hesi_maternity__pediatrics__peds__exam__answered.

2022HESI
MATERNITY/
PEDIATRICS
(PEDS)EXAM,
ANSWERED

, 2022 HESIMaternity/Pediatrics (PEDS) Exam,
Answered
A 3-month-
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old with myelomeningocele and atonic bladder is catheterized every four hours to preve
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nt urinary retention. The home health nurse notes that the child has developed episodes
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of sneezing, urticaria,, watery eyes, ad a rash in the diaper area. What action is most im
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portant for the nurse to take?
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- Change to latex - free gloves when handling infant
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The 6-week- H


old infant diagnosed with pyloric stenosis has recently developed projectile vomiting.
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Which assessment finding indicates to the nurse that the infant is becoming dehydrated
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?
- Crying without tears H H




A 6-H


year old with heart failure (HF) gained 2 pounds in the last 24 hours. Which interventio
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n is most important for the nurse to implement?
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- Assess bilateral lung sounds H H H




A 34-
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week primigravida with preeclampsia is receiving Lactated Ringer's 500 ML with mag
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nesium sulfate 20 grams at the rate of 3 grams/hour. How many mL/hour should be the
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nurse program into the infusion pump?
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- 75mL/hour

A 36-
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week primigravida is admitted to labor and delivery with severe abdominal pain and bri
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ght red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate
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(FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute.
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What action should the nurse implement first?
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- Notify healthcare provider at patients' bedside
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A 39 week gestation, a multigravida is having a non-
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stress test (NST). The fetal heart rate (FHR) has remained non-
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Hreactive during the 30 minutes of evaluation. Based on this finding, which action sh
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ould the nurse implement?
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- Place an acoustic simulator on the abdomen.
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Artificial rupture of the membranes of a laboring client reveals meconium-
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Hstained fluid. What intervention has the greatest priority?
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- Have a meconium aspirator available at delivery
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, At 20 weeks gestation, a client who has gained 20 pounds during pregnant states that s
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he is felling fetal movement. Fundal height measurement is 20 cm, and the clients only
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