HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM, PEDIATRICS HESI PN
REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
QUESTIONS AND VERIFIED ANSWERS
AfterA2repeatingA2theA2vitalA2signsA2forA2aA2newbornA2whoA2isA24A2hoursA2old,A2theA2practic
alA2nurseA2(PN)A2obtainsA2anA2axillaryA2temperatureA2ofA297.2A2FA2andA2placesA2theA2new
bornA2underA2aA2radiantA2heatA2warmer.A2WhichA2additionalA2findingA2shouldA2theA2PNA2o
bserveA2inA2theA2newborn?A2-A2Ans--TremorsA2ofA2theA2handsA2duringA2crying.
WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2provideA2theA2parentsA2aboutA2t
heA2purposeA2ofA2instillingA2erythromycinA2(llotycin)A2ophthalmicA2ointmentA2inA2theA2newb
orn'sA2eyes.A2-A2Ans--
ProphylacticA2treatmentA2forA2gonorrhealA2andA2chlamydiaA2infection.
WhatA2isA2theA2mostA2importantA2actionA2byA2theA2practicalA2nurseA2(PN)A2inA2preventingA2
neonatalA2infection?A2-A2Ans--HandA2washing.
aA2clientA2whoA2tookA2ironA2supplementsA2duringA2pregnancyA2deliversA2andA2infantA2byA2
cesareanA2section.A2OnA2theA2secondA2postpartumA2day,A2theA2clientA2reportsA2havingA2aA
2constipatedA2stoolA2thatA2isA2greenish-
blackA2inA2color.A2WhichA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-
A2Ans--RecordA2colorA2andA2consistencyA2ofA2theA2stool.
AA2clientA2isA25A2weeksA2pregnantA2callA2theA2clinicA2toA2reportA2thatA2herA2homeA2pregnan
cyA2testA2isA2positive.A2SheA2asksA2whatA2sheA2shouldA2beA2concernedA2aboutA2duringA2th
eA2weeksA2beforeA2herA2firstA2visit.A2WhichA2signsA2andA2symptomsA2shouldA2theA2practic
alA2nurseA2(PN)A2tellA2theA2clientA2toA2reportA2immediatelyA2toA2theA2healthcareA2provider?
A2(selectA2allA2thatA2apply)A2-A2Ans--A.A2VaginalA2bleeding
D.A2MembraneA2rupture
E.A2SevereA2headaches
AA23-day-
oldA2newbornA2whoA2weighedA27A2pounds,A28A2ouncesA2atA2birthA2isA2breastA2feedingA2an
dA2nowA2weighsA26A2poundA2andA215A2ounces.A2WhichA2actionA2shouldA2theA2practicalA2n
urseA2take?A2-A2Ans--DocumentA2theA2weightA2loss
,WhichA2medicationA2isA2prescribedA2forA2theA2preventionA2ofA2ophthalmiaA2neonatorum?
A2-A2Ans--ErythromycinA2(iilotycin)
AA2multiparousA2client'sA2membranesA2ruptureA2afterA28A2hoursA2ofA2labor.A2whichA2action
A2shouldA2theA2practicalA2nurseA2implementA2atA2thisA2time?A2-A2Ans--
AssessA2theA2fetalA2heartA2rateA2(FHR)A2andA2pattern.
TheA2practicalA2nurseA2(PN)A2palpatesA2fundalA2heightA2atA2theA2umbilicusA2ofA2aA2multipa
rousA2clientA2whoA2hasA2justA2givenA2birthA2toA2anA28-
poundA2boyA2whenA2darkA2redA2bloodA2comesA2fromA2theA2client'sA2vagina.A2WhatA2action
A2isA2mostA2importantA2forA2theA2PNA2toA2implement?A2-A2Ans--
ContinueA2toA2massageA2theA2fundusA2untilA2firm.
WhichA2clientA2shouldA2theA2practicalA2nurseA2(PN)A2closelyA2monitorA2forA2severeA2afterA2
pains?A2-A2Ans--AA2multigravidaA2whoA2isA2breastfeeding.
