HESI RN & PEDS MATERNITY_ 2021 ALL ANSWERS CORRECT(VERIFIED)
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Course
NUR 405 (NUR405)
Institution
CUNY Lehman College
HESI RN & PEDS MATERNITY_ 2021
1. The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease (GTD) two days ago. Which information is most important for the nurse to include in this client’s teaching plan?
A. Oral contraceptive use f...
1 the nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease gtd two days ago which information is most imp
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CUNY Lehman College
NUR 405 (NUR405)
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HESI RN & PEDS MATERNITY_ 2021
1. The nurse is planning discharge teaching for a client who had an
evacuation of gestational trophoblastic disease (GTD) two days ago.
Which information is most important for the nurse to include in this
client’s teaching plan?
A. Oral contraceptive use for at least one year.
2. The nurse is planning 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?
C. Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging
the fundus of a multiparous client whose uterine tone is boggy 15
minutes after delivering a 7 pound 10 ounce infant. Which information
should the nurse provide the client about this finding? B. Both the
lower uterine segment and the fundus must be massaged.
4. Which instruction should the nurse include in the discharge teaching
plan of a 7-year- old girl with a history of frequent urinary tract
infections?
D. Monitor for changes in urinary odor.
5. A pregnant woman in the first trimester of pregnancy has a
hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What foot should the
nurse encourage this client to include in her diet?
B. Chicken.
, 6. The newborn nursery admission protocol includes a prescption for phytonadione (Vitamin
K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2
mg/ml. How many ml should the nurse administer?
0.3
7. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the drug?
C. Blood pressure 149/90.
8. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents
and a 12-year-old sibling are the child bedside. Which instruction best supports this family?
A. “ While waiting for the healthcare provider, only one visitor may stay with the child”
9. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA).
The nurse includes activities to strengthen and mobilize the joints and surrounding muscle.
Which physical therapy regimen should the nurse encourage the adolescent to implement?
C. Exercise in a swimming pool.
10. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal heart
rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What assessment finding confirms to the nurse that the client is not labor at this
time?
D. Contractions decrease with walking.
11. Which toy is most appropriate for a 10-year-old child with acute rheumatic fever who is on
strict bedrest?
D. Checkers
12. The nurse has completed a teaching plan for the mother of a child who is taking digitalis and
a diuretic for treatment of the heart failure. Choosing which lunch would indicate that the
mother understands the best diet for her child?
B. Peanut butter and banana sandwich with orange juice.
13. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels
of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
explanation for this finding?
C. The TSH is high because of the low production of T4 by the thyroid.
14. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
D. Stimulate the infant to cry.
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