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HESI - OB/PEDS EXAM QUESTIONS WITH ACCURATE ANSWERS GRADED A+
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HESI - OB/PEDS EXAM QUESTIONS WITH ACCURATEANSWERS GRADED A+
The nurse is counseling a pregnant client about travel. The client is healthy and the
fetus is at a normal stage of development. The nurse is appropriately advising which of
the following?
A. During car travel, stop to walk every hour
B. Before traveling abroad, take the MMR vaccine
C. When traveling, avoid airport security checkpoints
D. During pregnancy, avoid traveling long distances - Answer A. During car travel, stop
to walk every hour
It is generally safe for women to travel during low-risk pregnancies. During car travel,
the client should stop every hour and walk to prevent blood clots.
The nurse is educating client who has been diagnosed with pregnancy-induced
hypertension (PIH) and placed on a sodium restriction. Which statement by the client
indicates that the teaching has been effective?
A. "I should avoid eating potato chips."
B. "I should decrease the level of intake to alleviate my hypotension."
C. "Central nervous system malformations can be brought about by excessive use of
sodium."
D. "Sodium level can be reduced by intake of canned foods." -Answer A. "I must abstain
from potato chips.
Sodium restriction is not usually indicated for pregnant clients unless they are at an
increased risk of PIH. Teaching has been successful if the client relates that she should
avoid potato chips because they are a highly salty food and of minimal nutritional value.
,The nurse is providing a group of nursing students with information about risks related
to urinary system changes during pregnancy. What information should the nurse
provide to the students?
A. The more the urinary stagnation, the greater the chance for a urinary tract infection
B. The more frequent the urination, the less the sodium increases
C. The less nocturia, the less the sodium increases
D. The less urine output, the less the blood pressure - Answer A. More urinary
stagnation leads to urinary tract infections
During pregnancy, urinary changes will be evident in clients. Due to anatomical changes
whereby the expanding uterus exerts pressure on the bladder, urinary stagnation
increases the maternal risk for urinary tract infections.
The nurse is caring for a pregnant client who has an older school-age child. The client
voices her concern about how to prepare the child to become an older sibling. Which
should the nurse recognize as the most successful way to help the older sibling adjust?
A. Allowing the child to identify and touch the location of the baby
B. Incorporating the child into bringing the newborn home
C. Promoting interaction between the child and the baby
D. Feed the baby separately from the child - Answer A. Show the child where and how to
touch the baby
The school-age child generally takes a more specific, or clinical interest in the mother's
pregnancy. Showing the child where and how to touch the baby is one way to help the
older child adapt to the new sibling.
The nurse is caring for a client who believes that she is pregnant. Which presumptive
sign should the nurse recognize as a possible indication of pregnancy?
, A. Urinary frequency
B. Breast changes
C. Amenorrhea
D. Quickening - Answer A. Urinary frequency
Presumptive signs and symptoms of pregnancy will involve quickening, amenorrhea,
breast changes, and urinary frequency. The nurse should appreciate that urinary
frequency is a possible pregnant sign given that the hCG hormone enhances blood flow
to the kidneys during pregnancy, and the pressure of the expanding uterus on the
bladder in the first trimester.
The nurse has administered Rh immune globulin to a client. The nurse should report
which adverse effect of this medication to the health care immediately?
A. Muscle pain
B. Insomnia
C. Bradycardia
D. Hypertension - Answer D. Hypertension
Rh immune globulin suppresses the immune response of a client with Rh negative blood
in the event that the client has been exposed to Rh positive blood from a previous Rh
positive fetus. The nurse should monitor a client who has received Rh immune globulin
for the presence of hypertension, as this is a potentially adverse side effect of this
therapy.
Which condition should the nurse identify as being a contraindication to tocolytic
therapy?
A. Cardiac disease
B. Tachypnea
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