PEDS & MATERNITY HESI 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
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? -
correct answer- 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 - correct answer- 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? - correct answer- Set of cloth and hand puppets
There is a question that has to be put in order - correct answer-
*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? -
correct answer- Place the infant in a knee-chest position
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How do you measure the frequency of contractions - correct
answer- 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? - correct answer- Metabolic
Acidoses
Mothers Hemoglobin A1C - correct answer- 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? - correct answer- Serum potassium
of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated
respirations - correct answer- gradually warm the baby
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Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min,
165 beats/minute. Intervention best to implement? - correct
answer- 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? - correct
answer- *Creamed corn*
Baby is showing signs of mottling - correct answer- 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? -
correct answer- Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of
most concern out of the data of mom - correct answer-
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