MATERNAL-PEDIATRIC HESI
PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
The nurse is teaching a woman how to use her basal body temperature pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
a. between the time the temperature falls and rises
b. between 36 and 48 hours after the temperature rises
c. when the temperature fails and remains low for 36 hours.
d. within 72 hours before the temperature falls - A
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction
is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - D
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptoms for a pediatric client with
AIDS is
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - C
The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment finding are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. increased urinary output and tachycardia
c. shortness of breath, bradycardia, and hypertension
d. regular heart rate and hypertension - A
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most important for the
nurse to implement?
a. describe diet changes that can improve the management of her diabetes.
b. inform the client that oral hypoglycemic agents are teratogenic during pregnancy
c. demonstrate self-administration of insulin
d. evaluate the client's ability to do glucose monitoring - A
A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
, c. evaluate the fetal heart rate
d. take the client's blood pressure - A
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dL. Based on
this finding, which intervention should the nurse implement?
a. provide phototherapy for 30 minutes q8hour
b. feed the newborn sterile water hourly
c. encourage the mother to breastfeed frequently
d. assess the newborn's blood glucose level - C
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the
nurse that the client is experiencing magnesium sulfate toxicity?
a. deep tendon reflexes 2+
b. blood pressure 140/90
c. respiratory rate 18/minute
d. urine output 90 mL/4 hours - D
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of this drug?
a. maternal blood pressure and respirations
b. maternal and fetal heart rates
c. hourly urinary output
d. deep tendon reflexes - B
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms
are this newborn likely to exhibit?
a. choking, coughing, and cyanosis
b. projectile vomiting and cyanosis
c. apneic spells and grunting
d. scaphoid abdomen and anorexia - A
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous abortion at 8-weeks gestation. What type of emotional response should
the nurse anticipate?
a. grief related to her perceptions about the loss of this child.
b. relief of ambivalent feelings experienced with this pregnancy.
c. shock because she may not have realized that she was pregnant.
d. guilt because she had not followed her healthcare provider's instructions - A
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
a. begin as soon as your baby is born to establish a four-hour feeding schedule.
b. resting helps with milk production. Ask that your baby be fed at night in the
nursery.
c. feed your baby every 2 to 3 hours or on demand, whichever comes first.
PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
The nurse is teaching a woman how to use her basal body temperature pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
a. between the time the temperature falls and rises
b. between 36 and 48 hours after the temperature rises
c. when the temperature fails and remains low for 36 hours.
d. within 72 hours before the temperature falls - A
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction
is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - D
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptoms for a pediatric client with
AIDS is
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - C
The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment finding are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. increased urinary output and tachycardia
c. shortness of breath, bradycardia, and hypertension
d. regular heart rate and hypertension - A
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most important for the
nurse to implement?
a. describe diet changes that can improve the management of her diabetes.
b. inform the client that oral hypoglycemic agents are teratogenic during pregnancy
c. demonstrate self-administration of insulin
d. evaluate the client's ability to do glucose monitoring - A
A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
, c. evaluate the fetal heart rate
d. take the client's blood pressure - A
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dL. Based on
this finding, which intervention should the nurse implement?
a. provide phototherapy for 30 minutes q8hour
b. feed the newborn sterile water hourly
c. encourage the mother to breastfeed frequently
d. assess the newborn's blood glucose level - C
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the
nurse that the client is experiencing magnesium sulfate toxicity?
a. deep tendon reflexes 2+
b. blood pressure 140/90
c. respiratory rate 18/minute
d. urine output 90 mL/4 hours - D
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of this drug?
a. maternal blood pressure and respirations
b. maternal and fetal heart rates
c. hourly urinary output
d. deep tendon reflexes - B
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms
are this newborn likely to exhibit?
a. choking, coughing, and cyanosis
b. projectile vomiting and cyanosis
c. apneic spells and grunting
d. scaphoid abdomen and anorexia - A
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous abortion at 8-weeks gestation. What type of emotional response should
the nurse anticipate?
a. grief related to her perceptions about the loss of this child.
b. relief of ambivalent feelings experienced with this pregnancy.
c. shock because she may not have realized that she was pregnant.
d. guilt because she had not followed her healthcare provider's instructions - A
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
a. begin as soon as your baby is born to establish a four-hour feeding schedule.
b. resting helps with milk production. Ask that your baby be fed at night in the
nursery.
c. feed your baby every 2 to 3 hours or on demand, whichever comes first.
