HESI PEDS AND MATERNITY ACTUAL EXAM
TEST PAPER WITH CORRECT ANSWERS
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting
enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored
urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she
still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you
can monitor intake.".
Answer: B."Your milk is sufficient if the baby is voiding pale, straw-
colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day), if the infant is adequately hydrated. Although a
weight gain of 30 g/day is indicative of adequate nutrition, most
home scales do not measure this accurately, and the suggestion will
,likely make the mother anxious. Option C causes nipple confusion
and diminishes the mother's milk production. Option D does not
address the client's question.
◉ The client comes to the hospital assuming she is in labor. Which
assessment findings by the nurse would indicate that the client is in
true labor? (Select all that apply.)
A.Pain in the lower back that radiates to abdomen
B.Contractions decreased in frequency with ambulation
C.Progressive cervical dilation and effacement
D.Discomfort localized in the abdomen
E.Regular and rhythmic painful contractions.
Answer: A.Pain in the lower back that radiates to abdomen
C.Progressive cervical dilation and effacement
E.Regular and rhythmic painful contractions
Rationale: These are all signs of true labor. Options B and D are signs
of false labor.
,◉ Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C."I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings..
Answer: A."Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule
during the day will cause a release of prolactin, which will suppress
ovulation and menses, but is not completely effective as a birth
control method. Option B is incorrect because alcohol can
immediately enter the breast milk. Nicotine is transferred to the
infant in breast milk. Taking a warm shower will stimulate the
production of milk, which will be more painful after breastfeedings.
, ◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny-looking
head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads
like that."
C."That is normal. The head will return to a round shape within 7 to
10 days."
D."Your pelvis was too small, so the head had to adjust to the birth
canal.".
Answer: C."That is normal. The head will return to a round shape
within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the
newborn and provides correct information regarding the return to a
normal shape. Although option A is correct, it implies that the client
should not worry. Any implied or spoken "don't worry" is usually the
wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a
negative statement and implies that molding is the mother's fault.
TEST PAPER WITH CORRECT ANSWERS
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting
enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored
urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she
still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you
can monitor intake.".
Answer: B."Your milk is sufficient if the baby is voiding pale, straw-
colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day), if the infant is adequately hydrated. Although a
weight gain of 30 g/day is indicative of adequate nutrition, most
home scales do not measure this accurately, and the suggestion will
,likely make the mother anxious. Option C causes nipple confusion
and diminishes the mother's milk production. Option D does not
address the client's question.
◉ The client comes to the hospital assuming she is in labor. Which
assessment findings by the nurse would indicate that the client is in
true labor? (Select all that apply.)
A.Pain in the lower back that radiates to abdomen
B.Contractions decreased in frequency with ambulation
C.Progressive cervical dilation and effacement
D.Discomfort localized in the abdomen
E.Regular and rhythmic painful contractions.
Answer: A.Pain in the lower back that radiates to abdomen
C.Progressive cervical dilation and effacement
E.Regular and rhythmic painful contractions
Rationale: These are all signs of true labor. Options B and D are signs
of false labor.
,◉ Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C."I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings..
Answer: A."Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule
during the day will cause a release of prolactin, which will suppress
ovulation and menses, but is not completely effective as a birth
control method. Option B is incorrect because alcohol can
immediately enter the breast milk. Nicotine is transferred to the
infant in breast milk. Taking a warm shower will stimulate the
production of milk, which will be more painful after breastfeedings.
, ◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny-looking
head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads
like that."
C."That is normal. The head will return to a round shape within 7 to
10 days."
D."Your pelvis was too small, so the head had to adjust to the birth
canal.".
Answer: C."That is normal. The head will return to a round shape
within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the
newborn and provides correct information regarding the return to a
normal shape. Although option A is correct, it implies that the client
should not worry. Any implied or spoken "don't worry" is usually the
wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a
negative statement and implies that molding is the mother's fault.
