OB/PEDIATRIC HESI PRACTICE PDF

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7/8/2021

Hesi Screen Shots Flashcards | Quizlet

Hesi Screen Shots

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Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests

Terms in this set (25) A primipara has delivered a stillborn fetus at 30

provide a time for the parents to hold their infant in privacy

weeks gestation. To asses the parents in the grieving process which intervention is most for the nurse to implement ?

What is the priority nursing assessment immediately

Body temperature

following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula?

What is the most important assessment for the

Maternal blood pressure---Pain meds decrease all vital signs---Epidural block

nurse to conduct following the administration of

affects nerve fibers that controls muscle contractions inside blood vessel=

epidural anesthesia to a client who is at 40 weeks

decrease BP

gestation?

A 34-week primigravida woman with preeclampsia

75 ml

is receiving lactated ringers 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion pump?

A 6-year-old with heart failure (HF) gained 2

Assess bilateral lung sounds

pounds in the last 24 hours. Which intervention is most important for the nurse to implement?

A mother of a 3-year-ld 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)

Explain that newborns get milk from their mothers in this way. Reassure the older brother that it does not hurt his mother Remind him that his mother breastfed him too.

The nurse is examining an infant for possible

Place the infant in a warm room and use a calm approach (cold room keeps testes

cryptorchidism. Which exam technique should be

pulled up to body)

used?

The nurse is planning care for a client at 30-weeks

Betamethasone (celestone) 12 mg deep IM

gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome?

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7/8/2021 Insulin therapy is initiated for a 12-year-old child

Hesi Screen Shots Flashcards | Quizlet Monitor serum glucose for adjustment in infusion rate of regular insulin (novolin R)

who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse to include in the child's plan of care?

A 3-month-old with myelomeningocele and atonic

Change to latex-free gloves when handling infant (allergic reaction)

bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take?

The healthcare provider prescribes Amoxicillin 500

10 ml

mg PO every 8 hours for a child who weighs 77 lbs. The available suspension is labeled, amoxicillin suspension 250 mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many mL should the nurse administer in a single dose based on the childs weight?

The nurse is caring for a female client, a

Magnesium Sulfate

primigravida with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand

(anti seizure med, also smooth muscle relaxant to prevent preterm labor)

swelling, complaints of blurry vision and a severe frontal headache. Which medication should the nurse anticipate for this client?

A client at 35 weeks gestation complains of a "pain

Chorioamnionitis

whenever the baby moves." On assessment, the nurse notes the clients temperature to be 101.2, with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition?

A 4-year-old boy was recently diagnosed with

Lower legs become progressively weaker, causing waddling, unsteady gait

Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching?

A male infant with a 2-day history of fever and

Infuse normal saline intravenously (because he is dehydrated)

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 without tears. Which prescription is most important to implement?

After administering varicella vaccine to a five-year-

Apply a cool pack to the injection site to reduce discomfort (for 24 hours, then

old child, which instruction should the nurse

warm)

provide the child's parents?

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7/8/2021 The nurse is planning care for a 4-year-old girl who

Hesi Screen Shots Flashcards | Quizlet Help her achieve her maximum potential

is diagnosed as having a developmental disability. What should be the primary focus of treatment for this child?

A 6-month-old child who had a cleft-lip repair has

Remove restraints one at a time to provide range of motion exercises

elbow restraints in place. What nursing intervention should the nurse plan to implement?

A new mother calls the nurse stating that she wants

Reassure the mother that the infant is old enough to eat iron-fortified cereal

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?

A 10-year-old is admitted to the orthopedic unit

Pin and incisional care after surgery

with a diagnosis of slipped femoral capital epiphysis (SFCE). What focus should the nurse include in this child's plan of care?

While caring for a laboring client on continuous

Change the maternal position (Its a variable deceleration so its due to cord

fetal monitoring, the nurse notes a fetal heart rate

compression)

pattern that falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first?

A postpartum client who is Rh-negative refuses to

RhoGam prevents maternal antibody formation for future Rh-positive babies

receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should the nurse provide this client?

The nurse observes a mother giving her 11-month-

Give the mother positive feedback about the way she administered the medication.

old ferrous sulfate (iron drops), followed by 2 ounces of orange juice. What should the nurse do next?

A 6-week-old infant diagnosed with pyloric

Weak cry without any tears.

stenosis has recently developed projectile vomiting. Which assessment finding indicates to the nurse that the infant is becoming dehydrated?

Stimulate the infant to cry A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. What

OR

should the nurse do first? Suction the oral and nasal passages

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