HESI RN
HESI RN Maternal Newborn I Questions
Extract:
History and Physical
Nurses' Notes
Orders
The client is a 4-month-old female with a history of gastroesophageal reflux (GERD). Client had fundoplication surgery and will be hospitalized for several days of recovery.
Question 1 of 5
Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate.
Options | Appropriate | Not appropriate |
---|---|---|
Ask the healthcare provider to prescribe a nonsteroidal anti-inflammatory drug (NSAID) | ||
Have one of the parents hold the baby | ||
Perform guided imagery | ||
Consult a child life specialist | ||
Encourage the baby's mother to breastfeed the baby | ||
Wait 1 hour, reassess, and give medication if the FLACC score remains elevated | ||
Request a prescription for an opioid |
Correct Answer: B,D,G
Rationale: NSAIDs, parental holding, child life consultation, and opioids (if severe) are appropriate. Guided imagery is too advanced, breastfeeding is contraindicated (NPO), and delaying treatment is inappropriate.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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