2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
MaternitybPractice bHESI
7b yearb old b diabetesb I
6b monthb old b introducingb solid b foodsb –
b should b beb introduced b oneb at b ab time,b everyb 4b tob 7b daysb tobd etermineb food b allergies
Digoxinb 3b monthb old b withb GHD,b missb ab doseb –
b if b missed b inb lessb thanb 4b hours,b gibebdose,b if belapsed bmoreb thanb4bhours,b hold bandb givebdosebat
b next b scheduled b time
36b weeksb pregnant,b Rh-,b bright b red b vaginalb bleeding,b nursingb intervention
rubellab vaccineb –
b instructionb about b useb of babreliableb method b ofb birthbcontrolb forb 28b daysb afterb thebrubellab vaccineb isb
given
6b yearsb old,b rheumaticb fever,b chorea
1b monthb old b vomitingb forcefullyb afterb eachb meal,b isb afebrile,b dehydrated,b and b pyloricb stenosisb –
boliveb shaped b massb inb theb abdominalb areab that b isb evident b at b diaperb change
18b weeksb gestation,b highbAFPblevelb –
b need b forbfollow bupb evaluationb withbabsonogramb tob providebvisualb evidenceb ofb fetalbageb andbpresen
ceb of b neuralb tubeb defects
left b breast b mastitis,b instructionb tobdob at b homeb
magnesiumb sulfate,b toxicityb signs
continuousb fetalb monitoring,bV bshaped b appearance
child b withb suspected b bacterialb meningitis,b would b haveb abrecent bhistoryb ofbunrelated bbacterialbu
pperb respiratory,b sinus,b orb earb infectionb -b earb ache
HIV+,b receivingbAZTbduringb labor
diaphragmb sizeb –
b afterb eachb birthb theb diaphragmb should bbeb evaluatedb forbcorrect b sizingb and buseb anbalternativebformbof
b contraceptionb untilb verified
Typeb I,b 35b weeksb gestation,b amniocentesis
Dilantin,b newlybdiagnosed b tonicb –b clonicb epilepsy,b seizureb management b –
b child b should b havebroutineb serumb levelsb monitored,b asb wellb asb liverb function
infant b withb barkingb cough,b fever,b runnyb noseb –
b croup,b motherb should b thebbabybinb theb bathroombsteamed b upb withb hot b waterb fromb tubb orb shower
osteomyelitisb foodsb tob eat,b 6b yearsb old b –b highb protein/highb calories,b milkb shakeb isb best b choice
4b yearb old b DMDb symptomsb –
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
b teachb parentsb about b theseb changesb sob theyb canb prepareb and b helpbprotect b child b fromb injuries
pelvicb inflammatoryb diseaseb (PID)b -b IVb antibiotics
tonsillectomy,b bleedingb actionb –b assessb forb bleedingb withb illuminationb tob visualizeb oropharynx
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
Ceftriaxone,b +b gonorrhea
APGAR,b1/10,b colorb isb acrocyanoticb
youngb girl,b UTI
9b yearb old,b celiacb disease,b appendectomy,b food b tob not b eat b –
b crackersb =b haveb glutenbhistoryb of b preeclampsia,b highb blood b pressure
what b tob useb whenb changingb newborn’sb diaperb –
b plainb waterb18b yearb old b daughter,b serumb test b results
38cmb fundalb height,b 30b weeksb gestationb –
b afterb 20b weeks,b theb fundalb height b inb cmb should bapproximateb #b of b weeksb gestation
5b yearb old,b bowelb movement,b yellow,b sticky,b smellsb likeb sourb milkb –
b typicalb forb breastfed bnewborns,b continueb tob breastfeed
absenceb of b testesb onb newbornb admissionb assessment b
3b monthb old b doesb not b sleepb throughb theb night
14b monthb old,b hospitalized b –b febrileb seizures
3b yearb old b girl,b blind b sinceb birth,b hospitalized,b compound bfractureb ofb thebfemurb andbisb now binbt r
action,b intervention
fundalb massageb techniqueb –
b anchorb theb lowerb uterineb segment b withboneb hand,bwhileb massagingbt heb fundusbwithbthebotherb han
d,b tob prevent b uterineb prolapseb and b uterineb inversion
MaternitybHESI
4. Theb nurseb isb teachingb ab client b withb gestationalb diabetesb aboutb nutritionb andbinsulinb need bforbp
regnancy.b Whichb content b should b theb nurseb includeb inb thisb client’sb teachingb plan?
A) Insulinb productionb isb decreased b duringb pregnancy
B) increaseb dailyb caloricb intakeb isb needed b ?
