HESI PN ObStEtrIcS/MatErNIty PractIcE
ExaM, PEdIatrIcS HESI PN rEvIEw, HESI PEdS,
PN HESI PEdS, PEdS & MatErNIty HESI, HESI
MatErNIty/PEdIatrIc rEMEdIatION
After repeating the vital signs for a newborn who is 4 hours old, the practical
nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn
under a radiant heat warmer. Which additional finding should the PN observe in
the newborn? - Answer-Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents about the
purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's
eyes. - Answer-Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing
neonatal infection? - Answer-Hand washing.
a client who took iron supplements during pregnancy delivers and infant by
cesarean section. On the second postpartum day, the client reports having a
constipated stool that is greenish-black in color. Which action should the practical
nurse (PN) implement? - Answer-Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test
is positive. She asks what she should be concerned about during the weeks before
her first visit. Which signs and symptoms should the practical nurse (PN) tell the
,client to report immediately to the healthcare provider? (select all that apply) -
Answer-A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding
and now weighs 6 pound and 15 ounces. Which action should the practical nurse
take? - Answer-Document the weight loss
An infant who weight 4550 grams is delivered using forceps-assisted vaginal
delivery. What action is most important for the practical nurse (PN) to implement?
- Answer-Monitor for signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a positive home
pregnancy test. After determining the client's last menstrual period (LMP) as
August 5, what expected date of birth (EDB) should the practical nurse (PN)
calculate? - Answer-May 12
The practical nurse (PN) quickly moves the crib of a male newborn and notices
that his legs flex. arms fan out, and then return toward his midline. What action
should the PN implement? - Answer-Document the newborn demonstrates a
Moro reflex.
Which finding for a 2-week-old infant should the practical nurse (PN) report to the
healthcare provider? - Answer-Yellowish tinge around the eyes.
,Which intervention should the practical nurse (PN) provide a neonate during
hospitalization? - Answer-Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide? - Answer-Physiologic
jaundice occurs from a normal reduction in red blood cells.
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
Answer-Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action
should the practical nurse implement at this time? - Answer-Assess the fetal heart
rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous
client who has just given birth to an 8-pound boy when dark red blood comes
from the client's vagina. What action is most important for the PN to implement? -
Answer-Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after
pains? - Answer-A multigravida who is breastfeeding.
, The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Answer-Excessive
bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports
the PN's action? - Answer-The newborn's thin layer of subcutaneous fat provides
poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - Answer-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - Answer-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that apply.)
- Answer-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - Answer-
Document the finding in the medical record.
ExaM, PEdIatrIcS HESI PN rEvIEw, HESI PEdS,
PN HESI PEdS, PEdS & MatErNIty HESI, HESI
MatErNIty/PEdIatrIc rEMEdIatION
After repeating the vital signs for a newborn who is 4 hours old, the practical
nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn
under a radiant heat warmer. Which additional finding should the PN observe in
the newborn? - Answer-Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents about the
purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's
eyes. - Answer-Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing
neonatal infection? - Answer-Hand washing.
a client who took iron supplements during pregnancy delivers and infant by
cesarean section. On the second postpartum day, the client reports having a
constipated stool that is greenish-black in color. Which action should the practical
nurse (PN) implement? - Answer-Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test
is positive. She asks what she should be concerned about during the weeks before
her first visit. Which signs and symptoms should the practical nurse (PN) tell the
,client to report immediately to the healthcare provider? (select all that apply) -
Answer-A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding
and now weighs 6 pound and 15 ounces. Which action should the practical nurse
take? - Answer-Document the weight loss
An infant who weight 4550 grams is delivered using forceps-assisted vaginal
delivery. What action is most important for the practical nurse (PN) to implement?
- Answer-Monitor for signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a positive home
pregnancy test. After determining the client's last menstrual period (LMP) as
August 5, what expected date of birth (EDB) should the practical nurse (PN)
calculate? - Answer-May 12
The practical nurse (PN) quickly moves the crib of a male newborn and notices
that his legs flex. arms fan out, and then return toward his midline. What action
should the PN implement? - Answer-Document the newborn demonstrates a
Moro reflex.
Which finding for a 2-week-old infant should the practical nurse (PN) report to the
healthcare provider? - Answer-Yellowish tinge around the eyes.
,Which intervention should the practical nurse (PN) provide a neonate during
hospitalization? - Answer-Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide? - Answer-Physiologic
jaundice occurs from a normal reduction in red blood cells.
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
Answer-Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action
should the practical nurse implement at this time? - Answer-Assess the fetal heart
rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous
client who has just given birth to an 8-pound boy when dark red blood comes
from the client's vagina. What action is most important for the PN to implement? -
Answer-Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after
pains? - Answer-A multigravida who is breastfeeding.
, The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Answer-Excessive
bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports
the PN's action? - Answer-The newborn's thin layer of subcutaneous fat provides
poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - Answer-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - Answer-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that apply.)
- Answer-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - Answer-
Document the finding in the medical record.