TheA2practicalA2nurseA2(PN)A2isA2assessingA2aA2clientA22A2hoursA2afterA2aA2vaginalA2delive
ryA2ofA2aA27-poundA23-
ounceA2newbornA2andA2determinesA2theA2client'sA2bladderA2isA2distended.A2WhichA2additi
onalA2findingA2shouldA2theA2PNA2reportA2toA2theA2chargeA2nurse?A2-A2Ans--
ExcessiveA2bleedingA2onA2theA2perinealA2pad.
TheA2practicalA2nurseA2(PN)A2placesA2aA2newbornA2whoA2isA24A2hoursA2oldA2withA2anA2axill
aryA2temperatureA2ofA297.2A2FA2underA2theA2radiantA2heatA2warmer.A2WhichA2rationaleA2su
pportsA2theA2PN'sA2action?A2-A2Ans--
TheA2newborn'sA2thinA2layerA2ofA2subcutaneousA2fatA2providesA2poorA2insulation.
WhichA2strategyA2shouldA2theA2practicalA2nurseA2(PN)A2implementA2toA2preventA2aA2puerp
eralA2infectionA2forA2aA2clientA2duringA2theA2firstA2postpartumA2week?A2-A2Ans--
ImplementA2strictA2medicalA2andA2asepticA2technique.
WhichA2clientA2isA2aA2candidateA2forA2theA2administrationA2ofA2humanA2immuneA2globulinA2
(RhoGam)A2afterA2delivery?A2-A2Ans--TheA2Rh-negativeA2motherA2whoA2deliversA2aA2Rh-
positiveA2baby.
WhichA2physiologicalA2cause(s)A2forA2constipationA2duringA2pregnancyA2shouldA2theA2prac
ticalA2nurseA2(PN)A2explainA2toA2aA2clientA2inA2theA2firstA2trimester?
A2(SelectA2allA2thatA2apply.)A2-A2Ans--A.A2DisplacementA2ofA2theA2colon.
E.A2DecreaseA2inA2peristalsis.
AA214-
weekA2gestationalA2client,A2whoA2weighedA2125A2poundsA2beforeA2pregnancy,A2comesA2in
toA2theA2healthA2clinicA2forA2aA2prenatalA2appointment.A2TheA2client'sA2weightA2todayA2isA21
29A2pounds.A2WhatA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-A2Ans--
DocumentA2theA2findingA2inA2theA2medicalA2record.
,TheA2practicalA2nurseA2(PN)A2isA2reviewingA2theA2informationalA2packetsA2withA2aA2clientA2
whoA2isA2atA2riskA2forA2preeclampsia.A2WhichA2informationA2isA2mostA2importantA2forA2theA2
PNA2reinforceA2withA2theA2client?A2-A2Ans--
NotifyA2theA2clinicA2ifA2anyA2visionA2changesA2areA2experienced.
AA2primigravidaA2atA233-
weeksA2gestationA2isA2admittedA2afterA2beingA2involvedA2inA2aA2motorA2vehicleA2collisionA2
(MVC).A2TheA2clientA2hasA2noA2complaintsA2ofA2abdominalA2painA2andA2noA2evidenceA2ofA2
vaginalA2bleeding.A2WhichA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2anticipateA2impl
ementingA2forA2theA2client?A2-A2Ans--ObtainA2aA2biophysicalA2profile.
AA2primigravidaA2clientA2asksA2theA2practicalA2nurseA2(PN).A2"HowA2willA2iA2knowA2thatA2IA2
willA2beA2goingA2intoA2laborA2soon?"A2WhichA2signA2shouldA2theA2PNA2provideA2thatA2isA2aA
2commonA2sign?A2-A2Ans--BurstA2ofA2energy.
AA2primigravidaA2clientA2whoA2isA2atA239-
weeksA2gestationA2arrivesA2atA2theA2clinicA2andA2tellsA2theA2practicalA2nurseA2(PN)A2sheA2i
sA2havingA2contractionsA2everyA25A2minutes.A2TheA2healthcareA2providerA2determinesA2sh
eA2isA2dilatedA23A2cmA2andA2inA2earlyA2labor.A2WhatA2actionA2shouldA2theA2practicalA2nurse
A2(PN)A2implementA2whenA2theA2clientA2groansA2withA2eachA2contraction?A2-A2Ans--
DemonstrateA2simpleA2relaxationA2measures.
