OB HESI/FINAL, HESI WITH RATIONALE
12, HESI OB/MATERNITY PRACTICE
QUIZ, HESI QUESTIONS WITH
COMPLETE SOLUTIONS
The nurse caring for a laboring client encourages her to void at least q2h, and records
each time the client empties her bladder. What is the primary reason for implementing
this nursing intervention?` - Answer-B. An over-distended bladder could be traumatized
during labor, as well as prolong the progress of labor
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement?` - Answer-A. Describe diet changes that can improve the management of
her diabetes
A new mother who has just had her first baby says to the nurse, "I saw the baby in the
recovery room. She sure has a funny looking head." Which response by the nurse is
best?` - Answer-A. This is not an unusual shaped head. espec
The nurse observes a 4-year-old boy in a day care setting. Which behavior should the
nurse consider normal for this child?` - Answer-C. Demonstrates aggressiveness by
boasting when telling a story
A six month old returns from surgery with elbow restraints. What nursing care should be
included when caring for a child in restraints?` - Answer-B. Remove restraints one at a
time and provide ROM exercises
A 14-year-old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide?` - Answer-C.
Wash the hair and skin frequently with soap and hot water
What preoperative nursing intervention should be included in the plan of care for an
infant w/ pyloric stenosis?` - Answer-D. Observe for projectile vomiting
A 2-year-old child with Downs Syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated with DS` - Answer-A.
Congenital heart disease
Which action by the nurse is most helpful in communicating with a preschool-aged
child?` - Answer-B. Use a doll to play and communicate
,The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118, and Resp. 24. The
child's pedal pulses are present w/ a volume of +1, and no edema is observed. What
action should the nurse implement first?` - Answer-B. Start an IV infusion of normal
saline
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing?` - Answer-B.
Eye exams
A child falls on the playground and is brought to the school nurse with a small laceration
on the forearm. Which action should the nurse implement first?` - Answer-C. Wash the
wound gently with mild soap and water
Which finding in a 19 yr old female client should trigger further assessment by the
nurse?` - Answer-A. Menstruation has not occurred
As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider?`
- Answer-A. A 6-month old with failure to thrive that has a closed anterior fontanel
What intervention is required for a teenager experiencing acute glomerulonephritis with
a BP of 170/88 (previously 210/110)?` - Answer-B. Administer PRN nifedipine
(Procardia) sublingually
A 3-month-old develops oral thrush. Which pharmacological agent should the RN
administer?` - Answer-A. Nystatin
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse S/S are
commonly associated with this therapy?` - Answer-A. Polyuria and polydipsia
The nurse is assessing a 2-year-old. Which behavior indicates that the child's language
development is within normal limits.` - Answer-C. Is capable of making a three word
sentence
A full-term infant is admitted to the newborn nursery and, after careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms is this
newborn likely to have exhibited?` - Answer-A. Choking, coughing, and cyanosis
In developing a teaching plan for a 5-year-old child with diabetes, which component of
diabetic management should the nurse plan for the child to manage first.` - Answer-C.
Process of glucose testing
Which behavior would the nurse expect a 2-year-old to exhibit?` - Answer-C. Display
possessiveness of toys
,What bowel habits are seen in children with Hirschsprung's disease?` - Answer-D.
Ribbon-like and brown
A 3-week-old newborn is brought to a clinic for follow-up after a home birth. The child
bottle feeds for 5 minutes only then falls asleep. A loud murmur characteristic of
ventricular septal defect (VSD), and finds the newborn acyanotic with a RR of 64 bpm.
What instruction should be provided to ensure the newborn gets adequate fluid intake?
(Select all that apply). - Answer-A. Monitor the infant's weight and number of wet
diapers per day
B. Increase the infant's intake per feeding by 1-2 ounces per week
D. Allow the infant to rest and refeed on demand or every 2 hours
E. Use a softer nipple or increase the size of the nipple opening
A 6-month-old boy and his mother are at the health clinic for a well-baby checkup and
routine immunization. The HP recommends an influenza vaccine. What medications
should the RN plan to administer?` - Answer-B. All the immunizations with the influenza
being administered in a different site
A 2-year-old with gastroesophageal reflux disease has developed a fear of eating. What
instruction should the RN include in the parent's teaching plan?` - Answer-D.
