Page | 1
HESI MATERNAL/PEDIATRIC PRACTICE EXAM
EXAM 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
1. A 30-year-old multiparous woman who has a 3-year-old boy
and a newborn girl tells the nurse, "My son is so jealous of my
daughter, I don't know how I'll ever manage both children when
I get home." How should the nurse respond?
a. "Tell the older child that he is a big boy now and should love
his new sister."
, Page | 2
b. "Ask friends and relatives not to bring gifts to the older
sibling because you do not want to spoil him."
c. "Let the older child stay with his grandparents for the first six
weeks to allow him to adjust to the newborn."
d. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time." - correct answer
-D
2. A 24-hour-old newborn has a pink papular rash with vesicles
superimposed on the thorax, back, and abdomen. What action
should the nurse implement?
a. notify the healthcare provider
b. move the newborn to an isolation nursery
c. document the finding in the infant's record.
d. obtain a culture of the vesicles - correct answer - C
3. The nurse observes a new mother is rooming-in and caring for
her newborn infant. Which observation indicates the need for
further teaching?
a. cuddles the baby close to her.
b. rocks and soothes the infant in her arms.
c. places the infant prone in the bassinet.
d. wraps the baby in a warm blanket after bathing - correct
answer - C
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4. When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply)
a. mood swings
b. panic attacks
c. tearfulness
d. decreased need for sleep
e. disinterest in the infant - correct answer - A, C
5. A client who has an autosomal dominant inherited disorder is
exploring family planning options and the risk of trasmission of
the disorder ot the infant. The nurse's response should be
based on what information?
a. males inherit the disorder with a greater frequency than
females.
b. each pregnancy carries a 50% chance of inheriting the
disorder.
c. the disorder occurs in 25% of pregnancies
d. all children will be carriers of the disorder - correct answer -
B
6. The nurse is explaining to a 30-year-old gravid client that alpha
fetoprotein testing is recommended for which purpose?
a. detect cardiovascular disorders
b. screen for neural tube defects
c. monitor for placental functioning
d. assess for maternal pre-eclampsia - correct answer - B
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7. The nurse identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further
assessment should the nurse perform?
a. elicit a positive scarf sign on the affected side.
b. observe for an asymmetrical Moro (startle) reflex.
c. watch for swelling of fingers on the affected side
d. note paralysis of affected extremity and muscles - correct
answer - B
8. A primigravida at 40-weeks gestation is receiving oxytocin
(Pitocin) to augment labor. Which adverse effect should the
nurse monitor for during the infusion of Pitocin?
a. dehydration
b. hyperstimulation
c. galactorrhea
d. fetal tachycardia - correct answer - B
9. A 23-year-old client who is receiving Medicaid benefits is
pregnant with her first child. Based on knowledge of the
statistics related to infant mortality, which plan should the nurse
implement with this client?
a. refer to client to a social worker to arrange for home care.
b. recommend perinatal care for an obstetrician, not a nurse-
midwife
HESI MATERNAL/PEDIATRIC PRACTICE EXAM
EXAM 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
1. A 30-year-old multiparous woman who has a 3-year-old boy
and a newborn girl tells the nurse, "My son is so jealous of my
daughter, I don't know how I'll ever manage both children when
I get home." How should the nurse respond?
a. "Tell the older child that he is a big boy now and should love
his new sister."
, Page | 2
b. "Ask friends and relatives not to bring gifts to the older
sibling because you do not want to spoil him."
c. "Let the older child stay with his grandparents for the first six
weeks to allow him to adjust to the newborn."
d. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time." - correct answer
-D
2. A 24-hour-old newborn has a pink papular rash with vesicles
superimposed on the thorax, back, and abdomen. What action
should the nurse implement?
a. notify the healthcare provider
b. move the newborn to an isolation nursery
c. document the finding in the infant's record.
d. obtain a culture of the vesicles - correct answer - C
3. The nurse observes a new mother is rooming-in and caring for
her newborn infant. Which observation indicates the need for
further teaching?
a. cuddles the baby close to her.
b. rocks and soothes the infant in her arms.
c. places the infant prone in the bassinet.
d. wraps the baby in a warm blanket after bathing - correct
answer - C
, Page | 3
4. When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply)
a. mood swings
b. panic attacks
c. tearfulness
d. decreased need for sleep
e. disinterest in the infant - correct answer - A, C
5. A client who has an autosomal dominant inherited disorder is
exploring family planning options and the risk of trasmission of
the disorder ot the infant. The nurse's response should be
based on what information?
a. males inherit the disorder with a greater frequency than
females.
b. each pregnancy carries a 50% chance of inheriting the
disorder.
c. the disorder occurs in 25% of pregnancies
d. all children will be carriers of the disorder - correct answer -
B
6. The nurse is explaining to a 30-year-old gravid client that alpha
fetoprotein testing is recommended for which purpose?
a. detect cardiovascular disorders
b. screen for neural tube defects
c. monitor for placental functioning
d. assess for maternal pre-eclampsia - correct answer - B
, Page | 4
7. The nurse identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further
assessment should the nurse perform?
a. elicit a positive scarf sign on the affected side.
b. observe for an asymmetrical Moro (startle) reflex.
c. watch for swelling of fingers on the affected side
d. note paralysis of affected extremity and muscles - correct
answer - B
8. A primigravida at 40-weeks gestation is receiving oxytocin
(Pitocin) to augment labor. Which adverse effect should the
nurse monitor for during the infusion of Pitocin?
a. dehydration
b. hyperstimulation
c. galactorrhea
d. fetal tachycardia - correct answer - B
9. A 23-year-old client who is receiving Medicaid benefits is
pregnant with her first child. Based on knowledge of the
statistics related to infant mortality, which plan should the nurse
implement with this client?
a. refer to client to a social worker to arrange for home care.
b. recommend perinatal care for an obstetrician, not a nurse-
midwife
