HESI OB PEDS Exam Test Bank PDF 2023

lOMoARcPSD|15450111 20220701204542 62bf5cf65a32f hesi ob peds exam test bank Obstetrical Nursing Care (Glendale Career College) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS E...

lOMoARcPSD|15450111 20220701204542 62bf5cf65a32f hesi ob peds exam test bank Obstetrical Nursing Care (Glendale Career College) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE HESI OB PEDS Exam Test BANK Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE PEDS/OB HESI 1. A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last3 days. Which assessment is most important for nurse to make? a. Assess infant abdomen for tenderness b. Determine if the infant was exposed to a virus c. Measure the infant’s pulse d. Evaluate the infant’s cry 2. While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? a. Inspect the posterior oropharynx b. Assess for teeth clenching or grinding c. Touch the tonsillar pillars to stimulate the gag reflex d. Ask the child to speak to evaluate change in voice tone 3. The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have this disease? We are wondering if we should have any more children.” What information should the nurse provide to parents? 4. a. This is an inherited X-linked recessive disorder, which primarily a昀昀ects male children in the family b. The striated muscle groups of males can be impacted by a lack of the protein dystrophin in their mothers c. The male infant had a viral infection that went unnoticed and untreated so muscle damage was incurred d. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the muscles 4. A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her RR and HR have increased during the last hour. Which intervention should the nurse implement? a. Notify the HCP of these findings b. Administer a PRN analgesic prescription c. Record the findings in the child’s record d. Wrap the infant tightly and rock in rocking chair 5. A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother? a. A 2-year old should be speaking in 2 word phrases b. Dental caries are associated with drinking soda c. Drinking soda is related to childhood obesity d. Toddlers should be sleeping 10 hours a night e. Toddlers should be drinking from a cup by age 2 6. A mother brings her 3 month old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family? a. The mother is a single parent and lives with her parents b. The mother states the baby is irritable during feedings c. The infant’s formula has been changed twice d. The diaper area shows severe skin breakdown Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 7. The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take? a. Document the 昀椀nding b. Palpate scrotum for testicular descent Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE c. Assess for bladder distension d. Auscultate bowel sounds 8. A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted medication port at the outpatient oncology clinic. What action should the nurse implement when the infusion is complete? a. Administer Zofran b. Obtain blood samples for RBCs, WBCs, and platelets c. Flush mediport w/ saline and heparin solution d. Initiate an infusion of normal saline 9. A mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant’s vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life threatening complication? a. Irregular palpable pulse b. Hyperactive bowel sounds c. Underweight for age d. Crying without tears 10. The nurse is performing a routine assessment of a 3-year old at a community health center. Which behavior by the child should alert the nurse to request a follow-up for a possible autistic spectrum disorder? a. Performs odd repetitive behaviors b. Shows indifference to verbal stimulation c. Strokes the hair of a hand held doll d. Has a history of temper tantrums 11. Following admission for cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, lethargic? a. Encourage oral electrolyte solution intake b. Assess the child to a recumbent position c. Contact their HCP immediately d. Provide a quiet time by holding or rocking the toddler 12. A mother brings her 2 year old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child’s oral temperature is 101.2 F. Which intervention should the nurse implement? a. Ask the mother if the child has had a runny nose b. Cleanse purulent exudate from the affected ear canal c. Apply a topical antibiotic to the periauricle area d. Provide parent education to prevent recurrence 13. During a follow up clinical visit a mother tells the nurse that her 5 month old son who had surgical correction for tetralogy of fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement? a. Stimulate the infant to cry to produce cyanosis b. Auscultate heart and lungs while infant is held c. Evaluate infant for failure to thrive d. Obtain a 12-lead electrocardiogram Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 14. The mother of an 11-year old boy who has juvenile arthritis tells the nurse, “I really don’t want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting.” Which information is most important for the nurse to provide this mother? a. The child should be encouraged to rest when he experiences