RN HESI Obstetrics and Pediatrics Exam 2 | Nurselytic

Questions 48

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RN HESI Obstetrics and Pediatrics Exam 2 Questions

Extract:


Question 1 of 5

Which toy is best for a 10-year-old child with acute rheumatic fever who is on strict bedrest?

Correct Answer: B

Rationale: Checkers is ideal for a child on strict bedrest, as it is a low-energy, mentally stimulating game that can be played while seated or lying down.

Question 2 of 5

When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?

Correct Answer: C

Rationale: Indomethacin promotes closure of the patent ductus arteriosus, reducing the cardiac murmur associated with the abnormal blood flow.

Question 3 of 5

To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?

Correct Answer: A

Rationale: A heart rate of 50 beats/minute indicates bradycardia, a serious adverse effect of prostaglandin, requiring immediate cessation of the medication.

Question 4 of 5

A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?

Correct Answer: D

Rationale: The hepatitis B vaccine schedule for infants involves three doses, with the second dose administered 1 to 2 months after the first, ensuring timely immunity development. The 2-month interval is appropriate for the next dose.

Question 5 of 5

A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

Correct Answer: C

Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.

Similar Questions

A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. He had a temperature of 97.7 degrees fahrenheit, a respiratory rate of 56 cycles/min and anSpO2 of 92% on room air. Will admit to the paediatric floor for treatment. The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
The school nurse is planning a class for a group of adolescents about achieving and maintaining a healthy weight. Which intervention should the nurse recommend as the best way to lose weight and build lean body mass when eating a healthy diet?
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 newborn infant is diagnosed with hypospadias and the parents have requested a circumcision prior to discharge. Which response should the nurse provide?
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?

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