HESI PN OBSTETRICS/MATERNITY PRACTICE EXAM,
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION | TESTBANK | LATEST VERSION| BRAND NEW|
WITH NGN | 2024
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN)
obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat
warmer. Which additional finding should the PN observe in the newborn? - Tremors of
the hands during crying.
Which information should the practical nurse (PN) provide the parents about the
purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. -
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal
infection? - Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean
section. On the second postpartum day, the client reports having a constipated stool
that is greenish-black in color. Which action should the practical nurse (PN) implement?
- Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is
positive. She asks what she should be concerned about during the weeks before her
first visit. Which signs and symptoms should the practical nurse (PN) tell the client to
,report immediately to the healthcare provider? (select all that apply) - A. Vaginal
bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and
now weighs 6 pound and 15 ounces. Which action should the practical nurse take? -
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the
practical nurse implement at this time? - Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client
who has just given birth to an 8-pound boy when dark red blood comes from the client's
vagina. What action is most important for the PN to implement? - Continue to massage
the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? - A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Excessive bleeding on
the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports the PN's
action? - The newborn's thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human immune globulin (RhoGam)
after delivery? - The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) - A.
Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into
the health clinic for a prenatal appointment. The client's weight today is 129 pounds.
,What action should the practical nurse (PN) implement? - Document the finding in the
medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with the
client? - Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of
vaginal bleeding. Which action should the practical nurse (PN) anticipate implementing
for the client? - Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going
into labor soon?" Which sign should the PN provide that is a common sign? - Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction? -
Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should
sleep every day. What information should the PN provide? - A newborn sleeps most of
the day and gradually will have increasing periods of wakefulness.
The smother sasks sthe spractical snurse s(PN) swhat sher sinfant smay sneed sif sthe
sphenylketonuria(PKU) stest sis spositive. sWhat stype sof streatment sshould sthe sPN stell sthe
smother swill sbe srequired? s- s sLifelong sdietary smanagement.
The spractical snurse s(PN) sis sdiscussing saspects sof snewborn shygiene swith sthe snew
sparents sas sthey sprepare sfor sdischarge. sWhich sinformation sshould sthe sPN sprovide? s- s
sCreate sa sdraft-free senvironment swhen sbathing sthe sbaby.
A smother swho sis spreparing sfor sdischarge sbegins sasking sthe spractical snurse s(PN)
squestions sabout sbottle sfeeding sher sinfant. sWhat sinformation sshould sthe sPN sreinforce? s- s
sBurp sthe snewborn speriodically sduring sthe sfeeding.
An sinfant swho sweight s4550 sgrams sis sdelivered susing sforceps-assisted svaginal sdelivery.
sWhat saction sis smost simportant sfor sthe spractical snurse s(PN) sto simplement? s- s sMonitor sfor
ssigns sof shypoglycemia.
A syoung sadult sfemale scomes sto sthe shealth sclinic sto sconfirm sa spositive shome spregnancy
stest. sAfter sdetermining sthe sclient's slast smenstrual speriod s(LMP) sas sAugust s5, swhat
sexpected sdate sof sbirth s(EDB) sshould sthe spractical snurse s(PN) scalculate? s- s sMay s12
, The spractical snurse s(PN) squickly smoves sthe scrib sof sa smale snewborn sand snotices sthat
shis slegs sflex. sarms sfan sout, sand sthen sreturn stoward shis smidline. sWhat saction sshould sthe
sPN simplement? s- s sDocument sthe snewborn sdemonstrates sa sMoro sreflex.
Which sfinding sfor sa s2-week-old sinfant sshould sthe spractical snurse s(PN) sreport sto sthe
shealthcare sprovider? s- s sYellowish stinge saround sthe seyes.
Which sintervention sshould sthe spractical snurse s(PN) sprovide sa sneonate sduring
shospitalization? s- s sOffer sthe sneonate sa spacifier sbetween sfeedings.
A sfather sexpresses sconcern sthat shis s3-day-old sinfant slooks s"yellow." sWhich sinformation
sshould sthe spractical snurse s(PN) sprovide? s- s sPhysiologic sjaundice soccurs sfrom sa snormal
sreduction sin sred sblood scells.
