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 yinrrepeating yinrthe yinrvital yinrsigns yinrfor yinra yinrnewborn yinrwho yinris yinr4 yinrhours yinrold,
yinrthe yinrpractical yinrnurse yinr(PN) yinrobtains yinran yinraxillary yinrtemperature yinrof yinr97.2 yinrF
yinrand yinrplaces yinrthe yinrnewborn yinrunder yinra yinrradiant yinrheat yinrwarmer. yinrWhich
yinradditional yinrfinding yinrshould yinrthe yinrPN yinrobserve yinrin yinrthe yinrnewborn? yinr- yinrANS--
Tremors yinrof yinrthe yinrhands yinrduring yinrcrying.
Which yinrinformation yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide yinrthe yinrparents
yinrabout yinrthe yinrpurpose yinrof yinrinstilling yinrerythromycin yinr(llotycin) yinrophthalmic
yinrointment yinrin yinrthe yinrnewborn's yinreyes. yinr- yinrANS--Prophylactic yinrtreatment yinrfor
yinrgonorrheal yinrand yinrchlamydia yinrinfection.
What yinris yinrthe yinrmost yinrimportant yinraction yinrby yinrthe yinrpractical yinrnurse yinr(PN) yinrin
yinrpreventing yinrneonatal yinrinfection? yinr- yinrANS--Hand yinrwashing.
a yinrclient yinrwho yinrtook yinriron yinrsupplements yinrduring yinrpregnancy yinrdelivers yinrand
yinrinfant yinrby yinrcesarean yinrsection. yinrOn yinrthe yinrsecond yinrpostpartum yinrday, yinrthe
yinrclient yinrreports yinrhaving yinra yinrconstipated yinrstool yinrthat yinris yinrgreenish-black yinrin
yinrcolor. yinrWhich yinraction yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrimplement? yinr-
yinrANS--Record yinrcolor yinrand yinrconsistency yinrof yinrthe yinrstool.
A yinrclient yinris yinr5 yinrweeks yinrpregnant yinrcall yinrthe yinrclinic yinrto yinrreport yinrthat yinrher
yinrhome yinrpregnancy yinrtest yinris yinrpositive. yinrShe yinrasks yinrwhat yinrshe yinrshould yinrbe
yinrconcerned yinrabout yinrduring yinrthe yinrweeks yinrbefore yinrher yinrfirst yinrvisit. yinrWhich
yinrsigns yinrand yinrsymptoms yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrtell yinrthe yinrclient
yinrto yinrreport yinrimmediately yinrto yinrthe yinrhealthcare yinrprovider? yinr(select yinrall yinrthat
yinrapply) yinr- yinrANS--A. yinrVaginal yinrbleeding
D. yinrMembrane yinrrupture
E. yinrSevere yinrheadaches
A yinr3-day-old yinrnewborn yinrwho yinrweighed yinr7 yinrpounds, yinr8 yinrounces yinrat yinrbirth yinris
yinrbreast yinrfeeding yinrand yinrnow yinrweighs yinr6 yinrpound yinrand yinr15 yinrounces. yinrWhich
,yinraction yinrshould yinrthe yinrpractical yinrnurse yinrtake? yinr- yinrANS--Document yinrthe yinrweight
yinrloss
Which yinrmedication yinris yinrprescribed yinrfor yinrthe yinrprevention yinrof yinrophthalmia
yinrneonatorum? yinr- yinrANS--Erythromycin yinr(iilotycin)
A yinrmultiparous yinrclient's yinrmembranes yinrrupture yinrafter yinr8 yinrhours yinrof yinrlabor.
yinrwhich yinraction yinrshould yinrthe yinrpractical yinrnurse yinrimplement yinrat yinrthis yinrtime? yinr-
yinrANS--Assess yinrthe yinrfetal yinrheart yinrrate yinr(FHR) yinrand yinrpattern.
