HESI-MATERNITY & PEDIATRICS questions
and answers 2026\2027 A+ Grade
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
- correct answer Breastfeed the infant, ensuring that both breasts are completely emptied.
An insulin-dependent client with gestational diabetes mellitus is in the second stage of labor. What
supplies will the delivery nurse gather for care of the newborn? (Select all that apply.)
- correct answer Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit
A client is admitted to the hospital at 28 weeks of gestation in preterm labor. The nurse administers
three doses of terbutaline sulfate, 0.25 mg subcutaneously. Which side effects will the nurse anticipate
for this client? (Select all that apply.)
- correct answer Feeling of nervousness
Tachycardia
Restlessness
The nurse is interviewing a newly pregnancy client who is 16-years old. Which client statement indicates
teaching is necessary for a safe pregnancy? (Select all that apply.)
- correct answer "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
,The nurse is preparing to administer an IV pain medication to a client in labor. What will the nurse
include in this client's plan of care related to the administration of the medication? (Select all that
apply.)
- correct answer Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering the pain medication.
The nurse is providing care to a laboring client with a GTPAL of 75015. The client reports contractions
every 2 to 8 minutes, of moderate intensity, for the past 6 hours. Her cervical exam upon admission is
4/0/75%, and membranes are intact. In the next 20 minutes, what supplies will the nurse gather for this
client? (Select all that apply.)
- correct answer Amnihook
1000 mL of D5LR
Oxytocin
The nurse is providing care to a postpartum client with O negative blood who is antibody positive. The
newborn is O negative. What is the best nursing action for this client?
- correct answer Ask the mother if she desires any more children.
The nurse is preparing a newborn for discharge. There is an order for a hepatitis B vaccination prior to
discharge. When planning to administer the vaccination, what information must the nurse obtain from
the infants chart?
- correct answer Site of the vitamin K injection
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of
tingling fingers and dizziness. Which action should the nurse take next?
- correct answer Have the client breathe into her cupped hands.
The nurse is counseling a couple who has sought information about conceiving. The couple asks the
nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?
- correct answer Two weeks before menstruation
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
- correct answer Place petroleum ointment around the glans with each diaper change and cleansing.
,The clinic nurse takes a phone call from a client who reports she is at 12 weeks gestation. Which
statements indicate to the nurse the client may be having a spontaneous abortion? (Select all that
apply.)
- correct answer "I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3
months of gestation. What will the nurse document in the client's chart regarding her GTPAL?
- correct answer 20010
A client in active labor is becoming increasingly fearful because her contractions are occurring more
often than she had expected. Her partner is also becoming anxious. What is the nurse's best action?
- correct answer Asking the client and her partner if they would like the nurse to stay in the room
What specific instructions will the nurse include in the pregnancy client's teaching plan who is also
human immunodeficiency virus (HIV) positive? (Select all that apply.)
- correct answer Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
Breastfeeding is not recommended.
A 41-week multigravida is receiving oxytocin to augment labor. Contractions are firm and occurring
every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction
and returns to baseline after the contraction. What is the next nursing action?
- correct answer Increase the rate of the oxytocin infusion.
On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on
February 15 and that previously her periods were regular (28-day cycle). Her pregnancy test is positive.
What is this client's expected date of birth?
- correct answer November 22
A client at 39 weeks gestation overhears her health care provider say to the nurse, "Her Bishop score is
10." The client asks the nurse, "What does that mean?" What is the nurse's best response?
- correct answer "Your cervix is ready for labor."
, The clinic nurse is reviewing signs of pre-term labor with a client at 28 weeks gestation. Which client
statements indicate to the nurse further teaching is necessary? (Select all that apply.)
- correct answer "I expect the discharge from my vagina will change from thick to brown over the next
two weeks."
"The baby's movements will decrease and be almost still from here on out."
"I should expect low back pain and diarrhea as the baby grows."
When a new mother receives her infant for the first time, which behavior is most reassuring to the
nurse?
- correct answer Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
A client presents to the emergency department with complaints of severe lower left abdominal pain and
vaginal spotting. Her last menstrual period was 5 weeks ago. What are the nurse's next actions? (Select
all that apply.)
- correct answer Check the results of the HCG test.
Ask the client to describe the color of the vaginal bleeding.
Ask the client if she has ever been diagnosed with pelvic inflammatory disease.
Draw the client's blood for a type and cross match.
The nurse is providing care to a primipara's whose most recent cervical exam at 0700 was 6/+1/100.
Assuming an expected progression of labor, approximately what time will the client enter into the
second stage of labor?
- correct answer 1100
The nurse is teaching a group of teen girls about their reproductive system and pregnancy. What risk
factors for an unplanned pregnancy will the nurse include in the teaching plan for these girls? (Select all
that apply.)