The spractical snurse s(PN) sis smonitoring sa schild swho sis smanifesting ssigns sof sshock safter sa
smotor svehicle scollision. sWhich sfinding sis smost simportant sfor sthe sPN sto sreport sto sthe
scharge snurse?
a) snarrowing spulse spressure
b) sapprehension
c) sirritability
d) sthirst s- s sAnswer: sA
Rationale:
As sshock sprogresses, sperfusion sin sthe smicrocirculation sbecomes smarginal sdespite
scompensatory sadjustments, sand sthe ssigns sof sdecompensated sshock sbecome
spronounced, ssuch sas stachycardia sand snarrowing spulse spressure s(A). s(The sdifference
sbetween ssystolic sand sdiastolic sblood spressure), swhich sshould sbe sreported simmediately.
s(B,C, sand sD) sare snot sas ssignificant sas s(A).
The smother sof sa s9 smonth sold smale sinfant sis sconcerned sbecause she scries swhenever sshe
sleaves shim swith sa ssitter. sWhat sis sthe sbest sresponse sfor sthe spractical snurse s(PN) sto
sprovide?
a) s"Have syou snoticed swhether syour sbaby sis steething?"
b) s"Crying swhen syou sleave shim sin sa shealthy ssign sof sattachment."
c) s"Consider staking sthe sbaby sto sthe sdoctor sbecause she smay sbe sill."
d) s"You scould sconsider sleaving sthe sinfant smore soften sso she scan sadjust." s- s sAnswer: sB
Rationale:
Healthy sattachment sis smanifested sby sstranger sanxiety sin slate sinfancy s(B). sPain sfrom
steething sexpressed sby sthe sinfant's scries sdoes snot soccur sonly swhen sthe smother sleaves
sthe sinfant swith sanother sperson s(A). sThe sPN sshould sevaluate sthe sinfant's sdevelopmental
sneeds s(C) sbefore ssuggesting sthe sinfant smay sbe sill. sAn sinfant swho smanifests sstranger
sanxiety sis sbest ssupported sby sthe smother sif sthe sinfant sis sleft sfor sshorter speriods sof stime,
snot s(D).
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION | TESTBANK | LATEST VERSION| BRAND NEW|
WITH NGN | 2024
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN)
obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat
warmer. Which additional finding should the PN observe in the newborn? - Tremors of
the hands during crying.
Which information should the practical nurse (PN) provide the parents about the
purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. -
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal
infection? - Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean
section. On the second postpartum day, the client reports having a constipated stool
that is greenish-black in color. Which action should the practical nurse (PN) implement?
- Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is
positive. She asks what she should be concerned about during the weeks before her
first visit. Which signs and symptoms should the practical nurse (PN) tell the client to
,report immediately to the healthcare provider? (select all that apply) - A. Vaginal
bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and
now weighs 6 pound and 15 ounces. Which action should the practical nurse take? -
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the
practical nurse implement at this time? - Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client
who has just given birth to an 8-pound boy when dark red blood comes from the client's
vagina. What action is most important for the PN to implement? - Continue to massage
the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? - A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Excessive bleeding on
the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports the PN's
action? - The newborn's thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human immune globulin (RhoGam)
after delivery? - The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) - A.
Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into
the health clinic for a prenatal appointment. The client's weight today is 129 pounds.
,What action should the practical nurse (PN) implement? - Document the finding in the
medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with the
client? - Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of
vaginal bleeding. Which action should the practical nurse (PN) anticipate implementing
for the client? - Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going
into labor soon?" Which sign should the PN provide that is a common sign? - Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction? -
Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should
sleep every day. What information should the PN provide? - A newborn sleeps most of
the day and gradually will have increasing periods of wakefulness.
The smother sasks sthe spractical snurse s(PN) swhat sher sinfant smay sneed sif sthe
sphenylketonuria(PKU) stest sis spositive. sWhat stype sof streatment sshould sthe sPN stell sthe
smother swill sbe srequired? s- s sLifelong sdietary smanagement.
The spractical snurse s(PN) sis sdiscussing saspects sof snewborn shygiene swith sthe snew
sparents sas sthey sprepare sfor sdischarge. sWhich sinformation sshould sthe sPN sprovide? s- s
sCreate sa sdraft-free senvironment swhen sbathing sthe sbaby.