The yinrpractical yinrnurse yinr(PN) yinrpalpates yinrfundal yinrheight yinrat yinrthe yinrumbilicus yinrof
yinra yinrmultiparous yinrclient yinrwho yinrhas yinrjust yinrgiven yinrbirth yinrto yinran yinr8-pound yinrboy
yinrwhen yinrdark yinrred yinrblood yinrcomes yinrfrom yinrthe yinrclient's yinrvagina. yinrWhat yinraction
yinris yinrmost yinrimportant yinrfor yinrthe yinrPN yinrto yinrimplement? yinr- yinrANS--Continue yinrto
yinrmassage yinrthe yinrfundus yinruntil yinrfirm.
Which yinrclient yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrclosely yinrmonitor yinrfor
yinrsevere yinrafter yinrpains? yinr- yinrANS--A yinrmultigravida yinrwho yinris yinrbreastfeeding.
The yinrpractical yinrnurse yinr(PN) yinris yinrassessing yinra yinrclient yinr2 yinrhours yinrafter yinra
yinrvaginal yinrdelivery yinrof yinra yinr7-pound yinr3-ounce yinrnewborn yinrand yinrdetermines yinrthe
yinrclient's yinrbladder yinris yinrdistended. yinrWhich yinradditional yinrfinding yinrshould yinrthe yinrPN
yinrreport yinrto yinrthe yinrcharge yinrnurse? yinr- yinrANS--Excessive yinrbleeding yinron yinrthe
yinrperineal yinrpad.
The yinrpractical yinrnurse yinr(PN) yinrplaces yinra yinrnewborn yinrwho yinris yinr4 yinrhours yinrold
yinrwith yinran yinraxillary yinrtemperature yinrof yinr97.2 yinrF yinrunder yinrthe yinrradiant yinrheat
yinrwarmer. yinrWhich yinrrationale yinrsupports yinrthe yinrPN's yinraction? yinr- yinrANS--The
yinrnewborn's yinrthin yinrlayer yinrof yinrsubcutaneous yinrfat yinrprovides yinrpoor yinrinsulation.
Which yinrstrategy yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrimplement yinrto yinrprevent
yinra yinrpuerperal yinrinfection yinrfor yinra yinrclient yinrduring yinrthe yinrfirst yinrpostpartum yinrweek?
yinr- yinrANS--Implement yinrstrict yinrmedical yinrand yinraseptic yinrtechnique.
Which yinrclient yinris yinra yinrcandidate yinrfor yinrthe yinradministration yinrof yinrhuman yinrimmune
yinrglobulin yinr(RhoGam) yinrafter yinrdelivery? yinr- yinrANS--The yinrRh-negative yinrmother yinrwho
yinrdelivers yinra yinrRh-positive yinrbaby.
Which yinrphysiological yinrcause(s) yinrfor yinrconstipation yinrduring yinrpregnancy yinrshould
yinrthe yinrpractical yinrnurse yinr(PN) yinrexplain yinrto yinra yinrclient yinrin yinrthe yinrfirst yinrtrimester?
yinr(Select yinrall yinrthat yinrapply.) yinr- yinrANS--A. yinrDisplacement yinrof yinrthe yinrcolon.
E. yinrDecrease yinrin yinrperistalsis.
A yinr14-week yinrgestational yinrclient, yinrwho yinrweighed yinr125 yinrpounds yinrbefore
yinrpregnancy, yinrcomes yinrinto yinrthe yinrhealth yinrclinic yinrfor yinra yinrprenatal yinrappointment.
yinrThe yinrclient's yinrweight yinrtoday yinris yinr129 yinrpounds. yinrWhat yinraction yinrshould yinrthe
,yinrpractical yinrnurse yinr(PN) yinrimplement? yinr- yinrANS--Document yinrthe yinrfinding yinrin yinrthe
yinrmedical yinrrecord.
The yinrpractical yinrnurse yinr(PN) yinris yinrreviewing yinrthe yinrinformational yinrpackets yinrwith yinra
yinrclient yinrwho yinris yinrat yinrrisk yinrfor yinrpreeclampsia. yinrWhich yinrinformation yinris yinrmost
yinrimportant yinrfor yinrthe yinrPN yinrreinforce yinrwith yinrthe yinrclient? yinr- yinrANS--Notify yinrthe
yinrclinic yinrif yinrany yinrvision yinrchanges yinrare yinrexperienced.