pain Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE b. Encourage quiet activities such as watching television as a pain distracter c. The use of hot baths can be used as an alternative for pain medication d. Giving pain medication around the clock helps control the pain 15. The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant. The mother states, “My mother says I should put rice cereal in the baby’s bottle now.” The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior? a. Stops rooting when hungry b. Opens mouth when food comes her way c. Awakens once for nighttime feedings d. Gives up a bottle for a cup 16. A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child’s mother tells the nurse that she uses this medication to open her son’s airway when he is having trouble breathing. What is the nurse’s best response? a. Recommend that the mother bring the child in for immediate evaluation b. Advise the mother that over-use of the drug may cause chronic bronchitisc. Assure the mother that she is using the medication correctly d. Confirm that the medication helps to reduce airway inflammation 17. A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother? a. The medication dose will be tapered over a period of 2 weeks when being discontinued b. If seizures return, multiple medications will be prescribed for another 2 years c. A dose of valproic acid (Depakote) should be available in the event of status epilepticus d. Phenytoin (Dilantin) and phenobarbital (Luminal) should be taken for life 18. A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should the nurse administer per dose? (round to nearest tenth) 0.5 mL 19. A male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother’s bottle of digoxin (Lanoxin). What prescription should the nurse implement first? Administer activated charcoal orally a. Administer activated charcoal b. Prepare gastric lavage c. Obtain a 12-lead electrocardiogram d. Give IV digoxin immune fab (Digibind) 20. An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response? a. Decreased urinary output b. Decreased periorbital edema c. Increased periods of rest d. Weight gain 0.5 kg/day 21. A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, “why is my baby sister eating my mommy’s breast?” how should the nurse respond? Select all that apply a. Remind him that his mother breastfed him too b. Clarify that breastfeeding is the mother’s choice Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE c. Reassure the older brother that it does not hurt his mother d. Explain that newborns get milk from their mothers in this way e. Suggest that the baby can also drink from a bottle Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 22. A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take? a. Ask the parents to have the child seen by a clinical psychologist b. Ask the parents to become involved in helping the child with his homework c. Refer the child to the school counselor for educational testing d. Seek the advice of the school principle regarding the child’s learning needs 23. A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both his hands and feet. Which intervention should the nurse instruct the mother to implement first? a. Place the child in a quiet environment b. Make a list of foods that the child likes c. Encourage the parents to rest when possible d. Apply lotion to hands and feet 24. The nurse is preparing a teaching plan for the parents of a 6 month-old infant with GERD. What instruction should the nurse include when teaching the parents measures to promote adequate nutrition? a. Alternate glucose water with formula b. Mix the formula with rice cereal c. Add multivitamins with iron to the formula d. Use water to dilute the formula25. A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which intervention is most important for the nurse to include in the child’s plan of care? a. Obtain vital signs at onset of fluid overload b. Change IV site dressing q3 days and PRN c. Monitor for signs of facial swelling or urticartia d. Assess for abdominal pain and vomiting 26. The nurse is conducting an admission assessment of an 11-month old infant with CHF who is scheduled for repair of restenosis of coarction of the aorta hat was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings? a. The aortic semilunar valve obstructs blood flow into the systemic circulation b. The lumen of the aorta reduces the volume of the blood 昀氀ow to the lower extremities c. The pulmonic valve prevents adequate blood volume into the pulmonary circulation d. An opening in the atrial septum causes a murmur due to a turbulent left to right shunt 27. A child who is admitted to the hospital with anemia is anxious, fearful, and hyperventilating. The nurse anticipates the child developing which acid base imbalance? a. Metabolic acidosis b. Respiratory acidosis c. Respiratory alkalosis d. Metabolic alkalosis 28. The mother of a toddler reports to the nurse working in the pediatric clinic that her child has had a fever and sore throat for the past two days. The nurse observes several swollen red spots in the child’s body, a few of which are fluid filled blisters. Which action should the nurse implement? a. Obtain fluid