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 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
, HESI RN MATERNITY/PEDS REVIEW 2021-2022 – 59
QUESTIONS DOWNLOAD A+
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.
A new mother is having trouble breastfeeding her newborn son. He is making frantic rooting
motions and will not grasp the nipple. What intervention would be most helpful to this
mother?
B. Ask the mother to stop feeding, comfort the infant, and then assist the mother to help
the baby lactch on.
The nurse is interacting with a female client who is diagnosed with postpartum depression.
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 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
, HESI RN MATERNITY/PEDS REVIEW 2021-2022 – 59
QUESTIONS DOWNLOAD A+
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.
A new mother is having trouble breastfeeding her newborn son. He is making frantic rooting
motions and will not grasp the nipple. What intervention would be most helpful to this
mother?
B. Ask the mother to stop feeding, comfort the infant, and then assist the mother to help
the baby lactch on.
The nurse is interacting with a female client who is diagnosed with postpartum depression.