A yinrprimigravida yinrat yinr33-weeks yinrgestation yinris yinradmitted yinrafter yinrbeing yinrinvolved
yinrin yinra yinrmotor yinrvehicle yinrcollision yinr(MVC). yinrThe yinrclient yinrhas yinrno yinrcomplaints
yinrof yinrabdominal yinrpain yinrand yinrno yinrevidence yinrof yinrvaginal yinrbleeding. yinrWhich
yinraction yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinranticipate yinrimplementing yinrfor yinrthe
yinrclient? yinr- yinrANS--Obtain yinra yinrbiophysical yinrprofile.
A yinrprimigravida yinrclient yinrasks yinrthe yinrpractical yinrnurse yinr(PN). yinr"How yinrwill yinri yinrknow
yinrthat yinrI yinrwill yinrbe yinrgoing yinrinto yinrlabor yinrsoon?" yinrWhich yinrsign yinrshould yinrthe yinrPN
yinrprovide yinrthat yinris yinra yinrcommon yinrsign? yinr- yinrANS--Burst yinrof yinrenergy.
A yinrprimigravida yinrclient yinrwho yinris yinrat yinr39-weeks yinrgestation yinrarrives yinrat yinrthe
yinrclinic yinrand yinrtells yinrthe yinrpractical yinrnurse yinr(PN) yinrshe yinris yinrhaving yinrcontractions
yinrevery yinr5 yinrminutes. yinrThe yinrhealthcare yinrprovider yinrdetermines yinrshe yinris yinrdilated
yinr3 yinrcm yinrand yinrin yinrearly yinrlabor. yinrWhat yinraction yinrshould yinrthe yinrpractical yinrnurse
yinr(PN) yinrimplement yinrwhen yinrthe yinrclient yinrgroans yinrwith yinreach yinrcontraction? yinr-
yinrANS--Demonstrate yinrsimple yinrrelaxation yinrmeasures.
A yinrprimiparous yinrclient yinrasks yinrthe yinrpractical yinrnurse yinr(PN) yinrhow yinrmuch yinrher
yinrnewborn yinrbaby yinrshould yinrsleep yinrevery yinrday. yinrWhat yinrinformation yinrshould yinrthe
yinrPN yinrprovide? yinr- yinrANS--A yinrnewborn yinrsleeps yinrmost yinrof yinrthe yinrday yinrand
yinrgradually yinrwill yinrhave yinrincreasing yinrperiods yinrof yinrwakefulness.
The yinrmother yinrasks yinrthe yinrpractical yinrnurse yinr(PN) yinrwhat yinrher yinrinfant yinrmay yinrneed
yinrif yinrthe yinrphenylketonuria(PKU) yinrtest yinris yinrpositive. yinrWhat yinrtype yinrof yinrtreatment
yinrshould yinrthe yinrPN yinrtell yinrthe yinrmother yinrwill yinrbe yinrrequired? yinr- yinrANS--Lifelong
yinrdietary yinrmanagement.
The yinrpractical yinrnurse yinr(PN) yinris yinrdiscussing yinraspects yinrof yinrnewborn yinrhygiene
yinrwith yinrthe yinrnew yinrparents yinras yinrthey yinrprepare yinrfor yinrdischarge. yinrWhich
yinrinformation yinrshould yinrthe yinrPN yinrprovide? yinr- yinrANS--Create yinra yinrdraft-free
yinrenvironment yinrwhen yinrbathing yinrthe yinrbaby.
A yinrmother yinrwho yinris yinrpreparing yinrfor yinrdischarge yinrbegins yinrasking yinrthe yinrpractical
yinrnurse yinr(PN) yinrquestions yinrabout yinrbottle yinrfeeding yinrher yinrinfant. yinrWhat
yinrinformation yinrshould yinrthe yinrPN yinrreinforce? yinr- yinrANS--Burp yinrthe yinrnewborn
yinrperiodically yinrduring yinrthe yinrfeeding.
