2023 HESI MATERNITY OB
EXAM VERSION 3 LATEST ALL
55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED
A+ (SCORE 1292)
A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement? - ANSWER>>>Provide an opportunity for the
parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (TE) fistula? -
ANSWER>>>Body temperature
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40-weeks
gestation? - ANSWER>>>a. Maternal blood pressure.
A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.) - ANSWER>>>75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is more important for the nurse to implement? -
ANSWER>>>c. Assess bilateral lung sounds.
6. A mother of a 3-year-old 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.) -
ANSWER>>>Explain that newborns get milk from their mothers in this way.
,Reassure the older brother that is does not hurt his mother.
Remind him that his mother breastfed him too.
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used? - ANSWER>>>d. Place the infant in a warm
room and use a calm approach.
8. 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 syndrome? -
ANSWER>>>a. Betamethasone (Celestone) 12mg deep IM.
Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis (DKA). Which action is most important for the nurse it
include in the child's plan of care? - ANSWER>>>Monitor serum glucose
for adjustment in infusion rate of regular insulin (Novolin R)
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4hrs to prevent urinary retention. The home health nurse notes that
the child has developed episodes of sneezing, urticarial, watery eyes, and
a rash in the diaper area. What action is most important for the nurse to
take? - ANSWER>>>b. Change to latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a
child who weighs 22 pounds. The available suspension is labeled,
Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is
50mg/kg/24hr. How many ml should the nurse administer in a single dose
based on the child's weight? (Enter numerical value only. If rounding is
required, round to the whole number.) - ANSWER>>>10mL
The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand
swelling, complaints of blurry vision and a sever frontal headache. Which
medication should the nurse anticipate for this client? - ANSWER>>>d.
Magnesium sulfate
A client at 35 weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be
101.2 F (38.4 C), with severe abdominal or uterine tenderness on
, palpation. The nurse knows that these findings are indicative of what
condition? - ANSWER>>>Chorioamnionitis
A 4-year-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during the initial teaching? - ANSWER>>>a. Lower
legs become progressively weaker, causing a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to the
clinic by his mother who tells the nurse that the child refuses to drink
anything. The nurse determines that the child has a weak cry with no tears.
Which prescription is more important to implement? - ANSWER>>>b.
Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction
should the nurse provide the child's parent? - ANSWER>>>d. Apply a cool
pack to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as having
a developmental disability. What should be the primary focus of treatment
for this child? - ANSWER>>>d. Help her achieve her maximum potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place.
What nursing intervention should the nurse plan to implement? -
ANSWER>>>Remove restraints one at a time to provide range of motion
exercises
...to the clinic because they are concerned that she is not....did. Which
developmental characteristics should the nurse expect the patient exhibit? -
ANSWER>>>a. Sits alone unsupported.
d. Can feed self-finger food.
A new mother calls the nurse stating that she wants to start feeding her 6-
month-old child something besides breast milk, but is concerned that the
infant is too young to start eating solid foods. How should the nurse
respond? - ANSWER>>>Reassure the mother that the infant is old enough
to eat iron-fortified cereal.
EXAM VERSION 3 LATEST ALL
55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED
A+ (SCORE 1292)
A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement? - ANSWER>>>Provide an opportunity for the
parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (TE) fistula? -
ANSWER>>>Body temperature
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40-weeks
gestation? - ANSWER>>>a. Maternal blood pressure.
A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.) - ANSWER>>>75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is more important for the nurse to implement? -
ANSWER>>>c. Assess bilateral lung sounds.
6. A mother of a 3-year-old 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.) -
ANSWER>>>Explain that newborns get milk from their mothers in this way.
,Reassure the older brother that is does not hurt his mother.
Remind him that his mother breastfed him too.
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used? - ANSWER>>>d. Place the infant in a warm
room and use a calm approach.
8. 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 syndrome? -
ANSWER>>>a. Betamethasone (Celestone) 12mg deep IM.
Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis (DKA). Which action is most important for the nurse it
include in the child's plan of care? - ANSWER>>>Monitor serum glucose
for adjustment in infusion rate of regular insulin (Novolin R)
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4hrs to prevent urinary retention. The home health nurse notes that
the child has developed episodes of sneezing, urticarial, watery eyes, and
a rash in the diaper area. What action is most important for the nurse to
take? - ANSWER>>>b. Change to latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a
child who weighs 22 pounds. The available suspension is labeled,
Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is
50mg/kg/24hr. How many ml should the nurse administer in a single dose
based on the child's weight? (Enter numerical value only. If rounding is
required, round to the whole number.) - ANSWER>>>10mL
The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand
swelling, complaints of blurry vision and a sever frontal headache. Which
medication should the nurse anticipate for this client? - ANSWER>>>d.
Magnesium sulfate
A client at 35 weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be
101.2 F (38.4 C), with severe abdominal or uterine tenderness on
, palpation. The nurse knows that these findings are indicative of what
condition? - ANSWER>>>Chorioamnionitis
A 4-year-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during the initial teaching? - ANSWER>>>a. Lower
legs become progressively weaker, causing a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to the
clinic by his mother who tells the nurse that the child refuses to drink
anything. The nurse determines that the child has a weak cry with no tears.
Which prescription is more important to implement? - ANSWER>>>b.
Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction
should the nurse provide the child's parent? - ANSWER>>>d. Apply a cool
pack to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as having
a developmental disability. What should be the primary focus of treatment
for this child? - ANSWER>>>d. Help her achieve her maximum potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place.
What nursing intervention should the nurse plan to implement? -
ANSWER>>>Remove restraints one at a time to provide range of motion
exercises
...to the clinic because they are concerned that she is not....did. Which
developmental characteristics should the nurse expect the patient exhibit? -
ANSWER>>>a. Sits alone unsupported.
d. Can feed self-finger food.
A new mother calls the nurse stating that she wants to start feeding her 6-
month-old child something besides breast milk, but is concerned that the
infant is too young to start eating solid foods. How should the nurse
respond? - ANSWER>>>Reassure the mother that the infant is old enough
to eat iron-fortified cereal.
