Maternal/Pediatric HESI practice
A 23-year-old consumer who's receiving Medicaid blessings is pregnant along with her first
infant. Based on understanding of the facts related to little one mortality, which plan have to the
nurse implement with this consumer?
A. Talk over with patron to a social employee to set up for domestic care.
B. Endorse perinatal take care of an obstetrician, not a nurse-midwife
c. Teach the purchaser why preserving prenatal care appointments is essential. - ANS-C
A 24-hour-vintage new child has a pink papular rash with vesicles superimposed on the thorax,
again, and abdomen. What movement must the nurse implement?
A. Notify the healthcare provider
b. Pass the new child to an isolation nursery
c. Record the finding in the toddler's record.
D. Obtain a lifestyle of the vesicles - ANS-C
A 26-year-antique, gravida 2, para 1 client is admitted to the health center at 28-weeks
gestation in preterm hard work. She is given 3 doses of terbutaline sulfate (Brethine) zero.25 mg
subcutaneously to stop her labor contractions. The nurse plans to reveal for which primary facet
effect of terbutaline sulfate?
A. Drowsiness and bradycardia
b. Depressed reflexes and accelerated respirations
c. Tachycardia and a feeling of anxiousness.
D. A flushed, warm feeling and a dry mouth - ANS-C
A 30-yr-antique gravida 2, para 1 patron is admitted to the sanatorium at 26-weeks gestation in
preterm labor. She is started out on an IV answer of terbutaline (Brethine). Which evaluation is
the very best priority for the nurse to screen in the course of the management of this drug?
A. Maternal blood pressure and respirations
b. Maternal and fetal heart prices
c. Hourly urinary output
d. Deep tendon reflexes - ANS-B
A 30-12 months-vintage multiparous lady who has a three-yr-vintage boy and a new child
woman tells the nurse, "My son is so jealous of my daughter, I do not know how I'll ever manage
each youngsters when I get home." How need to the nurse respond?
A. "Tell the older infant that he is a large boy now and must love his new sister."
b. "Ask friends and household now not to carry gifts to the older sibling due to the fact you do
not want to wreck him."
c. "Let the older baby stay together with his grandparents for the first six weeks to allow him to
regulate to the newborn."
,d. "Regression in behaviors in the older child is a normal response so he needs attention at the
moment." - ANS-D
A 35-12 months-vintage primigravida client with intense preeclampsia is receiving magnesium
sulfate thru non-stop IV infusion. Which evaluation statistics would indicate to the nurse that the
purchaser is experiencing magnesium sulfate toxicity?
A. Deep tendon reflexes 2+
b. Blood pressure a hundred and forty/90
c. Breathing rate 18/minute
d. Urine output 90 mL/4 hours - ANS-D
A 38-week primigravida who works as a secretary and sits at a computer eight hours each day
tells the nurse that her ft have began to swell. Which instruction could be handiest in preventing
pooling of blood within the lower extremities?
A. Sporting support stockings
b. Reduce salt in her diet
c. Pass approximately each hour
d. Avoid constrictive garb - ANS-C
A 4-week-antique untimely toddler has been receiving epoetin alfa (Epogen) fro the closing
three weeks. Which assessment finding indicates to the nurse that the drug is powerful?
A. Slowly increasing urinary output over the past week
b. Breathing rate adjustments from the 40s to the 60s
c. Modifications in apical coronary heart rate from the 180s to the 140s
d. Exchange in indirect bilirubin from 12 mg/dL to 8 mg/dL - ANS-C
A patron at 28-weeks gestation calls the antepartal hospital and states that she is experiencing
a small amount of vaginal bleeding which she describes as bright crimson. She in addition
states that she isn't always experiencing any uterine contractions or abdominal pain. What
preparation ought to the nurse provide?
A. Come to the clinic these days for an ultrasound
b. Cross immediately to the emergency room
c. Lie on your left aspect for approximately one hour and see if the bleeding stops.
D. Bring a urine specimen to the lab tomorrow to determine if you have a urinary tract infection -
ANS-A
A customer at 30-weeks gestation, complaining of strain over the pubic vicinity, is admitted for
remark. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
exam well-knownshows that her cervix is closed, thick, and excessive. Based on those records,
which intervention ought to the nurse put in force first?