, An yinrinfant yinrwho yinrweight yinr4550 yinrgrams yinris yinrdelivered yinrusing yinrforceps-assisted
yinrvaginal yinrdelivery. yinrWhat yinraction yinris yinrmost yinrimportant yinrfor yinrthe yinrpractical
yinrnurse yinr(PN) yinrto yinrimplement? yinr- yinrANS--Monitor yinrfor yinrsigns yinrof yinrhypoglycemia.
A yinryoung yinradult yinrfemale yinrcomes yinrto yinrthe yinrhealth yinrclinic yinrto yinrconfirm yinra
yinrpositive yinrhome yinrpregnancy yinrtest. yinrAfter yinrdetermining yinrthe yinrclient's yinrlast
yinrmenstrual yinrperiod yinr(LMP) yinras yinrAugust yinr5, yinrwhat yinrexpected yinrdate yinrof yinrbirth
yinr(EDB) yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrcalculate? yinr- yinrANS--May yinr12
The yinrpractical yinrnurse yinr(PN) yinrquickly yinrmoves yinrthe yinrcrib yinrof yinra yinrmale yinrnewborn
yinrand yinrnotices yinrthat yinrhis yinrlegs yinrflex. yinrarms yinrfan yinrout, yinrand yinrthen yinrreturn
yinrtoward yinrhis yinrmidline. yinrWhat yinraction yinrshould yinrthe yinrPN yinrimplement? yinr- yinrANS--
Document yinrthe yinrnewborn yinrdemonstrates yinra yinrMoro yinrreflex.
Which yinrfinding yinrfor yinra yinr2-week-old yinrinfant yinrshould yinrthe yinrpractical yinrnurse yinr(PN)
yinrreport yinrto yinrthe yinrhealthcare yinrprovider? yinr- yinrANS--Yellowish yinrtinge yinraround yinrthe
yinreyes.
Which yinrintervention yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide yinra yinrneonate
yinrduring yinrhospitalization? yinr- yinrANS--Offer yinrthe yinrneonate yinra yinrpacifier yinrbetween
yinrfeedings.
A yinrfather yinrexpresses yinrconcern yinrthat yinrhis yinr3-day-old yinrinfant yinrlooks yinr"yellow."
yinrWhich yinrinformation yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide? yinr- yinrANS--
Physiologic yinrjaundice yinroccurs yinrfrom yinra yinrnormal yinrreduction yinrin yinrred yinrblood
yinrcells.
The yinrpractical yinrnurse yinr(PN) yinris yinrmonitoring yinra yinrchild yinrwho yinris yinrmanifesting
yinrsigns yinrof yinrshock yinrafter yinra yinrmotor yinrvehicle yinrcollision. yinrWhich yinrfinding yinris
yinrmost yinrimportant yinrfor yinrthe yinrPN yinrto yinrreport yinrto yinrthe yinrcharge yinrnurse?
a) yinrnarrowing yinrpulse yinrpressure
b) yinrapprehension
c) yinrirritability
d) yinrthirst yinr- yinrANS--Answer: yinrA
Rationale:
As yinrshock yinrprogresses, yinrperfusion yinrin yinrthe yinrmicrocirculation yinrbecomes yinrmarginal
yinrdespite yinrcompensatory yinradjustments, yinrand yinrthe yinrsigns yinrof yinrdecompensated
yinrshock yinrbecome yinrpronounced, yinrsuch yinras yinrtachycardia yinrand yinrnarrowing yinrpulse
yinrpressure yinr(A). yinr(The yinrdifference yinrbetween yinrsystolic yinrand yinrdiastolic yinrblood
yinrpressure), yinrwhich yinrshould yinrbe yinrreported yinrimmediately. yinr(B,C, yinrand yinrD) yinrare
yinrnot yinras yinrsignificant yinras yinr(A).