culture from blisters Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE b. Administer a fever reducing salicylate c. Cover drainage vesicles with a dressing d. Implement transmission precautions Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 29. The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide? a. “I will ask the HCP for a psychiatric consult for your child” b. “This type of acting out behavior is normal for adolescents” c. “It is important to focus on your child’s needs at this difficult time” d. “A reaction of anger is your child’s attempt to cope with this loss” 30. The nurse provides information about the human papilloma virus (HPV) vaccine to the mother of a 14-year-old adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent at this visit? a. Use of protective barriers during sexual activity prevents most strains of HPV infection b. Most adolescents are not honest about being sexually active c. Not all strains of HPV will be covered if given at a later date d. Immunity must be established to prevent future HPV infection and risk for cervical cancer 31. An adolescent’s mother calls the primary HCP’s office to inquire about the results of her daughter’s serum test results that were drawn last week. Since it is the teenager’s 18 th birthday, how should the nurse respond to this mother’s inquiry? a. Ask when the adolescent was last seen in the clinic b. Tell the mother to have the teenager call the clinic c. Since the serum samples were drawn last week provide the mother with the findings d. Explain that the information cannot be released without the 18-year olds permission 32. The parents of 15-month old boy tell the nurse that they are concerned because their son brings his spoon to his mouth but does not turn it over. What action should the nurse implement first? a.Discuss referral to an occupational therapist b. Question the parents about their concern. c. Tell the parents to hold the spoon correctly in the child’s hand d.Suggest longer mealtimes so the child can finish eating 33. A child with Grave’s disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response? a. Increased weight gain b. Decreased heart rate c. Reduce headaches d. Diminished fatigue 34. A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain? a. Understanding of quality control process used to troubleshoot the pump b. Interpretation of fingerstick glucose levels that influence diet selections c. Knowledge of her glycosylated hemoglobin A1c levels for past year d. Ability to perform the pump for basal insulin with mealtime boluses Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 35. In developing a behavior modification program for an extremely aggressive 10 year old boy, what should the nurse do first? a. Determine what activities, foods, and toys the child enjoys b. Evaluate the child’s previous reactions to punishment Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE c. Provide the child with positive feedback d. Encourage other children on the unit to describe the token system 36. In assessing a 10-year old newly diagnosed with osteomyelitis, which information s most important for the nurse to obtain? a. Family history of bone disorders b. Recent occurrence of infection c. Cultural heritage and beliefs d. Occurrence of increased fluid intake 37. A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents? a. Permanent life style changes need to be made to promote safety in the home b. The chorea or movements are temporary and will eventually disappear c. Muscle tension is decreased with fine motor project skills, so these activities should be encouraged d. Consistent discipline is needed to help the child control the movements 38. A 3 year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the nurse to provide for this child? a. Bouncy ball b. Coloring book with crayons c. Duck that squeaks d. Remote-controlled care 39. A 9-week-old infant is scheduled for cleft lip repair. Which information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite? a. Red blood cell count of 2.3 million/mm3 b. White blood cell count of 10,000/mm3 c. Weight gain of 2 pounds since birth d. Urine specific gravity is 1.011 40. The nurse is caring for a 3-year old child who has been recently diagnosed with cystic fibrosis, which discharge instruction by the nurse is most important to promote pulmonary function? 41. a. Chest physiotherapy should be performed before meals and at bedtime b. Cough suppressants can be used up to four times a day for relief c. Oxygen should be given through a nasal cannula between 4-6 L/min d. Exercise is discouraged in order to preserve pulmonary vital capacity 41. An adolescent who is taking antiretroviral therapy for HIV infection arrives at the clinic for a follow up visit. Which information is most important for the nurse to obtain? a. Missed medication dosesb. A 24-hour dietary recall c. Barrier contraceptive use d. Ingestion of illicit drugs 42. A 5-year-old boy with leukemia is receiving chemotherapy through a peripherally inserted central catheter (PICC). Twenty minutes after the infusion is begun, the child feels dizzy and complains of itching. Which intervention should the nurse implement first? a. Discontinue