Pediatric HESI Test Bank

Pediatric HESI Test Bank Related

Review Pediatric HESI Test Bank related questions and content

A newborn's mother is alarmed to find small amounts of blood on her infant girl's diaper. When the nurse checks the infant's urine it is straw colored and has no offensive odor. Which explanation to the newborn's mother is most appropriate?

  • A. "It appears your baby has a kidney infection"
  • B. "Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk"
  • C. "The baby probably passed a small kidney stone"
  • D. "Some infants experience menstruation like bleeding when hormones from the mother are not available"
Correct Answer: D

Rationale: The most appropriate explanation to the newborn's mother is option D, "Some infants experience menstruation-like bleeding when hormones from the mother are not available." This condition is known as neonatal menstrual-like bleeding or pseudo-menstruation. During pregnancy, babies are exposed to the mother's hormones in the womb. After birth, when the hormonal influence from the mother decreases, some female infants may experience vaginal bleeding, which can be seen in their diapers. This type of bleeding is usually benign and resolves on its own without any intervention. It is not a cause for concern and does not indicate any serious health issue. The straw-colored urine with no offensive odor is a normal finding and further supports the explanation of neonatal menstrual-like bleeding in this case.

You may also like to solve these questions

Then the drug is stopped. When should treatment resume?

  • A. When the WBC falls to 5,000mm3
  • B. When the WBC count rises to
  • C. When lost hair begins to grow back 50,000/mm3
  • D. When the client displays anemia
Correct Answer: A

Rationale: The drug should be resumed when the WBC (white blood cell) count falls to 5,000/mm3. This is the appropriate indicator to monitor as a low WBC count may indicate the need for the medication to be restarted to support the immune system. It is important to closely monitor the WBC count as it is a crucial factor in gauging the body's ability to fight infections effectively. Resuming treatment at this point helps ensure that the client's immune system remains stable and can continue to function properly.

A 2-month-old is diagnosed with hip dysplasia. The parent asks you how long will the child be in the hip Spica Cast. How should you respond?

  • A. Not longer than 4 months.
  • B. The child will be placed in a Pavlik Harness for 3 to 5 months.
  • C. Following the osteotomy, the child remains in a cast for 5 months.
  • D. Between 2 and 4 months.
Correct Answer: B

Rationale: Hip dysplasia in infants is often managed initially with a Pavlik Harness, which helps maintain the hips in the correct position for optimum development. The Pavlik Harness is typically worn for a period of 3 to 5 months, depending on the severity of the hip dysplasia and the response to treatment. If the dysplasia is more severe or does not respond well to the Pavlik Harness, further interventions such as hip spica casting or surgery may be required, but the initial treatment is usually with the Pavlik Harness.

Which of the ff information should the nurse provide to clients who are prescribed rifampin?

  • A. Take medication with meals
  • B. Inform that contact lenses, if worn, may
  • C. Avoid wearing glasses become colored
  • D. Avoid tuna, aged cheese, and red wine
Correct Answer: B

Rationale: Rifampin is a medication known to cause harmless discoloration of bodily fluids, including tears and sweat. This discoloration can also affect contact lenses if worn by the individual taking rifampin. Therefore, it is important for the nurse to inform clients who are prescribed rifampin about this potential side effect to prevent any concerns or misunderstandings. It is advisable for clients to use glasses instead of contact lenses while taking rifampin to avoid this discoloration.

A nurse notes that a 10-month-old infant has a larger head circumference than chest. The nurse interprets this as a normal finding because the head and chest circumference become equal at which age?

  • A. 1 month
  • B. 6 to 9 months
  • C. 1 to 2 years
  • D. to 3 years
Correct Answer: B

Rationale: It is considered normal for a baby's head circumference to be larger than their chest circumference during the first few months of life. Generally, a baby's head grows more rapidly than their chest, which causes the head circumference to be larger. By around 6 to 9 months of age, the head and chest circumference measurements typically become equal. This is part of the normal growth and development pattern in infants.

The nurse should expect Mr. Gabatan to have some spasticity of the lower extremities. To prevent the development of contractures, careful consideration must be given to:

  • A. Active exercise
  • B. Use of tilt board
  • C. Deep massage
  • D. Proper positioning
Correct Answer: D

Rationale: Proper positioning is crucial in preventing the development of contractures in patients with spasticity of the lower extremities. Contractures can result from prolonged positioning in a way that shortens the muscle-tendon unit. By ensuring proper positioning, the nurse can help maintain the muscles and joints in a neutral and extended position, minimizing the risk of contractures. This may involve positioning supports such as pillows, splints, or footboards to keep the limbs in an optimal position.

Copyright © 2025 Nokea. All rights reserved.