C) injectionb requirementsb remainb thebsame
D) Blood b sugarsb need b lessb monitoringb inb theb first b trimester
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
5. A b 38-
weekb primigravidab client b whob isb positiveb forb Groupb AbBetab Streptococcusb receivesb ab prescriptionb f
orb cefazolinb 2b gramsb IV b tobbeb infused boverb 30bminutes.bTheb medicationsb availableb inb2b grams/100b m
lb of b normalb saline.b Theb nurseb should b programb theb infusionb pumpb tob deliverb how b manyb ml/hour?
1.6ml/hr
7. Whenb performingb theb dailybhead-to-toeb assessment b of b ab 1-day-
old b newborn,b theb nurseb observesbyellow b tint btobtheb skinb onbthebforehead,bsternum,b and b abdomen.b W
hat b actionb should b theb nurseb take?
A) Measurebbilirubinb levelsb usingb transcutaneousb bilirubinometry
B) Review b maternalb medicalb recordsb forb blood b typeb and b Rhb factor
C) Prepareb theb newbornb forb phototherapyb?
D) Evaluateb cord b blood b Coomb’sb test b results
8. A b new b motherb asksbthebnurseb about banbareab ofbswellingb onb herb baby’sb head b nearb theb posteriorbf
ontanelb that b liesb acrossb theb sutureb line.b How b should b theb nurseb respond?
A) “That b isb called b caput b succedaneum.b It b willb absorbb and b causeb nob problems.”
B) “That b isb called b ab cephalhematoma.b It b willb causeb nob problems.”b ?
C) “That b isb called b ab cephalhematoma.b It b canb causeb jaundiceb asb it b isb absorbed.”
D) “That b isb called b caput b succedaneum.b It b willb haveb tob beb drained.”
9.Ab 39-week-
gestationalb multigravidab isb admittedb toblaborb and bdeliveryb withb spontaneousb rupturebof bmembranesb
(SROM)b and b contractionsb occurringb everyb 2b tob3bminutes.b A bvaginalb examb indicatesb that b theb cervi
xb isb dilated b 6b cm,b90%b effaced,b andbtheb fetusbisb at bab +2bstation.b Duringb theblast b 45bminutesb theb fetalb
heart b rateb (FHR)b hasb ranged bbetweenb 170bandb 180bbeats/minute.b What bactionb shouldb theb nursebimp
lement?
A) Obtainb ab blood b specimenb forb hemoglobin
B) Takeb anb oralb maternalb temperatureb ?
C) Straight b catheterizeb theb client
D) Send b amnioticb fluid b forb analysis
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
b b b b
Answered
MaternitybPractice bHESI
7b yearb old b diabetesb I
6b monthb old b introducingb solid b foodsb –
b should b beb introduced b oneb at b ab time,b everyb 4b tob 7b daysb tobd etermineb food b allergies
Digoxinb 3b monthb old b withb GHD,b missb ab doseb –
b if b missed b inb lessb thanb 4b hours,b gibebdose,b if belapsed bmoreb thanb4bhours,b hold bandb givebdosebat
b next b scheduled b time
36b weeksb pregnant,b Rh-,b bright b red b vaginalb bleeding,b nursingb intervention
rubellab vaccineb –
b instructionb about b useb of babreliableb method b ofb birthbcontrolb forb 28b daysb afterb thebrubellab vaccineb isb
given
6b yearsb old,b rheumaticb fever,b chorea
1b monthb old b vomitingb forcefullyb afterb eachb meal,b isb afebrile,b dehydrated,b and b pyloricb stenosisb –
boliveb shaped b massb inb theb abdominalb areab that b isb evident b at b diaperb change
18b weeksb gestation,b highbAFPblevelb –
b need b forbfollow bupb evaluationb withbabsonogramb tob providebvisualb evidenceb ofb fetalbageb andbpresen
ceb of b neuralb tubeb defects
left b breast b mastitis,b instructionb tobdob at b homeb
magnesiumb sulfate,b toxicityb signs
continuousb fetalb monitoring,bV bshaped b appearance
child b withb suspected b bacterialb meningitis,b would b haveb abrecent bhistoryb ofbunrelated bbacterialbu
pperb respiratory,b sinus,b orb earb infectionb -b earb ache
HIV+,b receivingbAZTbduringb labor
diaphragmb sizeb –
b afterb eachb birthb theb diaphragmb should bbeb evaluatedb forbcorrect b sizingb and buseb anbalternativebformbof
b contraceptionb untilb verified
Typeb I,b 35b weeksb gestation,b amniocentesis
Dilantin,b newlybdiagnosed b tonicb –b clonicb epilepsy,b seizureb management b –
b child b should b havebroutineb serumb levelsb monitored,b asb wellb asb liverb function
infant b withb barkingb cough,b fever,b runnyb noseb –
b croup,b motherb should b thebbabybinb theb bathroombsteamed b upb withb hot b waterb fromb tubb orb shower
