Peds & Maternity HESI | 112 Questions and Answers with complete solution

Peds & Maternity HESI The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? - ✔✔Right foot is cool to the touch and appears pale and blanched During f undal massage, place one hand at the fundus, what is the second hand used for - ✔✔to anchor fundus Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? - ✔✔Set of cloth and hand puppets There is a question that has to be put in order - ✔✔*isolate the baby, move mom to private room, collect u/a, start iv* An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? - ✔✔Place the infant in a knee -chest position How do you measure the frequency of contractions - ✔✔from the beginning of one to the beginning of the next A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? - ✔✔Metabolic Acidoses Mothers Hemoglobin A1C - ✔✔give her a consultation to a nutritionist A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? - ✔✔Serum potassium of 3.0 mg/dL Baby shows cyanosis in hands and feet and has elevated respirations - ✔✔gradually warm the baby Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute. Intervention best to implement? - ✔✔gradually warm under heat source The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? - ✔✔*Creamed corn* Baby is showing signs of mottling - ✔✔check temperature During a well -baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? - ✔✔Object Permanence Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the data of mom - ✔✔increased weight gain The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? - ✔✔Palpate the anterior fontanel for tension and bulging Mom asks why her baby is being screened for T4 and TSH levels - ✔✔it is state protocol to monitor for metabolic abnormalities The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years old sibling are at the child's bedside. Which instruction best supports family? - ✔✔Please decide who will stay when the healthcare provider begins suturing Patient is having labor back pain - ✔✔counter pressure on lower back (sacrum) The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intak e and decrease