2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
MaternitymPractice mHESI
7myearmold mdiabetesmI
6mmonthmold mintroducingmsolid mfoodsm–
mshould mbemintroduced monemat mamtime,meverym4mtom7mdaysmtom
determinemfood mallergies
Digoxinm3mmonthmold mwithmGHD,mmissmamdosem–
mif mmissed minmlessmthanm4mhours,mgibemdose,mif m
elapsed mmoremthanm4mhours,mhold mand mgivemd
osemat mnext mscheduled mtime
36mweeksmpregnant,mRh-,mbright mred mvaginalmbleeding,mnursingmintervention
rubellamvaccinem–
minstructionmabout musemof mamreliablemmethod mof mbirthmcontrolmform28mdaysmaftermthem
rubellamvaccin
emismgiven
6myearsmold,mrheumaticmfever,mchorea
1mmonthmold mvomitingmforcefullymaftermeachmmeal,mismafebrile,mdehydrated,mand mpyloricmstenosi
sm–molivemshaped mmassminmthemabdominalmareamthat mismevident mat mdiapermchange
18mweeksmgestation,mhighmAFPmlevelm–
mneed mformfollow mupmevaluationmwithmamsonogrammtomprovidem
visualmevidencemof mfetalmagemand mp
resencemof mneuralmtubemdefects
left mbreast mmastitis,minstructionmtomdomat mhom
emmagnesiummsulfate,mtoxicitymsigns
continuousmfetalmmonitoring,mV mshaped mappearance
child mwithmsuspected mbacterialmmeningitis,mwould mhavemamrecent mhistorymof munrelated mbacter
ialmuppermrespiratory,msinus,mormearminfectionm- mearmache
HIV+,mreceivingmAZTmduringmlabor
diaphragmmsizem–
maftermeachmbirthmthemdiaphragmmshould mbemevaluated mformcorrect msizingmand musemanm
alternativemfor
mmof mcontraceptionmuntilmverified
TypemI,m35mweeksmgestation,mamniocentesis
Dilantin,mnewlymdiagnosed mtonicm–mclonicmepilepsy,mseizuremmanagement m–
mchild mshould mhavem
routinemserummlevelsmmonitored,masmwellmasmliver mfunction
infant mwithmbarkingmcough,mfever,mrunnymnosem–
mcroup,mmothermshould mthembabyminmthembathroommsteamed mupmwithmhot mwatermfrommtubmormsho
wer
osteomyelitismfoodsmtomeat,m6myearsmold m–mhighmprotein/highmcalories,mmilkmshakemismbest mchoice
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
4myearmold mDMD msymptomsm–
mteachmparentsmabout mthesemchangesmsomtheymcanmpreparemand mhelpm
protect mchild mfromminjuries
pelvicminflammatorymdiseasem(PID)m-mIV mantibiotics
tonsillectomy,mbleedingmactionm–massessmformbleedingmwithmilluminationmtomvisualizemoropharynx
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
Ceftriaxone,m+mgonorrhea
APGAR,m1/10,mcolormismacrocyanoti
cmyoungmgirl,mUTI
9myearmold,mceliacmdisease,mappendectomy,mfood mtomnot meat m–
mcrackersm=mhavemglutenmhistorymof mpreeclampsia,mhighmblood mpressure
what mtomusemwhenmchangingmnewborn’smdiaperm–
mplainmwaterm18myearmold mdaughter,mserummtest mresults
38cmmfundalmheight,m30mweeksmgestationm–
mafterm20mweeks,mthemfundalmheight minmcmmshould m
approximatem#mof mweeksmgestation
5myearmold,mbowelmmovement,myellow,msticky,msmellsmlikemsourmmilkm–
mtypicalmformbreastfed m
newborns,mcontinuemtombreastfeed
absencemof mtestesmonmnewbornmadmissionmassessme
nt m3mmonthmold mdoesmnot msleepmthroughmthemnight
14mmonthmold,mhospitalized m–mfebrilemseizures
3myearmold mgirl,mblind msincembirth,mhospitalized,mcompound mfracturemof mthemfemurmand mismnow
minm
traction,mintervention
fundalmmassagemtechniquem–
manchormthemlowermuterinemsegment mwithmonemhand,mwhilemmassagingm
themfundusmwithmthemother
mhand,mtomprevent muterinemprolapsemand muterineminversion
MaternitymHESI
4. Themnursemismteachingmamclient mwithmgestationalmdiabetesmabout mnutritionmand minsulinmneed m
formpregnancy.mWhichmcontent mshould mthemnursemincludeminmthismclient’smteachingmplan?
A) Insulinmproductionmismdecreased mduringmpregnancy
B) increasemdailymcaloricmintakemismneeded m?
