Fortis-PN-Maternity Hesi Practice Exam
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NUR 235 Exam #2 Questions PNB 2265 - Practical 2: Lab 10 NUR 254 EXAM 2 REVIEW PART 1 Q... WCF M
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A 3-day old newborn who weighed 7 2. Document the weight loss.
pounds, 8 ounces at birth is breast feeding
and now weighs 6 pound and 15 ounces. A 10% weight loss in the first 3 days after birth is normal and related to the loss of
Which action should the practical nurse excess extracellular fluid and meconium. Documentation of the weight loss (B) is
take? indicated to determine subsequent fluid and nutritional intake. (A, C, and D) are not
1. Provide supplemental formula feedings. necessary at this time.
2. Document the weight loss.
3. Review admission assessment findings.
4. Maintain strict intake and output.
A 14-week gestational client, who weighed 1. Document the finding in the medical record.
125 pounds before pregnancy, comes into
the health clinic for a prenatal appointment. During pregnancy a client should gain between 25 to 35 pounds. The recommended
The client's weight today is 129 pounds. weight gain during the first trimester is 3 pounds and approximately 1 pound/week
What action should the practical nurse (PN) for the remainder of the pregnancy. This finding is within the recommended weight
implement? gain and should be recorded in the client's medical record (A). (B, C, and D) are not
1. Document the finding in the medical indicated.
record.
2. Retake the weight after calibrating the
scale.
3. Notify the healthcare provider.
4. Obtain a 24-hour dietary recall.
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, After repeating the vital signs for a 1. Termors of the hands during crying.
newborn who is 4 hours old, the practical
nurse (PN) obtains an axillary temperature Placing a newborn under a radiant heat warmer with a temperature that persists
of 97.2 F and places the newborn under a below 98 F minimizes further manifestations of cold stress, which in the newborn
radiant heat warmer. Which additional causes an increase in glucose utilization resulting in hypoglycemia. An early indicator
finding should the PN observe in the of cold stress is the presence of tremors of the hands, arms, and lips when the
newborn? newborn cries (A). (B and C) are objective indicators that the heat source is effective.
1. Tremors of the hands during crying. Cold stress causes an increased respiratory rate, not (D).
2. An increase in heart rate.
3. Flushing of the skin.
4. Respiratory depression.
A client who is 5 weeks pregnant calls the 1. Vaginal bleeding
clinic to report that her home pregnancy 4. Membrane rupture.
test is positive. She asks what she should 5. Severe headaches.
be concerned about during the weeks
before her first visit. Which signs and
symptoms should the practical nurse (PN) Vaginal bleeding (A), rupture of membranes (D), and severe headaches (E) are signs
tell the client to report immediately to the and symptoms that indicate the client is at risk for premature onset of labor and
healthcare provider? (Select all that apply.) should be reported immediately. (B and C) are common complaints of early
1. Vaginal bleeding. pregnancy that do not increase the risk for complications in pregnancy.
2. Decreased libido.
3. Urinary frequency.
4. Membrane rupture.
5. Severe headaches.
A client who took iron supplements during 3. Record color and consistency of the stool.
pregnancy delivers an infant by cesarean
section. On the second postpartum day, Iron supplements cause constipation and contribute to the dark green-black color in
the client reports having a constipated stool, which should be documented (C) as an expected finding. (A, B, and D) are not
stool that is greenish-black in color. Which indicated at this time.
action should the practical nurse (PN)
implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal
suppository.
3. Record color and consistency of the
stool.
4. Report the complaints to the charge
nurse.
4. Report the complaints to the charge
nurse.
A father expresses concern that his 3-day- 4. Physiologic jaundice occurs from a normal reduction in red blood cells.
old infant looks "yellow." Which information
should the practical nurse (PN) provide? Physiologic jaundice in the newborn is observed when an increase in indirect
1. This yellow skin condition is the result of bilirubin levels peak (maximum serum levels of 5 to 6 mg/dl) between 2 to 4 days of
hepatic insufficiency. age due to an immature newborn liver. Physiologic jaundice results in newborns due
2. Normal signs of jaundice occur during to the rapid lysis of red blood cells (RBCs) after birth (D). (A, B, and C) are inaccurate.
the first 24 hours of life.
3. Blood incompatibilities between mother
and infant blood are common.
4. Physiologic jaundice occurs from a
normal reduction in red blood cells.
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