MATERNAL/PEDIATRIC HESI
PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of the gravid client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned - ANS A
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction would be most effective in
preventing pooling of blood in the lower extremities?
a. wearing support stockings
b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing - ANS C
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce
infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
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,d. a higher rate of congenital anomalies - ANS B
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth - ANS C
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instructions is most effective to prevent nipple soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing - ANS C
A full term infant is transferred to the nursery from labor and delivery. Which information is
most important for the nurse to receive when planning immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
d. history of drugs given to the mother during labor - ANS B
In developing a teaching plan for expectant parents, the nurse plans to include information
about when the parents can expect the infant's fontanels to close. The nurse bases the
explanation on knowledge that for the normal new born, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
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, b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
month. - ANS D
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple
to attend these classes?
a. at 16-week gestation
b. at 20-weeks gestation
c. at 24-weeks gestation
d. at 30-weeks gestation - ANS D
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left.
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced - ANS C
The nurse is counseling a couple who has sought information about conceiving. For teaching
purposes, the nurse should know that ovulation usually occurs
a. two weeks before menstruation
b. immediately after menstruation
c. immediately before mensturation
d. three weeks before menstruation - ANS A
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take?
a. administer oxygen by face mask.
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of the gravid client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned - ANS A
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction would be most effective in
preventing pooling of blood in the lower extremities?
a. wearing support stockings
b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing - ANS C
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce
infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
,d. a higher rate of congenital anomalies - ANS B
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth - ANS C
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instructions is most effective to prevent nipple soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing - ANS C
A full term infant is transferred to the nursery from labor and delivery. Which information is
most important for the nurse to receive when planning immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
d. history of drugs given to the mother during labor - ANS B
In developing a teaching plan for expectant parents, the nurse plans to include information
about when the parents can expect the infant's fontanels to close. The nurse bases the
explanation on knowledge that for the normal new born, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 2
, b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
month. - ANS D
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple
to attend these classes?
a. at 16-week gestation
b. at 20-weeks gestation
c. at 24-weeks gestation
d. at 30-weeks gestation - ANS D
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left.
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced - ANS C
The nurse is counseling a couple who has sought information about conceiving. For teaching
purposes, the nurse should know that ovulation usually occurs
a. two weeks before menstruation
b. immediately after menstruation
c. immediately before mensturation
d. three weeks before menstruation - ANS A
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take?
a. administer oxygen by face mask.
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