AA2primiparousA2clientA2asksA2theA2practicalA2nurseA2(PN)A2howA2muchA2herA2newbornA2b
abyA2shouldA2sleepA2everyA2day.A2WhatA2informationA2shouldA2theA2PNA2provide?A2-
A2Ans--
AA2newbornA2sleepsA2mostA2ofA2theA2dayA2andA2graduallyA2willA2haveA2increasingA2period
sA2ofA2wakefulness.
TheA2motherA2asksA2theA2practicalA2nurseA2(PN)A2whatA2herA2infantA2mayA2needA2ifA2theA2
phenylketonuria(PKU)A2testA2isA2positive.A2WhatA2typeA2ofA2treatmentA2shouldA2theA2PNA2t
ellA2theA2motherA2willA2beA2required?A2-A2Ans--LifelongA2dietaryA2management.
TheA2practicalA2nurseA2(PN)A2isA2discussingA2aspectsA2ofA2newbornA2hygieneA2withA2theA2
newA2parentsA2asA2theyA2prepareA2forA2discharge.A2WhichA2informationA2shouldA2theA2PN
A2provide?A2-A2Ans--CreateA2aA2draft-freeA2environmentA2whenA2bathingA2theA2baby.
AA2motherA2whoA2isA2preparingA2forA2dischargeA2beginsA2askingA2theA2practicalA2nurseA2(
PN)A2questionsA2aboutA2bottleA2feedingA2herA2infant.A2WhatA2informationA2shouldA2theA2P
NA2reinforce?A2-A2Ans--BurpA2theA2newbornA2periodicallyA2duringA2theA2feeding.
AnA2infantA2whoA2weightA24550A2gramsA2isA2deliveredA2usingA2forceps-
assistedA2vaginalA2delivery.A2WhatA2actionA2isA2mostA2importantA2forA2theA2practicalA2nurs
eA2(PN)A2toA2implement?A2-A2Ans--MonitorA2forA2signsA2ofA2hypoglycemia.
AA2youngA2adultA2femaleA2comesA2toA2theA2healthA2clinicA2toA2confirmA2aA2positiveA2homeA
2pregnancyA2test.A2AfterA2determiningA2theA2client'sA2lastA2menstrualA2periodA2(LMP)A2asA2
, AugustA25,A2whatA2expectedA2dateA2ofA2birthA2(EDB)A2shouldA2theA2practicalA2nurseA2(PN)
A2calculate?A2-A2Ans--MayA212
TheA2practicalA2nurseA2(PN)A2quicklyA2movesA2theA2cribA2ofA2aA2maleA2newbornA2andA2noti
cesA2thatA2hisA2legsA2flex.A2armsA2fanA2out,A2andA2thenA2returnA2towardA2hisA2midline.A2Wh
atA2actionA2shouldA2theA2PNA2implement?A2-A2Ans--
DocumentA2theA2newbornA2demonstratesA2aA2MoroA2reflex.
WhichA2findingA2forA2aA22-week-
oldA2infantA2shouldA2theA2practicalA2nurseA2(PN)A2reportA2toA2theA2healthcareA2provider?A2-
A2Ans--YellowishA2tingeA2aroundA2theA2eyes.
WhichA2interventionA2shouldA2theA2practicalA2nurseA2(PN)A2provideA2aA2neonateA2duringA2
hospitalization?A2-A2Ans--OfferA2theA2neonateA2aA2pacifierA2betweenA2feedings.
AA2fatherA2expressesA2concernA2thatA2hisA23-day-
oldA2infantA2looksA2"yellow."A2WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2pr
ovide?A2-A2Ans--
PhysiologicA2jaundiceA2occursA2fromA2aA2normalA2reductionA2inA2redA2bloodA2cells.
