Page 1 of 175
2025/2026 HESI PN OBSTETRICS/MATERNITY,
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI
PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION PRACTICE
EXAMS (MULTIPLE VERSIONS) QUESTIONS AND
DETAILED CORRECT ANSWERS/GUARANTEED
PASS/TOP-RATED A+.
HESI
Ace your comprehensive HESI PN Obstetrics and Pediatrics
exams with this all-in-one review guide, designed to master
maternal-newborn care and child health from prenatal
development through adolescence. This resource delivers
integrated scenario-based questions and evidence-based
rationales covering labor, postpartum care, pediatric growth,
and common childhood illnesses.
A primiparous client asks the practical nurse (PN) how much
her newborn baby should sleep every day. What information
should the PN provide? ...... ANSWER ....... A newborn
sleeps most of the day and gradually will have increasing
periods of wakefulness.
The mother asks the practical nurse (PN) what her infant
may need if the phenylketonuria(PKU) test is positive. What
, Page 2 of 175
type of treatment should the PN tell the mother will be
required? ...... ANSWER ....... Lifelong dietary
management.
A father expresses concern that his 3-day-old infant looks
"yellow." Which information should the practical nurse (PN)
provide? ...... ANSWER ....... Physiologic jaundice
occurs from a normal reduction in red blood cells.
The practical nurse (PN) is monitoring a child who is
manifesting signs of shock after a motor vehicle collision.
Which finding is most important for the PN to report to the
charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst ...... ANSWER ....... Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation
becomes marginal despite compensatory adjustments, and
the signs of decompensated shock become pronounced,
, Page 3 of 175
such as tachycardia and narrowing pulse pressure (A). (The
difference between systolic and diastolic blood pressure),
which should be reported immediately. (B,C, and D) are not
as significant as (A).
The mother of a 9 month old male infant is concerned
because he cries whenever she leaves him with a sitter.
What is the best response for the practical nurse (PN) to
provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of
attachment."
c) "Consider taking the baby to the doctor because he may
be ill."
d) "You could consider leaving the infant more often so he
can adjust." ...... ANSWER ....... Answer: B
Rationale:
Healthy attachment is manifested by stranger anxiety in late
infancy (B). Pain from teething expressed by the infant's
cries does not occur only when the mother leaves the infant
with another person (A). The PN should evaluate the infant's
developmental needs (C) before suggesting the infant may
, Page 4 of 175
be ill. An infant who manifests stranger anxiety is best
supported by the mother if the infant is left for shorter
periods of time, not (D).
Which preoperative action is most important for the
practical nurse (PN) to implement for a newborn with
meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning ...... ANSWER .......
Answer: C
Rationale:
A meningomyelocele provides a direct entry for bacteria into
the central nervous system, leading to meningitis. Measures
that protect the integrity of the meningomyelocele sac and
infection control measures should be implemented to
minimize the risk of infection (C). (A,B, and D) should be
implemented but do not have the priority of (C).
2025/2026 HESI PN OBSTETRICS/MATERNITY,
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI
PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION PRACTICE
EXAMS (MULTIPLE VERSIONS) QUESTIONS AND
DETAILED CORRECT ANSWERS/GUARANTEED
PASS/TOP-RATED A+.
HESI
Ace your comprehensive HESI PN Obstetrics and Pediatrics
exams with this all-in-one review guide, designed to master
maternal-newborn care and child health from prenatal
development through adolescence. This resource delivers
integrated scenario-based questions and evidence-based
rationales covering labor, postpartum care, pediatric growth,
and common childhood illnesses.
A primiparous client asks the practical nurse (PN) how much
her newborn baby should sleep every day. What information
should the PN provide? ...... ANSWER ....... A newborn
sleeps most of the day and gradually will have increasing
periods of wakefulness.
The mother asks the practical nurse (PN) what her infant
may need if the phenylketonuria(PKU) test is positive. What
, Page 2 of 175
type of treatment should the PN tell the mother will be
required? ...... ANSWER ....... Lifelong dietary
management.
A father expresses concern that his 3-day-old infant looks
"yellow." Which information should the practical nurse (PN)
provide? ...... ANSWER ....... Physiologic jaundice
occurs from a normal reduction in red blood cells.
The practical nurse (PN) is monitoring a child who is
manifesting signs of shock after a motor vehicle collision.
Which finding is most important for the PN to report to the
charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst ...... ANSWER ....... Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation
becomes marginal despite compensatory adjustments, and
the signs of decompensated shock become pronounced,
, Page 3 of 175
such as tachycardia and narrowing pulse pressure (A). (The
difference between systolic and diastolic blood pressure),
which should be reported immediately. (B,C, and D) are not
as significant as (A).
The mother of a 9 month old male infant is concerned
because he cries whenever she leaves him with a sitter.
What is the best response for the practical nurse (PN) to
provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of
attachment."
c) "Consider taking the baby to the doctor because he may
be ill."
d) "You could consider leaving the infant more often so he
can adjust." ...... ANSWER ....... Answer: B
Rationale:
Healthy attachment is manifested by stranger anxiety in late
infancy (B). Pain from teething expressed by the infant's
cries does not occur only when the mother leaves the infant
with another person (A). The PN should evaluate the infant's
developmental needs (C) before suggesting the infant may
, Page 4 of 175
be ill. An infant who manifests stranger anxiety is best
supported by the mother if the infant is left for shorter
periods of time, not (D).
Which preoperative action is most important for the
practical nurse (PN) to implement for a newborn with
meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning ...... ANSWER .......
Answer: C
Rationale:
A meningomyelocele provides a direct entry for bacteria into
the central nervous system, leading to meningitis. Measures
that protect the integrity of the meningomyelocele sac and
infection control measures should be implemented to
minimize the risk of infection (C). (A,B, and D) should be
implemented but do not have the priority of (C).
