OB/Peds Hesi Exam Questions And Correct Answers
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When is the screening test for PKU done? -Answer At 2-3 days of life, or after enough
breast or formula-usually after 24 hours-is ingested to allow for determination of body's
ability to metabolize amino acid phenylalanine.
The nurse is assisting the mother of a child who has been diagnosed with PKU to make
appropriate food choices for her child. Which foods are inappropriate for this child?
Select all that apply Answer Foods containing aspartame
A pregnant client informs the nurse during a routine first trimester prenatal examination
that she has been noticing an increased amount of vaginal discharge which is white,
thin, and watery. What nursing action is appropriate? - Answer The nurse should
reassure her this is a normal physiological change.
A client who is at 30 weeks of pregnancy is being discharged to go home and rest in bed
due to hypertension. The home health nurse has taught her how to take her own blood
pressure and gave her parameters to judge a significant increase in blood pressure.
When the client calls the clinic complaining of indigestion, which instruction should the
nurse provide? - Answer Take your blood pressure now and if it is seriously elevated, go
to the hospital.
Caput succedaneum vs cephalhematoma What is the difference? - Answer
Cephalhematoma does NOT cross suture lines and manifests a few hours after birth
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
Answer "This is called caput succedaneum. It will absorb and cause no problems."
Patient with continuous fetal monitoring notices FHR fall and then rise abruptly with a
"v" shaped pattern. First action by nurse is to
, When developing a plan of care for a client who is in labor, the nurse includes the
intervention of withholding solid foods while the client is in labor. What is the most
significant rationale for this nursing intervention? - Answer There is an increased risk
for aspiration should general analgesic be required
Which physiological parameter is most relevant for the nurse to monitor when oxytocin
(Pitocin) is administered? - Answer fetal heart rate
A multiparous woman at 38 weeks gestation with a history of rapid progression of labor
is admitted for induction due to signs and symptoms of PIH. One hour after starting the
oxytocin infusion, she reports a headache. Her contractions are occurring every 1-2
mins, lasting 60-75 seconds and a vaginal exam reveals that her cervix is 90% and
dilated 6 cm. What intervention is most important for the nurse to implement? - Answer
Turn off the Pitocin infusion
A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased? - Answer Contraction pattern.
A 38-week primigravida is admitted to labor and delivery after a non-reactive NST. The
nurse initiates a CST with an oxytocin (Pitocin) infusion. Which of the following is the
most important finding for the nurse to communicate to the healthcare provider?
ANSWER Pattern of fetal late decelerations.
A 4-day postpartum client calls the clinic and reports that her nipples are so sore that
she does not know if she can continue to breastfeed her infant. What instruction is best
for the nurse to provide? - Answer Apply hot packs just before each feeding.
A new mother is having trouble with the mechanics of breastfeeding for her newborn.
The infant is making frantic rooting movements and refuses to latch onto the nipple.
Which of the following actions should the nurse take? Response Stiffen the areola, then
place the infant on the breast, with the mouth completely covering the areola.
Latest Update
When is the screening test for PKU done? -Answer At 2-3 days of life, or after enough
breast or formula-usually after 24 hours-is ingested to allow for determination of body's
ability to metabolize amino acid phenylalanine.
The nurse is assisting the mother of a child who has been diagnosed with PKU to make
appropriate food choices for her child. Which foods are inappropriate for this child?
Select all that apply Answer Foods containing aspartame
A pregnant client informs the nurse during a routine first trimester prenatal examination
that she has been noticing an increased amount of vaginal discharge which is white,
thin, and watery. What nursing action is appropriate? - Answer The nurse should
reassure her this is a normal physiological change.
A client who is at 30 weeks of pregnancy is being discharged to go home and rest in bed
due to hypertension. The home health nurse has taught her how to take her own blood
pressure and gave her parameters to judge a significant increase in blood pressure.
When the client calls the clinic complaining of indigestion, which instruction should the
nurse provide? - Answer Take your blood pressure now and if it is seriously elevated, go
to the hospital.
Caput succedaneum vs cephalhematoma What is the difference? - Answer
Cephalhematoma does NOT cross suture lines and manifests a few hours after birth
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
Answer "This is called caput succedaneum. It will absorb and cause no problems."
Patient with continuous fetal monitoring notices FHR fall and then rise abruptly with a
"v" shaped pattern. First action by nurse is to
, When developing a plan of care for a client who is in labor, the nurse includes the
intervention of withholding solid foods while the client is in labor. What is the most
significant rationale for this nursing intervention? - Answer There is an increased risk
for aspiration should general analgesic be required
Which physiological parameter is most relevant for the nurse to monitor when oxytocin
(Pitocin) is administered? - Answer fetal heart rate
A multiparous woman at 38 weeks gestation with a history of rapid progression of labor
is admitted for induction due to signs and symptoms of PIH. One hour after starting the
oxytocin infusion, she reports a headache. Her contractions are occurring every 1-2
mins, lasting 60-75 seconds and a vaginal exam reveals that her cervix is 90% and
dilated 6 cm. What intervention is most important for the nurse to implement? - Answer
Turn off the Pitocin infusion
A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased? - Answer Contraction pattern.
A 38-week primigravida is admitted to labor and delivery after a non-reactive NST. The
nurse initiates a CST with an oxytocin (Pitocin) infusion. Which of the following is the
most important finding for the nurse to communicate to the healthcare provider?
ANSWER Pattern of fetal late decelerations.
A 4-day postpartum client calls the clinic and reports that her nipples are so sore that
she does not know if she can continue to breastfeed her infant. What instruction is best
for the nurse to provide? - Answer Apply hot packs just before each feeding.
A new mother is having trouble with the mechanics of breastfeeding for her newborn.
The infant is making frantic rooting movements and refuses to latch onto the nipple.
Which of the following actions should the nurse take? Response Stiffen the areola, then
place the infant on the breast, with the mouth completely covering the areola.