PRACTICE EXAM, PEDIATRICS HESI PN
REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
QUESTIONS WITH CORRECT ANSWERS
After yinrrepeating yinrthe yinrvital yinrsigns yinrfor yinra yinrnewborn yinrwho yinris yinr4 yinrhours yinrold,
yinrthe yinrpractical yinrnurse yinr(PN) yinrobtains yinran yinraxillary yinrtemperature yinrof yinr97.2 yinrF
yinrand yinrplaces yinrthe yinrnewborn yinrunder yinra yinrradiant yinrheat yinrwarmer. yinrWhich
yinradditional yinrfinding yinrshould yinrthe yinrPN yinrobserve yinrin yinrthe yinrnewborn? yinr- yinrANS--
Tremors yinrof yinrthe yinrhands yinrduring yinrcrying.
Which yinrinformation yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide yinrthe yinrparents
yinrabout yinrthe yinrpurpose yinrof yinrinstilling yinrerythromycin yinr(llotycin) yinrophthalmic
yinrointment yinrin yinrthe yinrnewborn's yinreyes. yinr- yinrANS--Prophylactic yinrtreatment yinrfor
yinrgonorrheal yinrand yinrchlamydia yinrinfection.
What yinris yinrthe yinrmost yinrimportant yinraction yinrby yinrthe yinrpractical yinrnurse yinr(PN) yinrin
yinrpreventing yinrneonatal yinrinfection? yinr- yinrANS--Hand yinrwashing.
a yinrclient yinrwho yinrtook yinriron yinrsupplements yinrduring yinrpregnancy yinrdelivers yinrand
yinrinfant yinrby yinrcesarean yinrsection. yinrOn yinrthe yinrsecond yinrpostpartum yinrday, yinrthe
yinrclient yinrreports yinrhaving yinra yinrconstipated yinrstool yinrthat yinris yinrgreenish-black yinrin
yinrcolor. yinrWhich yinraction yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrimplement? yinr-
yinrANS--Record yinrcolor yinrand yinrconsistency yinrof yinrthe yinrstool.
A yinrclient yinris yinr5 yinrweeks yinrpregnant yinrcall yinrthe yinrclinic yinrto yinrreport yinrthat yinrher
yinrhome yinrpregnancy yinrtest yinris yinrpositive. yinrShe yinrasks yinrwhat yinrshe yinrshould yinrbe
yinrconcerned yinrabout yinrduring yinrthe yinrweeks yinrbefore yinrher yinrfirst yinrvisit. yinrWhich
yinrsigns yinrand yinrsymptoms yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrtell yinrthe yinrclient
yinrto yinrreport yinrimmediately yinrto yinrthe yinrhealthcare yinrprovider? yinr(select yinrall yinrthat
yinrapply) yinr- yinrANS--A. yinrVaginal yinrbleeding
D. yinrMembrane yinrrupture
E. yinrSevere yinrheadaches
A yinr3-day-old yinrnewborn yinrwho yinrweighed yinr7 yinrpounds, yinr8 yinrounces yinrat yinrbirth yinris
yinrbreast yinrfeeding yinrand yinrnow yinrweighs yinr6 yinrpound yinrand yinr15 yinrounces. yinrWhich
,yinraction yinrshould yinrthe yinrpractical yinrnurse yinrtake? yinr- yinrANS--Document yinrthe yinrweight
yinrloss
Which yinrmedication yinris yinrprescribed yinrfor yinrthe yinrprevention yinrof yinrophthalmia
yinrneonatorum? yinr- yinrANS--Erythromycin yinr(iilotycin)
A yinrmultiparous yinrclient's yinrmembranes yinrrupture yinrafter yinr8 yinrhours yinrof yinrlabor.
yinrwhich yinraction yinrshould yinrthe yinrpractical yinrnurse yinrimplement yinrat yinrthis yinrtime? yinr-
yinrANS--Assess yinrthe yinrfetal yinrheart yinrrate yinr(FHR) yinrand yinrpattern.