TheA2practicalA2nurseA2(PN)A2isA2monitoringA2aA2childA2whoA2isA2manifestingA2signsA2ofA2s
hockA2afterA2aA2motorA2vehicleA2collision.A2WhichA2findingA2isA2mostA2importantA2forA2theA2
PNA2toA2reportA2toA2theA2chargeA2nurse?
a)A2narrowingA2pulseA2pressure
b)A2apprehension
c)A2irritability
d)A2thirstA2-A2Ans--Answer:A2A
Rationale:
AsA2shockA2progresses,A2perfusionA2inA2theA2microcirculationA2becomesA2marginalA2despi
teA2compensatoryA2adjustments,A2andA2theA2signsA2ofA2decompensatedA2shockA2become
A2pronounced,A2suchA2asA2tachycardiaA2andA2narrowingA2pulseA2pressureA2(A).A2(TheA2dif
ferenceA2betweenA2systolicA2andA2diastolicA2bloodA2pressure),A2whichA2shouldA2beA2report
edA2immediately.A2(B,C,A2andA2D)A2areA2notA2asA2significantA2asA2(A).
TheA2motherA2ofA2aA29A2monthA2oldA2maleA2infantA2isA2concernedA2becauseA2heA2criesA2w
heneverA2sheA2leavesA2himA2withA2aA2sitter.A2WhatA2isA2theA2bestA2responseA2forA2theA2pra
cticalA2nurseA2(PN)A2toA2provide?
a)A2"HaveA2youA2noticedA2whetherA2yourA2babyA2isA2teething?"
b)A2"CryingA2whenA2youA2leaveA2himA2inA2aA2healthyA2signA2ofA2attachment."
c)A2"ConsiderA2takingA2theA2babyA2toA2theA2doctorA2becauseA2heA2mayA2beA2ill."
d)A2"YouA2couldA2considerA2leavingA2theA2infantA2moreA2oftenA2soA2heA2canA2adjust."A2-
A2Ans--Answer:A2B
PRACTICE EXAM, PEDIATRICS HESI PN
REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
QUESTIONS AND VERIFIED ANSWERS
AfterA2repeatingA2theA2vitalA2signsA2forA2aA2newbornA2whoA2isA24A2hoursA2old,A2theA2practic
alA2nurseA2(PN)A2obtainsA2anA2axillaryA2temperatureA2ofA297.2A2FA2andA2placesA2theA2new
bornA2underA2aA2radiantA2heatA2warmer.A2WhichA2additionalA2findingA2shouldA2theA2PNA2o
bserveA2inA2theA2newborn?A2-A2Ans--TremorsA2ofA2theA2handsA2duringA2crying.
WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2provideA2theA2parentsA2aboutA2t
heA2purposeA2ofA2instillingA2erythromycinA2(llotycin)A2ophthalmicA2ointmentA2inA2theA2newb
orn'sA2eyes.A2-A2Ans--
ProphylacticA2treatmentA2forA2gonorrhealA2andA2chlamydiaA2infection.
WhatA2isA2theA2mostA2importantA2actionA2byA2theA2practicalA2nurseA2(PN)A2inA2preventingA2
neonatalA2infection?A2-A2Ans--HandA2washing.
aA2clientA2whoA2tookA2ironA2supplementsA2duringA2pregnancyA2deliversA2andA2infantA2byA2
cesareanA2section.A2OnA2theA2secondA2postpartumA2day,A2theA2clientA2reportsA2havingA2aA
2constipatedA2stoolA2thatA2isA2greenish-
blackA2inA2color.A2WhichA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-
A2Ans--RecordA2colorA2andA2consistencyA2ofA2theA2stool.
AA2clientA2isA25A2weeksA2pregnantA2callA2theA2clinicA2toA2reportA2thatA2herA2homeA2pregnan
cyA2testA2isA2positive.A2SheA2asksA2whatA2sheA2shouldA2beA2concernedA2aboutA2duringA2th
eA2weeksA2beforeA2herA2firstA2visit.A2WhichA2signsA2andA2symptomsA2shouldA2theA2practic
alA2nurseA2(PN)A2tellA2theA2clientA2toA2reportA2immediatelyA2toA2theA2healthcareA2provider?
