HESI 101 Module 1 Exam 2023/2024 (HESI VN Questions With Correct Answers) Rated A+
HESI 101 Module 1 Exam 2023/2024 (HESI VN Questions With Correct Answers) Rated A+. The nurse is assisting with data collection on a well-baby examination. The nurse measures the head circumference, and it is the same as the chest circumference. On the basis of this measurement, the nurse should take which action? Report the presence of hydrocephalus to the health care provider. Suggest to the health care provider that a skull x-ray be performed. Tell the mother that the infant is growing faster than expected. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 4/105 Document these measurements in the infant’s health care record. Correct! Rationale: The head circumference growth rate during the first year is approximately 0.4 inch (1 cm) per month. By 10 to 12 months of age, the infant’s head and chest circumferences are equal. Therefore, suspecting the presence of hydrocephalus, telling the mother that the infant is growing faster than expected, and suggesting that a skull x-ray be performed are incorrect. Test-Taking Strategy: Use the process of elimination. Eliminate the comparable or alike options that indicate that the infant has a physiological problem. Review the expected growth rate of an infant if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process/Data Collection Content Area: Developmental Stages Question 4 1 / 1 pts A new mother asks the nurse, “I was told that my infant received my antibodies during pregnancy. Does that mean that my infant is protected against infections?” Which statement should the nurse make in response to the mother? “Yes, your infant is protected from all infections.” "If you breastfeed, your infant is protected from infection." "The transfer of your antibodies protects your infant until the infant is 12 months old." Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 5/105 "The immune system of an infant is immature, and the infant is at risk for infection." Correct! Rationale: Transplacental transfer of maternal antibodies supplements the infant’s weak response to infection until approximately 3 to 4 months of age. Although the infant begins to produce immunoglobulin (Ig) soon after birth, by 1 year of age, the infant has only approximately 60% of the adult IgG level, 75% of the adult IgM level, and 20% of the adult IgA level. Breast milk transmits additional IgA protection. The activity of T lymphocytes also increases after birth. Even though the immune system matures during infancy, maximal protection against infection is not achieved until early childhood. This immaturity places the infant at risk for infection. Test-Taking Strategy: Use the process of elimination. Eliminate the option containing the closed-ended word "all." Recalling that breastfeeding alone does not protect the infant from infection will assist you in eliminating the option that suggests breastfeeding protects the infant. From the remaining options, use the strategy of selecting the umbrella option to answer correctly. Review the physiological concepts related to the maturity of body systems in an infant if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Developmental Stages Question 5 1 / 1 pts A nurse is assisting with data collection on the language development of a 9-month-old infant. Which developmental milestone does the nurse expect to note in an infant of this age? The infant babbles. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 6/105 Correct! The infant says "Mama." The infant smiles and coos. The infant babbles single consonants. Rationale: An 8- to 9-month-old infant can string vowels and consonants together. The first words, such as "Mama," "Daddy," "bye-bye," and "baby," begin to have meaning. A 1- to 3-month-old infant produces cooing sounds. Babbling is common in a 3- to 4-month-old. Single-consonant babbling occurs between 6 and 8 months of age. Test-Taking Strategy: Use the process of elimination and focus on the subject, the developmental milestone of a 9- month-old. Recalling the language development that occurs during infancy will direct you to the correct option. Remember that an 8- to 9-month-old infant can string vowels and consonants together. Review the developmental milestones related to language development in an infant if you had difficulty with this question. Level of Cognitive Ability: Understanding Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process/Data Collection Content Area: Developmental Stages Question 6 1 / 1 pts The mother of a 9-month-old infant calls the nurse at the pediatrician’s office, tells the nurse that her infant is teething, and asks what can be done to relieve the infant’s discomfort. The nurse should provide which instruction? Schedule an appointment with a dentist for a dental evaluation. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 7/105 Rub the infant's gums with baby aspirin that has been dissolved in water. Obtain an over-the-counter (OTC) topical medication for gumpain relief. Give the infant cool liquids or a Popsicle and hard foods such as dry toast. Correct! Rationale: Although sometimes asymptomatic, teething is often signaled by behavior such as nighttime awakening, daytime restlessness, an increase in nonnutritive sucking, excess drooling, and temporary loss of appetite. Some degree of discomfort is normal. It is unnecessary to obtain a dental evaluation, but a health care professional should further investigate any incidence of increased temperature, irritability, ear-tugging, or diarrhea. The nurse may suggest that the mother provide cool liquids and hard foods such as dry toast, Popsicles, or a frozen bagel for chewing to relieve discomfort. Hard, cold teethers and ice wrapped in cloth may also provide comfort for inflamed gums. OTC medications for gum relief should only be used as directed by the health care provider. Home remedies such as rubbing the gums with aspirin should be discouraged, but acetaminophen (Tylenol), administered as directed for the child’s age, can relieve discomfort.
Written for
- Institution
-
Concorde Career College
- Course
-
HESI 101 (HESI101)
Document information
- Uploaded on
- June 15, 2023
- Number of pages
- 106
- Written in
- 2022/2023
- Type
- Exam (elaborations)
- Contains
- Questions & answers
Also available in package deal