Peds & OB HESI questions and answers 100% guaranteed success.

Peds & OB HESI questions and answers 100% guaranteed success. Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage - correct answer. D. Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability to push effectively in the 2nd stage. Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction and often the disease will go into remission. What activity recommendations should the nurse provide a client with rheumatoid arthritis? A. Exercise of painful, swollen joints to strengthen them B. Exercise joint to the point of pain so that the pain lessens C. Make Jerky movements during the exercise so that the pain lessens D. Perform exercises slowly and smoothly - correct answer. D. A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain occurs A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio placentae and placenta previa? A. Aruptio placentae: painless bright red bleeding occurring in the third trimester B. Abruptio placentae: occurs in the second trimester C. Placenta previa: occurs in the second trimester D. Placenta previa: painless bright red bleeding occurring in the third trimester - correct answer. D. The nurse must use knowledge base to diffferentiate betewwn abruptia placentae from placenta previa. A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the nurse determines the FHR to be 100 bpm and her abdomen is rigid and board like. What action should the nurse take first? A. Administer O2 per face mask B. Abdominal manipulation C. vaginal manipulation D. Abdominal exam - correct answer. A. The nurse should immediately notify the healthcare provider and no abdominal or vaginal manipulation or exams should be done. Administer O2 per face mask and monitor for bleeding at IV sites and gums due to the increased risk of DIC A nurse must use knowledge base to differentiate between abruptio placentae from plaventa previa. What assessments should be done in case of a patient suspected of abruptio placentae or placenta previa. A. abdominal or vaginal manipulation B. Leopold's maneuvers C. internal monitoring D. Monitor for bleeding at IV sites and gums due to increased risk of DIC - correct answer. D. Patients with abruptio placentae or placventa previa should have No abdominal or vaginal manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams, enemas, or suppositories. No internal monitoring A patient suspected of abruptio placentae or placenta previa should be monitorized for bleeding at IV sites and gums due to increased risk of DIC. What isn't DIC related to? A. cervical carcinoma B. fetal demise C. infection/sepsis D. pregnancy-induced hypertension - correct answer. A. DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension ( Preeclampsia) and abruptio placentae. Cervical carcinoma is related to podophyllin If a child is on oral iron medication, the family should be taught by the nurse how it should be administered. Out of the following options, what oral iron administration advise is inappropriate? A. Oral iron should be given on empty stomach B. Oral iron should be given with citrus juices C. Oral iron shoule be given with dairy products D. A dropper or straw should be used to avoid discoloring teeth - correct answer. C. Iron can be fatal in severe overdose and as a result, it should be kept away from children. Also, do not give with dairy products. In autosomal recessive disease, both parents must be hererozygous, or carriers of the recessive trait, for the disease to be expressed in their offspring. If both parents are heterozygous, what is the chance the baby to have the disease as well? A. 1:2 B. 1:3 C. 1:4 D. 1:1 - correct answer. C. With each pregnancy, there is a 1:4 chance of the infant having the disease. When it comes to X-linked recessive linked recessive trait, the trait is carried on the x chromosome, therefore, usually affects male offspring. What is the chance for a pregnant woman carrier her offspring to get the disease? A. Male child: 75% of having the disease B. Female child: 50% of having the disease C. Male child: 50% of having the disease D. Female child: 25% of having disease - correct answer. C. With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is female, she has a 50% chance of being a carrier. Supplemental iron is not givento clients with sickle cell anemia because the anemia is not caused by iron deficiency. What aspect is very important in treatment of sickle cell disease because it promotes hemodilution and circulation of red cells through the blood vessels? A. HgbAS B. HGBS C. Hydration D. Hydrotherapy - correct answer. C. Hydration is very important in treatment of sickle cell disease because it promotes hemodilution and curculation of red cells through blood vessels An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What early disease detection is essential in preventing mental retardation in infants? A. Hyperthyroidism B. Phenylketonuria C. Diabetes Mellitus D. Ketoacidosis - correct answer. B. Early detection of hypothyroidism and phenylketonuria is essential in preventing mental retardation in infants. Knowledge of normal groth and development is important, sin a lack of attaintment can be used to detect the existence of these metabolic/endocrine disorders and attainment can be used for evaluating the treatments effecct Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until recently. What diabetes type has been discovered to occur more often in Native Americans, African Americans, and Hispanic children and adolescents? A. Type 1 B. Type 2 C. Type 3 D. Type 4 - correct answer. B. DM in children was typicall diagnosed as insulin dependent until recently. A marked increase in Type 2 DM has occurred recently in the US. There has been an increase in the number of children diagnosed with Type 2 diabetes with