the medication infusion Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE b. Flush IV line with saline c. Obtain emergency resuscitation equipment d. Measure current blood pressure and pulse Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 43. A school-aged male is brought to the school nurse after he was thrown off his bicycle into the trunk of a pine tree. The child’s face and arms are speckled with embedded pine bark. He has copious tearing and complains that “there is stuff in my eyes.” Which action should the nurse implement a. Patch both of child’s eyes and send him to the family ophthalmologist b. Use sterile tweezers to lift bark specks from the sclera of each eye c. Instill pain relieving eye drops into each eye and keep head elevated d. Encourage the child to blink frequently to increase bilateral tearing in the eyes 44. A nurse is teaching a class for mothers of premature infants, and is asked about “a shot for respiratory virus.” What information about plaibizumab (Synagis) is correct? a. It is required immunization for all infants under the age of 3 months b. It must be repeated every two months to be effective c. It is recommended for infants who meet established high-risk criteria d. It provides protection for one year with a single injection 45. MISSING 45 46. When assessing a 5-year-old, which ability should the nurse expect the child to be developing at this age? **SEE SC a. Learning to ride a tricycle b. Tying shoelaces c. Buttoning clothes d. Cutting with scissors 47. A mother brings her 2-month old son to the clinic for a well-baby exam. During the assessment the nurse finds that the right testicle is not distended into the scrotum but the left is palpable. Which action should the nurse take? a. Ask if the right testis has been seen in the scrotum before b. Address possible concerns about the child’s future fertility c. Schedule an IV pyelogram to validate presence of the testicle d. Prepare to obtain a catheterized urine specimen for culture 48. MISSING 49. 49. An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone releasing hormone (LRHR) to regulate the pituitary gland. Whichstatement by the parents indicates that they understand the treatment? a. “We should be sure to start our daughter on birth control pills” b. “Our daughter will be on this hormone treatment the rest of her life” c. “We should encourage her to dress in clothing that suits her sexual maturity level” d. “Sexual maturity di昀昀erences between my daughter and her peers will disappear within a few years” 50. MISSING 50 50. While auscultating the lung sounds of a 5 year-old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical,round, bruise-like blemishes on his chest. Which action is best for the nurse to take? 51. a. Identify the antibiotic used to treat the pneumonia Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE b. Report suspected child abuse to the proper authorities. Inquire about the use of alternative methods of treatment d. Ask the parents if the child has been in a recent accident 52. Which instructions should the nurse include in the discharge teaching plan of 7 year old girl with history of frequent urinary tract infections? Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE a. Take frequent bubble baths b. Perform intermittent catheterization c. Check oral temperature daily d. Monitor for changes in urinary odor 53. A male infant with bronchiolitis is brought to the clinic by his mother. The infant is congested and febrile with a capillary refill of 2 seconds. Which information should the nurse discuss with the mother? a. Encourage infant to play b. Limit the amount of oral intake c. Keep infant isolated from others d. Lay infant on back for naps 54. MISSING 54 55. During a routine physical exam, a male adolescent client tells the nurse, “sometimes, my mother gets angry because I want to be with my own friends.” What is the best initial response by the nurse? 56. a. Offer reassurance that his mother’s concern is normal b. Determine is his friends are engaged in unsafe behaviors c. Ask about the client’s response to his mother’s anger d. Offer to discuss his concerns together with his mother 1. One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next? A. Document number of pad changes in the last hour B. Increase the rate of the oxytocin infusion C. Palpate the suprapubic area for bladder distention D. Provide bedpan to void if unable to ambulate 2. Missing 3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk. What action should the nurse implement first? A. Wipe away the spit-up and assist the mother with the diaper change B. Turn the newborn to the side and bulb suction the mouth and nares C. Sit the newborn up and burp by rubbing or patting the upper back D. Place the newborn in a position with the head lower than the feet 4. Missing 5. Missing 6. Missing 7. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV Pitocin is infused. When notifying the hcp of the client’s condition, what information is most important for the nurse to provide? A. Total amount of Pitocin infused B. Maternal Blood pressure C. Maternal Apical Pulse rate Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE D. Time Pitocin infusion completed 8. The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Which assessment finding warrants immediate intervention by the nurse? Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE A. Sweating during feedings B. Weak peripheral pulse C. Bluish tinge to the tongue D. Increased respiratory rate 9. A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which information is most important for the nurse to provide the client? A. When there is no signi昀椀cant vaginal bleeding B. When ambulating to void does not cause dizziness C. After the vitamin K injection is given to the baby D. After the baby no longer demonstrates acrocyanosis 10. A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no contractions are noted on the external monitor. Which intervention should the nurse implement? A. Weight perineal pads B. Weight daily C. Measure intake and output D. Ambulate 15 minutes QID 11. Missing 12. A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human papillomavirus). What information should the nurse provide this client? A. Treatment options, while limited due to the pregnancy, are available B. The client should be treated with Penicillin G C. This client should be treat with acyclovir (Zovirax) D. Termination of the pregnancy should be considered 13. One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is positive. Which hormone is responsible for producing the positive result? A. Human placental lactogen B. Gonadotrophin-releasing hormone C. Human chorionic gonadotrophin D. Prostaglandin E2 Aplha 14. A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information should the nurse provide prior to discharge? A. Avoid using lanolin-based nipple cream or ointment B. Continue prenatal vitamins with B12 while breast feeding C. Offer iron- fortified supplemental formula daily D. Weigh the baby weekly to evaluate the newborns growth 15.Missing 16. A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider? A. Fetal heart rate of 162 beats/minute B. Trace of protein in the urine C. Positive fetal hemoglobin test Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE D. Mild contractions every 10 minutes 17. The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours following delivery of a Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE normal newborn. Prior to anesthesiologists’s arrival on the unit, which action should the nurse perform? A. Place procedure equipment at bedside B. Apply an abdominal binder C. Cleanse the spinal injection site D. Insert an indwelling foley catheter 18. The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning sickness, but does not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client with the nausea she is experiencing? A. Ginko B. Chamomile C. Peppermint D. Ginger 19. The nurse is assessing a postpartum client who delivered a 10 pound infant vaginally two hours ago. The clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and boggy. After the client voids 250 ml of urine using a bedpan, what action should the nurse implement? A. Re-evaluate the client in 15 minutes B. Assist the client to the bathroom to void C. Palpate the suprapubic region for distention D. Encourage the client to breastfeed 20. At 0600 while admitting a woman for a scheduled repeat c section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action should the nurse take first? A. Ensure preoperative lab results are available B. Start prescribed IV with Lactated Ringers C. Inform the anesthesia care provider D. Contact the clients obstetrician 21. A client who is in active labor is receiving magnesium sulfate and begin to experience slurred speech and decreased reflexes. Which action should the nurse implement first? A. Obtain a serum magnesium level B. Measure the clients hourly urinary output C. Provide an emesis basin for vomiting D. Turn o昀昀 the magnesium sulfate infusion 22. A 3 hour old male infant’s hands are feet are cyanotic, and he has an axillary temperature of 96.5 F, a respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing intervention is best for the nurse to implement? A. Perform a heel- stick to monitor blood glucose level B. Gradually warm the infant under a radiant heart source C. Administer oxygen by mask at 2L/minute D. Notify the pediatrician of the infants unstable vital signs 23. Calculated by Naegele’s rule, a primigravida client is at 28 weeks gestation. She is moderately obese and carrying twins and the nurse measures her fundal height at 27 cm. During the previous visit 3 weeks ago, the fundal height measured at 28 cm. Based on Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE these findings, what should the nurse conclude? A. Fundal height measurement may indicate intrauterine growth retardation Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE B. The healthcare provider needs to be notified immediately since this fundal height measurement is greater than expected C. Confirm the fundal height measurement with another nurse D. Recognize this as a reasonable fundal height measurement for this client 24. Following the vaginal delivery of a large for gestation age (LGA) infant, a woman is admitted to the ICU due to post partum hemorrhaging. The