HESI MATERNAL
1. When taking the health history of a child, the nurse know what which finding is an early indication of
hypothyroidism in children?
a. Cessation of growth in a child that had been normal
a.i. Since the thyroid gland is responsible for metabolism, cessation of growth which as pr...
hesi maternal 1 when taking the health history of a child
the nurse know what which finding is an early indication of hypothyroidism in children a cessation of growth in a child tha
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HESI MATERNAL
1. When taking the health history of a child, the nurse know what which finding is an early indication of
hypothyroidism in children?
a. Cessation of growth in a child that had been normal
a.i. Since the thyroid gland is responsible for metabolism, cessation of growth which as previously w/ in
normal range, is the most common for hypothyroidism in children. The child w/ hypothyroidism is likely
to be HYPOactive not (HYPERactive), although there is delay in the eruption of permanent teeth & slow
sexual development happen w/ hypothyroidism, they are LATE signs.. (NOT EARLY indications) and are
signs more often assoc w/ lack of growth hormone
1. The nurse received a lab report stating a child w/ asthma has theophyline level of 15 mcg/dl. What
action will the nurse take?
a. Hold the next dose of theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the therapeutic rage.
2. Surgery is being delayed for an infant with undescended testes. In collaboration w/ the health care
provider and the family, which prescription should the nurse anticipapte?
a. A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended
testes. (cryptorchidism: may be found in the inguinal canal due to exaggerated creamasteric reflex
3. Which menu selection by a child w/ celiac disease indicates to the nurse that the child understands
necessary dietary considerations?
a. Oven baked potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and barley. The
child should avoid any produces containing these indredients to avoid symptoms such as diarrhea.
4. The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The
mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so
embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to
provide this mother?
a. Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The parents should be
somewhat nearby, w/in view of the child but should avoid reinforcing the behavior in any way. Tantrums
can sometimes be avoided by talking to the child before the situation occurs
5. Which restraint should be used for a toddler after a cleft palate repair?
a. Elbow
a.i. Elbow restraints prevent children from bending their arms and brining their hands to the oral
surgical site, (A) restrains the hands but the child can bend and bring their head to their ands. (B) is used
during procedures (mummy). (D)-jacket, restrains the body torso and is not appropriate
, 6. The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with
their sibling's hospitalizations. Which is the best response that the nurse should offer?
a. Encourage the mother to have the children visit the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact w/ the ill child, so siblings
visitation should be encouraged (D). Parents are experts on their children and should determine when
their children are old enough to visit. (A) in the hospital/ Separation fr. a family & home (B) may
intensify fear & anxiety (suggest that the child visit a grandmother until the sibling returns home.
Children may have difficulty expressing questions (C) ask the mother if the child asks when the sibling
will be discharged, so the support of parents & other caregivers are needed to help alleviate their fears.
7. The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for
surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has
taken place?
a. I understand that I will be in a body cast and I will show you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only verbalizes an understand, but
can also provide a return demonstration
8. During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which
action should the nurse implement?
9. The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that she took a
great deal of aspirin while pregnant. Which assessment should the nurse obtain?
a. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in older children who
can express subjective symptoms, so assessing the infant's reation to loud noises (A) helps to determine
an infant's risk for hearing deficit r/t to a hx of the mother taking ototoxic drug, such as aspirin, while
pregnancy (B,C,D are not assoc w/ the exposure to aspirin in utero
10. The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her
son when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for the
presence of aspirin, which instruction should the nurse include when replying to this mother's question?
a. Do not give if the child has chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B). (a) is a common
effect of peptobismol and does not warrant discontinuation. Pepto Bismol can be used by children (C).
Pepto Bismol does not cause rebound hyperacidity (D) complication of antacids containing calcium
11. A 3 moth old infant develops oral thrush. Which pharmacologic agent should the nurse plan to
administer for treatment of this disorder?
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