2022 HESI Maternity/Pediatrics (PEDS) Exam, Answered

2022 HESI Maternity/Pediatrics (PEDS) Exam,

Answered

A 3-month-old with myelomeningocele and atonic bladder is catheterized every four

hours to prevent urinary retention. The home health nurse notes that the child has

developed episodes of sneezing, urticaria,, watery eyes, ad a rash in the diaper area.

What action is most important for the nurse to take?

- Change to latex - free gloves when handling infant

The 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile

vomiting. Which assessment finding indicates to the nurse that the infant is becoming

dehydrated?

- Crying without tears

A 6-year old with heart failure (HF) gained 2 pounds in the last 24 hours. Which

intervention is most important for the nurse to implement?

- Assess bilateral lung sounds

A 34-week primigravida with preeclampsia is receiving Lactated Ringer's 500 ML with

magnesium sulfate 20 grams at the rate of 3 grams/hour. How many mL/hour should be

the nurse program into the infusion pump?

- 75mL/hour

A 36-week primigravida is admitted to labor and delivery with severe abdominal pain

and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal

heart rate (FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute.

What action should the nurse implement first?

- Notify healthcare provider at patients' bedside

A 39 week gestation, a multigravida is having a non-stress test (NST). The fetal heart

rate (FHR) has remained non- reactive during the 30 minutes of evaluation. Based on

this finding, which action should the nurse implement?

- Place an acoustic simulator on the abdomen.

Artificial rupture of the membranes of a laboring client reveals meconium- stained

fluid. What intervention has the greatest priority?

- Have a meconium aspirator available at delivery

At 20 weeks gestation, a client who has gained 20 pounds during pregnant states that

she is felling fetal movement. Fundal height measurement is 20 cm, and the clients only

complaint is that her breasts are leaking clear fluid. Which assessment finding warrants

further evaluation?

- Gestational weight gain.

A client at 35 weeks gestation complains of a "pain whenever the baby moves." On

assessment, the nurse notes the client's temperature to be 101.2 F, with severe

abdominal or uterine tenderness on palpation. The nurse knows that these findings are

indicative of what condition?

- Chorioamnionitis