client’s medical record describes Jehovah’s Witness notes as her religion. What action should the nurse take next? A. Inform the client of the critical need for a blood transfusion B. Obtain consent from the family to infuse packed red blood cells C. Clarify the clients wishes about receiving blood products D. Prepare to infuse multiple units of fresh frozen plasma 25. The nurse is assessing a 35 week primigravida with a breech presentation who is experiencing moderate uterine contraction every 3-5 minutes. During the examination the client tells the nurse, “I think my water just broke”. Inspection of the perineal area reveals the umbilical cord protruding from the vagina. After activating the call bell system for assistance, what intervention should the nurse implement? A. Administer oxygen at 10 liters via face mask B. Don gloves and push the cord back into the vagina C. Wrap the umbilical cord with sterile gauze D. Position the client into a knee-chest position 26. The nurse is discussing involution with a post-partum client. Which statement best indicates that the client understands the effect of breastfeeding on the resumption of menstrual cycle? A. “My period will most likely return in 6 to 8 months” B. “I should expect my period to return in 6 to 8 weeks” C. “My period started as soon as the baby was born” D. “While I am breastfeeding, myperiod may be delayed” 27. A diabetic client delivers a full term large for gestational age infant who is jittery. What action should the nurse take first? A. Obtain a blood glucose level B. Administer oxygen C. Feed the infant glucose water (10%) D. Decrease environmental stimuli 28.28. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority nursing action for this client? A. Observe for signs of uterine hemorrhage B. Encourage direct contact with the infant C. Assess the blood pressure for hypertension D. Gently massage fundus every four hours 29. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. The nurse should program the infusion pump to deliver how many ml/hr? ANS: 12 Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 30. Missing Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 31. A term multigravida, who is receiving oxytocin (Pitocin) for labor augmentation, is requesting pain medication. Review of the clients record indicates that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and promethazine (Phenergan) 25 mg IV push. Vaginal examination reveals that the clients cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the nurse implement? A. Medicate the client with an additional 1 mg of Stadol IV push B. Instruct the client to use deep breathing during a contraction C. Discontinue the Pitocin infusion D. Notify the healthcare provider 32. The parents of a newborn tell the nurse that their baby is already trying to walk. How should the nurse respond? A. Encourage the parents to report this to the healthcare provider B. Explain the newborns normal stepping re昀氀ex C. Acknowledge the parents observation D. Schedule the newborn for further neurological testing 33. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visist,. Which assessment finding is important for the nurse to report to the hcp? A. Increased appetite B. Fetal heart rate of 110 beats/minute C. Fundus below the xiphoid D. Weight gain of 7 pounds 34.A newborn infant is receiving immunization prior to discharge. Which action should the nurse implement? A. Give the first dose of the vaccine for Rotavirus if any sibilings have diarrhea now B. Ask the mother if she wants the infant immunized for Haemophilus influenza C. Prepare the first dose for Diphtheria, tetanus toxoid and acellular pertussis (DTap) D. Obtain signed consent from the mother for administration of hepatitis B vaccine 35. 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 preeclampsia. One hour after the Pitocin infusion is initiated, she complains of a headache. Her contractions are occurring every 1 to 2 minutes, lasting 60 to 75 seconds, and a vaginal exam indicates that her cervix is 90% effaced and dialted to 6 cm. What intervention is most important for the nurse to implement? A. Turn the client on her left side B. Discontinue the Pitocin infusion C. Prepare for immediate delivery D. Measure deep tendon reflexes 36. Which topic is most important for the nurse to include in a nutrition teaching program for pregnant teenagers? A. Gestational diabetes B. B. Iron-de昀椀cieny anemia C. Excessive weight gain D. Elevated cholesterol 37. The nurse is assessing a 38- week gestation newborn infant immediately following a vaginal birth. Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE Which assessment finding best indicates that the infant is transitioning well to extra-uterine life? A. Flexion of all four extremities B. Cries vigorously when stimulated C. Heart rate of 22 beats/minute Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE D. A positive Babinki reflex 38. