HESI MATERNITY PEDIATRICS FINAL PAPER
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ An insulin-dependent client with gestational diabetes mellitus is in the
second stage of labor. What supplies will the delivery nurse gather for
care of the newborn? (Select all that apply.) Answer: Erythromycin
ointment
Scale
Measuring tape
Blood glucose testing kit
◉ A client is admitted to the hospital at 28 weeks of gestation in preterm
labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg
subcutaneously. Which side effects will the nurse anticipate for this
client? (Select all that apply.) Answer: Feeling of nervousness
Tachycardia
Restlessness
◉ The nurse is interviewing a newly pregnancy client who is 16-years
old. Which client statement indicates teaching is necessary for a safe
pregnancy? (Select all that apply.) Answer: "I hate milk."
"I only want to gain 10 pounds."
,"I refuse to wear maternity clothes."
◉ The nurse is preparing to administer an IV pain medication to a client
in labor. What will the nurse include in this client's plan of care related
to the administration of the medication? (Select all that apply.) Answer:
Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering
the pain medication.
◉ The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of moderate
intensity, for the past 6 hours. Her cervical exam upon admission is
4/0/75%, and membranes are intact. In the next 20 minutes, what
supplies will the nurse gather for this client? (Select all that apply.)
Answer: Amnihook
1000 mL of D5LR
Oxytocin
◉ The nurse is providing care to a postpartum client with O negative
blood who is antibody positive. The newborn is O negative. What is the
best nursing action for this client? Answer: Ask the mother if she desires
any more children.
◉ The nurse is preparing a newborn for discharge. There is an order for
a hepatitis B vaccination prior to discharge. When planning to
,administer the vaccination, what information must the nurse obtain from
the infants chart? Answer: Site of the vitamin K injection
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next? Answer: Have the
client breathe into her cupped hands.
◉ The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct? Answer: Two weeks
before menstruation
◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan? Answer: Place petroleum ointment around the glans with each
diaper change and cleansing.
◉ The clinic nurse takes a phone call from a client who reports she is at
12 weeks gestation. Which statements indicate to the nurse the client
may be having a spontaneous abortion? (Select all that apply.) Answer:
"I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
, ◉ A 25-year-old client has a positive pregnancy test. One year ago she
had a spontaneous abortion at 3 months of gestation. What will the nurse
document in the client's chart regarding her GTPAL? Answer: 20010
◉ A client in active labor is becoming increasingly fearful because her
contractions are occurring more often than she had expected. Her partner
is also becoming anxious. What is the nurse's best action? Answer:
Asking the client and her partner if they would like the nurse to stay in
the room
◉ What specific instructions will the nurse include in the pregnancy
client's teaching plan who is also human immunodeficiency virus (HIV)
positive? (Select all that apply.) Answer: Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
Breastfeeding is not recommended.
◉ A 41-week multigravida is receiving oxytocin to augment labor.
Contractions are firm and occurring every 5 minutes, with a 30- to 40-
second duration. The fetal heart rate increases with each contraction and
returns to baseline after the contraction. What is the next nursing action?
Answer: Increase the rate of the oxytocin infusion.
◉ On admission to the prenatal clinic, a client tells the nurse that her last
menstrual period began on February 15 and that previously her periods
were regular (28-day cycle). Her pregnancy test is positive. What is this
client's expected date of birth? Answer: November 22
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ An insulin-dependent client with gestational diabetes mellitus is in the
second stage of labor. What supplies will the delivery nurse gather for
care of the newborn? (Select all that apply.) Answer: Erythromycin
ointment
Scale
Measuring tape
Blood glucose testing kit
◉ A client is admitted to the hospital at 28 weeks of gestation in preterm
labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg
subcutaneously. Which side effects will the nurse anticipate for this
client? (Select all that apply.) Answer: Feeling of nervousness
Tachycardia
Restlessness
◉ The nurse is interviewing a newly pregnancy client who is 16-years
old. Which client statement indicates teaching is necessary for a safe
pregnancy? (Select all that apply.) Answer: "I hate milk."
"I only want to gain 10 pounds."
,"I refuse to wear maternity clothes."
◉ The nurse is preparing to administer an IV pain medication to a client
in labor. What will the nurse include in this client's plan of care related
to the administration of the medication? (Select all that apply.) Answer:
Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering
the pain medication.
◉ The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of moderate
intensity, for the past 6 hours. Her cervical exam upon admission is
4/0/75%, and membranes are intact. In the next 20 minutes, what
supplies will the nurse gather for this client? (Select all that apply.)
Answer: Amnihook
1000 mL of D5LR
Oxytocin
◉ The nurse is providing care to a postpartum client with O negative
blood who is antibody positive. The newborn is O negative. What is the
best nursing action for this client? Answer: Ask the mother if she desires
any more children.
◉ The nurse is preparing a newborn for discharge. There is an order for
a hepatitis B vaccination prior to discharge. When planning to
,administer the vaccination, what information must the nurse obtain from
the infants chart? Answer: Site of the vitamin K injection
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next? Answer: Have the
client breathe into her cupped hands.
◉ The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct? Answer: Two weeks
before menstruation
◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan? Answer: Place petroleum ointment around the glans with each
diaper change and cleansing.
◉ The clinic nurse takes a phone call from a client who reports she is at
12 weeks gestation. Which statements indicate to the nurse the client
may be having a spontaneous abortion? (Select all that apply.) Answer:
"I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
, ◉ A 25-year-old client has a positive pregnancy test. One year ago she
had a spontaneous abortion at 3 months of gestation. What will the nurse
document in the client's chart regarding her GTPAL? Answer: 20010
◉ A client in active labor is becoming increasingly fearful because her
contractions are occurring more often than she had expected. Her partner
is also becoming anxious. What is the nurse's best action? Answer:
Asking the client and her partner if they would like the nurse to stay in
the room
◉ What specific instructions will the nurse include in the pregnancy
client's teaching plan who is also human immunodeficiency virus (HIV)
positive? (Select all that apply.) Answer: Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
Breastfeeding is not recommended.
◉ A 41-week multigravida is receiving oxytocin to augment labor.
Contractions are firm and occurring every 5 minutes, with a 30- to 40-
second duration. The fetal heart rate increases with each contraction and
returns to baseline after the contraction. What is the next nursing action?
Answer: Increase the rate of the oxytocin infusion.
◉ On admission to the prenatal clinic, a client tells the nurse that her last
menstrual period began on February 15 and that previously her periods
were regular (28-day cycle). Her pregnancy test is positive. What is this
client's expected date of birth? Answer: November 22
