2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
MaternitybPracticebHESI
7byearboldbdiabetesbI
6bmonthboldbintroducingbsolidbfoodsb–
bshouldbbebintroducedbonebatbabtime,beveryb4btob7bdaysbtobdeterminebfoodballergies
Digoxinb3bmonthboldbwithbGHD,bmissbabdoseb–
bifbmissedbinblessbthanb4bhours,bgibebdose,bifbelapsedbmorebthanb4bhours,bholdbandbgivebdosebatbnextbs
cheduledbtime
36bweeksbpregnant,bRh-,bbrightbredbvaginalbbleeding,bnursingbintervention
rubellabvaccineb–
binstructionbaboutbusebofbabreliablebmethodbofbbirthbcontrolbforb28bdaysbafterbthebrubellabvaccinebisbgiv
en
6byearsbold,brheumaticbfever,bchorea
1bmonthboldbvomitingbforcefullybafterbeachbmeal,bisbafebrile,bdehydrated,bandbpyloricbstenosisb–
bolivebshapedbmassbinbthebabdominalbareabthatbisbevidentbatbdiaperbchange
18bweeksbgestation,bhighbAFPblevelb–
bneedbforbfollowbupbevaluationbwithbabsonogram btobprovidebvisualbevidencebofbfetalbagebandbpresenceb
ofbneuralbtubebdefects
leftbbreastbmastitis,binstructionbtobdobatbhomebmagnesi
umbsulfate,btoxicitybsigns
continuousbfetalbmonitoring,bVbshapedbappearance
childbwithbsuspectedbbacterialbmeningitis,bwouldbhavebabrecentbhistorybofbunrelatedbbacterialbupperb
respiratory,bsinus,borbearbinfectionb-bearbache
HIV+,breceivingbAZTbduringblabor
diaphragmbsizeb–
bafterbeachbbirthbthebdiaphragmbshouldbbebevaluatedbforbcorrectbsizingbandbusebanbalternativebformbofb
contraceptionbuntilbverified
TypebI,b35bweeksbgestation,bamniocentesis
Dilantin,bnewlybdiagnosedbtonicb–bclonicbepilepsy,bseizurebmanagementb–
bchildbshouldbhavebroutinebserumblevelsbmonitored,basbwellbasbliverbfunction
infantbwithbbarkingbcough,bfever,brunnybnoseb–
bcroup,bmotherbshouldbthebbabybinbthebbathroombsteamedbupbwithbhotbwaterbfrombtubborbshower
osteomyelitisbfoodsbtobeat,b6byearsboldb–bhighbprotein/highbcalories,bmilkbshakebisbbestbchoice
4byearboldbDMDbsymptomsb–
bteachbparents baboutbthesebchangesbsobtheybcanbpreparebandbhelpbprotect bchildbfrombinjuries
pelvicbinflammatorybdiseaseb(PID)b-bIVbantibiotics
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
tonsillectomy,bbleedingbactionb–bassessbforbbleedingbwithbilluminationbtobvisualizeboropharynx
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
Ceftriaxone,b+bgonorrhea
APGAR,b1/10,bcolorbisbacrocyanoticbyoun
gbgirl,bUTI
9byearbold,bceliacbdisease,bappendectomy,bfoodbtobnotbeatb–
crackersb=bhavebglutenbhistorybofbpreeclampsia,bhighbbloodbpressure
b
whatbtobusebwhenbchangingbnewborn’sbdiaperb–
plainbwaterb18byearboldbdaughter,bserumbtestbresults
b
38cmbfundalbheight,b30bweeksbgestationb–
bafterb20bweeks,bthebfundalbheightbinbcmbshouldbapproximateb#bofbweeksbgestation
5byearbold,bbowelbmovement,b yellow,bsticky,bsmellsblikebsourbmilkb–
btypicalbforbbreastfedbnewborns,bcontinuebtobbreastfeed
absencebofbtestesbonbnewbornbadmissionbassessmentb
3bmonthboldbdoesbnotbsleepbthroughbthebnight
14bmonthbold,bhospitalizedb–bfebrilebseizures
3byearboldbgirl,bblindbsincebbirth,bhospitalized,bcompoundbfracturebofbthebfemurbandbisbnowbinbtractio
n,bintervention
fundalbmassagebtechniqueb–
banchorbtheblowerbuterinebsegmentbwithbonebhand,bwhilebmassagingbthebfundusbwithbthebotherbhand,
btobpreventbuterinebprolapsebandbuterinebinversion
MaternitybHESI
4. Thebnursebisbteachingbabclientbwithbgestationalbdiabetesbaboutbnutritionbandbinsulinbneedbforbp
regnancy.bWhichbcontentbshouldbthebnursebincludebinbthisbclient’sbteachingbplan?
A) Insulinbproductionbisbdecreasedbduringbpregnancy
B) increasebdailybcaloricbintakebisbneededb?
