Peds & Maternity HESI Exam Questions and Correct Answers Latest Update 2024

Peds & Maternity HESI Exam Questions and Correct Answers Latest Update 2024 The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? - Answers Right foot is cool to the touch and appears pale and blanched During fundal massage, place one hand at the fundus, what is the second hand used for - Answers to anchor fundus Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? - Answers Set of cloth and hand puppets There is a question that has to be put in order - Answers *isolate the baby, move mom to private room, collect u/a, start iv* An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? - Answers Place the infant in a knee-chest position How do you measure the frequency of contractions - Answers from the beginning of one to the beginning of the next A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? - Answers Metabolic Acidoses Mothers Hemoglobin A1C - Answers give her a consultation to a nutritionist A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? - Answers Serum potassium of 3.0 mg/dL Baby shows cyanosis in hands and feet and has elevated respirations - Answers gradually warm the baby Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute. Intervention best to implement? - Answers gradually warm under heat source The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? - Answers *Creamed corn* Baby is showing signs of mottling - Answers check temperature During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? - Answers Object Permanence Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the data of mom - Answers increased weight gain The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? - Answers Palpate the anterior fontanel for tension and bulging Mom asks why her baby is being screened for T4 and TSH levels - Answers it is state protocol to monitor for metabolic abnormalities The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years old sibling are at the child's bedside. Which instruction best supports family? - Answers Please decide who will stay when the healthcare provider begins suturing Patient is having labor back pain - Answers counter pressure on lower back (sacrum) The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother? - Answers Thicken formula with cereal for each feeding Woman had cleft lip, dads uncle had cleft lip - Answers send them for genetic testing While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors? - Answers They provide the child with a sense of security Woman in labor and they look at vagina and see cord - Answers put woman in Trendelenburg position The parents of a newborn infant with hypospadia are concerned about when the surgical correction should occur. What information should the nurse provide? - Answers Repairs typically should be done before the child is potty trained Pregnant woman has a diaphragm - Answers she needs to have it refitted for another diaphragm Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary considerations related to the disease? - Answers Lemonade Baby starts showing signs of respiratory difficulty (nasal flaring, expiratory grunt, cyanosis) - Answers check O2 saturation levels The nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse identify that is consistent with early dehydration? - Answers Tachycardia Baby progressing in extrauterine life would show what signs - Answers good vigorous cry with stimulation While auscultating the lung sounds of a 5 year old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. What action is best for the nurse to take? - Answers Inquire about the use of alternative methods of treatment Baby has peri-oral cyanosis - Answers assess the oral mucosa A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there are no signs of infection at the site. Which intervention is the most important for the nurse to implement? - Answers Obtain specimen for blood cultures Before surgery mom is given an anticholinergic/atropine with anesthesia. What is the therapeutic response of the anticholinergic? - Answers *increased pulse & decrease oral secretions/dry oral membranes* A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided doses every 4 hours. How many mg should the nurse administer to the child for each dose? - Answers 1875 mg Question about cytotec - Answers answer is you are at an increased risk for abortion The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the scheduled procedures the infant passes a soft-formed brown stool. Which intervention should the nurse implement? - Answers Notify the healthcare provider of the passage of brown stool Patients uterus is above the umbilicus and to the right during postpartum, what do you do first - Answers palpate the bladder for distention The mother of a 4 month old asks the nurse to advice in preventing diaper rash. What suggestion should the nurse provide? - Answers Use a barrier cream, such as zinc oxide, which does not have to be completely removed with each diaper change