PEDS & MATERNITY HESI 112 2026 OBSTETRIC
AND PEDIATRIC NURSING PRACTICE SET
ANSWERS FULL SOLUTION
◉ The practical nurse (PN) is interviewing a 10 year old girl about
school and her extracurricular activities. She responds, "I like school.
I play the flute in the school band, and I take tennis lessons." Based
on Erikson's psychosocial theory, the PN identifies that this child is
in what stage of development?
a) identity
b) intimacy
c) industry
d) initiative
Answer: Answer: C
Rationale:
Erikson's stage of industry (C) for a school aged child is
demonstrated by successful participation in new skills and peer
activities, such as sports and band. (A, B, and D) are achieved in
other age groups.
,◉ The practical nurse (PN) identifies an increased frequency of
otitis media (OM) is children who are coming to the clinic. Based on
this finding, which age group should the PN monitor a child for signs
and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent
Answer: Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the
anatomical structure of the eustachian tube that allows fluid and
microbial entry into the middle ear. (B, C, and D) are most
susceptible to acute infectious diseases acquired through
environmental transmission from daycare or school settings.
◉ The practical nurse (PN) collects information about infant growth
and development milestones for infants who come to the clinic for a
well child visit. Which findings should the PN document as normal
infant growth and development?
a) maternal iron stores persist during the first 12 months of life
,b) anterior fontanel closes by 6 to 10 months of age
c) binocularity is well established by 8 months of age
d) birth weight double by age 5 months and triples by 1 year
Answer: Answer: D
Rationale:
Infants gain approximately 1.5 pounds/month until age 5 to 6
months, when the birth weight doubles, and by 1 year of age, the
birth weight usually triples (D). The anterior fontanel closes by 12 to
18 months of age, with the average being 14 months, not (B).
Binocularity begins to develop by 6 weeks of age and should be well
established by age 4 months, not (C). Maternally derived iron stores
ares present for the first 5 to 6 months and gradually diminish,
which results in an expected lowered hemoglobin levels toward the
end of the first 6 months (A).
◉ Which nonfood item is the most common cause of respiratory
arrest in young children?
a) latex balloons
b) broken rattles
c) buttons
d) pacifiers
Answer: Answer: A
, Rationale:
Nonfood items cause the majority of choking deaths in young
children. Latex balloons (A), whether partially inflated, uninflated, or
popped, are the leading cause of pediatric choking that leads to
aspiration of small objects (A,B, and D) because they experience the
environment by placing objects in the mouth, but (A) is the leading
cause of death causing respiratory obstruction and arrest.
◉ The practical nurse (PN) is talking with a group of elementary
students about bicycle safety. Which information should the PN
provide?
a) wearing protective gear on a bicycle is a voluntary measure
b) children should wear a bicycle helmet when riding a bicycle
c) bicycle injuries involve a collision with an automobile
d) riding double is allowed if the bicycle has an extra large seat
Answer: Answer: B
Rationale:
Bicycle accidents that result in head injuries are a common,
accidental cause of morbidity and mortality, so bicycle safety and
some state laws mandate that children should wear a protective
helmet (B). (A, C, and D) do not provide accurate information.
AND PEDIATRIC NURSING PRACTICE SET
ANSWERS FULL SOLUTION
◉ The practical nurse (PN) is interviewing a 10 year old girl about
school and her extracurricular activities. She responds, "I like school.
I play the flute in the school band, and I take tennis lessons." Based
on Erikson's psychosocial theory, the PN identifies that this child is
in what stage of development?
a) identity
b) intimacy
c) industry
d) initiative
Answer: Answer: C
Rationale:
Erikson's stage of industry (C) for a school aged child is
demonstrated by successful participation in new skills and peer
activities, such as sports and band. (A, B, and D) are achieved in
other age groups.
,◉ The practical nurse (PN) identifies an increased frequency of
otitis media (OM) is children who are coming to the clinic. Based on
this finding, which age group should the PN monitor a child for signs
and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent
Answer: Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the
anatomical structure of the eustachian tube that allows fluid and
microbial entry into the middle ear. (B, C, and D) are most
susceptible to acute infectious diseases acquired through
environmental transmission from daycare or school settings.
◉ The practical nurse (PN) collects information about infant growth
and development milestones for infants who come to the clinic for a
well child visit. Which findings should the PN document as normal
infant growth and development?
a) maternal iron stores persist during the first 12 months of life
,b) anterior fontanel closes by 6 to 10 months of age
c) binocularity is well established by 8 months of age
d) birth weight double by age 5 months and triples by 1 year
Answer: Answer: D
Rationale:
Infants gain approximately 1.5 pounds/month until age 5 to 6
months, when the birth weight doubles, and by 1 year of age, the
birth weight usually triples (D). The anterior fontanel closes by 12 to
18 months of age, with the average being 14 months, not (B).
Binocularity begins to develop by 6 weeks of age and should be well
established by age 4 months, not (C). Maternally derived iron stores
ares present for the first 5 to 6 months and gradually diminish,
which results in an expected lowered hemoglobin levels toward the
end of the first 6 months (A).
◉ Which nonfood item is the most common cause of respiratory
arrest in young children?
a) latex balloons
b) broken rattles
c) buttons
d) pacifiers
Answer: Answer: A
, Rationale:
Nonfood items cause the majority of choking deaths in young
children. Latex balloons (A), whether partially inflated, uninflated, or
popped, are the leading cause of pediatric choking that leads to
aspiration of small objects (A,B, and D) because they experience the
environment by placing objects in the mouth, but (A) is the leading
cause of death causing respiratory obstruction and arrest.
◉ The practical nurse (PN) is talking with a group of elementary
students about bicycle safety. Which information should the PN
provide?
a) wearing protective gear on a bicycle is a voluntary measure
b) children should wear a bicycle helmet when riding a bicycle
c) bicycle injuries involve a collision with an automobile
d) riding double is allowed if the bicycle has an extra large seat
Answer: Answer: B
Rationale:
Bicycle accidents that result in head injuries are a common,
accidental cause of morbidity and mortality, so bicycle safety and
some state laws mandate that children should wear a protective
helmet (B). (A, C, and D) do not provide accurate information.
