PEDS & MATERNITY HESI 112 2026 LABOR
DELIVERY AND NEWBORN CARE REVIEW
QUESTIONS ANSWERS VERIFIED GUIDE
◉ A mother asks the practical nurse (PN), "When will I know if my
daughter has entered puberty?" Which finding should the PN tell the
mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche
Answer: Answer: B
Rationale:
The onset of puberty in girls is observed with the development of
secondary sex characteristics, such as breast development and the
growth of pubic hair (B). (A,C, and D) are not consistently found with
pubescence.
◉ The PN is checking the musculoskeletal system of a one month old
infant during a well child visit. Which finding should the PN report
to the healthcare provider?
,a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles
Answer: Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either
partial or complete, is a common orthopedic deformity where the
head of the femur is partly or completely displaced as a result of a
shallow hip socket (acetabulum). Hip dysplasia causes the leg on the
affected side to appear shorter (A) than the leg on the unaffected
side. (D) is a sign of a neurologic problem, not hip dysplasia. The
skin folds of the thigh are deeper and often asymmetrical, not (B),
and the best indicator of hip dysplasia is femur shortening. (C) is not
a sign of hip dysplasia.
◉ Which physiological difference is present in a 3 month old infant
that affects oral drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
,d) an accelerated gastric emptying rate
Answer: Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3
months of life as the Gi system matures. The gastric secretions of
infants are less acidic than those of older children or adults, not (B).
Intestinal motility and gastric emptying rate tend to be slower in
infants, not (C and D).
◉ The practical nurse (PN) is preparing to administer an
intramuscular immunization to a 6 month old infant. What site
should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis
Answer: Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is
the best site for intramuscular (IM) injections in children younger
than 3 years of age. The deltoid muscle (C) is a small muscle mass
, that accommodates small volumes, less than 0.5 mL, and is not
recommended for IM use in young children. The gluteal muscles (A
and B) are used as an injection site in children whose musculature
develops after walking.
◉ The mother of a young child with Type 1 diabetes mellitus (DM)
who needs insulin injections at home tells the practical nurse (PN)
that she is afraid she does not know what to do properly. Which
action is most important for the PN implement to decrease the
mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother
Answer: Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C)
provides an opportunity to reinforce information & provide
validation to increase the mother's confidence and relieve
apprehension about caring for her child with DM. (A, B, and D) are of
less priority than (C).
DELIVERY AND NEWBORN CARE REVIEW
QUESTIONS ANSWERS VERIFIED GUIDE
◉ A mother asks the practical nurse (PN), "When will I know if my
daughter has entered puberty?" Which finding should the PN tell the
mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche
Answer: Answer: B
Rationale:
The onset of puberty in girls is observed with the development of
secondary sex characteristics, such as breast development and the
growth of pubic hair (B). (A,C, and D) are not consistently found with
pubescence.
◉ The PN is checking the musculoskeletal system of a one month old
infant during a well child visit. Which finding should the PN report
to the healthcare provider?
,a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles
Answer: Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either
partial or complete, is a common orthopedic deformity where the
head of the femur is partly or completely displaced as a result of a
shallow hip socket (acetabulum). Hip dysplasia causes the leg on the
affected side to appear shorter (A) than the leg on the unaffected
side. (D) is a sign of a neurologic problem, not hip dysplasia. The
skin folds of the thigh are deeper and often asymmetrical, not (B),
and the best indicator of hip dysplasia is femur shortening. (C) is not
a sign of hip dysplasia.
◉ Which physiological difference is present in a 3 month old infant
that affects oral drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
,d) an accelerated gastric emptying rate
Answer: Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3
months of life as the Gi system matures. The gastric secretions of
infants are less acidic than those of older children or adults, not (B).
Intestinal motility and gastric emptying rate tend to be slower in
infants, not (C and D).
◉ The practical nurse (PN) is preparing to administer an
intramuscular immunization to a 6 month old infant. What site
should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis
Answer: Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is
the best site for intramuscular (IM) injections in children younger
than 3 years of age. The deltoid muscle (C) is a small muscle mass
, that accommodates small volumes, less than 0.5 mL, and is not
recommended for IM use in young children. The gluteal muscles (A
and B) are used as an injection site in children whose musculature
develops after walking.
◉ The mother of a young child with Type 1 diabetes mellitus (DM)
who needs insulin injections at home tells the practical nurse (PN)
that she is afraid she does not know what to do properly. Which
action is most important for the PN implement to decrease the
mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother
Answer: Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C)
provides an opportunity to reinforce information & provide
validation to increase the mother's confidence and relieve
apprehension about caring for her child with DM. (A, B, and D) are of
less priority than (C).
