RN HESI Obstetrics and Pediatrics Exam 2

Extract:

Question 1 of 5

A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17-year-old boyfriend but does not want her parents to know. Which action should the nurse take?

Correct Answer: A

Rationale: Counseling about the risks and benefits of oral contraceptives prioritizes the adolescent's health, providing informed decision-making support while respecting confidentiality.

Question 2 of 5

The nurse is providing education to a new parent on the potential causes of developmental dysplasia of the hip and recommendations to decrease the incidence in infants. Which statement made by the parent should the nurse recognize as understanding the education?

A. Prop legs up in the car seat to keep the hips midline. B. Ensure legs are extended during floor play. C. Swaddle infant with legs slightly flexed and separate. D. Hold infant with legs widely spread apart.

Correct Answer: D

Rationale: Holding the infant with legs widely spread apart allows natural hip flexion and abduction, reducing the risk of developmental dysplasia by preventing adduction.

Question 3 of 5

How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?

A. Avoid scrubbing the scalp until the scales disappear. B. Use soap and water and avoid shampoos. C. Use a soft brush and gently scrub the area. D. Avoid washing the child's hair more than once a week.

Correct Answer: C

Rationale: Using a soft brush to gently scrub the scalp loosens and removes cradle cap scales, preventing buildup while avoiding irritation to the delicate scalp.

Question 4 of 5

A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17-year-old boyfriend but does not want her parents to know. Which action should the nurse take?

A. Counsel the girl about the risks and benefits of using oral contraceptives. B. Explain that contraceptive information cannot be provided without the parents' permission. C. Tell the girl that information about contraceptives should be obtained from the school nurse. D. Tell the girl that a variety of contraceptives are available from the clinic.

Correct Answer: A

Rationale: Counseling about the risks and benefits of oral contraceptives prioritizes the adolescent's health, providing informed decision-making support while respecting confidentiality.

Question 5 of 5

A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A. Remain with the client and call for help. B. Place the client in the lateral position. C. Reorient and reassure the client. D. Check the client for injuries.

Correct Answer: A,B,D,C

Rationale: The sequence is: Remain with the client and call for help , place the client in the lateral position , check for injuries , then reorient and reassure the client to ensure safety and recovery.