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OB PEDS HESI EXIT EXAM 2023
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OB PEDS HESI EXIT EXAM 2023 / HESI OB PEDS EXIT EXAMACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM
When is the screening test for PKU done? - ANSWER: At 2-3 days of life, or after
enough breast or formula (usually after 24 hours) is ingested to allow for
determination of body's ability to metabolize amino acid phenylalanine.
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWER: Foods sweetened with aspartame
During a routine first trimester prenatal exam, a pregnant client tells the nurse that
she has noticed an increase in vaginal discharge that is white, thin, and watery. What
action should the nurse implement? - ANSWER: Inform her that this is a normal
physiological change.
A client at 30 weeks of gestation is on bed rest at home because of increased blood
pressure. The home health nurse has taught her how to take her own blood pressure
and gave her parameters to judge a significant increase in blood pressure. When the
client calls the clinic complaining of indigestion, which instruction should the nurse
provide? - ANSWER: Take your blood pressure now and if it is seriously elevated, go
to the hospital.
What is the difference between caput succedaneum and cephalhematoma? -
ANSWER: Cephalhematoma does NOT cross suture lines and manifests a few hours
after birth
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
ANSWER: "This is called caput succedaneum. It will absorb and cause no problems."
Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v"
shaped pattern. Nurse action to take first? - ANSWER: change position of patient
When planning care for a laboring client , the nurse identifies the need to withhold
solid foods while the client is in labor . What is the most important reason for this
nursing intervention ? - ANSWER: An increased risk for aspiration can occur if general
analgesic is needed
Which physiological parameter is most important for the nurse to monitor during
administration of oxytocin (Pitocin)? - ANSWER: fetal heart rate
A multiparous woman at 38 weeks gestation with a history of rapid progression of
labor is admitted for induction due to signs and symptoms of pregnancy induced
hypertension (PIH). One hour after the oxytocin infusion is initiated she complains of
, a headache. Her contractions are occurring every 1-2 mins , lasting 60-75 seconds
and a vaginal exam reveals that her cervix is 90% and dilated 6 cm.What intervention
is most important for the nurse to implement? - ANSWER: Discontinue the Pitocin
infusion
A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased? - ANSWER: Contraction pattern.
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress
test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin)
infusion. Which finding is most important for the nurse to report to the healthcare
provider? - ANSWER: pattern of fetal late decelerations.
A 4-day postpartum client calls the clinic and reports that her nipples are so sore that
she does not know if she can continue to breastfeed her infant. What instruction is
best for the nurse to provide? - ANSWER: Apply hot packs just before each feeding.
A new mother is having trouble breastfeeding her newborn. The child is making
frantic rooting motions and will not grasp the nipple. Which intervention should the
nurse implement? - ANSWER: Encourage the mother to stop feeding for a few
minutes and comfort the infant.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During
assessment, the nurse determines that both breasts are swollen, warm, and tender
upon palpation. What action should the nurse take? - ANSWER: Apply cold
compresses to both breasts for comfort
The client is experiencing engorgement even though she is bottle-feeding her infant,
and cold compresses - ANSWER: may help reduce discomfort.
The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take? - ANSWER: Observe the mother for other attachment
behaviors.
The nurse receives a newborn within the first minutes after a vaginal delivery and
intervenes to establish adequate respirations. What priority issue should the nurse
address to ensure the newborn's... - ANSWER: Heat loss
Upon admission to the nursery, the nurse places a newborn supine under radiant
warmer , an external heat source. What should the nurse implement first to ensure
safe thermoregulation? - ANSWER: Place temperature probe on the abdomen in the
line with the radiant heat source
The nurses assessment on a preterm infant reveals decreased muscle tone , sign of
respiratory distress , irritability , mottled cool skin.Which intervention should the
nurse implement first ? - ANSWER: Position a radiant warmer on the crib
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