C) injectionbrequirementsbremainbthebsame
D) Bloodbsugarsbneedblessbmonitoringbinbthebfirstbtrimester
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
5. Ab38-
weekbprimigravidabclientbwhobisbpositivebforbGroupbAbBetabStreptococcusbreceivesbabprescriptionbf
orbcefazolinb2bgramsbIVbtobbebinfusedboverb30bminutes.bThebmedicationsbavailablebinb2bgrams/100bm
lbofbnormalbsaline.bThebnursebshouldbprogrambthebinfusionbpumpbtobdeliverbhowbmanybml/hour?
1.6ml/hr
7. Whenbperformingbthebdailybhead-to-toebassessmentbofbab1-day-
oldbnewborn,bthebnursebobservesbyellowbtintbtobthebskinbonbthebforehead,bsternum,bandbabdomen.bW
hatbactionbshouldbthebnursebtake?
A) Measurebbilirubinblevelsbusingbtranscutaneousbbilirubinometry
B) ReviewbmaternalbmedicalbrecordsbforbbloodbtypebandbRhbfactor
C) Preparebthebnewbornbforbphototherapyb?
D) EvaluatebcordbbloodbCoomb’sbtestbresults
8. Abnewbmotherbasksbthebnursebaboutbanbareabofbswellingbonbherbbaby’sbheadbnearbthebposteriorbf
ontanelbthatbliesbacrossbthebsuturebline.bHowbshouldbthebnursebrespond?
A) “Thatbisbcalledbcaputbsuccedaneum.bItbwillbabsorbbandbcausebnobproblems.”
B) “Thatbisbcalledbabcephalhematoma.bItbwillbcausebnobproblems.”b?
C) “Thatbisbcalledbabcephalhematoma.bItbcanbcausebjaundicebasbitbisbabsorbed.”
D) “Thatbisbcalledbcaputbsuccedaneum.bItbwillbhavebtobbebdrained.”
9. Ab39-week-
gestationalbmultigravidabisbadmittedbtoblaborbandbdeliverybwithbspontaneousbrupturebofbmembranes
b(SROM)bandbcontractionsboccurringbeveryb2btob3bminutes.bAbvaginalbexambindicatesbthatbthebcervi
xbisbdilatedb6bcm,b90%beffaced,bandbthebfetusbisbatbab+2bstation.bDuringbtheblastb45bminutesbthebfetalb
heartbrateb(FHR)bhasbrangedbbetweenb170bandb180bbeats/minute.bWhatbactionbshouldbthebnursebim
plement?
A) Obtainbabbloodbspecimenbforbhemoglobin
B) Takebanboralbmaternalbtemperatureb?
C) Straightbcatheterizebthebclient
D) Sendbamnioticbfluidbforbanalysis
b b b b
Answered
MaternitybPracticebHESI
7byearboldbdiabetesbI
6bmonthboldbintroducingbsolidbfoodsb–
bshouldbbebintroducedbonebatbabtime,beveryb4btob7bdaysbtobdeterminebfoodballergies
Digoxinb3bmonthboldbwithbGHD,bmissbabdoseb–
bifbmissedbinblessbthanb4bhours,bgibebdose,bifbelapsedbmorebthanb4bhours,bholdbandbgivebdosebatbnextbs
cheduledbtime
36bweeksbpregnant,bRh-,bbrightbredbvaginalbbleeding,bnursingbintervention
rubellabvaccineb–
binstructionbaboutbusebofbabreliablebmethodbofbbirthbcontrolbforb28bdaysbafterbthebrubellabvaccinebisbgiv
en
6byearsbold,brheumaticbfever,bchorea
1bmonthboldbvomitingbforcefullybafterbeachbmeal,bisbafebrile,bdehydrated,bandbpyloricbstenosisb–
bolivebshapedbmassbinbthebabdominalbareabthatbisbevidentbatbdiaperbchange
18bweeksbgestation,bhighbAFPblevelb–
bneedbforbfollowbupbevaluationbwithbabsonogram btobprovidebvisualbevidencebofbfetalbagebandbpresenceb
ofbneuralbtubebdefects
leftbbreastbmastitis,binstructionbtobdobatbhomebmagnesi
umbsulfate,btoxicitybsigns
continuousbfetalbmonitoring,bVbshapedbappearance
childbwithbsuspectedbbacterialbmeningitis,bwouldbhavebabrecentbhistorybofbunrelatedbbacterialbupperb
respiratory,bsinus,borbearbinfectionb-bearbache
HIV+,breceivingbAZTbduringblabor
diaphragmbsizeb–
bafterbeachbbirthbthebdiaphragmbshouldbbebevaluatedbforbcorrectbsizingbandbusebanbalternativebformbofb
contraceptionbuntilbverified
TypebI,b35bweeksbgestation,bamniocentesis
Dilantin,bnewlybdiagnosedbtonicb–bclonicbepilepsy,bseizurebmanagementb–
bchildbshouldbhavebroutinebserumblevelsbmonitored,basbwellbasbliverbfunction
infantbwithbbarkingbcough,bfever,brunnybnoseb–
bcroup,bmotherbshouldbthebbabybinbthebbathroombsteamedbupbwithbhotbwaterbfrombtubborbshower
