Hesi Maternity PEDS EXAM QUESTIONS AND CORRECT ANSWERS
VERIFIED 100%
A four-year-old boy was recently diagnosis with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for the
nurse to focus on during initial teaching?
Lower legs become progressively weaker, causing a wedding, unsteady gait
A full-term 24 hour old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
Stimulate the infant to cry
The healthcare provider prescribes amoxicillin 500 mg PO every eight hours
for a child who weighs 77 pounds. The available suspension is labeled,
amoxicillin suspension 250 mg/5 ml. The recommended maximum does is 50
mg/kg/24 hour. How many mL should the nurse administer in a single dose
based on the child's weight? (enter the numerical value only. If rounding is
required, round to the whole number.)
10mL/dose
An infant is placed in a radiant warmer immediately after birth. At one hour of
age, the nurse finds the infant to be jittery, tachypneic, and hypotonic. What is
the first action that the nurse should take?
Determine infants blood sugar level
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
What action should the nurse implement first?
Place the infant in a knee -chest position
Insulin therapy is initiated for a 12 year-old child who is admitted with diabetic
ketoacidosis (DKA). Which action is important for the nurse to include in the
child plan of care?
Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
A laboring client's membranes rupture spontaneously. The nurse notices that
the amniotic fluid is greenish-brown. What intervention should the nurse
implement first?
Report to HCP
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. What
prescription is most important to implement?
Infuse normal saline intravenously
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 responds? (Select all that apply.)
, -Remind him that his mother breastfed him too
-Reassure the older brother that it does not hurt
-Explain that newborns get milk mothers this way
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?
Advice the mother to wait at least another month before starting any solid foods.
The nurse is assessing a 2 hour-old infant born by cesarean delivery at 39-
weeks gestation. Which finding should receive the highest priority when
planning the infants care?
Respiratory rate of 76 breaths per min
The nurse is assessing a 38-week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extrauterine life?
Cries vigorously when stimulated
The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complains of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
Magnesium Sulfate
The nurse is conducting postpartum teaching with a mother who is
breastfeeding her infant. When discussing birth control, which method should
the nurse recommend to this client as best for her to use in preventing an
unwanted pregnancy?
Condoms and contraceptive foam or gel
The nurse is examining an infant for possible crytorchildism. Which exam
technique should be used?
Place the infant in warm room and use a calm approach
The nurse is planing 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?
Betamethasone (Celestone) 12 mg deep IM.
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every four hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria,, watery eyes, ad a
rash in the diaper area. What action is most important for the nurse to take?
Change to latex - free gloves when handling infant
The 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
Crying without tears
A 6-year old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
intervention is most important for the nurse to implement?
Assess bilateral lung sounds
VERIFIED 100%
A four-year-old boy was recently diagnosis with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for the
nurse to focus on during initial teaching?
Lower legs become progressively weaker, causing a wedding, unsteady gait
A full-term 24 hour old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
Stimulate the infant to cry
The healthcare provider prescribes amoxicillin 500 mg PO every eight hours
for a child who weighs 77 pounds. The available suspension is labeled,
amoxicillin suspension 250 mg/5 ml. The recommended maximum does is 50
mg/kg/24 hour. How many mL should the nurse administer in a single dose
based on the child's weight? (enter the numerical value only. If rounding is
required, round to the whole number.)
10mL/dose
An infant is placed in a radiant warmer immediately after birth. At one hour of
age, the nurse finds the infant to be jittery, tachypneic, and hypotonic. What is
the first action that the nurse should take?
Determine infants blood sugar level
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
What action should the nurse implement first?
Place the infant in a knee -chest position
Insulin therapy is initiated for a 12 year-old child who is admitted with diabetic
ketoacidosis (DKA). Which action is important for the nurse to include in the
child plan of care?
Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
A laboring client's membranes rupture spontaneously. The nurse notices that
the amniotic fluid is greenish-brown. What intervention should the nurse
implement first?
Report to HCP
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. What
prescription is most important to implement?
Infuse normal saline intravenously
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 responds? (Select all that apply.)
, -Remind him that his mother breastfed him too
-Reassure the older brother that it does not hurt
-Explain that newborns get milk mothers this way
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?
Advice the mother to wait at least another month before starting any solid foods.
The nurse is assessing a 2 hour-old infant born by cesarean delivery at 39-
weeks gestation. Which finding should receive the highest priority when
planning the infants care?
Respiratory rate of 76 breaths per min
The nurse is assessing a 38-week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extrauterine life?
Cries vigorously when stimulated
The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complains of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
Magnesium Sulfate
The nurse is conducting postpartum teaching with a mother who is
breastfeeding her infant. When discussing birth control, which method should
the nurse recommend to this client as best for her to use in preventing an
unwanted pregnancy?
Condoms and contraceptive foam or gel
The nurse is examining an infant for possible crytorchildism. Which exam
technique should be used?
Place the infant in warm room and use a calm approach
The nurse is planing 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?
Betamethasone (Celestone) 12 mg deep IM.
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every four hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria,, watery eyes, ad a
rash in the diaper area. What action is most important for the nurse to take?
Change to latex - free gloves when handling infant
The 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
Crying without tears
A 6-year old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
intervention is most important for the nurse to implement?
Assess bilateral lung sounds