osteomyelitisb foodsb tob eat,b 6b yearsb old b –b highb protein/highb calories,b milkb shakeb isb best b choice
4b yearb old b DMDb symptomsb –
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
b teachb parentsb about b theseb changesb sob theyb canb prepareb and b helpbprotect b child b fromb injuries
pelvicb inflammatoryb diseaseb (PID)b -b IVb antibiotics
tonsillectomy,b bleedingb actionb –b assessb forb bleedingb withb illuminationb tob visualizeb oropharynx
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
Ceftriaxone,b +b gonorrhea
APGAR,b1/10,b colorb isb acrocyanoticb
youngb girl,b UTI
9b yearb old,b celiacb disease,b appendectomy,b food b tob not b eat b –
b crackersb =b haveb glutenbhistoryb of b preeclampsia,b highb blood b pressure
what b tob useb whenb changingb newborn’sb diaperb –
b plainb waterb18b yearb old b daughter,b serumb test b results
38cmb fundalb height,b 30b weeksb gestationb –
b afterb 20b weeks,b theb fundalb height b inb cmb should bapproximateb #b of b weeksb gestation
5b yearb old,b bowelb movement,b yellow,b sticky,b smellsb likeb sourb milkb –
b typicalb forb breastfed bnewborns,b continueb tob breastfeed
absenceb of b testesb onb newbornb admissionb assessment b
3b monthb old b doesb not b sleepb throughb theb night
14b monthb old,b hospitalized b –b febrileb seizures
3b yearb old b girl,b blind b sinceb birth,b hospitalized,b compound bfractureb ofb thebfemurb andbisb now binbt r
action,b intervention
fundalb massageb techniqueb –
b anchorb theb lowerb uterineb segment b withboneb hand,bwhileb massagingbt heb fundusbwithbthebotherb han
d,b tob prevent b uterineb prolapseb and b uterineb inversion
MaternitybHESI
4. Theb nurseb isb teachingb ab client b withb gestationalb diabetesb aboutb nutritionb andbinsulinb need bforbp
regnancy.b Whichb content b should b theb nurseb includeb inb thisb client’sb teachingb plan?
A) Insulinb productionb isb decreased b duringb pregnancy
B) increaseb dailyb caloricb intakeb isb needed b ?
C) injectionb requirementsb remainb thebsame
D) Blood b sugarsb need b lessb monitoringb inb theb first b trimester
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
, 2023 HESI Maternity/Pediatrics (PEDS) Exam,
b b b b
Answered
5. A b 38-
weekb primigravidab client b whob isb positiveb forb Groupb AbBetab Streptococcusb receivesb ab prescriptionb f
orb cefazolinb 2b gramsb IV b tobbeb infused boverb 30bminutes.bTheb medicationsb availableb inb2b grams/100b m
lb of b normalb saline.b Theb nurseb should b programb theb infusionb pumpb tob deliverb how b manyb ml/hour?
1.6ml/hr
7. Whenb performingb theb dailybhead-to-toeb assessment b of b ab 1-day-
old b newborn,b theb nurseb observesbyellow b tint btobtheb skinb onbthebforehead,bsternum,b and b abdomen.b W
hat b actionb should b theb nurseb take?
A) Measurebbilirubinb levelsb usingb transcutaneousb bilirubinometry
B) Review b maternalb medicalb recordsb forb blood b typeb and b Rhb factor
C) Prepareb theb newbornb forb phototherapyb?
D) Evaluateb cord b blood b Coomb’sb test b results
8. A b new b motherb asksbthebnurseb about banbareab ofbswellingb onb herb baby’sb head b nearb theb posteriorbf
ontanelb that b liesb acrossb theb sutureb line.b How b should b theb nurseb respond?
A) “That b isb called b caput b succedaneum.b It b willb absorbb and b causeb nob problems.”
B) “That b isb called b ab cephalhematoma.b It b willb causeb nob problems.”b ?
C) “That b isb called b ab cephalhematoma.b It b canb causeb jaundiceb asb it b isb absorbed.”
D) “That b isb called b caput b succedaneum.b It b willb haveb tob beb drained.”
9.Ab 39-week-
gestationalb multigravidab isb admittedb toblaborb and bdeliveryb withb spontaneousb rupturebof bmembranesb
(SROM)b and b contractionsb occurringb everyb 2b tob3bminutes.b A bvaginalb examb indicatesb that b theb cervi
xb isb dilated b 6b cm,b90%b effaced,b andbtheb fetusbisb at bab +2bstation.b Duringb theblast b 45bminutesb theb fetalb
heart b rateb (FHR)b hasb ranged bbetweenb 170bandb 180bbeats/minute.b What bactionb shouldb theb nursebimp
lement?
A) Obtainb ab blood b specimenb forb hemoglobin
B) Takeb anb oralb maternalb temperatureb ?
C) Straight b catheterizeb theb client
D) Send b amnioticb fluid b forb analysis
2023bHESIbMaternity/Pediatricsb(PEDS)bExam,Answered MELISSABMITSEAS
