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Peds & Maternity HESI/112 Complete Questions and Answers
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Peds & Maternity HESI/112 CompleteQuestions and Answers
The nurse is caring for a 3 year old child who is 2 hours postop from a
cardiac catheritization via the right femoral artery. Which assessment finding
is an indication of arterial obstruction? - -Right foot is cool to the touch and
appears pale and blanched
-During fundal massage, place one hand at the fundus, what is the second
hand used for - -to anchor fundus
-Following a motor vehicle collision, a 3 year old girl has a spica cast
applied. Which toy is best for the nurse for this 3 year old child? - -Set of
cloth and hand puppets
-There is a question that has to be put in order - -*isolate the baby, move
mom to private room, collect u/a, start iv*
-An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first? - -Place the infant in a knee-
chest position
-How do you measure the frequency of contractions - -from the beginning of
one to the beginning of the next
-A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration? - -Metabolic
Acidoses
-Mothers Hemoglobin A1C - -give her a consultation to a nutritionist
-A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare provider? -
-Serum potassium of 3.0 mg/dL
-Baby shows cyanosis in hands and feet and has elevated respirations - -
gradually warm the baby
-Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165
beats/minute. Intervention best to implement? - -gradually warm under heat
source
, -The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective? - -*Creamed corn*
-Baby is showing signs of mottling - -check temperature
-During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing? - -Object Permanence
-Mom is at 20 week gestation and has gained 20 lbs, what is of most
concern out of the data of mom - -increased weight gain
-The nurse is measuring he frontal occipital circumference (FOC) of a 3
month old infant, and notes that the FOC has increased 5 inches since birth
and the child's head appears large in relation to body size. Which action is
most important for the nurse to take next? - -Palpate the anterior fontanel
for tension and bulging
-Mom asks why her baby is being screened for T4 and TSH levels - -it is
state protocol to monitor for metabolic abnormalities
-The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both parents and 12 years old sibling are at the child's bedside. Which
instruction best supports family? - -Please decide who will stay when the
healthcare provider begins suturing
-Patient is having labor back pain - -counter pressure on lower back
(sacrum)
-The nurse is planning for a 5 month old with gastroesophageal reflux
disease whose weight has decreased by 3 ounces since the last clinic visit
one month ago. To increase caloric intake and decrease vomiting, what
instructions should the nurse provide this mother? - -Thicken formula with
cereal for each feeding
-Woman had cleft lip, dads uncle had cleft lip - -send them for genetic
testing
-While teaching a parenting class to new parents the nurse describes the
needs of infants and toddlers regarding discipline and limit setting. What is
the most important reason for implementing such parenting behaviors? - -
They provide the child with a sense of security
-Woman in labor and they look at vagina and see cord - -put woman in
Trendelenburg position
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