MATERNAL-PEDIATRIC HESI
PRACTICE EXAM QUESTIONS WITH
VERIFIED ANSWERS
The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
a. herpes
b. staphylococcus
c. gonorrhea
d. syphilis - ANSWER-C
A newborn infant is brought to the nursery from the birthing suite. The nurse notices
that the infant is breathing satisfactorily but appears dusky. What action should the
nurse take first?
a. notify the pediatrician immediately
b. suction the infant's nares, then the oral cavity
c. check the infant's oxygen saturation rate
d. position the infant on the right side - ANSWER-C
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding
my first child, but I would like to try with this baby." Which intervention is best for the
nurse to implement first?
a. assess the husband's feelings about his wife's decision to breastfeed their baby
b. ask the client to describe why she was unsuccessful with breastfeeding her last
child
c. encourage the clients to develop a positive attitude about breastfeeding to help
ensure success
d. provide assistance to the mother to begin breastfeeding as soon as possible after
delivery. - ANSWER-D
The nurse is teaching a woman how to use her basal body temperature pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
a. between the time the temperature falls and rises
b. between 36 and 48 hours after the temperature rises
c. when the temperature fails and remains low for 36 hours.
d. within 72 hours before the temperature falls - ANSWER-A
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction
is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - ANSWER-D
, A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptoms for a pediatric client with
AIDS is
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - ANSWER-C
The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment finding are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. increased urinary output and tachycardia
c. shortness of breath, bradycardia, and hypertension
d. regular heart rate and hypertension - ANSWER-A
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most important for the
nurse to implement?
a. describe diet changes that can improve the management of her diabetes.
b. inform the client that oral hypoglycemic agents are teratogenic during pregnancy
c. demonstrate self-administration of insulin
d. evaluate the client's ability to do glucose monitoring - ANSWER-A
A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure - ANSWER-A
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dL. Based on
this finding, which intervention should the nurse implement?
a. provide phototherapy for 30 minutes q8hour
b. feed the newborn sterile water hourly
c. encourage the mother to breastfeed frequently
d. assess the newborn's blood glucose level - ANSWER-C
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the
nurse that the client is experiencing magnesium sulfate toxicity?
a. deep tendon reflexes 2+
b. blood pressure 140/90
c. respiratory rate 18/minute
d. urine output 90 mL/4 hours - ANSWER-D
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of this drug?
a. maternal blood pressure and respirations
PRACTICE EXAM QUESTIONS WITH
VERIFIED ANSWERS
The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
a. herpes
b. staphylococcus
c. gonorrhea
d. syphilis - ANSWER-C
A newborn infant is brought to the nursery from the birthing suite. The nurse notices
that the infant is breathing satisfactorily but appears dusky. What action should the
nurse take first?
a. notify the pediatrician immediately
b. suction the infant's nares, then the oral cavity
c. check the infant's oxygen saturation rate
d. position the infant on the right side - ANSWER-C
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding
my first child, but I would like to try with this baby." Which intervention is best for the
nurse to implement first?
a. assess the husband's feelings about his wife's decision to breastfeed their baby
b. ask the client to describe why she was unsuccessful with breastfeeding her last
child
c. encourage the clients to develop a positive attitude about breastfeeding to help
ensure success
d. provide assistance to the mother to begin breastfeeding as soon as possible after
delivery. - ANSWER-D
The nurse is teaching a woman how to use her basal body temperature pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
a. between the time the temperature falls and rises
b. between 36 and 48 hours after the temperature rises
c. when the temperature fails and remains low for 36 hours.
d. within 72 hours before the temperature falls - ANSWER-A
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction
is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - ANSWER-D
, A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptoms for a pediatric client with
AIDS is
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - ANSWER-C
The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment finding are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. increased urinary output and tachycardia
c. shortness of breath, bradycardia, and hypertension
d. regular heart rate and hypertension - ANSWER-A
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most important for the
nurse to implement?
a. describe diet changes that can improve the management of her diabetes.
b. inform the client that oral hypoglycemic agents are teratogenic during pregnancy
c. demonstrate self-administration of insulin
d. evaluate the client's ability to do glucose monitoring - ANSWER-A
A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure - ANSWER-A
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dL. Based on
this finding, which intervention should the nurse implement?
a. provide phototherapy for 30 minutes q8hour
b. feed the newborn sterile water hourly
c. encourage the mother to breastfeed frequently
d. assess the newborn's blood glucose level - ANSWER-C
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the
nurse that the client is experiencing magnesium sulfate toxicity?
a. deep tendon reflexes 2+
b. blood pressure 140/90
c. respiratory rate 18/minute
d. urine output 90 mL/4 hours - ANSWER-D
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of this drug?
a. maternal blood pressure and respirations
