HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN
Review Questions and Answers Graded A+
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 Tremors of the hands during crying.
radiant heat warmer. Which additional finding should the
PN observe in the newborn?
Which information should the practical nurse (PN) pro-
vide the parents about the purpose of instilling ery- Prophylactic treatment for gonorrheal and chlamydia in-
thromycin (llotycin) ophthalmic ointment in the newborn's fection.
eyes.
What is the most important action by the practical nurse
Hand washing.
(PN) in preventing neonatal infection?
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 Record color and consistency of the stool.
stool that is greenish-black in color. Which action should
the practical nurse (PN) implement?
A client is 5 weeks pregnant call the clinic to report that her
home pregnancy test is positive. She asks what she should
A. Vaginal bleeding
be concerned about during the weeks before her first visit.
D. Membrane rupture
Which signs and symptoms should the practical nurse
E. Severe headaches
(PN) tell the client to report immediately to the healthcare
provider? (select all that apply)
A 3-day-old newborn who weighed 7 pounds, 8 ounces at
birth is breast feeding and now weighs 6 pound and 15 Document the weight loss
ounces. Which action should the practical nurse take?
Which medication is prescribed for the prevention of oph-
Erythromycin (iilotycin)
thalmia neonatorum?
,HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN
Review Questions and Answers Graded A+
A multiparous client's membranes rupture after 8 hours of
labor. which action should the practical nurse implement Assess the fetal heart rate (FHR) and pattern.
at this time?
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 Continue to massage the fundus until firm.
client's vagina. What action is most important for the PN
to implement?
Which client should the practical nurse (PN) closely mon-
A multigravida who is breastfeeding.
itor for severe after pains?
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 Excessive bleeding on the perineal pad.
additional finding should the PN report to the charge
nurse?
The practical nurse (PN) places a newborn who is 4 hours
old with an axillary temperature of 97.2 F under the ra- The newborn's thin layer of subcutaneous fat provides
diant heat warmer. Which rationale supports the PN's poor insulation.
action?
Which strategy should the practical nurse (PN) implement
to prevent a puerperal infection for a client during the first Implement strict medical and aseptic technique.
postpartum week?
Which client is a candidate for the administration of hu-
The Rh-negative mother who delivers a Rh-positive baby.
man immune globulin (RhoGam) after delivery?
Which physiological cause(s) for constipation during
A. Displacement of the colon.
pregnancy should the practical nurse (PN) explain to a
E. Decrease in peristalsis.
client in the first trimester? (Select all that apply.)
,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 Document the finding in the medical record.
pounds. What action should the practical nurse (PN) im-
plement?
The practical nurse (PN) is reviewing the informational
packets with a client who is at risk for preeclampsia. Which
Notify the clinic if any vision changes are experienced.
information is most important for the PN reinforce with
the client?
A primigravida at 33-weeks gestation is admitted after be-
ing involved in a motor vehicle collision (MVC). The client
has no complaints of abdominal pain and no evidence of Obtain a biophysical profile.
vaginal bleeding. Which action should the practical nurse
(PN) anticipate implementing for the client?
A primigravida client asks the practical nurse (PN). "How
will i know that I will be going into labor soon?" Which Burst of energy.
sign should the PN provide that is a common sign?
A primigravida client who is at 39-weeks gestation arrives
at the clinic and tells the practical nurse (PN) she is hav-
ing contractions every 5 minutes. The healthcare provider
Demonstrate simple relaxation measures.
determines she is dilated 3 cm and in early labor. What
action should the practical nurse (PN) implement when
the client groans with each contraction?
A primiparous client asks the practical nurse (PN) how
A newborn sleeps most of the day and gradually will have
much her newborn baby should sleep every day. What
increasing periods of wakefulness.
information should the PN provide?
The mother asks the practical nurse (PN) what her infant
may need if the phenylketonuria(PKU) test is positive.
, What type of treatment should the PN tell the mother will
Lifelong dietary management.
be required?
The practical nurse (PN) is discussing aspects of newborn
hygiene with the new parents as they prepare for dis- Create a draft-free environment when bathing the baby.
charge. Which information should the PN provide?
A mother who is preparing for discharge begins asking
the practical nurse (PN) questions about bottle feeding Burp the newborn periodically during the feeding.
her infant. What information should the PN reinforce?
An infant who weight 4550 grams is delivered using for-
ceps-assisted vaginal delivery. What action is most impor- Monitor for signs of hypoglycemia.
tant for the practical nurse (PN) to implement?
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 May 12
expected date of birth (EDB) should the practical nurse
(PN) calculate?
The practical nurse (PN) quickly moves the crib of a male
newborn and notices that his legs flex. arms fan out, and
Document the newborn demonstrates a Moro reflex.
then return toward his midline. What action should the PN
implement?
Which finding for a 2-week-old infant should the practical
Yellowish tinge around the eyes.
nurse (PN) report to the healthcare provider?
Which intervention should the practical nurse (PN) pro-
Otter the neonate a pacifier between feedings.
vide a neonate during hospitalization?
A father expresses concern that his 3-day-old infant looks
Physiologic jaundice occurs from a normal reduction in
"yellow." Which information should the practical nurse
red blood cells.
(PN) provide?
The practical nurse (PN) is monitoring a child who is
manifesting signs of shock after a motor vehicle collision.
