HESI PN OBSTETRICS/MATERNITY PRACTICE
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS,
PN HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
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? -
ANSWER ->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. - ANSWER -
>Prophylactic treatment for gonorrheal and chlamydia
infection.
What is the most important action by the practical nurse (PN) in
preventing neonatal infection? - ANSWER ->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? - ANSWER ->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) - ANSWER ->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? - ANSWER -
>Document the weight loss
Which medication is prescribed for the prevention of
ophthalmia neonatorum? - ANSWER ->Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of
labor. which action should the practical nurse implement at this
time? - ANSWER ->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? - ANSWER -
>Continue to massage the fundus until firm.
,Which client should the practical nurse (PN) closely monitor for
severe after pains? - ANSWER ->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? - ANSWER -
>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? - ANSWER -
>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? - ANSWER ->Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human
immune globulin (RhoGam) after delivery? - ANSWER ->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.) - ANSWER ->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? - ANSWER -
>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? -
ANSWER ->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? - ANSWER ->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? - ANSWER ->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
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS,
PN HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
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? -
ANSWER ->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. - ANSWER -
>Prophylactic treatment for gonorrheal and chlamydia
infection.
What is the most important action by the practical nurse (PN) in
preventing neonatal infection? - ANSWER ->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? - ANSWER ->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) - ANSWER ->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? - ANSWER -
>Document the weight loss
Which medication is prescribed for the prevention of
ophthalmia neonatorum? - ANSWER ->Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of
labor. which action should the practical nurse implement at this
time? - ANSWER ->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? - ANSWER -
>Continue to massage the fundus until firm.
,Which client should the practical nurse (PN) closely monitor for
severe after pains? - ANSWER ->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? - ANSWER -
>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? - ANSWER -
>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? - ANSWER ->Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human
immune globulin (RhoGam) after delivery? - ANSWER ->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.) - ANSWER ->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? - ANSWER -
>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? -
ANSWER ->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? - ANSWER ->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? - ANSWER ->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
