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HESI RN Maternity/Peds REVIEW 2020 – 58 Q & A
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HESI RN Maternity/Peds REVIEW 2020 –58 Q & A
PLEASE NOTE: Health care system is continuously changing, guidelines and
recommendation could differ from time to time, the answers of below questions were
made up to our best knowledge and elimination of wrong answers – and remember that
most of the time there are more than a correct answer but you have to choose the
MOST important or priority or what’s within nursing scope of practice. We tried our best
to have all answers correct but we do not guarantee that 100%. You must study and
review them as well. Good luck!
1. The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most important
for the nurse to include in this client’s teaching plan?
A. Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this finding?
B. Both the lower uterine segment and the fundus must be massaged.
4. Which instruction should the nurse include in the discharge teaching plan of a 7-year-
old girl with a history of frequent urinary tract infections?
D. Monitor for changes in urinary odor.
5. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
B. Chicken.
, 6. The newborn nursery admission protocol includes a prescption for phytonadione (Vitamin
K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2
mg/ml. How many ml should the nurse administer?
0.3
7. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the drug?
C. Blood pressure 149/90.
8. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents
and a 12-year-old sibling are the child bedside. Which instruction best supports this family?
A. “ While waiting for the healthcare provider, only one visitor may stay with the child”
9. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA).
The nurse includes activities to strengthen and mobilize the joints and surrounding muscle.
Which physical therapy regimen should the nurse encourage the adolescent to implement?
C. Exercise in a swimming pool.
10. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal heart
rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What assessment finding confirms to the nurse that the client is not labor at this
time?
D. Contractions decrease with walking.
11. Which toy is most appropriate for a 10-year-old child with acute rheumatic fever who is on
strict bedrest?
D. Checkers
12. The nurse has completed a teaching plan for the mother of a child who is taking digitalis and
a diuretic for treatment of the heart failure. Choosing which lunch would indicate that the
mother understands the best diet for her child?
B. Peanut butter and banana sandwich with orange juice.
13. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels
of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
explanation for this finding?
C. The TSH is high because of the low production of T4 by the thyroid.
14. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
D. Stimulate the infant to cry.
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