Maternity and Peds Hesi Review 3

MP Hesi Review #3

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MP Hesi Review #3

• Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother

tells RN she removed tick & flushedit down toilet. What action should school RN take? Schedule test for Lyme disease if rash

appears.

• Dr. prescribes phenytoin (Dilantin) for school-aged child diagnosed with tonic-clonic epilepsy. Which info should RN provide

parents when teaching about seizure management with phenytoin? Monitor child’s serum phenytoin levels routinely while

taking Dilantin.

• During newborn admission assessment, RN palpates newborn’s scrotum & does not feel the testicles. Which assessment

technique should RN perform next to verifyabsence of testes: Perform transillumination of scrotal sac to visualize shadows of

testes.

• The parents of a 14-month-old-child who is hospitalized due to febrile seizures tell RN that they fear their child will have

lifelong seizures. What info should RNconvey to these parents? Reassure the parents that febrile seizures decrease as child

grows older.

• In determining the one min Apgar score of a male infant, RN assesses a heart rate of 120 beats per min & 44 respirations per min.

He has a loud cry with stimulation,good muscle tone, & his color is acrocyanotic. What Apgar score should RN assign? 9

• School-aged child with otitis media receives prescription for azithromycin (Zithromax) 100 mg once, then 50 mg daily for 4 days.

Med available in solution containing 200 mg/5 ml. How many ml should RN give on first day? 2.5

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Maternity and Peds Hesi Review 3

MP Hesi Review #3

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MP Hesi Review #3

• 39-wk-gestational multigravida is admitted to L & D with spontaneous rupture of membranes (SROM) & contractions occurring

every 2-3 mins. A vaginal exam indicates that cervix is dilated 6 cm, 90% effaced, & the fetus is at a +2 station. During last 45

mins FHR has ranged between 170 & 180 beats/min. What action shouldRN implement? Take oral maternal temp.

• During admission of newborn, RN identifies localized swelling that does not cross suture line on the posterior area of the

parietal bone. What action should RNimplement? Notify Dr of cephalhematoma.

• Mother of 6 y/o girl is concerned about her child’s obesity. The child’s weight plots at 75 percentile, & the height at the 25

percentile. The child’s BMI is at 85 percentile for age & gender. Which interventions should RN implement? SATA:

Determine child’s usual physical activity pattern, Ask if school has PE program,Obtain child’s 3-day diet history based on

mother’s input.

• Woman 36-wks & Rh negative admitted to L & D with abdominal cramping. She is placed on strict bedrest & FHR & contraction

pattern are monitored with externalfetal monitor. Two hrs later, RN notes large amount of bright red vaginal bleeding. Highest

priority nursing action? Assess FHR & Pt’s contraction pattern.

• Nutritional info RN should give mother of 6-mo-old on introducing solid foods? Introduce foods one at a time, at 4-7 day intervals.

• Digoxin is prescribed to 3-month-old with congenital heart disease. RN should teach parents to do what if they miss giving a

dose of this med? If less than four hrshave elapsed, give the missed dose