Maternal/Pediatric HESI Exam 2025 | Verified
Questions, Answers
1. A client attending the prenatal clinic for the first time tells the nurse that her
last menstrual cycle is February 7-11. The client's expected day of delivery is
calculated to be
January 16.
May 14.
November 14.
November 4.
2. Describe why the frequency of urination is an important indicator of
adequate breast milk intake in newborns.
Frequent urination is unrelated to the baby's nutritional status.
Frequent urination suggests that the baby is overfed and may need
less milk.
Frequent urination indicates that the baby is well-hydrated and
receiving enough breast milk.
Frequent urination means the baby is not bonding with the mother.
3. Methergine is prescribed for a woman to treat postpartum hemorrhage.
Before administration of methergine, the priority nursing assessment is to
check the:
Amount of lochia
,Uterine tone
Blood pressure
, Deep tendon reflexes
4. After teaching a postpartum woman about postpartum blues, the nurse
understands teaching was effective when the client makes which
statement?
I should call this support line only if I hear voices
"I might feel like laughing one min and crying the next"
"I'll need to take meds to treat anxiety and sadness"
If the symptoms last more than a few days, I need to call my doc"
5. If a nurse observes meconium-stained amniotic fluid during labor, what
should be the priority nursing intervention to ensure the safety of the
newborn?
Encourage the mother to push immediately
Increase the frequency of fetal heart rate monitoring
Prepare for potential neonatal resuscitation
Administer intravenous fluids to the mother
6. A nurse is caring for a mother 1 day postpartum. The nurse is assessing for
maternal adaptation and mother-infant bonding. Which of the behaviors by
the mother indicates appropriate bonding?
A. Touches the infant and maintains close physical proximity
B. Views the infant's behavior as uncooperative during diaper
change
C. Identifies and relates the infant's characteristics to family members
D. Both A and C
, 7. Discuss why it is critical to assess for elevated blood pressure before
administering terbutaline to a client in preterm labor.
Elevated blood pressure is unrelated to the administration of
terbutaline.
Elevated blood pressure is a common side effect of terbutaline and
requires monitoring.
Elevated blood pressure can indicate potential complications such
as preeclampsia, which may contraindicate the use of terbutaline.
Elevated blood pressure indicates the need for immediate delivery.
8. If a new mother expresses anxiety about breastfeeding due to her previous
experience, what should the nurse do to support her effectively?
Suggest that she wait a few days before attempting to breastfeed.
Encourage her to consider formula feeding instead.
Provide reassurance and practical support to help her initiate
breastfeeding successfully.
Advise her to consult with a lactation specialist before trying.
9. A married couple presents to your office for routine prenatal counceling.
The husband is affected with achondroplasia (autosomal dominant
disorder). His spouse is healthy. They are concerned about their unborn
child to be affected with achondroplasia. Which of the following is the best
response to their concerns?
The risk for the child to be affected is about 50%
The risk for the child to be affected is about 75%
The risk depends on the child's gender
Questions, Answers
1. A client attending the prenatal clinic for the first time tells the nurse that her
last menstrual cycle is February 7-11. The client's expected day of delivery is
calculated to be
January 16.
May 14.
November 14.
November 4.
2. Describe why the frequency of urination is an important indicator of
adequate breast milk intake in newborns.
Frequent urination is unrelated to the baby's nutritional status.
Frequent urination suggests that the baby is overfed and may need
less milk.
Frequent urination indicates that the baby is well-hydrated and
receiving enough breast milk.
Frequent urination means the baby is not bonding with the mother.
3. Methergine is prescribed for a woman to treat postpartum hemorrhage.
Before administration of methergine, the priority nursing assessment is to
check the:
Amount of lochia
,Uterine tone
Blood pressure
, Deep tendon reflexes
4. After teaching a postpartum woman about postpartum blues, the nurse
understands teaching was effective when the client makes which
statement?
I should call this support line only if I hear voices
"I might feel like laughing one min and crying the next"
"I'll need to take meds to treat anxiety and sadness"
If the symptoms last more than a few days, I need to call my doc"
5. If a nurse observes meconium-stained amniotic fluid during labor, what
should be the priority nursing intervention to ensure the safety of the
newborn?
Encourage the mother to push immediately
Increase the frequency of fetal heart rate monitoring
Prepare for potential neonatal resuscitation
Administer intravenous fluids to the mother
6. A nurse is caring for a mother 1 day postpartum. The nurse is assessing for
maternal adaptation and mother-infant bonding. Which of the behaviors by
the mother indicates appropriate bonding?
A. Touches the infant and maintains close physical proximity
B. Views the infant's behavior as uncooperative during diaper
change
C. Identifies and relates the infant's characteristics to family members
D. Both A and C
, 7. Discuss why it is critical to assess for elevated blood pressure before
administering terbutaline to a client in preterm labor.
Elevated blood pressure is unrelated to the administration of
terbutaline.
Elevated blood pressure is a common side effect of terbutaline and
requires monitoring.
Elevated blood pressure can indicate potential complications such
as preeclampsia, which may contraindicate the use of terbutaline.
Elevated blood pressure indicates the need for immediate delivery.
8. If a new mother expresses anxiety about breastfeeding due to her previous
experience, what should the nurse do to support her effectively?
Suggest that she wait a few days before attempting to breastfeed.
Encourage her to consider formula feeding instead.
Provide reassurance and practical support to help her initiate
breastfeeding successfully.
Advise her to consult with a lactation specialist before trying.
9. A married couple presents to your office for routine prenatal counceling.
The husband is affected with achondroplasia (autosomal dominant
disorder). His spouse is healthy. They are concerned about their unborn
child to be affected with achondroplasia. Which of the following is the best
response to their concerns?
The risk for the child to be affected is about 50%
The risk for the child to be affected is about 75%
The risk depends on the child's gender