Review Questions and Answers Graded A+
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 Tremors of the hands during crying.
radiant heat warmer. Which additional finding should the
PN observe in the newborn?
Which information should the practical nurse (PN) pro-
vide the parents about the purpose of instilling ery- Prophylactic treatment for gonorrheal and chlamydia in-
thromycin (llotycin) ophthalmic ointment in the newborn's fection.
eyes.
What is the most important action by the practical nurse
Hand washing.
(PN) in preventing neonatal infection?
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 Record color and consistency of the stool.
stool that is greenish-black in color. Which action should
the practical nurse (PN) implement?
A client is 5 weeks pregnant call the clinic to report that her
home pregnancy test is positive. She asks what she should
A. Vaginal bleeding
be concerned about during the weeks before her first visit.
D. Membrane rupture
Which signs and symptoms should the practical nurse
E. Severe headaches
(PN) tell the client to report immediately to the healthcare
provider? (select all that apply)
A 3-day-old newborn who weighed 7 pounds, 8 ounces at
birth is breast feeding and now weighs 6 pound and 15 Document the weight loss
ounces. Which action should the practical nurse take?
Which medication is prescribed for the prevention of oph-
Erythromycin (iilotycin)
thalmia neonatorum?
,HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN
Review Questions and Answers Graded A+
A multiparous client's membranes rupture after 8 hours of
labor. which action should the practical nurse implement Assess the fetal heart rate (FHR) and pattern.
at this time?
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 Continue to massage the fundus until firm.
client's vagina. What action is most important for the PN
to implement?
Which client should the practical nurse (PN) closely mon-
A multigravida who is breastfeeding.
itor for severe after pains?
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 Excessive bleeding on the perineal pad.
additional finding should the PN report to the charge
nurse?
The practical nurse (PN) places a newborn who is 4 hours
old with an axillary temperature of 97.2 F under the ra- The newborn's thin layer of subcutaneous fat provides
diant heat warmer. Which rationale supports the PN's poor insulation.
action?
Which strategy should the practical nurse (PN) implement
to prevent a puerperal infection for a client during the first Implement strict medical and aseptic technique.
postpartum week?
Which client is a candidate for the administration of hu-
The Rh-negative mother who delivers a Rh-positive baby.
man immune globulin (RhoGam) after delivery?
Which physiological cause(s) for constipation during
A. Displacement of the colon.
pregnancy should the practical nurse (PN) explain to a
E. Decrease in peristalsis.
client in the first trimester? (Select all that apply.)
,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 Document the finding in the medical record.
pounds. What action should the practical nurse (PN) im-
plement?
The practical nurse (PN) is reviewing the informational
packets with a client who is at risk for preeclampsia. Which
Notify the clinic if any vision changes are experienced.
information is most important for the PN reinforce with
the client?
A primigravida at 33-weeks gestation is admitted after be-
ing involved in a motor vehicle collision (MVC). The client
has no complaints of abdominal pain and no evidence of Obtain a biophysical profile.
vaginal bleeding. Which action should the practical nurse
(PN) anticipate implementing for the client?
A primigravida client asks the practical nurse (PN). "How
will i know that I will be going into labor soon?" Which Burst of energy.
sign should the PN provide that is a common sign?
A primigravida client who is at 39-weeks gestation arrives
at the clinic and tells the practical nurse (PN) she is hav-
ing contractions every 5 minutes. The healthcare provider
Demonstrate simple relaxation measures.
determines she is dilated 3 cm and in early labor. What
action should the practical nurse (PN) implement when
the client groans with each contraction?
A primiparous client asks the practical nurse (PN) how
A newborn sleeps most of the day and gradually will have
much her newborn baby should sleep every day. What
increasing periods of wakefulness.
information should the PN provide?
The mother asks the practical nurse (PN) what her infant
may need if the phenylketonuria(PKU) test is positive.
, What type of treatment should the PN tell the mother will
Lifelong dietary management.
be required?
The practical nurse (PN) is discussing aspects of newborn
hygiene with the new parents as they prepare for dis- Create a draft-free environment when bathing the baby.
charge. Which information should the PN provide?
A mother who is preparing for discharge begins asking
the practical nurse (PN) questions about bottle feeding Burp the newborn periodically during the feeding.
her infant. What information should the PN reinforce?
An infant who weight 4550 grams is delivered using for-
ceps-assisted vaginal delivery. What action is most impor- Monitor for signs of hypoglycemia.
tant for the practical nurse (PN) to implement?
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 May 12
expected date of birth (EDB) should the practical nurse
(PN) calculate?
The practical nurse (PN) quickly moves the crib of a male
newborn and notices that his legs flex. arms fan out, and
Document the newborn demonstrates a Moro reflex.
then return toward his midline. What action should the PN
implement?
Which finding for a 2-week-old infant should the practical
Yellowish tinge around the eyes.
nurse (PN) report to the healthcare provider?
Which intervention should the practical nurse (PN) pro-
Otter the neonate a pacifier between feedings.
vide a neonate during hospitalization?
A father expresses concern that his 3-day-old infant looks
Physiologic jaundice occurs from a normal reduction in
"yellow." Which information should the practical nurse
red blood cells.
(PN) provide?
The practical nurse (PN) is monitoring a child who is
manifesting signs of shock after a motor vehicle collision.