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heartrate pattern that falls and rises abruptly with a “V” shaped appearance. What action should the nurse take first? A. Prepare for a potential cesarean B. Allow the client to begin pushing C. Administer oxygen at 10/L by mask D. Change the maternal position 39. A 32- week primigravida who is in preterm labor receives a prescription for an infusion of D5W 500 ml with magnesium sulfate 20 grams at 1 gram/hour. How many ml/hour should the nurse program the infusion pump? ANS: 25 40. During the admission of a newborn, the nurse identifies a localized swelling that does not cross the suture line on the posterior area of the parietal bone. What action should the nurse implement? A. Assess neurological vital signs every 4 hours B. Apply direct pressure to the caput succedaneum (THIS ONE CROSSES THE SUTURE LINES) C. Submit a request for a stat CT scan of the head D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT CROSS THE SL & IS MORE CRITICAL) 41. The nurse if caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus if firm and she has a moderate lochial flow. On inspection, the nurse finds that a perineal hematoma is beginning to form. Which assessment finding should the nurse obtain first? A. Heart rate and blood pressure B. Abdominal contour and bowel sounds C. Urinary output and IV fluid intake D. Hemoglobin and Hematocrit 42. Missing 43. A multiparous client at 38- weeks gestation is admitted to labor and delivery with a compliant of contractions 5 minutes apart. While the client is in the bathroom changing into a hospital gown, the nurse hears a baby crying. What action should the nurse take first? A. Inspect the clients perineum B. Turn on the infant warmer C. Notify a healthcare provider D. Push the call light for help 44. A client who is receiving oxytocin (Pitocin) to augment early labor begins to experience hypersystolic or tetanic contractions with variable fetal heart decelerations. Which action should the nurse implement? A. Reposition the fetal monitor transducers B. Alert the charge nurse to the patients condition C. Turn o昀昀 the Pitocin infusion **she said this is what the book prolly says to do** D. Decrease the rate of the Pitocin infusion 45. The nurse is assessing a newborn who was precipitously delivered at 38 weeks gestation. The newborn is tremulous, tachycardic, Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE and hypertensive. Which assessment action is most important for the nurse to implement? A. Determine reactivity of neonatal reflexes B. Perform gestational age assessment C. Weight and measure the newborn D. Obtain a drug screen for cocaine 46. Missing 47. Missing 48. A new infant is receiving positive pressure ventilation after delivery. Based on which assessment finding should the nurse initiate chest compressions? A. Apgar score 7 B. Heart rate 54 C. Limp muscle tone D. Central cyanosis 49. Missing 50. The nurse is scheduling a client with gestational diabetes for an amniocentesis because the fetus has an estimated weight of 8 pounds at 36- weeks gestation. This amniocentesis is being performed to obtain which information? A. B. C. D. Presence of a neural tube defect Gender of the fetus Fetal lung maturity Chromosomal abnormalities 51. Vaginal prostaglandin gel is used to induce labor for a woman who is at 42 weeks gestation. Thirty minutes after insertion of the gel, the client complains of vaginal warmth, and is experiencing 90 second contractions with fetal heart rate decelerations. What action should the nurse implement first? A. Notify the hcp B. Assess the maternal vital signs C. Turn to a side-lying position D. Increase the IV infusion rate 52. A woman who delivered a normal newborn 24 hours ago complains, “ I seem to be urinarting every hour or so. Is that ok?”. Which action should the nurse implement? A. Catheterize the client for residual urine volume B. Measure the next voiding, then palpate the clients bladder C. Evaluate for normal involution, then massage the fundus D. Obtain a specimen for urine culture and sensitivity 53. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings f the last vaginal exam, performed 1 hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. What action should the nurse implement first? A. Determine current cervical dilation B. Request placement of the epidural C. Give bolus of intravenous fluids D. Decrease the oxytocin infusion rate Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE 54. The health care provider hands a newborn to the nurse after a vaginal delivery. What action is most important for the nurse to implement? A. Allow the mother to touch the infant B. Complete a physical assessment Downloaded by Craig Cman ([email protected]) lOMoARcPSD|15450111 HESI OB PEDS EXAM TEST BANK QUESTIONS WITH ANSWERS 2023 LATEST UPDATE C. Place the infant under a warming unit D. Determine the APGAR score 55. The father of a 3- day- old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cried for no apparent reason. What information is most important for the nurse to provide to this father?A. A fluctuation in hormones in the early postpartum period can cause mood changes B. Recommend giving supplemental bottle feedings to the baby between breast feeding C. Contact the clinic if the behaviors continue for more than two weeks or become worse D. Tell the father to count the newborns number of soiled diapers over the next few days Downloaded by Craig Cman ([email protected])