Consistently follow a set meal-time routine
To assess the effectiveness of an analgesic administered to a 4-yr old, what
intervention is best for the nurse to implement?` - Answer-A. Use a happy-face/sad-face
pain scale
Which menu selection by a child w/ celiac disease indicates to the nurse that the child
understands necessary dietary considerations?` - Answer-A. Oven-baked potato chips
and cola
When assessing a child with asthma, the nurse should expect intercostal retractions
during` - Answer-A. Inspiration
A 16-year old boy is brought to the E.D. with a crushed leg after falling off a horse. His
last tetanus toxoid booster was received at 8-years old. Which action should the nurse
take?` - Answer-C. Administer tetanus toxoid booster
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto
Bismol to her son when he "has a tummy ache." After reminding the mother to check
the label of all over-the-counter drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's question?` - Answer-B. Do not
give if the child has chickenpox, flu, or any other viral illnesses
A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?` - Answer-C. Concerns for body integrity
, A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis?` -
Answer-B. Sequestration.
When discussing discipline with the mother of a 4 year-old, the nurse should include
which guideline?` - Answer-A. Parental control should be constant
The nurse must prevent a 2-year old with severe eczema on the face, neck and scalp
from scratching the affected areas. Which nursing intervention is most effective in
preventing further excoriation due to the pruritis? ` - Answer-C. place elbow restraints
on the child's arms
A child with cystic fibrosis is having stools that float and are foul smelling. Which
descriptive term should the nurse use to document the finding?` - Answer-D.
Steatorrhea
Surgery is being delayed for an infant with undescended testes. In collaboration with the
healthcare provider and the family, which prescription should the nurse anticipate.` -
Answer-C. A trial of chorionic gonadotrophic hormone
A 6-year-old is admitted to the pediatric unit after falling off of a bicycle. Which
intervention should the RN implement to help the child adjust to the unit.` - Answer-A.
Explain hospital schedules, including mealtime
A 12-month-old is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority?`
- Answer-C. Have a bulb syringe readily available to remove secretions
Which growth and development characteristic should the nurse consider when
monitoring the effects of a topical medication for an infant?` - Answer-B. A thin stratum
corneum that increases topical absorption.
When evaluating the effectiveness of interventions to improve the nutritional status of an
infant with gastroesophageal reflux disease, which intervention is most important for the
nurse to implement?` - Answer-A. Record weight daily
Which class of antiinfective drugs is contraindicated for use in children under 8 yrs of
age?` - Answer-B. Teteracyclines
The nurse is giving a liquid iron preparation to a 3-year-old, which technique should the
RN implement to encourage active engagement?` - Answer-A. Use a colorful straw
A 3-year-old boy is brought to the emergency room after swallowing an entire bottle of
multi-vitamins. Which intervention should RN implement first?` - Answer-B. Determine
the child's pulse and respirations
12, HESI OB/MATERNITY PRACTICE
QUIZ, HESI QUESTIONS WITH
COMPLETE SOLUTIONS
The nurse caring for a laboring client encourages her to void at least q2h, and records
each time the client empties her bladder. What is the primary reason for implementing
this nursing intervention?` - Answer-B. An over-distended bladder could be traumatized
during labor, as well as prolong the progress of labor
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement?` - Answer-A. Describe diet changes that can improve the management of
her diabetes
A new mother who has just had her first baby says to the nurse, "I saw the baby in the
recovery room. She sure has a funny looking head." Which response by the nurse is
best?` - Answer-A. This is not an unusual shaped head. espec
The nurse observes a 4-year-old boy in a day care setting. Which behavior should the
nurse consider normal for this child?` - Answer-C. Demonstrates aggressiveness by
boasting when telling a story
A six month old returns from surgery with elbow restraints. What nursing care should be
included when caring for a child in restraints?` - Answer-B. Remove restraints one at a
time and provide ROM exercises
A 14-year-old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide?` - Answer-C.
Wash the hair and skin frequently with soap and hot water
What preoperative nursing intervention should be included in the plan of care for an
infant w/ pyloric stenosis?` - Answer-D. Observe for projectile vomiting
A 2-year-old child with Downs Syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated with DS` - Answer-A.
Congenital heart disease
Which action by the nurse is most helpful in communicating with a preschool-aged
child?` - Answer-B. Use a doll to play and communicate
,The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118, and Resp. 24. The
child's pedal pulses are present w/ a volume of +1, and no edema is observed. What
action should the nurse implement first?` - Answer-B. Start an IV infusion of normal
saline
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing?` - Answer-B.