C) injectionmrequirementsmremainmthemsame
D) Blood msugarsmneed mlessmmonitoringminmthemfirst mtrimester
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
5. A m38-
weekmprimigravidamclient mwhomismpositivemformGroupmAmBetamStreptococcusmreceivesmamprescripti
onmformcefazolinm2mgramsmIVmtombeminfused moverm30mminutes.mThemmedicationsmavailableminm2mgra
ms/100mmlmof mnormalmsaline.m Themnursemshould mprogrammtheminfusion mpumpmtomdeliver mhow mman
ymml/hour?
1.6ml/hr
7. Whenmperformingmthemdailymhead-to-toemassessment mof mam1-day-
old mnewborn,mthemnursemobservesmyellow mtint mtomthemskinmonmthemforehead,msternum,mand mabdomen
.mWhat mactionmshould mthemnursemtake?
A) Measurembilirubinmlevelsmusingmtranscutaneousmbilirubinometry
B) Review mmaternalmmedicalmrecordsmformblood mtypemand mRhmfactor
C) Preparemthemnewbornmformphototherapym?
D) Evaluatemcord mblood mCoomb’smtest mresults
8. A mnew mmothermasksmthemnursemabout manmareamof mswellingmonmhermbaby’smhead mnearmthemposte
riormfontanelmthat mliesmacrossmthemsuturemline.mHow mshould mthemnursemrespond?
A) “That mismcalled mcaput msuccedaneum.mIt mwillmabsorbmand mcausemnomproblems.”
B) “That mismcalled mamcephalhematoma.mIt mwillmcausemnomproblems.”m?
C) “That mismcalled mamcephalhematoma.mIt mcanmcausemjaundicemasmit mismabsorbed.”
D) “That mismcalled mcaput msuccedaneum.mIt mwillmhavemtombemdrained.”
9.Am39-week-
gestationalmmultigravidamismadmitted mtomlabormand mdeliverymwithmspontaneousmrupturemof mmembra
nesm(SROM)mand mcontractionsmoccurringmeverym2mtom3mminutes.mAmvaginalmexam mindicatesmthat mt
hemcervixmismdilated m6mcm,m90%meffaced,mand mthemfetusmismat mam+2mstation.mDuringmthemlast m45mmin
utesmthemfetalmheart mratem(FHR)mhasmranged mbetweenm170mand m180mbeats/minute.mWhat mactionmsh
ould mthemnursemimplement?
A) Obtainmamblood mspecimenmformhemoglobin
B) Takemanmoralmmaternalmtemperaturem?
C) Straight mcatheterizemthemclient
D) Send mamnioticmfluid mformanalysis
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
m m m m
Answered
MaternitymPractice mHESI
7myearmold mdiabetesmI
6mmonthmold mintroducingmsolid mfoodsm–
mshould mbemintroduced monemat mamtime,meverym4mtom7mdaysmtom
determinemfood mallergies
Digoxinm3mmonthmold mwithmGHD,mmissmamdosem–
mif mmissed minmlessmthanm4mhours,mgibemdose,mif m
elapsed mmoremthanm4mhours,mhold mand mgivemd
osemat mnext mscheduled mtime
36mweeksmpregnant,mRh-,mbright mred mvaginalmbleeding,mnursingmintervention
rubellamvaccinem–
minstructionmabout musemof mamreliablemmethod mof mbirthmcontrolmform28mdaysmaftermthem
rubellamvaccin
emismgiven
6myearsmold,mrheumaticmfever,mchorea
1mmonthmold mvomitingmforcefullymaftermeachmmeal,mismafebrile,mdehydrated,mand mpyloricmstenosi
sm–molivemshaped mmassminmthemabdominalmareamthat mismevident mat mdiapermchange
18mweeksmgestation,mhighmAFPmlevelm–
mneed mformfollow mupmevaluationmwithmamsonogrammtomprovidem
visualmevidencemof mfetalmagemand mp
resencemof mneuralmtubemdefects
left mbreast mmastitis,minstructionmtomdomat mhom
emmagnesiummsulfate,mtoxicitymsigns
continuousmfetalmmonitoring,mV mshaped mappearance
child mwithmsuspected mbacterialmmeningitis,mwould mhavemamrecent mhistorymof munrelated mbacter
ialmuppermrespiratory,msinus,mormearminfectionm- mearmache
HIV+,mreceivingmAZTmduringmlabor
diaphragmmsizem–
maftermeachmbirthmthemdiaphragmmshould mbemevaluated mformcorrect msizingmand musemanm
alternativemfor
mmof mcontraceptionmuntilmverified
TypemI,m35mweeksmgestation,mamniocentesis
Dilantin,mnewlymdiagnosed mtonicm–mclonicmepilepsy,mseizuremmanagement m–
mchild mshould mhavem
routinemserummlevelsmmonitored,masmwellmasmliver mfunction
infant mwithmbarkingmcough,mfever,mrunnymnosem–
mcroup,mmothermshould mthembabyminmthembathroommsteamed mupmwithmhot mwatermfrommtubmormsho
wer