A2(selectA2allA2thatA2apply)A2-A2Ans--A.A2VaginalA2bleeding
D.A2MembraneA2rupture
E.A2SevereA2headaches
AA23-day-
oldA2newbornA2whoA2weighedA27A2pounds,A28A2ouncesA2atA2birthA2isA2breastA2feedingA2an
dA2nowA2weighsA26A2poundA2andA215A2ounces.A2WhichA2actionA2shouldA2theA2practicalA2n
urseA2take?A2-A2Ans--DocumentA2theA2weightA2loss
,WhichA2medicationA2isA2prescribedA2forA2theA2preventionA2ofA2ophthalmiaA2neonatorum?
A2-A2Ans--ErythromycinA2(iilotycin)
AA2multiparousA2client'sA2membranesA2ruptureA2afterA28A2hoursA2ofA2labor.A2whichA2action
A2shouldA2theA2practicalA2nurseA2implementA2atA2thisA2time?A2-A2Ans--
AssessA2theA2fetalA2heartA2rateA2(FHR)A2andA2pattern.
TheA2practicalA2nurseA2(PN)A2palpatesA2fundalA2heightA2atA2theA2umbilicusA2ofA2aA2multipa
rousA2clientA2whoA2hasA2justA2givenA2birthA2toA2anA28-
poundA2boyA2whenA2darkA2redA2bloodA2comesA2fromA2theA2client'sA2vagina.A2WhatA2action
A2isA2mostA2importantA2forA2theA2PNA2toA2implement?A2-A2Ans--
ContinueA2toA2massageA2theA2fundusA2untilA2firm.
WhichA2clientA2shouldA2theA2practicalA2nurseA2(PN)A2closelyA2monitorA2forA2severeA2afterA2
pains?A2-A2Ans--AA2multigravidaA2whoA2isA2breastfeeding.
TheA2practicalA2nurseA2(PN)A2isA2assessingA2aA2clientA22A2hoursA2afterA2aA2vaginalA2delive
ryA2ofA2aA27-poundA23-
ounceA2newbornA2andA2determinesA2theA2client'sA2bladderA2isA2distended.A2WhichA2additi
onalA2findingA2shouldA2theA2PNA2reportA2toA2theA2chargeA2nurse?A2-A2Ans--
ExcessiveA2bleedingA2onA2theA2perinealA2pad.
TheA2practicalA2nurseA2(PN)A2placesA2aA2newbornA2whoA2isA24A2hoursA2oldA2withA2anA2axill
aryA2temperatureA2ofA297.2A2FA2underA2theA2radiantA2heatA2warmer.A2WhichA2rationaleA2su
pportsA2theA2PN'sA2action?A2-A2Ans--
TheA2newborn'sA2thinA2layerA2ofA2subcutaneousA2fatA2providesA2poorA2insulation.
WhichA2strategyA2shouldA2theA2practicalA2nurseA2(PN)A2implementA2toA2preventA2aA2puerp
eralA2infectionA2forA2aA2clientA2duringA2theA2firstA2postpartumA2week?A2-A2Ans--
ImplementA2strictA2medicalA2andA2asepticA2technique.
WhichA2clientA2isA2aA2candidateA2forA2theA2administrationA2ofA2humanA2immuneA2globulinA2
(RhoGam)A2afterA2delivery?A2-A2Ans--TheA2Rh-negativeA2motherA2whoA2deliversA2aA2Rh-
positiveA2baby.
WhichA2physiologicalA2cause(s)A2forA2constipationA2duringA2pregnancyA2shouldA2theA2prac
ticalA2nurseA2(PN)A2explainA2toA2aA2clientA2inA2theA2firstA2trimester?
A2(SelectA2allA2thatA2apply.)A2-A2Ans--A.A2DisplacementA2ofA2theA2colon.
E.A2DecreaseA2inA2peristalsis.
