HESI RN Maternity/Peds REVIEW 2021-2022 – 59
Questions DOWNLOAD A+
HESI RN Maternity/Peds REVIEW 2020 – 59
Questions
PLEASE NOTE: Health care system is continuously changing, guidelines and
recommendation could differ from time to time, the answers of below
questions were made up to our best knowledge and elimination of wrong
answers – and remember that most of the time there are more than a
correct answer but you have to choose the MOST important or priority or
what’s within nursing scope of practice. We tried our best to have all
answers correct but we do not guarantee that 100%. You must study and
review them as well. Good luck!
The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is
most important for the nurse to include in this client’s teaching plan?
A.Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
A client with gestational diabetes is undergoing a non-stress test (NST) at 34-
weeks gestation. The baseline fetal heart rate (FHR) is 144 beats/minute. The
, HESI RN Maternity/Peds REVIEW 2021-2022 – 59
Questions DOWNLOAD A+
client is instructed to mark the fetal monitor paper by pressing a button
attached to the fetal monitor each time the baby moves. After 20 minutes, the
nurse evaluates the fetal monitor strip. Which outcome indicates a reactive
NST?
C. Two FHR accelerations of 15 beats/minute x 15 seconds are recorded.
A newborn who was a breech presentation is admitted to the nursery.
Which assessment procedure is a priority for the nurse to perform?
B. Babinski’s reflex.
A child who received multiple blood transfusions after correction of a
congenital heart defect is demonstrating muscular irritability and is oozing
blood from the surgical incision. Which serum value is most important for
the nurse to review before reporting to the healthcare provider?
B. Calcium.
A 6-year-old child is diagnosed with rheumatic fever and demonstrates
associated chorea ( sudden aimless movements of the arms and legs). Which
information should the nurse tell to the parents?
B. The chorea or movements are temporary and will eventually disappear.
The nurse is assessing a 38-week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extrauterine life?
C. Cries vigorously when stimulated.
, HESI RN Maternity/Peds REVIEW 2021-2022 – 59
Questions DOWNLOAD A+
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-
old infant, and notes that the FOC has increased 5 inches since birth and the
child’s head appears large in relation to the body size. Which action is most
important for the nurse to take next?
C. Palpate the anterior fontanel for tension and bulding.
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital
with a diagnosis af eclampsia. She is not presently convulsing. Which
intervention should the nurse plan to include in this client’s nursing care plan?
C. Monitor Blood pressure, pulse, and respirations q4h.
During a well-child visit for their child, one of the parents who has an
autosomal dominant disorder tells the nurse, “We don’t plan on having any
more children, since the next child is likely to inherit this disorder.” How
should the nurse respond?
D. Confirm that there is a 50% chance of their future children inheriting the
disorder.
The nurse is caring for a one-year-old child following surgical correction of
hypospadias. What nursing action has the highest priority?
A.Monitor urinary output.
What goal is most important for the nurse to include in the plan of care for
a client with gestational diabetes?
A.Restrict carbohydrate intake.
Questions DOWNLOAD A+
HESI RN Maternity/Peds REVIEW 2020 – 59
Questions
PLEASE NOTE: Health care system is continuously changing, guidelines and
recommendation could differ from time to time, the answers of below
questions were made up to our best knowledge and elimination of wrong
answers – and remember that most of the time there are more than a
correct answer but you have to choose the MOST important or priority or
what’s within nursing scope of practice. We tried our best to have all
answers correct but we do not guarantee that 100%. You must study and
review them as well. Good luck!
The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is
most important for the nurse to include in this client’s teaching plan?
A.Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
A client with gestational diabetes is undergoing a non-stress test (NST) at 34-
weeks gestation. The baseline fetal heart rate (FHR) is 144 beats/minute. The
, HESI RN Maternity/Peds REVIEW 2021-2022 – 59
Questions DOWNLOAD A+
client is instructed to mark the fetal monitor paper by pressing a button
attached to the fetal monitor each time the baby moves. After 20 minutes, the
nurse evaluates the fetal monitor strip. Which outcome indicates a reactive
NST?
C. Two FHR accelerations of 15 beats/minute x 15 seconds are recorded.
A newborn who was a breech presentation is admitted to the nursery.
Which assessment procedure is a priority for the nurse to perform?
B. Babinski’s reflex.
A child who received multiple blood transfusions after correction of a
congenital heart defect is demonstrating muscular irritability and is oozing
blood from the surgical incision. Which serum value is most important for
the nurse to review before reporting to the healthcare provider?
B. Calcium.
A 6-year-old child is diagnosed with rheumatic fever and demonstrates
associated chorea ( sudden aimless movements of the arms and legs). Which
information should the nurse tell to the parents?
B. The chorea or movements are temporary and will eventually disappear.
The nurse is assessing a 38-week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extrauterine life?
C. Cries vigorously when stimulated.
, HESI RN Maternity/Peds REVIEW 2021-2022 – 59
Questions DOWNLOAD A+
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-
old infant, and notes that the FOC has increased 5 inches since birth and the
child’s head appears large in relation to the body size. Which action is most
important for the nurse to take next?
C. Palpate the anterior fontanel for tension and bulding.
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital
with a diagnosis af eclampsia. She is not presently convulsing. Which
intervention should the nurse plan to include in this client’s nursing care plan?
C. Monitor Blood pressure, pulse, and respirations q4h.
During a well-child visit for their child, one of the parents who has an
autosomal dominant disorder tells the nurse, “We don’t plan on having any
more children, since the next child is likely to inherit this disorder.” How
should the nurse respond?
D. Confirm that there is a 50% chance of their future children inheriting the
disorder.
The nurse is caring for a one-year-old child following surgical correction of
hypospadias. What nursing action has the highest priority?
A.Monitor urinary output.
What goal is most important for the nurse to include in the plan of care for
a client with gestational diabetes?
A.Restrict carbohydrate intake.
