HESI MATERNITY PRACTICE QUESTIONS 1. During a routine visit, the nurse determines that a 5-year old boy’s blood pressure is 112/70. When calculating the
... [Show More] child’s blood pressure percentile, the nurse adjust the calculation for age and height. What actions should the nurse implement next?
D. Compare the child’s blood pressure with readings from previous visits.
2. A loading dose of terbutaline (Brethine) 250 mcg IV prescribed for a client in preterm labor. Brethine 20 mg is added to 1,000 ml D5W. How many ml of the solution should the nurse administer?
12.5 ml.
3. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were cm cervical dilation, 60% effacement, and a -2 station. What action should the nurse implement first?
A. Determine current cervical dilation.
4. The nurse is assessing a 38-week gestation newborn infant immediately following a vaginalbirth. Which assessment finding best indicate that the infant is transitioning well to extrauterine life?
B. Cries vigorously when stimulated.
5. The newborn nursery admission protocol includes a prescription for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2 mg/ml. How many ml should the nurse administer?
0.25 ml.
6. A new mother is having trouble breastfeeding her newborn son. He is making frantic rooting motions and will not gasp the nipple. What intervention would be most helpful to this mother?
B. Ask the mother to stop feeding, comfort the infant, and the assist the mother to help the baby latch on.
7. A child who received multiple blood transfusions after correction of a congenital heart defect is demonstrating muscular irritability and is ozzing blood from the surgical incision. Which serum value is most important for the nurse to review before reporting to the healthcare provider?
B. Calcium.
8. While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement? [Show Less]