HESI PN OBSTETRICS/MATERNITY PRACTICE
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS,
PN HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
Which strategy should the practical nurse (PN) implement to
prevent a puerperal infection for a client during the first
postpartum week? - ANSWER ->Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human
immune globulin (RhoGam) after delivery? - ANSWER ->The Rh-
negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first
trimester? (Select all that apply.) - ANSWER ->A. Displacement
of the colon.
,E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal
appointment. The client's weight today is 129 pounds. What
action should the practical nurse (PN) implement? - ANSWER -
>Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets
with a client who is at risk for preeclampsia. Which information
is most important for the PN reinforce with the client? -
ANSWER ->Notify the clinic if any vision changes are
experienced.
A primigravida at 33-weeks gestation is admitted after being
involved in a motor vehicle collision (MVC). The client has no
complaints of abdominal pain and no evidence of vaginal
bleeding. Which action should the practical nurse (PN)
anticipate implementing for the client? - ANSWER ->Obtain a
biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i
know that I will be going into labor soon?" Which sign should
the PN provide that is a common sign? - ANSWER ->Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having
contractions every 5 minutes. The healthcare provider
,determines she is dilated 3 cm and in early labor. What action
should the practical nurse (PN) implement when the client
groans with each contraction? - ANSWER ->Demonstrate simple
relaxation measures.
A primiparous client asks the practical nurse (PN) how much
her newborn baby should sleep every day. What information
should the PN provide? - ANSWER ->A newborn sleeps most of
the day and gradually will have increasing periods of
wakefulness.
The mother asks the practical nurse (PN) what her infant may
need if the phenylketonuria(PKU) test is positive. What type of
treatment should the PN tell the mother will be required? -
ANSWER ->Lifelong dietary management.
The practical nurse (PN) is discussing aspects of newborn
hygiene with the new parents as they prepare for discharge.
Which information should the PN provide? - ANSWER ->Create
a draft-free environment when bathing the baby.
A mother who is preparing for discharge begins asking the
practical nurse (PN) questions about bottle feeding her infant.
What information should the PN reinforce? - ANSWER ->Burp
the newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-
assisted vaginal delivery. What action is most important for the
, practical nurse (PN) to implement? - ANSWER ->Monitor for
signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a
positive home pregnancy test. After determining the client's
last menstrual period (LMP) as August 5, what expected date of
birth (EDB) should the practical nurse (PN) calculate? - ANSWER
->May 12
The practical nurse (PN) quickly moves the crib of a male
newborn and notices that his legs flex. arms fan out, and then
return toward his midline. What action should the PN
implement? - ANSWER ->Document the newborn demonstrates
a Moro reflex.
Which finding for a 2-week-old infant should the practical nurse
(PN) report to the healthcare provider? - ANSWER ->Yellowish
tinge around the eyes.
Which intervention should the practical nurse (PN) provide a
neonate during hospitalization? - ANSWER ->Offer the neonate
a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks
"yellow." Which information should the practical nurse (PN)
provide? - ANSWER ->Physiologic jaundice occurs from a
normal reduction in red blood cells.
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS,
PN HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION
Which strategy should the practical nurse (PN) implement to
prevent a puerperal infection for a client during the first
postpartum week? - ANSWER ->Implement strict medical and
aseptic technique.
Which client is a candidate for the administration of human
immune globulin (RhoGam) after delivery? - ANSWER ->The Rh-
negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first
trimester? (Select all that apply.) - ANSWER ->A. Displacement
of the colon.
,E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal
appointment. The client's weight today is 129 pounds. What
action should the practical nurse (PN) implement? - ANSWER -
>Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets
with a client who is at risk for preeclampsia. Which information
is most important for the PN reinforce with the client? -
ANSWER ->Notify the clinic if any vision changes are
experienced.
A primigravida at 33-weeks gestation is admitted after being
involved in a motor vehicle collision (MVC). The client has no
complaints of abdominal pain and no evidence of vaginal
bleeding. Which action should the practical nurse (PN)
anticipate implementing for the client? - ANSWER ->Obtain a
biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i
know that I will be going into labor soon?" Which sign should
the PN provide that is a common sign? - ANSWER ->Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having
contractions every 5 minutes. The healthcare provider
,determines she is dilated 3 cm and in early labor. What action
should the practical nurse (PN) implement when the client
groans with each contraction? - ANSWER ->Demonstrate simple
relaxation measures.
A primiparous client asks the practical nurse (PN) how much
her newborn baby should sleep every day. What information
should the PN provide? - ANSWER ->A newborn sleeps most of
the day and gradually will have increasing periods of
wakefulness.
The mother asks the practical nurse (PN) what her infant may
need if the phenylketonuria(PKU) test is positive. What type of
treatment should the PN tell the mother will be required? -
ANSWER ->Lifelong dietary management.
The practical nurse (PN) is discussing aspects of newborn
hygiene with the new parents as they prepare for discharge.
Which information should the PN provide? - ANSWER ->Create
a draft-free environment when bathing the baby.
A mother who is preparing for discharge begins asking the
practical nurse (PN) questions about bottle feeding her infant.
What information should the PN reinforce? - ANSWER ->Burp
the newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-
assisted vaginal delivery. What action is most important for the
, practical nurse (PN) to implement? - ANSWER ->Monitor for
signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a
positive home pregnancy test. After determining the client's
last menstrual period (LMP) as August 5, what expected date of
birth (EDB) should the practical nurse (PN) calculate? - ANSWER
->May 12
The practical nurse (PN) quickly moves the crib of a male
newborn and notices that his legs flex. arms fan out, and then
return toward his midline. What action should the PN
implement? - ANSWER ->Document the newborn demonstrates
a Moro reflex.
Which finding for a 2-week-old infant should the practical nurse
(PN) report to the healthcare provider? - ANSWER ->Yellowish
tinge around the eyes.
Which intervention should the practical nurse (PN) provide a
neonate during hospitalization? - ANSWER ->Offer the neonate
a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks
"yellow." Which information should the practical nurse (PN)
provide? - ANSWER ->Physiologic jaundice occurs from a
normal reduction in red blood cells.
