HESI Case Study: Premature Infant
Exam Questions and Answers 100% Pass
The client's parents anxiously approach the ED nurse and inquire what is taking
the radiology department so long to see their daughter.
What is the best response for the nurse to provide to the the client's parents? -
ANSWER-Instruct the client's parents to fill out paperwork in the registration
department.
While the client's parents go to the registration department to fill out paperwork,
the nurse approaches the client to discuss her pregnancy. She is aware that she is
pregnant, but she has not told her family about the pregnancy and she has not
sought prenatal care. She states that she hoped the pregnancy would go away so
that she could get on with her life. After an examination by a healthcare provider,
the client is presumed to be at 30 weeks' gestation and she is in active labor. Her
current height is 66 in (167.64 cm) and she weighs 110 lbs (49.90 kgs).
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Which approach should the nurse take when sharing this information with the
client's parents? - ANSWER-Get the client's permission to talk with the client's
parents about the pregnancy.
The labor and delivery nurse administers betamethasone sodium phosphate 2 mL
IM. The client asks the nurse why she is receiving the betamethasone.
Which is the best response by the nurse? - ANSWER-This will help the premature
infant's lungs function.
Medical interventions initiated to stop the client's labor are not successful, and
labor continues to progress. Her lab results come back and indicate the presence of
a urinary tract infection. The client is presumed to be fewer than 37 weeks'
gestation, and her group beta streptococcus (GBS+) status is unknown, therefore,
she is immediately administered antibiotic prophylactically as part of the CDC
Guidelines for GBS. The healthcare provider (HCP) prescribes the client 2 grams
of ampicillin initially, then 1 gram every four hours until delivery.
Prior to administration of this medication, what is the priority nursing action? -
ANSWER-Inquire if the client has any history of a penicillin allergy.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Exam Questions and Answers 100% Pass
The client's parents anxiously approach the ED nurse and inquire what is taking
the radiology department so long to see their daughter.
What is the best response for the nurse to provide to the the client's parents? -
ANSWER-Instruct the client's parents to fill out paperwork in the registration
department.
While the client's parents go to the registration department to fill out paperwork,
the nurse approaches the client to discuss her pregnancy. She is aware that she is
pregnant, but she has not told her family about the pregnancy and she has not
sought prenatal care. She states that she hoped the pregnancy would go away so
that she could get on with her life. After an examination by a healthcare provider,
the client is presumed to be at 30 weeks' gestation and she is in active labor. Her
current height is 66 in (167.64 cm) and she weighs 110 lbs (49.90 kgs).
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Which approach should the nurse take when sharing this information with the
client's parents? - ANSWER-Get the client's permission to talk with the client's
parents about the pregnancy.
The labor and delivery nurse administers betamethasone sodium phosphate 2 mL
IM. The client asks the nurse why she is receiving the betamethasone.
Which is the best response by the nurse? - ANSWER-This will help the premature
infant's lungs function.
Medical interventions initiated to stop the client's labor are not successful, and
labor continues to progress. Her lab results come back and indicate the presence of
a urinary tract infection. The client is presumed to be fewer than 37 weeks'
gestation, and her group beta streptococcus (GBS+) status is unknown, therefore,
she is immediately administered antibiotic prophylactically as part of the CDC
Guidelines for GBS. The healthcare provider (HCP) prescribes the client 2 grams
of ampicillin initially, then 1 gram every four hours until delivery.
Prior to administration of this medication, what is the priority nursing action? -
ANSWER-Inquire if the client has any history of a penicillin allergy.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
