Hesi Pediatrics Peds > EXAM > HESI PEDS PRACTICE LATEST TEST 2025/2026 STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS GUARANTEED PA (All)

HESI PEDS PRACTICE LATEST TEST 2025/2026 STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS GUARANTEED PASS | RATED A+

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A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud mu... rmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.) - Answer>>> 1. Monitor the the infant's weight and number of wet diapers per day. 2. Increase the infant's intake per feeding by 1 to 2 ounces per week. 3. Allow the infant to rest and refeed on demand or every 2 hours. 4. Use a softer nipple or increase the size of the nipple opening. Rationale: Neonates who have VSD may fatigue quickly during feeding and ingest inadequate amounts. They should be monitored for weight gain and at least 6 wet diapers per day. A one-month old infant should ingest 2 to 4 ounces (60-120mL) of formula per feeding and progress to about 30 ounces (900mL) per day by 4-months of age. Due to fatigue, the infant should rest, but feed at least every 2 hours to ensure adequate intake. A softer (preemie) nipple or a larger slit in the nipple helps to reduce the sucking effort and energy expenditure, thus allowing the infant to ingest more with less effort. Antibiotic prophylaxis is recommended for infants with VSDs, but should not be mixed in a bottle of formula because it is difficult to ensure that the total dose is consumed. The father of an 8-year-old child tells the nurse he is interested in seeing his child succeed in soccer. The nurse talks with the boy, who expresses a sincere interest in playing chess and feels like a failure at soccer. How should the nurse respond to this father? - Answer>>> The child should be given opportunities to achieve a sense of competency in an area he chooses. Rationale: According to Erickson, the developmental stage "Industry versus inferiority" builds feelings of confidence, competence, and industry if there is achievement in an area of interest. If a child believes that he or she cannot measure up to society's expectations, the child loses confidence and may not find pleasure in the activity. Children should be encouraged to do the things they enjoy and succeed in. The father who wants his son to play soccer, does not need to decrease his expectations, but should be encouraged to shift the expectation to an activity the child takes pleasure in. Which measurements should be used to accurately calculate a pediatric medication dosage? (Select all that apply.) - Answer>>> 1. Child's height and weight. 2. Nomogram determined mathematical constant. Rationale: The most accurate calculations of pediatric dosages use the child's height and weight. The child's BSA is calculated using the square root of weight in kg times height in cm divided by 3600 or the square root of weight in pounds times height in inches divided by 3131, then the child's BSA is multiplied by the recommended published dose per BSA. The nomogram is used to plot the child's height and weight, and the point at which they intersect is the BSA mathematical constant used to calculate the child's dose. [Show More]

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