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? - Correct answer-Right foot is cool to the touch and appears pale
and blanched
During fundal massage, ...
HESI Peds & Maternity Exam with 100%
Correct Answers 2023
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? - Correct answer-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
- Correct answer-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? - Correct answer-Set of cloth and hand
puppets
There is a question that has to be put in order - Correct answer-*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? - Correct answer-Place the infant in a knee-chest
position
How do you measure the frequency of contractions - Correct answer-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? - Correct answer-Metabolic Acidoses
Mothers Hemoglobin A1C - Correct answer-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? - Correct answer-Serum potassium of 3.0
mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations - Correct answer-
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement? - Correct answer-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? - Correct
answer-*Creamed corn*
Baby is showing signs of mottling - Correct answer-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? - Correct answer-Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the
data of mom - Correct answer-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?
- Correct answer-Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels - Correct answer-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? - Correct answer-Please decide who will stay when the healthcare
provider begins suturing
Patient is having labor back pain - Correct answer-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? - Correct answer-Thicken formula with cereal for each feeding
Woman had cleft lip, dads uncle had cleft lip - Correct answer-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? - Correct answer-They provide the
child with a sense of security
Woman in labor and they look at vagina and see cord - Correct answer-put woman in
Trendelenburg position
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