrnurse uinr(PN) uinrto uinrimplement? uinr- uinrANS--Monitor uinrfor uinrsigns uinrof uinrhypoglycemia.
A uinryoung uinradult uinrfemale uinrcomes uinrto uinrthe uinrhealth uinrclinic uinrto uinrconfirm uinra
uinrpositive uinrhome uinrpregnancy uinrtest. uinrAfter uinrdetermining uinrthe uinrclient's uinrlast
uinrmenstrual uinrperiod uinr(LMP) uinras uinrAugust uinr5, uinrwhat uinrexpected uinrdate uinrof uinrbirth
uinr(EDB) uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrcalculate? uinr- uinrANS--May uinr12
The uinrpractical uinrnurse uinr(PN) uinrquickly uinrmoves uinrthe uinrcrib uinrof uinra uinrmale uinrnewborn
uinrand uinrnotices uinrthat uinrhis uinrlegs uinrflex. uinrarms uinrfan uinrout, uinrand uinrthen uinrreturn
uinrtoward uinrhis uinrmidline. uinrWhat uinraction uinrshould uinrthe uinrPN uinrimplement? uinr- uinrANS--
Document uinrthe uinrnewborn uinrdemonstrates uinra uinrMoro uinrreflex.
Which uinrfinding uinrfor uinra uinr2-week-old uinrinfant uinrshould uinrthe uinrpractical uinrnurse uinr(PN)
uinrreport uinrto uinrthe uinrhealthcare uinrprovider? uinr- uinrANS--Yellowish uinrtinge uinraround uinrthe
uinreyes.
Which uinrintervention uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide uinra uinrneonate
uinrduring uinrhospitalization? uinr- uinrANS--Offer uinrthe uinrneonate uinra uinrpacifier uinrbetween
uinrfeedings.
A uinrfather uinrexpresses uinrconcern uinrthat uinrhis uinr3-day-old uinrinfant uinrlooks uinr"yellow."
uinrWhich uinrinformation uinrshould uinrthe uinrpractical uinrnurse uinr(PN) uinrprovide? uinr- uinrANS--
Physiologic uinrjaundice uinroccurs uinrfrom uinra uinrnormal uinrreduction uinrin uinrred uinrblood
uinrcells.
The uinrpractical uinrnurse uinr(PN) uinris uinrmonitoring uinra uinrchild uinrwho uinris uinrmanifesting
uinrsigns uinrof uinrshock uinrafter uinra uinrmotor uinrvehicle uinrcollision. uinrWhich uinrfinding uinris
uinrmost uinrimportant uinrfor uinrthe uinrPN uinrto uinrreport uinrto uinrthe uinrcharge uinrnurse?
a) uinrnarrowing uinrpulse uinrpressure
b) uinrapprehension
c) uinrirritability
d) uinrthirst uinr- uinrANS--Answer: uinrA
Rationale:
As uinrshock uinrprogresses, uinrperfusion uinrin uinrthe uinrmicrocirculation uinrbecomes
uinrmarginal uinrdespite uinrcompensatory uinradjustments, uinrand uinrthe uinrsigns uinrof
uinrdecompensated uinrshock uinrbecome uinrpronounced, uinrsuch uinras uinrtachycardia uinrand
uinrnarrowing uinrpulse uinrpressure uinr(A). uinr(The uinrdifference uinrbetween uinrsystolic uinrand
uinrdiastolic uinrblood uinrpressure), uinrwhich uinrshould uinrbe uinrreported uinrimmediately. uinr(B,C,
uinrand uinrD) uinrare uinrnot uinras uinrsignificant uinras uinr(A).