Eye exams
A child falls on the playground and is brought to the school nurse with a small laceration
on the forearm. Which action should the nurse implement first?` - Answer-C. Wash the
wound gently with mild soap and water
Which finding in a 19 yr old female client should trigger further assessment by the
nurse?` - Answer-A. Menstruation has not occurred
As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider?`
- Answer-A. A 6-month old with failure to thrive that has a closed anterior fontanel
What intervention is required for a teenager experiencing acute glomerulonephritis with
a BP of 170/88 (previously 210/110)?` - Answer-B. Administer PRN nifedipine
(Procardia) sublingually
A 3-month-old develops oral thrush. Which pharmacological agent should the RN
administer?` - Answer-A. Nystatin
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse S/S are
commonly associated with this therapy?` - Answer-A. Polyuria and polydipsia
The nurse is assessing a 2-year-old. Which behavior indicates that the child's language
development is within normal limits.` - Answer-C. Is capable of making a three word
sentence
A full-term infant is admitted to the newborn nursery and, after careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms is this
newborn likely to have exhibited?` - Answer-A. Choking, coughing, and cyanosis
In developing a teaching plan for a 5-year-old child with diabetes, which component of
diabetic management should the nurse plan for the child to manage first.` - Answer-C.
Process of glucose testing
Which behavior would the nurse expect a 2-year-old to exhibit?` - Answer-C. Display
possessiveness of toys
,What bowel habits are seen in children with Hirschsprung's disease?` - Answer-D.
Ribbon-like and brown
A 3-week-old newborn is brought to a clinic for follow-up after a home birth. The child
bottle feeds for 5 minutes only then falls asleep. A loud murmur characteristic of
ventricular septal defect (VSD), and finds the newborn acyanotic with a RR of 64 bpm.
What instruction should be provided to ensure the newborn gets adequate fluid intake?
(Select all that apply). - Answer-A. Monitor the infant's weight and number of wet
diapers per day
B. Increase the infant's intake per feeding by 1-2 ounces per week
D. Allow the infant to rest and refeed on demand or every 2 hours
E. Use a softer nipple or increase the size of the nipple opening
A 6-month-old boy and his mother are at the health clinic for a well-baby checkup and
routine immunization. The HP recommends an influenza vaccine. What medications
should the RN plan to administer?` - Answer-B. All the immunizations with the influenza
being administered in a different site
A 2-year-old with gastroesophageal reflux disease has developed a fear of eating. What
instruction should the RN include in the parent's teaching plan?` - Answer-D.
Consistently follow a set meal-time routine
To assess the effectiveness of an analgesic administered to a 4-yr old, what
intervention is best for the nurse to implement?` - Answer-A. Use a happy-face/sad-face
pain scale
Which menu selection by a child w/ celiac disease indicates to the nurse that the child
understands necessary dietary considerations?` - Answer-A. Oven-baked potato chips
and cola
When assessing a child with asthma, the nurse should expect intercostal retractions
during` - Answer-A. Inspiration
A 16-year old boy is brought to the E.D. with a crushed leg after falling off a horse. His
last tetanus toxoid booster was received at 8-years old. Which action should the nurse
take?` - Answer-C. Administer tetanus toxoid booster
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto
Bismol to her son when he "has a tummy ache." After reminding the mother to check
the label of all over-the-counter drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's question?` - Answer-B. Do not
give if the child has chickenpox, flu, or any other viral illnesses
A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?` - Answer-C. Concerns for body integrity
, A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis?` -
Answer-B. Sequestration.
When discussing discipline with the mother of a 4 year-old, the nurse should include
which guideline?` - Answer-A. Parental control should be constant
The nurse must prevent a 2-year old with severe eczema on the face, neck and scalp
from scratching the affected areas. Which nursing intervention is most effective in
preventing further excoriation due to the pruritis? ` - Answer-C. place elbow restraints
on the child's arms
A child with cystic fibrosis is having stools that float and are foul smelling. Which
descriptive term should the nurse use to document the finding?` - Answer-D.
Steatorrhea
Surgery is being delayed for an infant with undescended testes. In collaboration with the
healthcare provider and the family, which prescription should the nurse anticipate.` -
Answer-C. A trial of chorionic gonadotrophic hormone
A 6-year-old is admitted to the pediatric unit after falling off of a bicycle. Which
intervention should the RN implement to help the child adjust to the unit.` - Answer-A.
Explain hospital schedules, including mealtime
A 12-month-old is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority?`
- Answer-C. Have a bulb syringe readily available to remove secretions
Which growth and development characteristic should the nurse consider when
monitoring the effects of a topical medication for an infant?` - Answer-B. A thin stratum
corneum that increases topical absorption.
When evaluating the effectiveness of interventions to improve the nutritional status of an
infant with gastroesophageal reflux disease, which intervention is most important for the
nurse to implement?` - Answer-A. Record weight daily
Which class of antiinfective drugs is contraindicated for use in children under 8 yrs of
age?` - Answer-B. Teteracyclines
The nurse is giving a liquid iron preparation to a 3-year-old, which technique should the
RN implement to encourage active engagement?` - Answer-A. Use a colorful straw
A 3-year-old boy is brought to the emergency room after swallowing an entire bottle of
multi-vitamins. Which intervention should RN implement first?` - Answer-B. Determine
the child's pulse and respirations