AA214-
weekA2gestationalA2client,A2whoA2weighedA2125A2poundsA2beforeA2pregnancy,A2comesA2in
toA2theA2healthA2clinicA2forA2aA2prenatalA2appointment.A2TheA2client'sA2weightA2todayA2isA21
29A2pounds.A2WhatA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-A2Ans--
DocumentA2theA2findingA2inA2theA2medicalA2record.
,TheA2practicalA2nurseA2(PN)A2isA2reviewingA2theA2informationalA2packetsA2withA2aA2clientA2
whoA2isA2atA2riskA2forA2preeclampsia.A2WhichA2informationA2isA2mostA2importantA2forA2theA2
PNA2reinforceA2withA2theA2client?A2-A2Ans--
NotifyA2theA2clinicA2ifA2anyA2visionA2changesA2areA2experienced.
AA2primigravidaA2atA233-
weeksA2gestationA2isA2admittedA2afterA2beingA2involvedA2inA2aA2motorA2vehicleA2collisionA2
(MVC).A2TheA2clientA2hasA2noA2complaintsA2ofA2abdominalA2painA2andA2noA2evidenceA2ofA2
vaginalA2bleeding.A2WhichA2actionA2shouldA2theA2practicalA2nurseA2(PN)A2anticipateA2impl
ementingA2forA2theA2client?A2-A2Ans--ObtainA2aA2biophysicalA2profile.
AA2primigravidaA2clientA2asksA2theA2practicalA2nurseA2(PN).A2"HowA2willA2iA2knowA2thatA2IA2
willA2beA2goingA2intoA2laborA2soon?"A2WhichA2signA2shouldA2theA2PNA2provideA2thatA2isA2aA
2commonA2sign?A2-A2Ans--BurstA2ofA2energy.
AA2primigravidaA2clientA2whoA2isA2atA239-
weeksA2gestationA2arrivesA2atA2theA2clinicA2andA2tellsA2theA2practicalA2nurseA2(PN)A2sheA2i
sA2havingA2contractionsA2everyA25A2minutes.A2TheA2healthcareA2providerA2determinesA2sh
eA2isA2dilatedA23A2cmA2andA2inA2earlyA2labor.A2WhatA2actionA2shouldA2theA2practicalA2nurse
A2(PN)A2implementA2whenA2theA2clientA2groansA2withA2eachA2contraction?A2-A2Ans--
DemonstrateA2simpleA2relaxationA2measures.
AA2primiparousA2clientA2asksA2theA2practicalA2nurseA2(PN)A2howA2muchA2herA2newbornA2b
abyA2shouldA2sleepA2everyA2day.A2WhatA2informationA2shouldA2theA2PNA2provide?A2-
A2Ans--
AA2newbornA2sleepsA2mostA2ofA2theA2dayA2andA2graduallyA2willA2haveA2increasingA2period
sA2ofA2wakefulness.
TheA2motherA2asksA2theA2practicalA2nurseA2(PN)A2whatA2herA2infantA2mayA2needA2ifA2theA2
phenylketonuria(PKU)A2testA2isA2positive.A2WhatA2typeA2ofA2treatmentA2shouldA2theA2PNA2t
ellA2theA2motherA2willA2beA2required?A2-A2Ans--LifelongA2dietaryA2management.
TheA2practicalA2nurseA2(PN)A2isA2discussingA2aspectsA2ofA2newbornA2hygieneA2withA2theA2
newA2parentsA2asA2theyA2prepareA2forA2discharge.A2WhichA2informationA2shouldA2theA2PN
A2provide?A2-A2Ans--CreateA2aA2draft-freeA2environmentA2whenA2bathingA2theA2baby.
AA2motherA2whoA2isA2preparingA2forA2dischargeA2beginsA2askingA2theA2practicalA2nurseA2(
PN)A2questionsA2aboutA2bottleA2feedingA2herA2infant.A2WhatA2informationA2shouldA2theA2P
NA2reinforce?A2-A2Ans--BurpA2theA2newbornA2periodicallyA2duringA2theA2feeding.