A smother swho sis spreparing sfor sdischarge sbegins sasking sthe spractical snurse s(PN)
squestions sabout sbottle sfeeding sher sinfant. sWhat sinformation sshould sthe sPN sreinforce? s- s
sBurp sthe snewborn speriodically sduring sthe sfeeding.
An sinfant swho sweight s4550 sgrams sis sdelivered susing sforceps-assisted svaginal sdelivery.
sWhat saction sis smost simportant sfor sthe spractical snurse s(PN) sto simplement? s- s sMonitor sfor
ssigns sof shypoglycemia.
A syoung sadult sfemale scomes sto sthe shealth sclinic sto sconfirm sa spositive shome spregnancy
stest. sAfter sdetermining sthe sclient's slast smenstrual speriod s(LMP) sas sAugust s5, swhat
sexpected sdate sof sbirth s(EDB) sshould sthe spractical snurse s(PN) scalculate? s- s sMay s12
, The spractical snurse s(PN) squickly smoves sthe scrib sof sa smale snewborn sand snotices sthat
shis slegs sflex. sarms sfan sout, sand sthen sreturn stoward shis smidline. sWhat saction sshould sthe
sPN simplement? s- s sDocument sthe snewborn sdemonstrates sa sMoro sreflex.
Which sfinding sfor sa s2-week-old sinfant sshould sthe spractical snurse s(PN) sreport sto sthe
shealthcare sprovider? s- s sYellowish stinge saround sthe seyes.
Which sintervention sshould sthe spractical snurse s(PN) sprovide sa sneonate sduring
shospitalization? s- s sOffer sthe sneonate sa spacifier sbetween sfeedings.
A sfather sexpresses sconcern sthat shis s3-day-old sinfant slooks s"yellow." sWhich sinformation
sshould sthe spractical snurse s(PN) sprovide? s- s sPhysiologic sjaundice soccurs sfrom sa snormal
sreduction sin sred sblood scells.
The spractical snurse s(PN) sis smonitoring sa schild swho sis smanifesting ssigns sof sshock safter sa
smotor svehicle scollision. sWhich sfinding sis smost simportant sfor sthe sPN sto sreport sto sthe
scharge snurse?
a) snarrowing spulse spressure
b) sapprehension
c) sirritability
d) sthirst s- s sAnswer: sA
Rationale:
As sshock sprogresses, sperfusion sin sthe smicrocirculation sbecomes smarginal sdespite
scompensatory sadjustments, sand sthe ssigns sof sdecompensated sshock sbecome
spronounced, ssuch sas stachycardia sand snarrowing spulse spressure s(A). s(The sdifference
sbetween ssystolic sand sdiastolic sblood spressure), swhich sshould sbe sreported simmediately.
s(B,C, sand sD) sare snot sas ssignificant sas s(A).
The smother sof sa s9 smonth sold smale sinfant sis sconcerned sbecause she scries swhenever sshe
sleaves shim swith sa ssitter. sWhat sis sthe sbest sresponse sfor sthe spractical snurse s(PN) sto
sprovide?
a) s"Have syou snoticed swhether syour sbaby sis steething?"
b) s"Crying swhen syou sleave shim sin sa shealthy ssign sof sattachment."
c) s"Consider staking sthe sbaby sto sthe sdoctor sbecause she smay sbe sill."
d) s"You scould sconsider sleaving sthe sinfant smore soften sso she scan sadjust." s- s sAnswer: sB
Rationale:
Healthy sattachment sis smanifested sby sstranger sanxiety sin slate sinfancy s(B). sPain sfrom
steething sexpressed sby sthe sinfant's scries sdoes snot soccur sonly swhen sthe smother sleaves
sthe sinfant swith sanother sperson s(A). sThe sPN sshould sevaluate sthe sinfant's sdevelopmental
sneeds s(C) sbefore ssuggesting sthe sinfant smay sbe sill. sAn sinfant swho smanifests sstranger
sanxiety sis sbest ssupported sby sthe smother sif sthe sinfant sis sleft sfor sshorter speriods sof stime,
snot s(D).
