HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this
client? - Correct answer- Breastfeed the infant, ensuring that both breasts
are completely emptied.
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.) - Correct 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.) - Correct 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.) - Correct 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.) - Correct 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.) - Correct answer-Amnihook
1000 mL of D5LR
Oxytocin
,HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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? - Correct 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? -
Correct 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? - Correct 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? - 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? - Correct
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.) - Correct 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? - Correct 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? - Correct
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.) - Correct answer-Use condoms when having sex.
,HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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?
- Correct answer-Increase the rate of the oxytocin infusion.
, HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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? - Correct answer- November 22
A client at 39 weeks gestation overhears her health care provider say to the
nurse, "Her Bishop score is 10." The client asks the nurse, "What does that
mean?" What is the nurse's best response? - Correct answer-"Your cervix is
ready for labor."
The clinic nurse is reviewing signs of pre-term labor with a client at 28 weeks
gestation. Which client statements indicate to the nurse further teaching is
necessary? (Select all that apply.) - Correct answer-"I expect the discharge
from my vagina will change from thick to brown over the next two weeks."
"The baby's movements will decrease and be almost still from
here on out." "I should expect low back pain and diarrhea as the
baby grows."
When a new mother receives her infant for the first time, which behavior is
most reassuring to the nurse? - Correct answer-Her arms and hands receive
the infant and she then traces the infant's profile with her fingertips.
A client presents to the emergency department with complaints of severe
lower left abdominal pain and vaginal spotting. Her last menstrual period
was 5 weeks ago. What are the nurse's next actions? (Select all that apply.)
- Correct answer-Check the results of the HCG test.
Ask the client to describe the color of the vaginal bleeding.
Ask the client if she has ever been diagnosed with pelvic inflammatory
disease. Draw the client's blood for a type and cross match.
The nurse is providing care to a primipara's whose most recent cervical
exam at 0700 was 6/+1/100. Assuming an expected progression of labor,
approximately what time will the client enter into the second stage of labor?
- Correct answer-1100
The nurse is teaching a group of teen girls about their reproductive system
and pregnancy. What risk factors for an unplanned pregnancy will the nurse
include in the teaching plan for these girls? (Select all that apply.) - Correct
answer-Poverty
Family problems
Early onset of
menarche Sexual
exploration Group
think
WITH 100% CORRECT ANSWERS
2023/2024
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this
client? - Correct answer- Breastfeed the infant, ensuring that both breasts
are completely emptied.
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.) - Correct 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.) - Correct 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.) - Correct 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.) - Correct 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.) - Correct answer-Amnihook
1000 mL of D5LR
Oxytocin
,HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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? - Correct 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? -
Correct 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? - Correct 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? - 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? - Correct
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.) - Correct 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? - Correct 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? - Correct
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.) - Correct answer-Use condoms when having sex.
,HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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?
- Correct answer-Increase the rate of the oxytocin infusion.
, HESI-MATERNITY & PEDIATRICS EXAM
WITH 100% CORRECT ANSWERS
2023/2024
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? - Correct answer- November 22
A client at 39 weeks gestation overhears her health care provider say to the
nurse, "Her Bishop score is 10." The client asks the nurse, "What does that
mean?" What is the nurse's best response? - Correct answer-"Your cervix is
ready for labor."
The clinic nurse is reviewing signs of pre-term labor with a client at 28 weeks
gestation. Which client statements indicate to the nurse further teaching is
necessary? (Select all that apply.) - Correct answer-"I expect the discharge
from my vagina will change from thick to brown over the next two weeks."
"The baby's movements will decrease and be almost still from
here on out." "I should expect low back pain and diarrhea as the
baby grows."
When a new mother receives her infant for the first time, which behavior is
most reassuring to the nurse? - Correct answer-Her arms and hands receive
the infant and she then traces the infant's profile with her fingertips.
A client presents to the emergency department with complaints of severe
lower left abdominal pain and vaginal spotting. Her last menstrual period
was 5 weeks ago. What are the nurse's next actions? (Select all that apply.)
- Correct answer-Check the results of the HCG test.
Ask the client to describe the color of the vaginal bleeding.
Ask the client if she has ever been diagnosed with pelvic inflammatory
disease. Draw the client's blood for a type and cross match.
The nurse is providing care to a primipara's whose most recent cervical
exam at 0700 was 6/+1/100. Assuming an expected progression of labor,
approximately what time will the client enter into the second stage of labor?
- Correct answer-1100
The nurse is teaching a group of teen girls about their reproductive system
and pregnancy. What risk factors for an unplanned pregnancy will the nurse
include in the teaching plan for these girls? (Select all that apply.) - Correct
answer-Poverty
Family problems
Early onset of
menarche Sexual
exploration Group
think
