HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM, PEDIATRICS HESI
PN REVIEW, HESI PEDS, PN HESI
PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC
REMEDIATION QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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?
PRACTICE EXAM, PEDIATRICS HESI
PN REVIEW, HESI PEDS, PN HESI
PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC
REMEDIATION QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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?
