OB/Peds hesi Exam Questions With 100% Verified Answers
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OB/Peds hesi
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OB/Peds Hesi
OB/Peds hesi Exam Questions With 100%
Verified Answers
When is the screening test for PKU done? - answerAt 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 ...
OB/Peds hesi Exam Questions With 100%
Verified Answers
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
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