A. Offer oral hydration
b. Have a entire blood be counted drawn
c. Obtain a specimen for urine evaluation
d. Region the purchaser on strict bedrest - ANS-C
, A patron at 32 weeks gestation is diagnosed with preeclampsia. Which evaluation locating is
most indicative of an coming near near convulsion?
A. 3+ deep tendon reflexes.
B. Periorbital edema
c. Epigastric ache
d. Decreased urine output - ANS-C
A customer at 32-weeks gestation involves the prenatal health center with court cases of pedal
edema, dyspnea, fatigue, and a wet cough. Which question is most critical for the nurse to invite
this patron?
A. "Which symptom did you enjoy first?"
b. "Are you ingesting massive quantities of salty ingredients?"
c. "Have you visited a foreign u . S . A . Lately?"
d. "Do you've got a records of rheumatic fever?" - ANS-D
A patron at 32-weeks gestation is hospitalized with excessive being pregnant-caused high blood
pressure (PIH), and magnesium sulfate is prescribed to control the symptoms. Which
assessment findings might suggest that therapeutic drug level has been performed?
A. Four+ reflexes
b. Urinary output of fifty mL in line with hour
c. A lower in respiratory charge from 24 to 16
d. A reduced frame temperature - ANS-C
A purchaser in active exertions complains of cramps in her leg. What intervention ought to the
nurse enforce?
A. Ask if she takes a day by day calcium tablet
b. Amplify the leg and dorsiflex the foot
c. Decrease the leg off the facet of the mattress.
D. Extended the leg above the heart - ANS-B
A consumer in active exertions is admitted with preeclampsia. Which assessment locating is
maximum considerable in planning this purchaser's care?
A. Patellar reflex 4+
b. Blood pressure 158/eighty
c. 4-hour urine output 240 mL
d. Respiratory 12/minute - ANS-A
A client receiving epidural anesthesia begins to experience nausea and becomes faded and
clammy. What intervention ought to the nurse put in force first?
A. Enhance the foot of the mattress
b. Verify for vaginal bleeding
c. Examine the fetal coronary heart charge
d. Take the customer's blood pressure - ANS-A
A 23-year-old consumer who's receiving Medicaid blessings is pregnant along with her first
infant. Based on understanding of the facts related to little one mortality, which plan have to the
nurse implement with this consumer?
A. Talk over with patron to a social employee to set up for domestic care.
B. Endorse perinatal take care of an obstetrician, not a nurse-midwife
c. Teach the purchaser why preserving prenatal care appointments is essential. - ANS-C
A 24-hour-vintage new child has a pink papular rash with vesicles superimposed on the thorax,
again, and abdomen. What movement must the nurse implement?
A. Notify the healthcare provider
b. Pass the new child to an isolation nursery
c. Record the finding in the toddler's record.
D. Obtain a lifestyle of the vesicles - ANS-C
A 26-year-antique, gravida 2, para 1 client is admitted to the health center at 28-weeks
gestation in preterm hard work. She is given 3 doses of terbutaline sulfate (Brethine) zero.25 mg
subcutaneously to stop her labor contractions. The nurse plans to reveal for which primary facet
effect of terbutaline sulfate?
A. Drowsiness and bradycardia
b. Depressed reflexes and accelerated respirations
c. Tachycardia and a feeling of anxiousness.
D. A flushed, warm feeling and a dry mouth - ANS-C
A 30-yr-antique gravida 2, para 1 patron is admitted to the sanatorium at 26-weeks gestation in
preterm labor. She is started out on an IV answer of terbutaline (Brethine). Which evaluation is
the very best priority for the nurse to screen in the course of the management of this drug?
A. Maternal blood pressure and respirations
b. Maternal and fetal heart prices
c. Hourly urinary output
d. Deep tendon reflexes - ANS-B
A 30-12 months-vintage multiparous lady who has a three-yr-vintage boy and a new child
woman tells the nurse, "My son is so jealous of my daughter, I do not know how I'll ever manage
each youngsters when I get home." How need to the nurse respond?
A. "Tell the older infant that he is a large boy now and must love his new sister."
b. "Ask friends and household now not to carry gifts to the older sibling due to the fact you do
not want to wreck him."
c. "Let the older baby stay together with his grandparents for the first six weeks to allow him to
regulate to the newborn."
