Exam (elaborations)
HESI-MATERNITY & PEDIATRICS/246 QUESTIONS AND ANSWERS
HESI-MATERNITY & PEDIATRICS/246 QUESTIONS AND ANSWERS
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HESI-MATERNITY & PEDIATRICS/246QUESTIONS AND ANSWERS
A 2-year-old child is placed in an oxygen tent. What clothes will the nurse
recommend the parents bring from home for the child?
Select an option, then click Submit.
A.
An all-cotton sleeper
B.
A synthetic shirt and baggy shorts
C.
A polyester play outfit
D.
A lightly woven wool sweater - -A.
An all-cotton sleeper
-A 3-month-old infant returns from surgery with elbow restraints and a
Logan bow over a cleft lip suture line. Which action should the nurse take to
maintain suture line integrity during the initial postoperative period?
Select an option, then click Submit.
A.
Place the infant upright in an infant seat position.
B.
Provide mittens with the use of elbow restraints.
C.
Use soft rubber catheters for nasal suctioning.
D.
Apply water-soluble lubricant to the suture line. - -A.
Place the infant upright in an infant seat position.
-A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature of
99.6°F. How many calories per day will the nurse include in the infant's plan
of care?
Select an option, then click Submit.
A.
400 calories/day
B.
500 calories/day
C.
600 calories/day
D.
700 calories/day - -C.
600 calories/day
, -A 3-week-old infant is referred to an orthopedic clinic because the
pediatrician heard a click when flexing the child's right hip during a routine
physical examination. Which risk factor is most closely related to
developmental hip dysplasia?
Select an option, then click Submit.
A.
Vertex delivery
B.
Male gender
C.
Breech presentation
D.
Second-born child - -C.
Breech presentation
-A 4-year-old child has cystic fibrosis. Which stage of Erikson theory of
psychosocial development is the nurse addressing when teaching inhalation
therapy?
Select an option, then click Submit.
A.
Autonomy
B.
Industry
C.
Trust
D.
Initiative - -D.
Initiative
-A 6-month-old infant is admitted to the postanesthesia care unit with elbow
restraints in place. An endotracheal tube is in place connected to a
ventilator, but the child will be extubated soon following recovery from
anesthesia. Which action should the nurse include in the child's
postoperative care?
Select an option, then click Submit.
A.
Keep restraints on at all times to prevent unplanned extubation.
B.
Remove restraints one at a time and provide range-of-motion exercises.
C.
Remove all restraints simultaneously and provide play activities.
D.
Document the reason for application of the restraints every 72 hours. - -B.
Remove restraints one at a time and provide range-of-motion exercises.
, -A 6-month-old infant with poor weight gain and frequent emesis is
diagnosed with gastroesophageal reflex. Which parent statements indicate
the nurse's teaching was effective. (Select all that apply.)
Select option(s), then click Submit.
A.
"We will provide small and more frequent feedings."
B.
"We will stop feeding every 2 to 3 minutes to burp the baby."
C.
"Tummy position is best when placing our baby in the crib."
D.
"We will tickle and play with the baby right after feedings."
E.
"We will stop feeding if the baby starts to cough." - -A.
"We will provide small and more frequent feedings."
B.
"We will stop feeding every 2 to 3 minutes to burp the baby."
E.
"We will stop feeding if the baby starts to cough."
-A 7-month-old infant with a rotavirus causing severe diarrhea is admitted
for treatment. Which action should the nurse take first?
Select an option, then click Submit.
A.
Obtain a scale to weigh the infant's diapers.
B.
Instruct the mother to offer Pedialyte regularly.
C.
Insert an intravenous (IV) line and begin IV fluids.
D.
Obtain a stool specimen for analysis. - -C.
Insert an intravenous (IV) line and begin IV fluids.
-A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by
the nurse in the clinic. Which statement by the parent warrants immediate
intervention by the nurse?
Select an option, then click Submit.
A.
"My son often chokes while I am feeding him."
B.
"Is it normal for my child's legs to cross each other?"
C.
"He gets stiff when I pull him up to a sitting position."
D.
"My 4-year-old son is jealous of his little brother." - -A.
"My son often chokes while I am feeding him."
, -A 9-year-old child is recovering from a tonsillectomy. The nurse notes that
the child is swallowing frequently. What is the nurse's next action?
Select an option, then click Submit.
A.
Call the health care provider.
B.
Suction the child's oral cavity.
C.
Instruct the child to cough.
D.
Place in a side-lying position. - -D.
Place in a side-lying position.
-A 10-month-old is admitted for a tetralogy of Fallot repair. Which
postoperative finding indicates that the repair is successful? (Select all that
apply.)
Select option(s), then click Submit.
A.
Absence of cyanosis when feeding
B.
Presence of a heart murmur
C.
Lips are pink when crying
D.
Heart rate 126 beats/min
E.
Respiratory rate 32 breaths/min - -A.
Absence of cyanosis when feeding
C.
Lips are pink when crying
D.
Heart rate 126 beats/min
E.
Respiratory rate 32 breaths/min
-A 25-year-old client has a positive pregnancy test. One year ago she had a
spontaneous abortion at 3 months of gestation. What will the nurse
document in the client's chart regarding her GTPAL? - -20010
-A 38-week primigravida works as an office assistant and sits at a computer
8 hours each day. She tells the nurse that her feet have begun to swell.
Which instruction will aid in the prevention of pooling of blood in the lower
extremities? - -Move about every hour.
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