OB/PEDS STUDY MATERIAL
Questions&Answers with Explanations
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal heart
rate (FHR) has remained nonreactive during the 30 minutes of evaluation. Based on this
finding, which action should the nurse implement?
A) Initiate an intravenous infusion
B) Observe the FHR pattern for 30 more minutes
C) Schedule a biophysical profile
D) Place an acoustic stimulator on the abdomen - ✅D) Place an acoustic stimulator on
the abdomen
----(This wakes the baby!!!!)
A mother of a 3-year-ld boy has just given birth to a new baby girl. The little boy asks
the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse
respond?
(select all that apply)
A) Explain that newborns get milk from their mothers in this way.
B) Reassure the older brother that it does not hurt his mother.
C) Remind him that his mother breastfed him too.
D) Suggest that the baby can also drink from a bottle.
E) Clarify that breastfeeding is his mothers choice. - ✅A) Explain that newborns get
milk from their mothers in this way.
B) Reassure the older brother that it does not hurt his mother.
C) Remind him that his mother breastfed him too.
-----Toddler: use their vocab concerned about themselves
A young girl with a fractured radius has a cast applied. As the cast is drying, it is
elevated above the level of the heart. Which assessment finding should the nurse report
to the healthcare provider immediately?
A) Itching sensation under the cast
B) Swelling of fingers with brisk capillary refill.
C) Numbness and inability to move fingers.
D) Visible bruising above the cast. - ✅C) Numbness and inability to move fingers.
----S/S of compartment syndrome
A community health nurse visits a family in which a 16-year-old unmarried daughter is
pregnant with her first child and is at 32-weeks gestation. The client tells the nurse that
, she has been having intermittent back pain since the night before. What is the priority
nursing intervention?
A) Ask the clients mother to call an ambulance for transport to the hospital immediately.
B) Determine what physical activities the client has performed for the past 24 hours
C) Teach the client if she has experienced any recent changes in vaginal discharge. -
✅C) Teach the client if she has experienced any recent CHANGES in vaginal
discharge.
---Vag discharge is normal BUT key word is CHANGES
---Back pain would indicate pre-term labor or a UTI, these could be excluded by asking
about recent changes such as smell
---Back pain is normal at 36-40 weeks
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment
finding indicates to the nurse that the medication is having the desired effect?
A) Weight gain
B) Reduction of fever
C) Improved caloric intake
D) Reduction of edema - ✅D) Reduction of edema
---Protein SUCKS
The nurse is conducting postpartum teaching with a mother who is breastfeeding here
infant. When discussing birth control, which method should the nurse recommend to this
client as beneficial for her to use in preventing an unwanted pregnancy?
A) Breastfeed exclusively at least every 3-4 hours
B) Condoms and contraceptive foam or gel.
C) Rhythm method (natural family planning)
D) Combined estrogen progesterone oral contraceptives. - ✅B) Condoms and
contraceptive foam or gel.
---HESI HINT= oral contraceptives containing estrogen is contraindicated while
breastfeeding bc it decreases milk supply (progesterone only!!!!=okay)
The mother of a preschool-aged child calls the school nurse to report that her child was
bitten by a tick while on a school outing last week. The mother tells the nurse that she
removed the tick and flushed it down the toilet. What action should the school nurse
take?
A) Refer the mother to the center for disease control.
B) Report the incident to the school principle.
C) Culture the site when the child returns to school.
Questions&Answers with Explanations
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal heart
rate (FHR) has remained nonreactive during the 30 minutes of evaluation. Based on this
finding, which action should the nurse implement?
A) Initiate an intravenous infusion
B) Observe the FHR pattern for 30 more minutes
C) Schedule a biophysical profile
D) Place an acoustic stimulator on the abdomen - ✅D) Place an acoustic stimulator on
the abdomen
----(This wakes the baby!!!!)
A mother of a 3-year-ld boy has just given birth to a new baby girl. The little boy asks
the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse
respond?
(select all that apply)
A) Explain that newborns get milk from their mothers in this way.
B) Reassure the older brother that it does not hurt his mother.
C) Remind him that his mother breastfed him too.
D) Suggest that the baby can also drink from a bottle.
E) Clarify that breastfeeding is his mothers choice. - ✅A) Explain that newborns get
milk from their mothers in this way.
B) Reassure the older brother that it does not hurt his mother.
C) Remind him that his mother breastfed him too.
-----Toddler: use their vocab concerned about themselves
A young girl with a fractured radius has a cast applied. As the cast is drying, it is
elevated above the level of the heart. Which assessment finding should the nurse report
to the healthcare provider immediately?
A) Itching sensation under the cast
B) Swelling of fingers with brisk capillary refill.
C) Numbness and inability to move fingers.
D) Visible bruising above the cast. - ✅C) Numbness and inability to move fingers.
----S/S of compartment syndrome
A community health nurse visits a family in which a 16-year-old unmarried daughter is
pregnant with her first child and is at 32-weeks gestation. The client tells the nurse that
, she has been having intermittent back pain since the night before. What is the priority
nursing intervention?
A) Ask the clients mother to call an ambulance for transport to the hospital immediately.
B) Determine what physical activities the client has performed for the past 24 hours
C) Teach the client if she has experienced any recent changes in vaginal discharge. -
✅C) Teach the client if she has experienced any recent CHANGES in vaginal
discharge.
---Vag discharge is normal BUT key word is CHANGES
---Back pain would indicate pre-term labor or a UTI, these could be excluded by asking
about recent changes such as smell
---Back pain is normal at 36-40 weeks
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment
finding indicates to the nurse that the medication is having the desired effect?
A) Weight gain
B) Reduction of fever
C) Improved caloric intake
D) Reduction of edema - ✅D) Reduction of edema
---Protein SUCKS
The nurse is conducting postpartum teaching with a mother who is breastfeeding here
infant. When discussing birth control, which method should the nurse recommend to this
client as beneficial for her to use in preventing an unwanted pregnancy?
A) Breastfeed exclusively at least every 3-4 hours
B) Condoms and contraceptive foam or gel.
C) Rhythm method (natural family planning)
D) Combined estrogen progesterone oral contraceptives. - ✅B) Condoms and
contraceptive foam or gel.
---HESI HINT= oral contraceptives containing estrogen is contraindicated while
breastfeeding bc it decreases milk supply (progesterone only!!!!=okay)
The mother of a preschool-aged child calls the school nurse to report that her child was
bitten by a tick while on a school outing last week. The mother tells the nurse that she
removed the tick and flushed it down the toilet. What action should the school nurse
take?
A) Refer the mother to the center for disease control.
B) Report the incident to the school principle.
C) Culture the site when the child returns to school.
