HESI PN Obstetrics/Maternity
Practice Exam, Pediatrics HESI PN
Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
With Correct Verified And Well
Analyzed Answers Graded A+
After repeating the vital signs for a newborn who is 4 hours old, the
practical nurse (PN) obtains an axillary temperature of 97.2 F and
places the newborn under a radiant heat warmer. Which additional
finding should the PN observe in the newborn?
Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents
about the purpose of instilling erythromycin (llotycin) ophthalmic
ointment in the newborn's eyes.
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in
preventing neonatal infection?
Hand washing.
a client who took iron supplements during pregnancy delivers and
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color.
Which action should the practical nurse (PN) implement?
,Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home
pregnancy test is positive. She asks what she should be concerned
about during the weeks before her first visit. Which signs and
symptoms should the practical nurse (PN) tell the client to report
immediately to the healthcare provider? (select all that apply)
A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is
breast feeding and now weighs 6 pound and 15 ounces. Which action
should the practical nurse take?
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia
neonatorum?
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor.
which action should the practical nurse implement at this time?
Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when
dark red blood comes from the client's vagina. What action is most
important for the PN to implement?
Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for
severe after pains?
A multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal
delivery of a 7-pound 3-ounce newborn and determines the client's
bladder is distended. Which additional finding should the PN report to
the charge nurse?
Excessive bleeding on the perineal pad.
,The practical nurse (PN) places a newborn who is 4 hours old with an
axillary temperature of 97.2 F under the radiant heat warmer. Which
rationale supports the PN's action?
The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which strategy should the practical nurse (PN) implement to prevent
a puerperal infection for a client during the first postpartum week?
Implement strict medical and aseptic technique.
Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery?
The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first
trimester? (Select all that apply.)
A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal appointment.
The client's weight today is 129 pounds. What action should the
practical nurse (PN) implement?
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most
important for the PN reinforce with the client?
Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks’ gestation is admitted after being involved
in a motor vehicle collision (MVC). The client has no complaints of
abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client?
Obtain a biophysical profile.
, A primigravida client asks the practical nurse (PN). "How will i know
that I will be going into labor soon?" Which sign should the PN
provide that is a common sign?
Burst of energy.
A primigravida client who is at 39-weeks’ gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions
every 5 minutes. The healthcare provider determines she is dilated 3
cm and in early labor. What action should the practical nurse (PN)
implement when the client groans with each contraction?
Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her
newborn baby should sleep every day. What information should the
PN provide?
A newborn sleep most of the day and gradually will have increasing
periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria (PKU) test is positive. What type of treatment
should the PN tell the mother will be required?
Lifelong dietary management.
The practical nurse (PN) is discussing aspects of newborn hygiene
with the new parents as they prepare for discharge. Which
information should the PN provide?
Create a draft-free environment when bathing the baby.
A mother who is preparing for discharge begins asking the practical
nurse (PN) questions about bottle feeding her infant. What
information should the PN reinforce?
Burp the newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted
vaginal delivery. What action is most important for the practical nurse
(PN) to implement?
Monitor for signs of hypoglycemia.
Practice Exam, Pediatrics HESI PN
Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
With Correct Verified And Well
Analyzed Answers Graded A+
After repeating the vital signs for a newborn who is 4 hours old, the
practical nurse (PN) obtains an axillary temperature of 97.2 F and
places the newborn under a radiant heat warmer. Which additional
finding should the PN observe in the newborn?
Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents
about the purpose of instilling erythromycin (llotycin) ophthalmic
ointment in the newborn's eyes.
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in
preventing neonatal infection?
Hand washing.
a client who took iron supplements during pregnancy delivers and
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color.
Which action should the practical nurse (PN) implement?
,Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home
pregnancy test is positive. She asks what she should be concerned
about during the weeks before her first visit. Which signs and
symptoms should the practical nurse (PN) tell the client to report
immediately to the healthcare provider? (select all that apply)
A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is
breast feeding and now weighs 6 pound and 15 ounces. Which action
should the practical nurse take?
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia
neonatorum?
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor.
which action should the practical nurse implement at this time?
Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when
dark red blood comes from the client's vagina. What action is most
important for the PN to implement?
Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for
severe after pains?
A multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal
delivery of a 7-pound 3-ounce newborn and determines the client's
bladder is distended. Which additional finding should the PN report to
the charge nurse?
Excessive bleeding on the perineal pad.
,The practical nurse (PN) places a newborn who is 4 hours old with an
axillary temperature of 97.2 F under the radiant heat warmer. Which
rationale supports the PN's action?
The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which strategy should the practical nurse (PN) implement to prevent
a puerperal infection for a client during the first postpartum week?
Implement strict medical and aseptic technique.
Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery?
The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first
trimester? (Select all that apply.)
A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal appointment.
The client's weight today is 129 pounds. What action should the
practical nurse (PN) implement?
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most
important for the PN reinforce with the client?
Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks’ gestation is admitted after being involved
in a motor vehicle collision (MVC). The client has no complaints of
abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client?
Obtain a biophysical profile.
, A primigravida client asks the practical nurse (PN). "How will i know
that I will be going into labor soon?" Which sign should the PN
provide that is a common sign?
Burst of energy.
A primigravida client who is at 39-weeks’ gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions
every 5 minutes. The healthcare provider determines she is dilated 3
cm and in early labor. What action should the practical nurse (PN)
implement when the client groans with each contraction?
Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her
newborn baby should sleep every day. What information should the
PN provide?
A newborn sleep most of the day and gradually will have increasing
periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria (PKU) test is positive. What type of treatment
should the PN tell the mother will be required?
Lifelong dietary management.
The practical nurse (PN) is discussing aspects of newborn hygiene
with the new parents as they prepare for discharge. Which
information should the PN provide?
Create a draft-free environment when bathing the baby.
A mother who is preparing for discharge begins asking the practical
nurse (PN) questions about bottle feeding her infant. What
information should the PN reinforce?
Burp the newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted
vaginal delivery. What action is most important for the practical nurse
(PN) to implement?
Monitor for signs of hypoglycemia.
