2023 HESI MATERNITY & PEDIATRICS EXAM
VERSION 1,2 & 3 ACTUAL EXAM EACH VERSION
CONTAINS 85 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (85)
A 4-week-old premature C
infant has been receiving
epoetin alfa (Epogen) fro
the last three weeks.
Which assessment finding
indicates to the nurse that
the drug is effective?
a. slowly increasing
urinary output over the
last week
b. respiratory rate changes
from the 40s to the 60s
c. changes in apical heart
rate from the 180s to the
140s
d. change in indirect
bilirubin from 12 mg/dL to
8 mg/dL
,A 23-year-old client who C
is receiving Medicaid
benefits is pregnant with
her first child. Based on
knowledge of the statistics
related to infant mortality,
which plan should the
nurse implement with this
client?
a. refer to client to a social
worker to arrange for
home care.
b. recommend perinatal
care for an obstetrician,
not a nurse-midwife
c. teach the client why
keeping prenatal care
appointments is important.
A 24-hour-old newborn C
has a pink papular rash
with vesicles
superimposed on the
thorax, back, and
abdomen. What action
should the nurse
implement?
a. notify the healthcare
provider
b. move the newborn to
an isolation nursery
c. document the finding in
the infant's record.
d. obtain a culture of the
vesicles
,A 26-year-old, gravida 2, C
para 1 client is admitted to
the hospital at 28-weeks
gestation in preterm labor.
She is given 3 doses of
terbutaline sulfate
(Brethine) 0.25 mg
subcutaneously to stop
her labor contractions. The
nurse plans to monitor for
which primary side effect
of terbutaline sulfate?
a. drowsiness and
bradycardia
b. depressed reflexes and
increased respirations
c. tachycardia and a
feeling of nervousness.
d. a flushed, warm feeling
and a dry mouth
, A 30-year-old gravida 2, B
para 1 client is admitted to
the hospital at 26-weeks
gestation in preterm labor.
She is started on an IV
solution of terbutaline
(Brethine). Which
assessment is the highest
priority for the nurse to
monitor during the
administration of this
drug?
a. maternal blood
pressure and respirations
b. maternal and fetal heart
rates
c. hourly urinary output
d. deep tendon reflexes
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