AnA2infantA2whoA2weightA24550A2gramsA2isA2deliveredA2usingA2forceps-
assistedA2vaginalA2delivery.A2WhatA2actionA2isA2mostA2importantA2forA2theA2practicalA2nurs
eA2(PN)A2toA2implement?A2-A2Ans--MonitorA2forA2signsA2ofA2hypoglycemia.
AA2youngA2adultA2femaleA2comesA2toA2theA2healthA2clinicA2toA2confirmA2aA2positiveA2homeA
2pregnancyA2test.A2AfterA2determiningA2theA2client'sA2lastA2menstrualA2periodA2(LMP)A2asA2
, AugustA25,A2whatA2expectedA2dateA2ofA2birthA2(EDB)A2shouldA2theA2practicalA2nurseA2(PN)
A2calculate?A2-A2Ans--MayA212
TheA2practicalA2nurseA2(PN)A2quicklyA2movesA2theA2cribA2ofA2aA2maleA2newbornA2andA2noti
cesA2thatA2hisA2legsA2flex.A2armsA2fanA2out,A2andA2thenA2returnA2towardA2hisA2midline.A2Wh
atA2actionA2shouldA2theA2PNA2implement?A2-A2Ans--
DocumentA2theA2newbornA2demonstratesA2aA2MoroA2reflex.
WhichA2findingA2forA2aA22-week-
oldA2infantA2shouldA2theA2practicalA2nurseA2(PN)A2reportA2toA2theA2healthcareA2provider?A2-
A2Ans--YellowishA2tingeA2aroundA2theA2eyes.
WhichA2interventionA2shouldA2theA2practicalA2nurseA2(PN)A2provideA2aA2neonateA2duringA2
hospitalization?A2-A2Ans--OfferA2theA2neonateA2aA2pacifierA2betweenA2feedings.
AA2fatherA2expressesA2concernA2thatA2hisA23-day-
oldA2infantA2looksA2"yellow."A2WhichA2informationA2shouldA2theA2practicalA2nurseA2(PN)A2pr
ovide?A2-A2Ans--
PhysiologicA2jaundiceA2occursA2fromA2aA2normalA2reductionA2inA2redA2bloodA2cells.
TheA2practicalA2nurseA2(PN)A2isA2monitoringA2aA2childA2whoA2isA2manifestingA2signsA2ofA2s
hockA2afterA2aA2motorA2vehicleA2collision.A2WhichA2findingA2isA2mostA2importantA2forA2theA2
PNA2toA2reportA2toA2theA2chargeA2nurse?
a)A2narrowingA2pulseA2pressure
b)A2apprehension
c)A2irritability
d)A2thirstA2-A2Ans--Answer:A2A
Rationale:
AsA2shockA2progresses,A2perfusionA2inA2theA2microcirculationA2becomesA2marginalA2despi
teA2compensatoryA2adjustments,A2andA2theA2signsA2ofA2decompensatedA2shockA2become
A2pronounced,A2suchA2asA2tachycardiaA2andA2narrowingA2pulseA2pressureA2(A).A2(TheA2dif
ferenceA2betweenA2systolicA2andA2diastolicA2bloodA2pressure),A2whichA2shouldA2beA2report
edA2immediately.A2(B,C,A2andA2D)A2areA2notA2asA2significantA2asA2(A).
TheA2motherA2ofA2aA29A2monthA2oldA2maleA2infantA2isA2concernedA2becauseA2heA2criesA2w
heneverA2sheA2leavesA2himA2withA2aA2sitter.A2WhatA2isA2theA2bestA2responseA2forA2theA2pra
cticalA2nurseA2(PN)A2toA2provide?
a)A2"HaveA2youA2noticedA2whetherA2yourA2babyA2isA2teething?"
b)A2"CryingA2whenA2youA2leaveA2himA2inA2aA2healthyA2signA2ofA2attachment."
c)A2"ConsiderA2takingA2theA2babyA2toA2theA2doctorA2becauseA2heA2mayA2beA2ill."
d)A2"YouA2couldA2considerA2leavingA2theA2infantA2moreA2oftenA2soA2heA2canA2adjust."A2-
A2Ans--Answer:A2B