osteomyelitismfoodsmtomeat,m6myearsmold m–mhighmprotein/highmcalories,mmilkmshakemismbest mchoice
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
4myearmold mDMD msymptomsm–
mteachmparentsmabout mthesemchangesmsomtheymcanmpreparemand mhelpm
protect mchild mfromminjuries
pelvicminflammatorymdiseasem(PID)m-mIV mantibiotics
tonsillectomy,mbleedingmactionm–massessmformbleedingmwithmilluminationmtomvisualizemoropharynx
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
Ceftriaxone,m+mgonorrhea
APGAR,m1/10,mcolormismacrocyanoti
cmyoungmgirl,mUTI
9myearmold,mceliacmdisease,mappendectomy,mfood mtomnot meat m–
mcrackersm=mhavemglutenmhistorymof mpreeclampsia,mhighmblood mpressure
what mtomusemwhenmchangingmnewborn’smdiaperm–
mplainmwaterm18myearmold mdaughter,mserummtest mresults
38cmmfundalmheight,m30mweeksmgestationm–
mafterm20mweeks,mthemfundalmheight minmcmmshould m
approximatem#mof mweeksmgestation
5myearmold,mbowelmmovement,myellow,msticky,msmellsmlikemsourmmilkm–
mtypicalmformbreastfed m
newborns,mcontinuemtombreastfeed
absencemof mtestesmonmnewbornmadmissionmassessme
nt m3mmonthmold mdoesmnot msleepmthroughmthemnight
14mmonthmold,mhospitalized m–mfebrilemseizures
3myearmold mgirl,mblind msincembirth,mhospitalized,mcompound mfracturemof mthemfemurmand mismnow
minm
traction,mintervention
fundalmmassagemtechniquem–
manchormthemlowermuterinemsegment mwithmonemhand,mwhilemmassagingm
themfundusmwithmthemother
mhand,mtomprevent muterinemprolapsemand muterineminversion
MaternitymHESI
4. Themnursemismteachingmamclient mwithmgestationalmdiabetesmabout mnutritionmand minsulinmneed m
formpregnancy.mWhichmcontent mshould mthemnursemincludeminmthismclient’smteachingmplan?
A) Insulinmproductionmismdecreased mduringmpregnancy
B) increasemdailymcaloricmintakemismneeded m?
C) injectionmrequirementsmremainmthemsame
D) Blood msugarsmneed mlessmmonitoringminmthemfirst mtrimester
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
m m m m
Answered
5. A m38-
weekmprimigravidamclient mwhomismpositivemformGroupmAmBetamStreptococcusmreceivesmamprescripti
onmformcefazolinm2mgramsmIVmtombeminfused moverm30mminutes.mThemmedicationsmavailableminm2mgra
ms/100mmlmof mnormalmsaline.m Themnursemshould mprogrammtheminfusion mpumpmtomdeliver mhow mman
ymml/hour?
1.6ml/hr
7. Whenmperformingmthemdailymhead-to-toemassessment mof mam1-day-
old mnewborn,mthemnursemobservesmyellow mtint mtomthemskinmonmthemforehead,msternum,mand mabdomen
.mWhat mactionmshould mthemnursemtake?
A) Measurembilirubinmlevelsmusingmtranscutaneousmbilirubinometry
B) Review mmaternalmmedicalmrecordsmformblood mtypemand mRhmfactor
C) Preparemthemnewbornmformphototherapym?
D) Evaluatemcord mblood mCoomb’smtest mresults
8. A mnew mmothermasksmthemnursemabout manmareamof mswellingmonmhermbaby’smhead mnearmthemposte
riormfontanelmthat mliesmacrossmthemsuturemline.mHow mshould mthemnursemrespond?
A) “That mismcalled mcaput msuccedaneum.mIt mwillmabsorbmand mcausemnomproblems.”
B) “That mismcalled mamcephalhematoma.mIt mwillmcausemnomproblems.”m?
C) “That mismcalled mamcephalhematoma.mIt mcanmcausemjaundicemasmit mismabsorbed.”
D) “That mismcalled mcaput msuccedaneum.mIt mwillmhavemtombemdrained.”
9.Am39-week-
gestationalmmultigravidamismadmitted mtomlabormand mdeliverymwithmspontaneousmrupturemof mmembra
nesm(SROM)mand mcontractionsmoccurringmeverym2mtom3mminutes.mAmvaginalmexam mindicatesmthat mt
hemcervixmismdilated m6mcm,m90%meffaced,mand mthemfetusmismat mam+2mstation.mDuringmthemlast m45mmin
utesmthemfetalmheart mratem(FHR)mhasmranged mbetweenm170mand m180mbeats/minute.mWhat mactionmsh
ould mthemnursemimplement?
A) Obtainmamblood mspecimenmformhemoglobin
B) Takemanmoralmmaternalmtemperaturem?
C) Straight mcatheterizemthemclient
D) Send mamnioticmfluid mformanalysis
2023mHESImMaternity/Pediatricsm(PEDS)mExam,Answered MELISSAMMITSEAS
