HESI RN MATERNITY/PEDS REVIEW 2021-2022 – 59
QUESTIONS DOWNLOAD A+
The nurse is planning discharge teaching for a client who had an evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is most important for the
nurse to include in this client’s teaching plan?
A. Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm
labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms
the presence of head lice. The nurse washes the child’s hair with permethrin (Nix) shampoo
and calls his parents. What instruction should the nurse provide to the parents about
treatment for head lice?
A.Rewash the child’s hair following a 24-hour isolation period.
B. Wash the child’s bed linens and clothing in hot soapy water.
C. Take the child to a hair salon for a shampoo and a shorter haircut.
D. Dispose of the child’s brusches, combs, and others hair accessories.
, During a 26-week gestation prenatal exam, a client reports occasional dizziness and
lightheadedness when she is lying down. What intervention is best for the nurse to
recommend to this client.
D. Elevate the head with two pillows while sleeping.
The current vital signs for a primipara who delivered vaginally during the previous shift are:
temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and
blood pressure 130/74. What action should the nurse implement?
A. Document the vital signs in the record.
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving
Ringer’s Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour.
How many ml/hour should the nurse program the infusion pump? (Enter numeric value
only)
75
The nurse weighs a 6-month-old infant during a well-baby check-up and determines that
the baby’s weight has triple compared to the birth weight of 7 pounds 8 ounces. The
mother asks if the baby is gaining enough weight. What response should the nurse offer?
D. “What food does your baby usually eat in a normal day?”
A 5-year-old child is admitted to the pediatric unit fever and pain secondary to a sickle cell
crisis. Which intervention should the nurse implement first?
B. Initiate normal saline IV at 50ml/hr.
A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte
imbalances. What acid base imbalance is this child likely to exhibit?
C. Metabolic Alkalosis.
Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid.
What intervention has the greatest priority?
D. Have a meconium aspirator available at delivery.
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respiration. The
QUESTIONS DOWNLOAD A+
The nurse is planning discharge teaching for a client who had an evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is most important for the
nurse to include in this client’s teaching plan?
A. Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm
labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms
the presence of head lice. The nurse washes the child’s hair with permethrin (Nix) shampoo
and calls his parents. What instruction should the nurse provide to the parents about
treatment for head lice?
A.Rewash the child’s hair following a 24-hour isolation period.
B. Wash the child’s bed linens and clothing in hot soapy water.
C. Take the child to a hair salon for a shampoo and a shorter haircut.
D. Dispose of the child’s brusches, combs, and others hair accessories.
, During a 26-week gestation prenatal exam, a client reports occasional dizziness and
lightheadedness when she is lying down. What intervention is best for the nurse to
recommend to this client.
D. Elevate the head with two pillows while sleeping.
The current vital signs for a primipara who delivered vaginally during the previous shift are:
temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and
blood pressure 130/74. What action should the nurse implement?
A. Document the vital signs in the record.
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving
Ringer’s Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour.
How many ml/hour should the nurse program the infusion pump? (Enter numeric value
only)
75
The nurse weighs a 6-month-old infant during a well-baby check-up and determines that
the baby’s weight has triple compared to the birth weight of 7 pounds 8 ounces. The
mother asks if the baby is gaining enough weight. What response should the nurse offer?
D. “What food does your baby usually eat in a normal day?”
A 5-year-old child is admitted to the pediatric unit fever and pain secondary to a sickle cell
crisis. Which intervention should the nurse implement first?
B. Initiate normal saline IV at 50ml/hr.
A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte
imbalances. What acid base imbalance is this child likely to exhibit?
C. Metabolic Alkalosis.
Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid.
What intervention has the greatest priority?
D. Have a meconium aspirator available at delivery.
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respiration. The
