HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review, Hesi Peds, PN HESI Peds, Peds & Maternity HESI, HESI Maternity/Pediatric Remediation Updated 2025/2026

HESI PN Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric Remediation
Updated 2025/2026
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an
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axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which
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additional finding should the PN observe in the newborn? - Correct Answers Tremors of the
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hands during crying.
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Which information should the practical nurse (PN) provide the parents about the purpose of
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instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - Correct Answers
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Prophylactic treatment for gonorrheal and chlamydia infection.
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What is the most important action by the practical nurse (PN) in preventing neonatal infection? -
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Correct Answers Hand washing.
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a client who took iron supplements during pregnancy delivers and infant by cesarean section. On
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the second postpartum day, the client reports having a constipated stool that is greenish-black in
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color. Which action should the practical nurse (PN) implement? - Correct Answers Record color
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and consistency of the stool.
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A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She
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asks what she should be concerned about during the weeks before her first visit. Which signs and
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symptoms should the practical nurse (PN) tell the client to report immediately to the healthcare
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provider? (select all that apply) - Correct Answers A. Vaginal bleeding
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D. Membrane rupture
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E. Severe headaches
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, A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs
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6 pound and 15 ounces. Which action should the practical nurse take? - Correct Answers
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Document the weight loss
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Which medication is prescribed for the prevention of ophthalmia neonatorum? - Correct
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Answers Erythromycin (iilotycin)
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A multiparous client's membranes rupture after 8 hours of labor. which action should the
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practical nurse implement at this time? - Correct Answers Assess the fetal heart rate (FHR) and
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pattern.
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The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has
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just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What
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action is most important for the PN to implement? - Correct Answers Continue to massage the
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fundus until firm.
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Which client should the practical nurse (PN) closely monitor for severe after pains? - Correct
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Answers A multigravida who is breastfeeding.
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The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-ounce
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newborn and determines the client's bladder is distended. Which additional finding should the
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PN report to the charge nurse? - Correct Answers Excessive bleeding on the perineal pad.
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The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2
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F under the radiant heat warmer. Which rationale supports the PN's action? - Correct Answers
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The newborn's thin layer of subcutaneous fat provides poor insulation.
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Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a
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client during the first postpartum week? - Correct Answers Implement strict medical and
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aseptic technique.
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, Which client is a candidate for the administration of human immune globulin (RhoGam) after
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delivery? - Correct Answers The Rh-negative mother who delivers a Rh-positive baby.
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Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN)
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explain to a client in the first trimester? (Select all that apply.) - Correct Answers A.
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Displacement of the colon.
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E. Decrease in peristalsis.
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A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health
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clinic for a prenatal appointment. The client's weight today is 129 pounds. What action should the
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practical nurse (PN) implement? - Correct Answers Document the finding in the medical record.
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The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
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preeclampsia. Which information is most important for the PN reinforce with the client? - Correct
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Answers Notify the clinic if any vision changes are experienced.
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A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle collision
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(MVC). The client has no complaints of abdominal pain and no evidence of vaginal bleeding.
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Which action should the practical nurse (PN) anticipate implementing for the client? - Correct
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Answers Obtain a biophysical profile.
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A primigravida client asks the practical nurse (PN). "How will i know that I will be going into labor
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soon?" Which sign should the PN provide that is a common sign? - Correct Answers Burst of
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energy.
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A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse
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(PN) she is having contractions every 5 minutes. The healthcare provider determines she is dilated
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3 cm and in early labor. What action should the practical nurse (PN) implement when the client
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groans with each contraction? - Correct Answers Demonstrate simple relaxation measures.
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, A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep
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every day. What information should the PN provide? - Correct Answers A newborn sleeps most
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of the day and gradually will have increasing periods of wakefulness.
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The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU)
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test is positive. What type of treatment should the PN tell the mother will be required? - Correct
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Answers Lifelong dietary management.
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The practical nurse (PN) is discussing aspects of newborn hygiene with the new parents as they
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prepare for discharge. Which information should the PN provide? - Correct Answers Create a
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draft-free environment when bathing the baby.
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A mother who is preparing for discharge begins asking the practical nurse (PN) questions about
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bottle feeding her infant. What information should the PN reinforce? - Correct Answers Burp
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the newborn periodically during the feeding.
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An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What action
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is most important for the practical nurse (PN) to implement? - Correct Answers Monitor for
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signs of hypoglycemia.
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A young adult female comes to the health clinic to confirm a positive home pregnancy test. After
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determining the client's last menstrual period (LMP) as August 5, what expected date of birth
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(EDB) should the practical nurse (PN) calculate? - Correct Answers May 12
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The practical nurse (PN) quickly moves the crib of a male newborn and notices that his legs flex.
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arms fan out, and then return toward his midline. What action should the PN implement? -
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Correct Answers Document the newborn demonstrates a Moro reflex.
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Which finding for a 2-week-old infant should the practical nurse (PN) report to the healthcare
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provider? - Correct Answers Yellowish tinge around the eyes.
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