Exam (elaborations)

OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAINS 110 QUESTIONS AND CORRECT ANSWERS

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Contains Questions & answers

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Institution OB PEDS HESI
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OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL EXAM
VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAINS 110
QUESTIONS AND CORRECT ANSWERS

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 - ANSWER✔✔-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

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,D. Perform exercises slowly and smoothly - ANSWER✔✔-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 -

ANSWER✔✔-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

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Page 2/52

,C. vaginal manipulation

D. Abdominal exam - ANSWER✔✔-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 -

ANSWER✔✔-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
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, B. fetal demise

C. infection/sepsis

D. pregnancy-induced hypertension - ANSWER✔✔-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 - ANSWER✔✔-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

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Exam (elaborations)

OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAINS 110 QUESTIONS AND CORRECT ANSWERS

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