The yinrpractical yinrnurse yinr(PN) yinrpalpates yinrfundal yinrheight yinrat yinrthe yinrumbilicus yinrof
yinra yinrmultiparous yinrclient yinrwho yinrhas yinrjust yinrgiven yinrbirth yinrto yinran yinr8-pound yinrboy
yinrwhen yinrdark yinrred yinrblood yinrcomes yinrfrom yinrthe yinrclient's yinrvagina. yinrWhat yinraction
yinris yinrmost yinrimportant yinrfor yinrthe yinrPN yinrto yinrimplement? yinr- yinrANS--Continue yinrto
yinrmassage yinrthe yinrfundus yinruntil yinrfirm.
Which yinrclient yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrclosely yinrmonitor yinrfor
yinrsevere yinrafter yinrpains? yinr- yinrANS--A yinrmultigravida yinrwho yinris yinrbreastfeeding.
The yinrpractical yinrnurse yinr(PN) yinris yinrassessing yinra yinrclient yinr2 yinrhours yinrafter yinra
yinrvaginal yinrdelivery yinrof yinra yinr7-pound yinr3-ounce yinrnewborn yinrand yinrdetermines yinrthe
yinrclient's yinrbladder yinris yinrdistended. yinrWhich yinradditional yinrfinding yinrshould yinrthe yinrPN
yinrreport yinrto yinrthe yinrcharge yinrnurse? yinr- yinrANS--Excessive yinrbleeding yinron yinrthe
yinrperineal yinrpad.
The yinrpractical yinrnurse yinr(PN) yinrplaces yinra yinrnewborn yinrwho yinris yinr4 yinrhours yinrold
yinrwith yinran yinraxillary yinrtemperature yinrof yinr97.2 yinrF yinrunder yinrthe yinrradiant yinrheat
yinrwarmer. yinrWhich yinrrationale yinrsupports yinrthe yinrPN's yinraction? yinr- yinrANS--The
yinrnewborn's yinrthin yinrlayer yinrof yinrsubcutaneous yinrfat yinrprovides yinrpoor yinrinsulation.
Which yinrstrategy yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrimplement yinrto yinrprevent
yinra yinrpuerperal yinrinfection yinrfor yinra yinrclient yinrduring yinrthe yinrfirst yinrpostpartum yinrweek?
yinr- yinrANS--Implement yinrstrict yinrmedical yinrand yinraseptic yinrtechnique.
Which yinrclient yinris yinra yinrcandidate yinrfor yinrthe yinradministration yinrof yinrhuman yinrimmune
yinrglobulin yinr(RhoGam) yinrafter yinrdelivery? yinr- yinrANS--The yinrRh-negative yinrmother yinrwho
yinrdelivers yinra yinrRh-positive yinrbaby.
Which yinrphysiological yinrcause(s) yinrfor yinrconstipation yinrduring yinrpregnancy yinrshould
yinrthe yinrpractical yinrnurse yinr(PN) yinrexplain yinrto yinra yinrclient yinrin yinrthe yinrfirst yinrtrimester?
yinr(Select yinrall yinrthat yinrapply.) yinr- yinrANS--A. yinrDisplacement yinrof yinrthe yinrcolon.
E. yinrDecrease yinrin yinrperistalsis.
A yinr14-week yinrgestational yinrclient, yinrwho yinrweighed yinr125 yinrpounds yinrbefore
yinrpregnancy, yinrcomes yinrinto yinrthe yinrhealth yinrclinic yinrfor yinra yinrprenatal yinrappointment.
yinrThe yinrclient's yinrweight yinrtoday yinris yinr129 yinrpounds. yinrWhat yinraction yinrshould yinrthe
,yinrpractical yinrnurse yinr(PN) yinrimplement? yinr- yinrANS--Document yinrthe yinrfinding yinrin yinrthe
yinrmedical yinrrecord.
The yinrpractical yinrnurse yinr(PN) yinris yinrreviewing yinrthe yinrinformational yinrpackets yinrwith yinra
yinrclient yinrwho yinris yinrat yinrrisk yinrfor yinrpreeclampsia. yinrWhich yinrinformation yinris yinrmost
yinrimportant yinrfor yinrthe yinrPN yinrreinforce yinrwith yinrthe yinrclient? yinr- yinrANS--Notify yinrthe
yinrclinic yinrif yinrany yinrvision yinrchanges yinrare yinrexperienced.
