HESI RN MATERNITY & PEDIATRICS [COMBINED CLASS] 2020
A 4-year old girl in waiting room and the nurse is observing her behavior. Which one was normal?
Talking to an imaginary friend
School aged male with diabetes before a game checks blood glucose to be 180mg/dL; what to do?
Give go ahead to play because glucose is within normal
Mother gave birth who is positive for HIV; what to do who was given
something and also AZT therapy during labor; what should RN do? Ensure to
take AZT within 6 hours after Birth
Select all that apply. A 2-year old seen drinking soda from a bottle.
Dental caries are associated with drinking soda; Drinking soda is related to
childhood obesity; Toddlers should be drinking from a cup by age 2
A 10 year old boy on bed rest. Checkers
Pt is 3cm dilated; 50%effaced; at 0 station. After 1 hr, she wants to go to
bathroom; what should nurse do? determine current cervical dilation
Pt admitted in L&D because of non reactive result on non-stress test. Does
contraction test. Most important finding to report? Pattern of fetal late
deceleration
Dosage calculation for the 1st day to administer. 100 mg/200 mg x 5 ml = 2.5 ml
Dosage calculation= 25 ml/hr [500 ml/ 20 gm * 1gm/1 hr]
Postpartum depression findings: trouble sleeping, decreased appetite, feelings of sadness
Intussusception - passage of soft brown stool notify provider
Pt was given pitocin and delivered infant. At this time why is pitocen
administered? To stimulate uterine contractions, you never give pitocin before
placental delivery because it will retain the placental part.
Pt on magnesium sulfate; Respiration is 14; urine output 25ml; +1 reflex? ;
magnesium level of 8. What should RN do? The mag level is reaching toxic
level therefore monitor for further deterioration
Oozing blood and muscle irritability; what should nurse check? Calcium
Newborn ready for discharge from hospital: Consent for Hep B from the mother
Pt with increasing restlessness, drooling and fever of 102,... Bring trach kit
Pt had episiotomy and complaining of pain..: Check the perineal area and
sutures (Visualize perineal area and episiotomy sites)
Pt reported heartburn and edema… ask if she experienced headache or blurred vision
**********Constant vaginal pressure? Sitz bath?
Tetracyclines : Do not give with Milk and antacids
Pt with PID (pelvic inflammatory disease) is getting a 14 day antibiotic therapy at
the hospital. She asks, “Why can’t I go home?” and “I can take these meds at
home.”How should the nurse respond that will bring a positive outcome?
Supervise parenteral administration of antibiotics according to protocol?
Salt wasting syndrome ATCH Level
Tanner Stage for 11 year old girl - Tanner Stage II
Probable sign of pregnancy - Hegar’s sign
Child has respiratory distress: Nasal flaring
********Oxytocin administered for : (let down reflex?) or stimulate uterine
contractions? It does both, and both were in the answer choices
The parents of a 3 year-old boy who has Duchenne muscular dystrophy (DMD) ask
“how can our son have this disease? We are wondering if we should have any more
A 4-year old girl in waiting room and the nurse is observing her behavior. Which one was normal?
Talking to an imaginary friend
School aged male with diabetes before a game checks blood glucose to be 180mg/dL; what to do?
Give go ahead to play because glucose is within normal
Mother gave birth who is positive for HIV; what to do who was given
something and also AZT therapy during labor; what should RN do? Ensure to
take AZT within 6 hours after Birth
Select all that apply. A 2-year old seen drinking soda from a bottle.
Dental caries are associated with drinking soda; Drinking soda is related to
childhood obesity; Toddlers should be drinking from a cup by age 2
A 10 year old boy on bed rest. Checkers
Pt is 3cm dilated; 50%effaced; at 0 station. After 1 hr, she wants to go to
bathroom; what should nurse do? determine current cervical dilation
Pt admitted in L&D because of non reactive result on non-stress test. Does
contraction test. Most important finding to report? Pattern of fetal late
deceleration
Dosage calculation for the 1st day to administer. 100 mg/200 mg x 5 ml = 2.5 ml
Dosage calculation= 25 ml/hr [500 ml/ 20 gm * 1gm/1 hr]
Postpartum depression findings: trouble sleeping, decreased appetite, feelings of sadness
Intussusception - passage of soft brown stool notify provider
Pt was given pitocin and delivered infant. At this time why is pitocen
administered? To stimulate uterine contractions, you never give pitocin before
placental delivery because it will retain the placental part.
Pt on magnesium sulfate; Respiration is 14; urine output 25ml; +1 reflex? ;
magnesium level of 8. What should RN do? The mag level is reaching toxic
level therefore monitor for further deterioration
Oozing blood and muscle irritability; what should nurse check? Calcium
Newborn ready for discharge from hospital: Consent for Hep B from the mother
Pt with increasing restlessness, drooling and fever of 102,... Bring trach kit
Pt had episiotomy and complaining of pain..: Check the perineal area and
sutures (Visualize perineal area and episiotomy sites)
Pt reported heartburn and edema… ask if she experienced headache or blurred vision
**********Constant vaginal pressure? Sitz bath?
Tetracyclines : Do not give with Milk and antacids
Pt with PID (pelvic inflammatory disease) is getting a 14 day antibiotic therapy at
the hospital. She asks, “Why can’t I go home?” and “I can take these meds at
home.”How should the nurse respond that will bring a positive outcome?
Supervise parenteral administration of antibiotics according to protocol?
Salt wasting syndrome ATCH Level
Tanner Stage for 11 year old girl - Tanner Stage II
Probable sign of pregnancy - Hegar’s sign
Child has respiratory distress: Nasal flaring
********Oxytocin administered for : (let down reflex?) or stimulate uterine
contractions? It does both, and both were in the answer choices
The parents of a 3 year-old boy who has Duchenne muscular dystrophy (DMD) ask
“how can our son have this disease? We are wondering if we should have any more