the increasing rate of obesity in children thought to be a contributing factor. What other factors are thought to be contributing in the increase of Type 2 cases? A. Hypotension B. Hypokalemia C. Lack of physical activity D. Hyperkalemia - correct answer. C. There has been an increase in the number of children diagnosed with Type 2 diabetes. The increasing rate of obesity is children is thought to be a contributing factor. Other contributing factors include lack of physical activity, and a family history of Type 2 diabetes. Fractures in older children are common as they fall during play and are involved in motor vehicle accidents. What fractures in children are related to child abuse? A. Greenstick Fracture B. Growth plate Fracture C. Torus Fracture D. Spiral fracture - correct answer. D. Spiral fractures (caused by twisting) anf fractures in infants may be related to child abuse Skin traction for fracture reduction should not be removed unless prescribed by healthcare provider. What fractures have serious consequences interms of growth of the affected limb? A. Greenstick fracture B. Plate fracture C. Torus fracture D. Spiral fracture - correct answer. B. Fractures involving the epiphyseal plate ( growth plate) can have serious consequences in terms of growth of the affected limb Corticosteroids are used shor term in low doses suring exacerbations. What side effect do corticosteroids have on long term? A. Adverse effects on growth B. Adverse effects on bone structure C. Hypoglycemia D. Hypocalcemia - correct answer. A. Corticosteroids are used short term in low doses during exacerbations. Long term use is avoided due to side effects and their adverse effect on growth Skin traction for fracture reduction should not be removed unless prescribed by healthcare provider. What do the pin sites usually cause in an infant client? A. Hypoglycemia B. Hypocalcemia C. Infection D. Low vitamin K concentration - correct answer. C. Pin sites can be sources of infection. The nurse should monitor signs of infection and cleanse and dress sites as prescribed. The menstrual phase varies in length for most women. How many days usually are from ovulation to the beginning of the next menstrual cycle? A. 12 days B. 14 days C. 16 days D. 18 days - correct answer. B. From ovulation to the beginning of the next menstrual cycle is usually exactly 14 days. In other words, ovulation occurs 14 days before the next menstrual period Sperm lives approximately 3 days and eggs live abut 24 hours. Which is the time interval a coulple should avoid unprotected intecourse after the ovulation? A. 24 hours B. 48 hours C. 72 hours D. 128 hours - correct answer. C. From ovulation to the begging of the next menstrual cycle is usually exactly 14 days. In other words, ovulation occurs 14 days before the next menstrual period A woman who is 6 weeks pregnant has the following maternal history: a 2 yr old healthey daughter, a miscarriage at 10 weeks, 3 years ago and an elective abortion at 6 weeks, 5 years ago. Describe gravidity and parity in this case. A. gravida 1, para 4 B. gravida 2, para 4 C. gravida 4, para 1 D. gravida 4, para 2 - correct answer. C. With this pregnancy, the woman is a gravida 4, para 1 ( only 1 delivery after 20 weeks geatation) The first day of a womans last normal menstrual period was October 17. By using Nagele's rule, what is the EDB? A. July 10 B. July 24 C. June 10 D. June 24 - correct answer. B. If the first day of a womans last normal menstrual period was October 17, her EDB using Nagele's rule is July 24. Count back 3 months and add 7 days ( Always give February 28 days) At approximately 28 - 32 weeks gestation, the maximum plasma volume increase of 25 - 40% occurs, resulting in normal hemodilution of pregnancy and Hct values of 32 - 42%. What does Hct in reality represent, even if its values may look "good"? A. Pregnancy induced hyperglycemia B. Pregnancy induced hypoglycemia C. Pregnancy induced hypertension D. pregnancy induced hypotension - correct answer. C. High Hct values may look "good" but in reality represent pregnancy induced hypertension and depleted vascular space A 22 year old primigravida at 12 weeks gestation has a high Hgb of 9.6 g/dl and a Hct of 31% and she has gained 3 pounds during the first trimester, even if the gain of 3.5 to 5 pounds during the first trimester is recommended. Taking into consideration that the client is anemic, what supplements should be recommended to her? A. Potassium B. Magnesium C. Iron D. Calcium - correct answer. C. For the anemic pregnant client, supplemental iron and a diet high in iron is needed As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava and aorta). What position is best for increasing perfucion according to the latest research? A. Left side lying position B. Knee chest position C. Side lying position D. Right side lying position - correct answer. B. Recent research indicated that the knee chest position is best for increasing perfusion and that the sid lying position (either left or right side lying) is the second most disirable position to increase perfusion. Prior to this research, the left side lying position was usually encouraged Fetal well being is determined by assessing fundal height, fetal heart tones/rate, fetal movement and uterine activity (contractions). What do changes in fetal heart rate indicate? A. Leukorrhea B. Compromised blood flow to the fetus C. Fluid discharge from vagina D. Change in fetal movement - correct answer. B. Changes in fetal heart rate are the first and most important indicator of compromised blood flow to the fetus, and these changes require action Changes in fetal heart rate are the first and most important indicator of compromised blood flow to the fetus, and these changes require action! What is the normal FHR in a pregnant woman? A. 150 - 180 bpm