,d. "Regression in behaviors in the older child is a normal response so he needs attention at the
moment." - ANS-D
A 35-12 months-vintage primigravida client with intense preeclampsia is receiving magnesium
sulfate thru non-stop IV infusion. Which evaluation statistics would indicate to the nurse that the
purchaser is experiencing magnesium sulfate toxicity?
A. Deep tendon reflexes 2+
b. Blood pressure a hundred and forty/90
c. Breathing rate 18/minute
d. Urine output 90 mL/4 hours - ANS-D
A 38-week primigravida who works as a secretary and sits at a computer eight hours each day
tells the nurse that her ft have began to swell. Which instruction could be handiest in preventing
pooling of blood within the lower extremities?
A. Sporting support stockings
b. Reduce salt in her diet
c. Pass approximately each hour
d. Avoid constrictive garb - ANS-C
A 4-week-antique untimely toddler has been receiving epoetin alfa (Epogen) fro the closing
three weeks. Which assessment finding indicates to the nurse that the drug is powerful?
A. Slowly increasing urinary output over the past week
b. Breathing rate adjustments from the 40s to the 60s
c. Modifications in apical coronary heart rate from the 180s to the 140s
d. Exchange in indirect bilirubin from 12 mg/dL to 8 mg/dL - ANS-C
A patron at 28-weeks gestation calls the antepartal hospital and states that she is experiencing
a small amount of vaginal bleeding which she describes as bright crimson. She in addition
states that she isn't always experiencing any uterine contractions or abdominal pain. What
preparation ought to the nurse provide?
A. Come to the clinic these days for an ultrasound
b. Cross immediately to the emergency room
c. Lie on your left aspect for approximately one hour and see if the bleeding stops.
D. Bring a urine specimen to the lab tomorrow to determine if you have a urinary tract infection -
ANS-A
A customer at 30-weeks gestation, complaining of strain over the pubic vicinity, is admitted for
remark. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
exam well-knownshows that her cervix is closed, thick, and excessive. Based on those records,
which intervention ought to the nurse put in force first?
A. Offer oral hydration
b. Have a entire blood be counted drawn
c. Obtain a specimen for urine evaluation
d. Region the purchaser on strict bedrest - ANS-C
, A patron at 32 weeks gestation is diagnosed with preeclampsia. Which evaluation locating is
most indicative of an coming near near convulsion?
A. 3+ deep tendon reflexes.
B. Periorbital edema
c. Epigastric ache
d. Decreased urine output - ANS-C
A customer at 32-weeks gestation involves the prenatal health center with court cases of pedal
edema, dyspnea, fatigue, and a wet cough. Which question is most critical for the nurse to invite
this patron?
A. "Which symptom did you enjoy first?"
b. "Are you ingesting massive quantities of salty ingredients?"
c. "Have you visited a foreign u . S . A . Lately?"
d. "Do you've got a records of rheumatic fever?" - ANS-D
A patron at 32-weeks gestation is hospitalized with excessive being pregnant-caused high blood
pressure (PIH), and magnesium sulfate is prescribed to control the symptoms. Which
assessment findings might suggest that therapeutic drug level has been performed?
A. Four+ reflexes
b. Urinary output of fifty mL in line with hour
c. A lower in respiratory charge from 24 to 16
d. A reduced frame temperature - ANS-C
A purchaser in active exertions complains of cramps in her leg. What intervention ought to the
nurse enforce?
A. Ask if she takes a day by day calcium tablet
b. Amplify the leg and dorsiflex the foot
c. Decrease the leg off the facet of the mattress.
D. Extended the leg above the heart - ANS-B
A consumer in active exertions is admitted with preeclampsia. Which assessment locating is
maximum considerable in planning this purchaser's care?
A. Patellar reflex 4+
b. Blood pressure 158/eighty
c. 4-hour urine output 240 mL
d. Respiratory 12/minute - ANS-A
A client receiving epidural anesthesia begins to experience nausea and becomes faded and
clammy. What intervention ought to the nurse put in force first?
A. Enhance the foot of the mattress
b. Verify for vaginal bleeding
c. Examine the fetal coronary heart charge
d. Take the customer's blood pressure - ANS-A
