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HESI Maternity/PEDS With 100% ACCURATE QUESTIONS AND ANSWERS GRADED A+
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JACKLINEHESI Maternity/PEDS With 100% ACCURATE QUESTIONS AND ANSWERS
GRADED A+
Terms in this set (119)
A 3-month-old with myelomeningocele and Change to latex - free gloves when handling infant
atonic bladder is catheterized every four hours
to prevent urinary retention. The home health
nurse notes that the child has developed
episodes of sneezing, urticaria,, watery eyes, ad
a rash in the diaper area. What action is most
important for the nurse to take?
The 6-week-old infant diagnosed with pyloric Crying without tears
stenosis has recently developed projectile
vomiting. Which assessment finding indicates to
the nurse that the infant is becoming
dehydrated?
A 6-year old with heart failure (HF) gained 2 Assess bilateral lung sounds
HESI Maternity/PEDS
1/21
,10/5/24, 9:25 AM
A 34-week primigravida with preeclampsia is 75mL/hour
receiving Lactated Ringer's 500 ML with
magnesium sulfate 20 grams at the rate of 3
grams/hour. How many mL/hour should be the
nurse program into the infusion pump?
A 36-week primigravida is admitted to labor and Notify healthcare provider at patients' bedside
delivery with severe abdominal pain and bright
red vaginal bleeding. Her abdomen is rigid and
tender to touch. The fetal heart rate (FHR) is 90
beats/minute, and the maternal heart rate is 120
beats/minute. What action should the nurse
implement first?
We have an expert-written solution to this problem!
A 39 week gestation, a multigravida is having a Place an acoustic simulator on the abdomen.
non-stress test (NST). The fetal heart rate (FHR)
has remained non- reactive during the 30
minutes of evaluation. Based on this finding,
which action should the nurse implement?
Artificial rupture of the membranes of a laboring Have a meconium aspirator available at delivery
client reveals meconium- stained fluid. What
intervention has the greatest priority?
At 20 weeks gestation, a client who has gained Gestational weight gain.
20 pounds during pregnant states that she is
felling fetal movement. Fundal height
measurement is 20 cm, and the clients only
complaint is that her breasts are leaking clear
fluid. Which assessment finding warrants further
evaluation?
A client at 35 weeks gestation complains of a Chorioamnionitis
"pain whenever the baby moves." On
assessment, the nurse notes the client's
temperature to be 101.2 F, with severe abdominal
or uterine tenderness on palpation. The nurse
knows that these findings are indicative of what
condition?
We have an expert-written solution to this problem!
HESI Maternity/PEDS
2/21
, 10/5/24, 9:25 AM
A client at 40-weeks gestation presents to the Color and consistency of fluid
obstetrical floor and indicates that the amniotic
membranes ruptured spontaneously at home.
She is in active labor, and feels the need to bear
down and push. What information is most
important foe the nurse to obtain first?
We have an expert-written solution to this problem!
A client delivers a viable infant, but begins to Maternal blood pressure
have excessive uncontrolled vaginal bleeding
after the IV Pitocin is infused. When notifying the
healthcare provider of the client's condition,
what information is most important for the nurse
to provide?
A client whose labor is being augmented with an Determine current cervical dilation
oxytocin (Pitocin) infusion requests an epidural
for pain control. Findings of the last vaginal
exam, performed 1 hour ago, were 3 cm cervical
dilatation, 60% effacement, and a -2 station.
What action should the nurse implement first?
A community health nurse visits a family in which ask the client if she has experienced any recent changes in vaginal discharge
a 16-year old unmarried daughter is pregnant
with her first child and is at 32 weeks gestation.
The client tells the nurse that she has been
intermittent back pain since the night before.
What is the priority nursing intervention?
The current vital signs for a primipara who Document vital signs in record (normal)
delivered vaginally during the previous shift are:
temperature 100.4 F, heart rate 58 beats/minute,
respiratory rate 16 breaths/minute, and blood
pressure 130/74. What action should the nurse
implement?
We have an expert-written solution to this problem!
HESI Maternity/PEDS
3/21
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