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Peds & OB HESI/102 COMPLETE QUESTIONS WITH COMPLETE SOLUTIONS/2023
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Peds & OB HESI/102 COMPLETE QUESTIONS WITH COMPLETE SOLUTIONS/2023
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Peds & OB HESI/102 COMPLETE QUESTIONSWITH COMPLETE SOLUTIONS/2023
Monitoring for fetal position is important because the mother cannot tell you
she has back pain, which is the cardinal sign of persistant posterior fetal
position. Why do the regional blocks, especially epidural and caudal, often
result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - -D.
Regional blocks, especially epidural and caudal, often result in assisted
delivery due to inability to push effectively in the 2nd stage.
-Early detection of rheumatoid arthritis can decrease the amount of bone
and joint destruction and often the disease will go into remission. What
activity recommendations should the nurse provide a client with rheumatoid
arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain lessens
D. Perform exercises slowly and smoothly - -D.
A nurse should advise the client to perform exercises slowly and smoothly so
that no extra pain occurs
-A patient who is 32 weeks gestation has the following symptoms: dark, red
vaginal bleeding, 100 bpm FHR, rigid abdomen and severe pain. What is the
difference between abruptio placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the third
trimester
B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the third
trimester - -D.
The nurse must use knowledge base to diffferentiate betewwn abruptia
placentae from placenta previa.
-A patient who is 32 weeks gestation is experiencing dark red vaginal
bleeding and the nurse determines the FHR to be 100 bpm and her abdomen
is rigid and board like. What action should the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - -A.
,The nurse should immediately notify the healthcare provider and no
abdominal or vaginal manipulation or exams should be done. Administer O2
per face mask and monitor for bleeding at IV sites and gums due to the
increased risk of DIC
-A nurse must use knowledge base to differentiate between abruptio
placentae from plaventa previa. What assessments should be done in case of
a patient suspected of abruptio placentae or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC - -
D.
Patients with abruptio placentae or placventa previa should have No
abdominal or vaginal manipulation. No Leopold's maneuvers. No vaginal
exams. No rectal exams, enemas, or suppositories. No internal monitoring
-A patient suspected of abruptio placentae or placenta previa should be
monitorized for bleeding at IV sites and gums due to increased risk of DIC.
What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - -A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced
hypertension ( Preeclampsia) and abruptio placentae. Cervical carcinoma is
related to podophyllin
-If a child is on oral iron medication, the family should be taught by the
nurse how it should be administered. Out of the following options, what oral
iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - -C.
Iron can be fatal in severe overdose and as a result, it should be kept away
from children. Also, do not give with dairy products.
-In autosomal recessive disease, both parents must be hererozygous, or
carriers of the recessive trait, for the disease to be expressed in their
offspring. If both parents are heterozygous, what is the chance the baby to
have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - -C.
, With each pregnancy, there is a 1:4 chance of the infant having the disease.
-When it comes to X-linked recessive linked recessive trait, the trait is
carried on the x chromosome, therefore, usually affects male offspring. What
is the chance for a pregnant woman carrier her offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
C. Male child: 50% of having the disease
D. Female child: 25% of having disease - -C.
With each pregnancy of a woman who is a carrier there is a 25% chance of
having a child with hemophilia. If the child is male, he has a 50% chance of
having hemophilia. If the child is female, she has a 50% chance of being a
carrier.
-Supplemental iron is not givento clients with sickle cell anemia because the
anemia is not caused by iron deficiency. What aspect is very important in
treatment of sickle cell disease because it promotes hemodilution and
circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - -C.
Hydration is very important in treatment of sickle cell disease because it
promotes hemodilution and curculation of red cells through blood vessels
-An infant with hypothyroidism is often described as a "good, quite baby" by
the parents. What early disease detection is essential in preventing mental
retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - -B.
Early detection of hypothyroidism and phenylketonuria is essential in
preventing mental retardation in infants. Knowledge of normal groth and
development is important, sin a lack of attaintment can be used to detect
the existence of these metabolic/endocrine disorders and attainment can be
used for evaluating the treatments effecct
-Diabetis mellitus (DM) in children was typically diagnosed as insulin
dependent diabetes until recently. What diabetes type has been discovered
to occur more often in Native Americans, African Americans, and Hispanic
children and adolescents?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - -B.
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