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2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 3 ACTUAL
EXAM TEST BANK 130 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% VERIFIED ANSWER)
|ALREADY GRADED A+ (BRAND NEW!!)
- Monitoring for fetal position is important because the mother cannot tell you she has
back pain, which is the cardinal sign of persistent 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 - 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 - 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. Abruptio 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 - 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 nurse must use knowledge base to differentiate between abruptio placentae from
placenta previa. What assessments should be done in case of a patient suspected of
abruptio placentae or placenta previa.
A. abdominal or vaginal manipulation
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B. Leopold’s maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC
- A patient suspected of abruptio placentae or placenta previa should be monitored 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 - 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 should be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - In autosomal recessive disease, both parents must be heterozygous, 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 - 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 - Supplemental iron is not given to 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?
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A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy
- 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 - Diabetes 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 - There has been an increase in the number of children diagnosed with Type 2 diabetes
with the increasing rate of obesity in children thought to be a contributing factor. What
other factors are thought to be contributing in the increase of Type 2 cases?
A. Hypotension
B. Hypokalemia
C. Lack of physical activity
D. Hyperkalemia - Fractures in older children are common as they fall during play and are involved in motor
vehicle accidents. What fractures in children are related to child abuse?
A. Greenstick Fracture
B. Growth plate Fracture
C. Torus Fracture
D. Spiral fracture - Skin traction for fracture reduction should not be removed unless prescribed by
healthcare provider. What fractures have serious consequences in terms of growth of the
affected limb?
A. Greenstick fracture