Maternity HESI Quizlet

Maternity HESI Quizlet Related

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The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds. The available suspension is labeled Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many mL should the nurse administer in a single dose based on the child's weight?

  • A. 10mL
  • B. 15mL
  • C. 7.5mL
  • D. 5mL
Correct Answer: A

Rationale: To calculate the dose for the child weighing 22 pounds, first convert the weight to kg: 22 lbs · 2.2 = 10 kg. The maximum dose based on weight would be 10 kg 50 mg/kg/24hr = 500 mg/24hr. Since the medication is prescribed every 8 hours, the dose for each administration would be 500 mg · 3 doses = 166.67 mg. As the available suspension is 250mg/5ml, the nurse should administer 166.67 mg · 250 mg/mL = 0.67 mL per dose. However, since it's not practical to administer a fraction of a milliliter, the nurse should round up to the nearest appropriate dose, which is 10mL.

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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 3 cm cervical dilation, 60% effacement, and a -2 station. What action should the nurse implement first?

  • A. Decrease the oxytocin infusion rate
  • B. Determine current cervical dilation
  • C. Request placement of the epidural
  • D. Give a bolus of intravenous fluids
Correct Answer: D

Rationale: In a client receiving an oxytocin infusion who requests an epidural, it is crucial to give a bolus of intravenous fluids first. This action helps prevent hypotension, a common side effect of epidural anesthesia, before the placement of the epidural. Maintaining adequate hydration is essential to support maternal blood pressure stability during the procedure.

A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. What should the nurse do first?

  • A. Suction the oral and nasal passages.
  • B. Give oxygen by positive pressure.
  • C. Stimulate the infant to cry.
  • D. Turn the infant onto the right side.
Correct Answer: A

Rationale: In a situation where an infant regurgitates and turns cyanotic, the priority action should be to clear any potential airway obstruction. Suctioning the oral and nasal passages is crucial to ensure the infant's airway is clear and allow for proper breathing. This intervention takes precedence over providing oxygen, stimulating the infant to cry, or repositioning the infant.

During an examination for possible cryptorchidism in an infant, what technique should be used?

  • A. Place the infant in a warm room and use a calm approach.
  • B. Hold the scrotum and palpate gently.
  • C. Cleanse the penis with an antiseptic-soaked pad.
  • D. Position the infant in a warm room to prevent muscle contraction.
Correct Answer: D

Rationale: When examining an infant for cryptorchidism, it is important to position the infant in a warm room to prevent muscle contraction, which could cause the testes to retract. Placing the infant in a side-lying position may not be necessary for this specific examination. Holding the penis or retracting the foreskin is not relevant to the assessment for cryptorchidism. Cleansing the penis with an antiseptic pad is not indicated for this examination.

During a newborn assessment, which symptom would indicate respiratory distress if present in a newborn?

  • A. Flaring of the nares.
  • B. Shallow and irregular respirations.
  • C. Respiratory rate of 50 breaths per minute.
  • D. Abdominal breathing with synchronous chest movement.
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The healthcare provider is reviewing the serum laboratory findings for a 5-day-old infant with congenital adrenal hyperplasia. Which laboratory result should be reported to the healthcare provider immediately?

  • A. Bilirubin of 1.5 mg/dl.
  • B. Glucose of 80 mg/dl.
  • C. Potassium of 4.5 mEq/L.
  • D. Sodium of 119 mEq/L.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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