PEDS & OB HESI EXAM QUESTIONS AND 100% CORRECT
ANSWERS 2024-2025
it is very important to monitor for fetal position because the mother cannot tell you that
she has back pain, which is the cardinal sign of persistant posterior fetal position. Why
do the regional blocks-especially the 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 - Answer D.
Regional blocks, particularly the epidural and caudal, often lead to assisted delivery due
to inability to push effectively in the 2nd stage.
Early diagnosis of rheumatoid arthritis can minimize 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 - Answer D.
Exercises should be done slowly and smoothly so that no extra pain occurs, the nurse
should advice the client.
A client who is 32 weeks pregnant comes to the hospital with dark, red vaginal bleeding,
FHR 100 bpm, rigid abdomen, and severe pain. The difference between abruptio
placentae and placenta previa is
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 -
Answer D.
Knowledge base must be used by the nurse 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 - ANS A.
The nurse should immediately notify the health care 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 related to increased risk of DIC
A nurse has to use knowledge base in order to differentiate between abruptio placentae
from plaventa previa. What assessments would a nurse carry out in a client thought to
have either 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 -Answer D.
Abruptio placentae or placventa previa patients No abdominal or vaginal manipulation
No Leopold's maneuvers No vaginal exams No rectal exams, enemas, or suppositories
No internal monitoring
A patient who is suspected to have abruptio placentae or placenta previa should be
monitorized for bleeding at IV sites and gums related to increased risk for DIC. The
following is NOT related to DIC:
A. cervical carcinoma
,B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - Answer A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension (
Preeclampsia) and abruptio placentae. Cervical carcinoma is related to podophyllin
A child who is prescribed oral iron should receive instruction from the nurse regarding
how the medication should be taken. Among the following, which is an inappropriate
teaching about oral iron administration?
A. Oral iron should be taken on an empty stomach
B. Oral iron should be taken with citrus juices
C. Oral iron should be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - 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 - Answer C.
With each pregnancy, there is a 1:4 chance of the infant having the disease.
X-linked recessive linked recessive trait: on the x chromosome, therefore usually affects
male offspring. What is the chance for a pregnant woman to be a carrier of her
offsprings getting 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 - Answer C.
With each pregnancy of a female carrier, there is a 25 percent chance of the child
having hemophilia. If the child is a male, then his chances of having hemophilia are 50
percent. And if the child is a female, then her chances of being a carrier are 50 percent.
Supplemental iron is not given to clients with sickle cell anemia because the anemia is
not caused by iron deficiency. Which of the following is a very important aspect 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 - Answer C.
Hydration is very important in the treatment of sickle cell disease because of its
promoting hemodilution and curculation of red cells through blood vessels
An infant with hypothyroidism is often described by the parents as a "good, quite baby".
What early disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - Answer B.
These conditions, hypothyroidism and phenylketonuria, can be prevented from leading
to mental retardation in infants only if their diagnosis is made early. Knowledge of
normal growth and development is very much needed because a failure in attainment
can be used to detect the existence of these metabolic/endocrine disorders, and
attainment can be used for evaluating the treatments' effects.
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes
until recently. What type of diabetes has been found to occur with increasing frequency
in Native Americans, African Americans, and Hispanic children and adolescents?
ANSWERS 2024-2025
it is very important to monitor for fetal position because the mother cannot tell you that
she has back pain, which is the cardinal sign of persistant posterior fetal position. Why
do the regional blocks-especially the 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 - Answer D.
Regional blocks, particularly the epidural and caudal, often lead to assisted delivery due
to inability to push effectively in the 2nd stage.
Early diagnosis of rheumatoid arthritis can minimize 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 - Answer D.
Exercises should be done slowly and smoothly so that no extra pain occurs, the nurse
should advice the client.
A client who is 32 weeks pregnant comes to the hospital with dark, red vaginal bleeding,
FHR 100 bpm, rigid abdomen, and severe pain. The difference between abruptio
placentae and placenta previa is
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 -
Answer D.
Knowledge base must be used by the nurse 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 - ANS A.
The nurse should immediately notify the health care 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 related to increased risk of DIC
A nurse has to use knowledge base in order to differentiate between abruptio placentae
from plaventa previa. What assessments would a nurse carry out in a client thought to
have either 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 -Answer D.
Abruptio placentae or placventa previa patients No abdominal or vaginal manipulation
No Leopold's maneuvers No vaginal exams No rectal exams, enemas, or suppositories
No internal monitoring
A patient who is suspected to have abruptio placentae or placenta previa should be
monitorized for bleeding at IV sites and gums related to increased risk for DIC. The
following is NOT related to DIC:
A. cervical carcinoma
,B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - Answer A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension (
Preeclampsia) and abruptio placentae. Cervical carcinoma is related to podophyllin
A child who is prescribed oral iron should receive instruction from the nurse regarding
how the medication should be taken. Among the following, which is an inappropriate
teaching about oral iron administration?
A. Oral iron should be taken on an empty stomach
B. Oral iron should be taken with citrus juices
C. Oral iron should be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - 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 - Answer C.
With each pregnancy, there is a 1:4 chance of the infant having the disease.
X-linked recessive linked recessive trait: on the x chromosome, therefore usually affects
male offspring. What is the chance for a pregnant woman to be a carrier of her
offsprings getting 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 - Answer C.
With each pregnancy of a female carrier, there is a 25 percent chance of the child
having hemophilia. If the child is a male, then his chances of having hemophilia are 50
percent. And if the child is a female, then her chances of being a carrier are 50 percent.
Supplemental iron is not given to clients with sickle cell anemia because the anemia is
not caused by iron deficiency. Which of the following is a very important aspect 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 - Answer C.
Hydration is very important in the treatment of sickle cell disease because of its
promoting hemodilution and curculation of red cells through blood vessels
An infant with hypothyroidism is often described by the parents as a "good, quite baby".
What early disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - Answer B.
These conditions, hypothyroidism and phenylketonuria, can be prevented from leading
to mental retardation in infants only if their diagnosis is made early. Knowledge of
normal growth and development is very much needed because a failure in attainment
can be used to detect the existence of these metabolic/endocrine disorders, and
attainment can be used for evaluating the treatments' effects.
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes
until recently. What type of diabetes has been found to occur with increasing frequency
in Native Americans, African Americans, and Hispanic children and adolescents?
