HESI PEDIATRICS – HESI PRACTICE EXAM 2022

HESI PEDIATRICS – HESI PRACTICE EXAM 20221. Which of the following is an important consideration in understanding the reactions of parents when their infant is born with physical defects? a. Grief lasts until the defects are repaired. b. Denial is a common maladaptive reaction. c. Psychologic reaction is similar as with the death of an infant. d. Reactions of health professionals to the birth of an infant do not affect parents' reactions. 2. A mother has just given birth to an infant with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" The most appropriate nursing action is: a. Encourage mother to express her feelings. b. Explain in simple language that the baby has a cleft lip. c. Provide emotional support until practitioner can talk to mother. d. Tell mother a pediatrician will talk to her as soon as the baby is examined. 3. An infant who was born yesterday is scheduled for surgery tomorrow. Which of the following interventions in the preoperative period will be the most helpful in assessing postoperative pain in this neonate? a. Assess neonate's behavior. b. Assess neonate's response after inducing pain. c. Interview mother about neonate's behavior. d. Ask mother what measures comfort neonate. 4. The nurse is caring for a family whose infant was just born with anencephaly. The most appropriate nursing intervention is to: a. implement measures to facilitate attachment process. b. help family cope with imminent death of infant. c. prepare family for extensive surgical procedures that will be needed. d. provide emotional support so family can adjust to birth of an infant with problems. 5. Which of the following refers to a hernial protrusion of a saclike cyst of meninges, spinal fluid, and a portion of the spinal cord with its nerves through a defect in the vertebral column? a. Rachischisis c. Meningocele b. Encephalocele d. Myelomeningocele 6. A woman who is 6 weeks pregnant tells the nurse that she is worried the baby might have spina bifida because of a family history. The nurse's response should be based on which of the following? a. There is no genetic basis for the defect. b. Prenatal detection is not possible yet. c. Chromosomal studies done on amniotic fluid can diagnose the defect prenatally. d. The concentration of alpha-fetoprotein in amniotic fluid can indicate the presence of the defect prenatally. 7. Which of the following most accurately describes bowel function in children born with a myelomeningocele? a. Incontinence cannot be prevented. b. Enemas and laxatives are contraindicated. c. Some degree of fecal continence can usually be achieved. d. Colostomy is usually required by the time child reaches adolescence.