HESI OB PEDS EXAM (2 VERSIONS) |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
The umbilical cord should always be checked at birth. What
should the umbilical card contain in a newborn?
A. 3 vessels, 2 veins which carry oxygenated blood to the fetus
and 1 artery whic carries unoxygenated blood back to placenta
B. 4 vessels, 2 veins which carry oxygenated blood to the fetus
and 2 arteries which carries unoxygenated blood back to
placenta
C. 3 vessels, 1 veins which carries oxygenated blood to the fetus
and 2 arteries which carries unoxygenated blood back to
placenta
D. 3 vessels, 1 artery which carries oxygenated blood to the fetus
and 2 veins which carries unoxygenated blood back to placenta -
✔✔✔ Correct Answer > C. It should contain 3 vessels, 1 vein which
carries oxygenated blood to the fetus nad 2 arteries whic carry
unoxygenated blood back to the placenta. This is opposite of
normal circulation.
A nurse makes the following obsevations when admitting a full
term, breastfeeding baby, into the neonatal nursery: 9lb 2 oz, 21
,Page 2 of 52
inches long, TPR: 96.6 F, 158,62, jittery, pink body with bluish
hands and feet, crying. Which of the following actions is of
highest probability?
1. Swaddle the baby to provide warmth
2. Assess the glucose level of the baby
3. Take the baby to the mother for feeding
4. Administer the neonatal medications - ✔✔✔ Correct Answer > 2.
The glucose level should be assessed to determine whether or
not this baby is hypoglycemic
The umbilical cord in a newborn should contain 3 vessels, 1 vein
which carries oxygenated blood to the fetus and 2 arteries which
carry unoxygenated blood back to the placenta. What do cord
abnormalities usually indicate?
A. Neurologic anomalies
B. Renal anomalies
C. Congenital vertebral anomaly
D. Chromosome anomaly - ✔✔✔ Correct Answer > B.
Cord abnormalities usually indicate cardiovascular or renal
anomalies.
Cord abnormalities usually indicate cardivascular or renal
anomalies. What happens if fetal structures of foramen ovale,
ductus arteriosus and ductus venous do no close postnatal?
,Page 3 of 52
A. Cardia pulmonary compromise
B. Renal compromise
C. Gastro intestinal compromise
D. Neurological compromise - ✔✔✔ Correct Answer > A.
Postnatally, the fetal structures of foramen ovale, ductus
arteriosus and ductus venosus shoul close. If they do not, cardiac
and pulmonary compromise will develop
if the structures of the foramen ovale, ductus arteriosus and
ductus venosus don't close postnatally, cardiac and pulmonary
compromise will develop. What should be suctioned by the nurse
firstly?
A. Nose
B. Mouth
C. Lungs
D. Kidney - ✔✔✔ Correct Answer > B.
Suctioning the mouth first and then the nose. Stimulating the
nares can initiate inspiration which could cause aspiration of
mucus in oral pharynx
Physiologic jaundice is the normal inability of the immature liver
to keep up with normal RBC destruction. When does jaundice
occur in newborns?
A. 5-6 days of life
, Page 4 of 52
B . 2-3 days of life
C. 7-8 days of life
D. 9-10 days of life - ✔✔✔ Correct Answer > B.
Physiologic jaundice (normal inability of the immature liver to
keep up with normal RBC destruction) occurs at 2-3 days of life
Physiologic jaundice (normal inability of the immature liver to
keep up with normal RBC destruction) occurs 2-3 days of
life.When does jaundice become pathologic?
A. When it occurs before 24 hurs or persists beyond 7 days
B. When it occurs before 14 hours or persists beyond 8 day
C. When it occurs before 12 hours or persists beyond 3 days
D. When it occurs before 10 hours or persists beyond 2 days -
✔✔✔ Correct Answer > A.
Physiologic jaundice (normal inability of the immature live to
keep up with normal RBC destruction) occurs at 2-3 days of life.
It occurs before 24 hours or persists beyond 7 days, it becomes
pathologic
Physiologic jaundice which occurs 2-3 days after birth due to the
liver's inability to keep up with RBC destruction. Who is the
culprit in this case?
A. Conjugated bilirubin
B. Unconjugated bilirubin