HESI Peds & Maternity Exam with 100% Correct
Answers 2023
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
Right foot is cool to the touch and appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand
used for
to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied.
Which toy is best for the nurse for this 3 year old child?
Set of cloth and hand puppets
There is a question that has to be put in order
isolate the baby, move mom to private room, collect u/a, start iv
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?
Place the infant in a knee-chest position
How do you measure the frequency of contractions
from the beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
Metabolic Acidoses
Mothers Hemoglobin A1C
give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider?
Serum potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement?
gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective?
Creamed corn
Baby is showing signs of mottling
check temperature
During a well-baby check, the nurse hides a block under the baby's blanket, and
the baby looks for the block. Which normal growth and development milestone is
the baby developing?
Object Permanence
, Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out
of the data of mom
increased weight gain
The nurse is measuring he 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 body size. Which action is most important for
the nurse to take next?
Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels
it is state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
supports family?
Please decide who will stay when the healthcare provider begins suturing
Patient is having labor back pain
counter pressure on lower back (sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month
ago. To increase caloric intake and decrease vomiting, what instructions should
the nurse provide this mother?
Thicken formula with cereal for each feeding
Woman had cleft lip, dads uncle had cleft lip
send them for genetic testing
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most
important reason for implementing such parenting behaviors?
They provide the child with a sense of security
Woman in labor and they look at vagina and see cord
put woman in Trendelenburg position
The parents of a newborn infant with hypospadia are concerned about when the
surgical correction should occur. What information should the nurse provide?
Repairs typically should be done before the child is potty trained
Pregnant woman has a diaphragm
she needs to have it refitted for another diaphragm
Which drink choice on a hot day indicates to the nurse that a teenager with sickle
cell anemia understands dietary considerations related to the disease?
Lemonade
Baby starts showing signs of respiratory difficulty (nasal flaring, expiratory grunt,
cyanosis)
check O2 saturation levels
The nurse is assessing an infant with diarrhea and lethargy. Which finding should
the nurse identify that is consistent with early dehydration?
Tachycardia
Baby progressing in extrauterine life would show what signs
good vigorous cry with stimulation
Answers 2023
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
Right foot is cool to the touch and appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand
used for
to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied.
Which toy is best for the nurse for this 3 year old child?
Set of cloth and hand puppets
There is a question that has to be put in order
isolate the baby, move mom to private room, collect u/a, start iv
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?
Place the infant in a knee-chest position
How do you measure the frequency of contractions
from the beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
Metabolic Acidoses
Mothers Hemoglobin A1C
give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider?
Serum potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement?
gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective?
Creamed corn
Baby is showing signs of mottling
check temperature
During a well-baby check, the nurse hides a block under the baby's blanket, and
the baby looks for the block. Which normal growth and development milestone is
the baby developing?
Object Permanence
, Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out
of the data of mom
increased weight gain
The nurse is measuring he 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 body size. Which action is most important for
the nurse to take next?
Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels
it is state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
supports family?
Please decide who will stay when the healthcare provider begins suturing
Patient is having labor back pain
counter pressure on lower back (sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month
ago. To increase caloric intake and decrease vomiting, what instructions should
the nurse provide this mother?
Thicken formula with cereal for each feeding
Woman had cleft lip, dads uncle had cleft lip
send them for genetic testing
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most
important reason for implementing such parenting behaviors?
They provide the child with a sense of security
Woman in labor and they look at vagina and see cord
put woman in Trendelenburg position
The parents of a newborn infant with hypospadia are concerned about when the
surgical correction should occur. What information should the nurse provide?
Repairs typically should be done before the child is potty trained
Pregnant woman has a diaphragm
she needs to have it refitted for another diaphragm
Which drink choice on a hot day indicates to the nurse that a teenager with sickle
cell anemia understands dietary considerations related to the disease?
Lemonade
Baby starts showing signs of respiratory difficulty (nasal flaring, expiratory grunt,
cyanosis)
check O2 saturation levels
The nurse is assessing an infant with diarrhea and lethargy. Which finding should
the nurse identify that is consistent with early dehydration?
Tachycardia
Baby progressing in extrauterine life would show what signs
good vigorous cry with stimulation