A yinrprimigravida yinrat yinr33-weeks yinrgestation yinris yinradmitted yinrafter yinrbeing yinrinvolved
yinrin yinra yinrmotor yinrvehicle yinrcollision yinr(MVC). yinrThe yinrclient yinrhas yinrno yinrcomplaints
yinrof yinrabdominal yinrpain yinrand yinrno yinrevidence yinrof yinrvaginal yinrbleeding. yinrWhich
yinraction yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinranticipate yinrimplementing yinrfor yinrthe
yinrclient? yinr- yinrANS--Obtain yinra yinrbiophysical yinrprofile.
A yinrprimigravida yinrclient yinrasks yinrthe yinrpractical yinrnurse yinr(PN). yinr"How yinrwill yinri yinrknow
yinrthat yinrI yinrwill yinrbe yinrgoing yinrinto yinrlabor yinrsoon?" yinrWhich yinrsign yinrshould yinrthe yinrPN
yinrprovide yinrthat yinris yinra yinrcommon yinrsign? yinr- yinrANS--Burst yinrof yinrenergy.
A yinrprimigravida yinrclient yinrwho yinris yinrat yinr39-weeks yinrgestation yinrarrives yinrat yinrthe
yinrclinic yinrand yinrtells yinrthe yinrpractical yinrnurse yinr(PN) yinrshe yinris yinrhaving yinrcontractions
yinrevery yinr5 yinrminutes. yinrThe yinrhealthcare yinrprovider yinrdetermines yinrshe yinris yinrdilated
yinr3 yinrcm yinrand yinrin yinrearly yinrlabor. yinrWhat yinraction yinrshould yinrthe yinrpractical yinrnurse
yinr(PN) yinrimplement yinrwhen yinrthe yinrclient yinrgroans yinrwith yinreach yinrcontraction? yinr-
yinrANS--Demonstrate yinrsimple yinrrelaxation yinrmeasures.
A yinrprimiparous yinrclient yinrasks yinrthe yinrpractical yinrnurse yinr(PN) yinrhow yinrmuch yinrher
yinrnewborn yinrbaby yinrshould yinrsleep yinrevery yinrday. yinrWhat yinrinformation yinrshould yinrthe
yinrPN yinrprovide? yinr- yinrANS--A yinrnewborn yinrsleeps yinrmost yinrof yinrthe yinrday yinrand
yinrgradually yinrwill yinrhave yinrincreasing yinrperiods yinrof yinrwakefulness.
The yinrmother yinrasks yinrthe yinrpractical yinrnurse yinr(PN) yinrwhat yinrher yinrinfant yinrmay yinrneed
yinrif yinrthe yinrphenylketonuria(PKU) yinrtest yinris yinrpositive. yinrWhat yinrtype yinrof yinrtreatment
yinrshould yinrthe yinrPN yinrtell yinrthe yinrmother yinrwill yinrbe yinrrequired? yinr- yinrANS--Lifelong
yinrdietary yinrmanagement.
The yinrpractical yinrnurse yinr(PN) yinris yinrdiscussing yinraspects yinrof yinrnewborn yinrhygiene
yinrwith yinrthe yinrnew yinrparents yinras yinrthey yinrprepare yinrfor yinrdischarge. yinrWhich
yinrinformation yinrshould yinrthe yinrPN yinrprovide? yinr- yinrANS--Create yinra yinrdraft-free
yinrenvironment yinrwhen yinrbathing yinrthe yinrbaby.
A yinrmother yinrwho yinris yinrpreparing yinrfor yinrdischarge yinrbegins yinrasking yinrthe yinrpractical
yinrnurse yinr(PN) yinrquestions yinrabout yinrbottle yinrfeeding yinrher yinrinfant. yinrWhat
yinrinformation yinrshould yinrthe yinrPN yinrreinforce? yinr- yinrANS--Burp yinrthe yinrnewborn
yinrperiodically yinrduring yinrthe yinrfeeding.
