HESI Maternity/PEDS Exam Questions & Answers.
1. A 3-month-old with myelomeningocele and
Change to latex - free
atonic bladder is catheterized every four hours
gloves when handling
to prevent urinary retention. The home health
in- fant
nurse notes that the child has developed
episodes of sneezing, ur- ticaria,, watery eyes,
ad a rash in the diaper area. What action is
most important for the nurse to take?
2. The 6-week-old infant diagnosed with pyloric stenosis Crying
without tears
has recently developed projectile vomiting.
Which as- sessment finding indicates to the
nurse that the infant is becoming dehydrated?
3. A 6-year old with heart failure (HF) gained 2 pounds in Assess
bilateral lung
the last 24 hours. Which intervention is most sounds
impor- tant for the nurse to implement?
4. A 34-week primigravida with preeclampsia is 75mL/hour
receiv- ing Lactated Ringer's 500 ML with
magnesium sulfate 20 grams at the rate of 3
grams/hour. How many mL/hour should be the
nurse program into the infu- sion pump?
5. A 36-week primigravida is admitted to labor and deliv- Notify healthcare
provider ery with severe abdominal pain and bright red vaginal at
patients' bedside bleeding. Her abdomen is rigid and tender to
touch.
The fetal heart rate (FHR) is 90 beats/minute,
and the maternal heart rate is 120 beats/minute.
What action should the nurse implement
first?
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, HESI Maternity/PEDS Exam Questions & Answers.
6. A 39 week gestation, a multigravida is Place an acoustic simula-
having a non-stress test (NST). The fetal heart tor on the abdomen.
rate (FHR) has
remained non- reactive during the 30 minutes
of eval-
2/
45
, HESI Maternity/PEDS Exam Questions & Answers.
uation. Based on this finding, which action
should the nurse implement?
7. Artificial rupture of the membranes of a Have a meconium
laboring aspira-
client reveals meconium- stained fluid. What interven- tor available at
delivery
tion has the greatest priority?
8. At 20 weeks gestation, a client who has gained Gestational weight gain.
20 pounds during pregnant states that she is
felling fetal movement. Fundal height
measurement is 20 cm, and the clients only
complaint is that her breasts are leak- ing
clear fluid. Which assessment finding warrants
further evaluation?
Chorioamnionitis
9. A client at 35 weeks gestation complains of
a "pain whenever the baby moves." On
assessment, the nurse notes the client's
temperature to be 101.2 F, with se- vere
abdominal or uterine tenderness on
palpation. The nurse knows that these findings
are indicative of what condition? Color and consistency of
10. A client at 40-weeks gestation presents to the
obstet-
rical floor and indicates that the amniotic membranes fluid
ruptured spontaneously at home. She is in
active la- bor, and feels the need to bear down
and push. What information is most important
foe the nurse to obtain first?
3/
45
, HESI Maternity/PEDS Exam Questions & Answers.
11. A client delivers a viable infant, but begins Maternal blood
to have excessive uncontrolled vaginal pressure
bleeding after the IV Pitocin is infused. When
notifying the healthcare provider of the
client's condition, what information is most
important for the nurse to provide?
4/
45
1. A 3-month-old with myelomeningocele and
Change to latex - free
atonic bladder is catheterized every four hours
gloves when handling
to prevent urinary retention. The home health
in- fant
nurse notes that the child has developed
episodes of sneezing, ur- ticaria,, watery eyes,
ad a rash in the diaper area. What action is
most important for the nurse to take?
2. The 6-week-old infant diagnosed with pyloric stenosis Crying
without tears
has recently developed projectile vomiting.
Which as- sessment finding indicates to the
nurse that the infant is becoming dehydrated?
3. A 6-year old with heart failure (HF) gained 2 pounds in Assess
bilateral lung
the last 24 hours. Which intervention is most sounds
impor- tant for the nurse to implement?
4. A 34-week primigravida with preeclampsia is 75mL/hour
receiv- ing Lactated Ringer's 500 ML with
magnesium sulfate 20 grams at the rate of 3
grams/hour. How many mL/hour should be the
nurse program into the infu- sion pump?
5. A 36-week primigravida is admitted to labor and deliv- Notify healthcare
provider ery with severe abdominal pain and bright red vaginal at
patients' bedside bleeding. Her abdomen is rigid and tender to
touch.
The fetal heart rate (FHR) is 90 beats/minute,
and the maternal heart rate is 120 beats/minute.
What action should the nurse implement
first?
1/
45
, HESI Maternity/PEDS Exam Questions & Answers.
6. A 39 week gestation, a multigravida is Place an acoustic simula-
having a non-stress test (NST). The fetal heart tor on the abdomen.
rate (FHR) has
remained non- reactive during the 30 minutes
of eval-
2/
45
, HESI Maternity/PEDS Exam Questions & Answers.
uation. Based on this finding, which action
should the nurse implement?
7. Artificial rupture of the membranes of a Have a meconium
laboring aspira-
client reveals meconium- stained fluid. What interven- tor available at
delivery
tion has the greatest priority?
8. At 20 weeks gestation, a client who has gained Gestational weight gain.
20 pounds during pregnant states that she is
felling fetal movement. Fundal height
measurement is 20 cm, and the clients only
complaint is that her breasts are leak- ing
clear fluid. Which assessment finding warrants
further evaluation?
Chorioamnionitis
9. A client at 35 weeks gestation complains of
a "pain whenever the baby moves." On
assessment, the nurse notes the client's
temperature to be 101.2 F, with se- vere
abdominal or uterine tenderness on
palpation. The nurse knows that these findings
are indicative of what condition? Color and consistency of
10. A client at 40-weeks gestation presents to the
obstet-
rical floor and indicates that the amniotic membranes fluid
ruptured spontaneously at home. She is in
active la- bor, and feels the need to bear down
and push. What information is most important
foe the nurse to obtain first?
3/
45
, HESI Maternity/PEDS Exam Questions & Answers.
11. A client delivers a viable infant, but begins Maternal blood
to have excessive uncontrolled vaginal pressure
bleeding after the IV Pitocin is infused. When
notifying the healthcare provider of the
client's condition, what information is most
important for the nurse to provide?
4/
45