- correct answer Poverty
Family problems
Early onset of menarche
Sexual exploration
Group think
and answers 2026\2027 A+ Grade
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
- correct answer Breastfeed the infant, ensuring that both breasts are completely emptied.
An insulin-dependent client with gestational diabetes mellitus is in the second stage of labor. What
supplies will the delivery nurse gather for care of the newborn? (Select all that apply.)
- correct answer Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit
A client is admitted to the hospital at 28 weeks of gestation in preterm labor. The nurse administers
three doses of terbutaline sulfate, 0.25 mg subcutaneously. Which side effects will the nurse anticipate
for this client? (Select all that apply.)
- correct answer Feeling of nervousness
Tachycardia
Restlessness
The nurse is interviewing a newly pregnancy client who is 16-years old. Which client statement indicates
teaching is necessary for a safe pregnancy? (Select all that apply.)
- correct answer "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
,The nurse is preparing to administer an IV pain medication to a client in labor. What will the nurse
include in this client's plan of care related to the administration of the medication? (Select all that
apply.)
- correct answer Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering the pain medication.
The nurse is providing care to a laboring client with a GTPAL of 75015. The client reports contractions
every 2 to 8 minutes, of moderate intensity, for the past 6 hours. Her cervical exam upon admission is
4/0/75%, and membranes are intact. In the next 20 minutes, what supplies will the nurse gather for this
client? (Select all that apply.)
- correct answer Amnihook
1000 mL of D5LR
Oxytocin
The nurse is providing care to a postpartum client with O negative blood who is antibody positive. The
newborn is O negative. What is the best nursing action for this client?
- correct answer Ask the mother if she desires any more children.
The nurse is preparing a newborn for discharge. There is an order for a hepatitis B vaccination prior to
discharge. When planning to administer the vaccination, what information must the nurse obtain from
the infants chart?
- correct answer Site of the vitamin K injection
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of
tingling fingers and dizziness. Which action should the nurse take next?
- correct answer Have the client breathe into her cupped hands.
The nurse is counseling a couple who has sought information about conceiving. The couple asks the
nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?
- correct answer Two weeks before menstruation
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
- correct answer Place petroleum ointment around the glans with each diaper change and cleansing.
,The clinic nurse takes a phone call from a client who reports she is at 12 weeks gestation. Which
statements indicate to the nurse the client may be having a spontaneous abortion? (Select all that
apply.)
- correct answer "I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3
months of gestation. What will the nurse document in the client's chart regarding her GTPAL?
- correct answer 20010
A client in active labor is becoming increasingly fearful because her contractions are occurring more
often than she had expected. Her partner is also becoming anxious. What is the nurse's best action?
- correct answer Asking the client and her partner if they would like the nurse to stay in the room
What specific instructions will the nurse include in the pregnancy client's teaching plan who is also
human immunodeficiency virus (HIV) positive? (Select all that apply.)
- correct answer Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
Breastfeeding is not recommended.
A 41-week multigravida is receiving oxytocin to augment labor. Contractions are firm and occurring
every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction
and returns to baseline after the contraction. What is the next nursing action?
- correct answer Increase the rate of the oxytocin infusion.
On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on
February 15 and that previously her periods were regular (28-day cycle). Her pregnancy test is positive.
What is this client's expected date of birth?
- correct answer November 22
A client at 39 weeks gestation overhears her health care provider say to the nurse, "Her Bishop score is
10." The client asks the nurse, "What does that mean?" What is the nurse's best response?
- correct answer "Your cervix is ready for labor."
, The clinic nurse is reviewing signs of pre-term labor with a client at 28 weeks gestation. Which client
statements indicate to the nurse further teaching is necessary? (Select all that apply.)
- correct answer "I expect the discharge from my vagina will change from thick to brown over the next
two weeks."
"The baby's movements will decrease and be almost still from here on out."
"I should expect low back pain and diarrhea as the baby grows."
When a new mother receives her infant for the first time, which behavior is most reassuring to the
nurse?
- correct answer Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
A client presents to the emergency department with complaints of severe lower left abdominal pain and
vaginal spotting. Her last menstrual period was 5 weeks ago. What are the nurse's next actions? (Select
all that apply.)
- correct answer Check the results of the HCG test.
Ask the client to describe the color of the vaginal bleeding.
Ask the client if she has ever been diagnosed with pelvic inflammatory disease.
Draw the client's blood for a type and cross match.
The nurse is providing care to a primipara's whose most recent cervical exam at 0700 was 6/+1/100.
Assuming an expected progression of labor, approximately what time will the client enter into the
second stage of labor?
- correct answer 1100
The nurse is teaching a group of teen girls about their reproductive system and pregnancy. What risk
factors for an unplanned pregnancy will the nurse include in the teaching plan for these girls? (Select all
that apply.)
- correct answer Poverty
Family problems
Early onset of menarche
Sexual exploration
Group think