, An yinrinfant yinrwho yinrweight yinr4550 yinrgrams yinris yinrdelivered yinrusing yinrforceps-assisted
yinrvaginal yinrdelivery. yinrWhat yinraction yinris yinrmost yinrimportant yinrfor yinrthe yinrpractical
yinrnurse yinr(PN) yinrto yinrimplement? yinr- yinrANS--Monitor yinrfor yinrsigns yinrof yinrhypoglycemia.
A yinryoung yinradult yinrfemale yinrcomes yinrto yinrthe yinrhealth yinrclinic yinrto yinrconfirm yinra
yinrpositive yinrhome yinrpregnancy yinrtest. yinrAfter yinrdetermining yinrthe yinrclient's yinrlast
yinrmenstrual yinrperiod yinr(LMP) yinras yinrAugust yinr5, yinrwhat yinrexpected yinrdate yinrof yinrbirth
yinr(EDB) yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrcalculate? yinr- yinrANS--May yinr12
The yinrpractical yinrnurse yinr(PN) yinrquickly yinrmoves yinrthe yinrcrib yinrof yinra yinrmale yinrnewborn
yinrand yinrnotices yinrthat yinrhis yinrlegs yinrflex. yinrarms yinrfan yinrout, yinrand yinrthen yinrreturn
yinrtoward yinrhis yinrmidline. yinrWhat yinraction yinrshould yinrthe yinrPN yinrimplement? yinr- yinrANS--
Document yinrthe yinrnewborn yinrdemonstrates yinra yinrMoro yinrreflex.
Which yinrfinding yinrfor yinra yinr2-week-old yinrinfant yinrshould yinrthe yinrpractical yinrnurse yinr(PN)
yinrreport yinrto yinrthe yinrhealthcare yinrprovider? yinr- yinrANS--Yellowish yinrtinge yinraround yinrthe
yinreyes.
Which yinrintervention yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide yinra yinrneonate
yinrduring yinrhospitalization? yinr- yinrANS--Offer yinrthe yinrneonate yinra yinrpacifier yinrbetween
yinrfeedings.
A yinrfather yinrexpresses yinrconcern yinrthat yinrhis yinr3-day-old yinrinfant yinrlooks yinr"yellow."
yinrWhich yinrinformation yinrshould yinrthe yinrpractical yinrnurse yinr(PN) yinrprovide? yinr- yinrANS--
Physiologic yinrjaundice yinroccurs yinrfrom yinra yinrnormal yinrreduction yinrin yinrred yinrblood
yinrcells.
The yinrpractical yinrnurse yinr(PN) yinris yinrmonitoring yinra yinrchild yinrwho yinris yinrmanifesting
yinrsigns yinrof yinrshock yinrafter yinra yinrmotor yinrvehicle yinrcollision. yinrWhich yinrfinding yinris
yinrmost yinrimportant yinrfor yinrthe yinrPN yinrto yinrreport yinrto yinrthe yinrcharge yinrnurse?
a) yinrnarrowing yinrpulse yinrpressure
b) yinrapprehension
c) yinrirritability
d) yinrthirst yinr- yinrANS--Answer: yinrA
Rationale:
As yinrshock yinrprogresses, yinrperfusion yinrin yinrthe yinrmicrocirculation yinrbecomes yinrmarginal
yinrdespite yinrcompensatory yinradjustments, yinrand yinrthe yinrsigns yinrof yinrdecompensated
yinrshock yinrbecome yinrpronounced, yinrsuch yinras yinrtachycardia yinrand yinrnarrowing yinrpulse
yinrpressure yinr(A). yinr(The yinrdifference yinrbetween yinrsystolic yinrand yinrdiastolic yinrblood
yinrpressure), yinrwhich yinrshould yinrbe yinrreported yinrimmediately. yinr(B,C, yinrand yinrD) yinrare
yinrnot yinras yinrsignificant yinras yinr(A).