osteomyelitisbfoodsbtobeat,b6byearsboldb–bhighbprotein/highbcalories,bmilkbshakebisbbestbchoice
4byearboldbDMDbsymptomsb–
bteachbparents baboutbthesebchangesbsobtheybcanbpreparebandbhelpbprotect bchildbfrombinjuries
pelvicbinflammatorybdiseaseb(PID)b-bIVbantibiotics
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
tonsillectomy,bbleedingbactionb–bassessbforbbleedingbwithbilluminationbtobvisualizeboropharynx
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
Ceftriaxone,b+bgonorrhea
APGAR,b1/10,bcolorbisbacrocyanoticbyoun
gbgirl,bUTI
9byearbold,bceliacbdisease,bappendectomy,bfoodbtobnotbeatb–
crackersb=bhavebglutenbhistorybofbpreeclampsia,bhighbbloodbpressure
b
whatbtobusebwhenbchangingbnewborn’sbdiaperb–
plainbwaterb18byearboldbdaughter,bserumbtestbresults
b
38cmbfundalbheight,b30bweeksbgestationb–
bafterb20bweeks,bthebfundalbheightbinbcmbshouldbapproximateb#bofbweeksbgestation
5byearbold,bbowelbmovement,b yellow,bsticky,bsmellsblikebsourbmilkb–
btypicalbforbbreastfedbnewborns,bcontinuebtobbreastfeed
absencebofbtestesbonbnewbornbadmissionbassessmentb
3bmonthboldbdoesbnotbsleepbthroughbthebnight
14bmonthbold,bhospitalizedb–bfebrilebseizures
3byearboldbgirl,bblindbsincebbirth,bhospitalized,bcompoundbfracturebofbthebfemurbandbisbnowbinbtractio
n,bintervention
fundalbmassagebtechniqueb–
banchorbtheblowerbuterinebsegmentbwithbonebhand,bwhilebmassagingbthebfundusbwithbthebotherbhand,
btobpreventbuterinebprolapsebandbuterinebinversion
MaternitybHESI
4. Thebnursebisbteachingbabclientbwithbgestationalbdiabetesbaboutbnutritionbandbinsulinbneedbforbp
regnancy.bWhichbcontentbshouldbthebnursebincludebinbthisbclient’sbteachingbplan?
A) Insulinbproductionbisbdecreasedbduringbpregnancy
B) increasebdailybcaloricbintakebisbneededb?
C) injectionbrequirementsbremainbthebsame
D) Bloodbsugarsbneedblessbmonitoringbinbthebfirstbtrimester
, 2022 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
5. Ab38-
weekbprimigravidabclientbwhobisbpositivebforbGroupbAbBetabStreptococcusbreceivesbabprescriptionbf
orbcefazolinb2bgramsbIVbtobbebinfusedboverb30bminutes.bThebmedicationsbavailablebinb2bgrams/100bm
lbofbnormalbsaline.bThebnursebshouldbprogrambthebinfusionbpumpbtobdeliverbhowbmanybml/hour?
1.6ml/hr
7. Whenbperformingbthebdailybhead-to-toebassessmentbofbab1-day-
oldbnewborn,bthebnursebobservesbyellowbtintbtobthebskinbonbthebforehead,bsternum,bandbabdomen.bW
hatbactionbshouldbthebnursebtake?
A) Measurebbilirubinblevelsbusingbtranscutaneousbbilirubinometry
B) ReviewbmaternalbmedicalbrecordsbforbbloodbtypebandbRhbfactor
C) Preparebthebnewbornbforbphototherapyb?
D) EvaluatebcordbbloodbCoomb’sbtestbresults
8. Abnewbmotherbasksbthebnursebaboutbanbareabofbswellingbonbherbbaby’sbheadbnearbthebposteriorbf
ontanelbthatbliesbacrossbthebsuturebline.bHowbshouldbthebnursebrespond?
A) “Thatbisbcalledbcaputbsuccedaneum.bItbwillbabsorbbandbcausebnobproblems.”
B) “Thatbisbcalledbabcephalhematoma.bItbwillbcausebnobproblems.”b?
C) “Thatbisbcalledbabcephalhematoma.bItbcanbcausebjaundicebasbitbisbabsorbed.”
D) “Thatbisbcalledbcaputbsuccedaneum.bItbwillbhavebtobbebdrained.”
9. Ab39-week-
gestationalbmultigravidabisbadmittedbtoblaborbandbdeliverybwithbspontaneousbrupturebofbmembranes
b(SROM)bandbcontractionsboccurringbeveryb2btob3bminutes.bAbvaginalbexambindicatesbthatbthebcervi
xbisbdilatedb6bcm,b90%beffaced,bandbthebfetusbisbatbab+2bstation.bDuringbtheblastb45bminutesbthebfetalb
heartbrateb(FHR)bhasbrangedbbetweenb170bandb180bbeats/minute.bWhatbactionbshouldbthebnursebim
plement?
A) Obtainbabbloodbspecimenbforbhemoglobin
B) Takebanboralbmaternalbtemperatureb?
C) Straightbcatheterizebthebclient
D) Sendbamnioticbfluidbforbanalysis
