OB PEDS HESI EXIT EXAM 2025-2026 / HESI OB PEDS
EXIT EXAM ACTUAL EXAM ACTUAL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Overview
Developed to reflect the structure, difficulty, and clinical judgment focus of the HESI OB &
Pediatrics Exit Exam, this comprehensive study guide includes 100 high-quality, exam-style
practice questions with correct, detailed explanations. Updated for the 2025–2026 cycle, it helps
nursing students strengthen maternal–child nursing knowledge, practice NGN-aligned reasoning,
and prepare confidently for high-stakes exit exams.
─────────────────────────────
Key Features
✅ 100 OB/Peds Exam-Style Practice Questions with Correct, Detailed Explanations
✅ Fully Updated for HESI Exit Exam Standards 2025–2026
✅ Realistic NGN-Aligned Formats: Case Studies, Matrix Items, Highlighting, Drop-Downs, and
Clinical Judgment Tasks
✅ Covers Core Areas: Obstetrics, Newborn Care, Pediatrics, Growth & Development,
Pharmacology, Priority & Safety
✅ A+ Graded, Expert-Verified Content for Accuracy and Reliability
─────────────────────────────
Purpose
• Provide a focused, maternal–child nursing review aligned with HESI Exit expectations
• Reinforce clinical judgment, priority-setting, and safe patient-care decision-making
• Support learners aiming for strong exit exam scores and NGN readiness
─────────────────────────────
Recommended For
• Nursing students preparing for the OB/Peds sections of the HESI Exit Exam
• Learners seeking targeted, rationale-supported practice questions
• Instructors and tutors creating high-quality HESI preparation materials
─────────────────────────────
Your Complete OB/Peds HESI Study Resource
With 100 expertly crafted, exam-style questions and detailed explanations, the OB & Pediatrics
,HESI Exit Exam Study Guide 2025–2026 is your most reliable, up-to-date, and effective tool for
mastering maternal–child nursing concepts and preparing with confidence.
A baby with hemolytic jaundice is being treated with fluorescent phototherapy. To provide safe
newborn care, which of the following actions should the nurse perform?
1. Cover the baby's eyes with eye pads
2. Turn the lights on for ten minutes every hour
3. Clothe the baby in a shirt and diaper only
4. Tightly swaddle the baby in a baby blanket - answer-1.
When phototherapy is administered, the baby's eyes must be protected from the light source
A baby is born with erythroblastosis fetalis. Which of the following signs/symptoms would the nurse
expect to see?
1. Ruddy complexion
2. Anasarca
3. Alopecia
4. Erythema toxicum - answer-2.
Babies born with erythroblastosis fetalis often ore in severe congestive heart failure and, therfore,
exhibit anasarca
Which of the following laboratory findings would the nurse expect to see in a baby diagnosed with
erythroblastosis fetalis?
1. Hemacrit 24%
2. Leukocyte count 45,000 cells/mm
3. Sodium 125 mEq/L
4. Potassium 5.5 mEq/L - answer-1.
The baby with erythroblastosis fetalis would exhibit signs of severe anemia, which a hematocrit of 24%
reflects
,A baby's blood type is B negative. The baby is at risk for hemolytic jaundice if the mother has which of
the following blood types?
1. Type O negative
2. Type A negative
3. Type B positive
4. Type AB positive - answer-1.
ABO incompatibility can arise when the mother is type O and the baby is either type A or B
A baby, born at 3,199 grams, now weighs 2,746 grams. The baby is being monitored for dehydration
because of the following percent weight loss? (calculate to the nearest hundreth)
____________________________% - answer-14.16%
The formula for percentage of weight loss is :
Original weight minus current weight divided by original weight. The value is then multiplies by 100 to
convert the number to percentage:
3199-2746=453
453/3199=0.1416*100=14.16%
A baby exhibits weak rooting and sudking reflexes. Which of the following nursing diagnoses would be
appropriate?
1. Risk for deficient fluid volume
2. Activity intolerance
3. Risk for aspiration
4. Feeding self care deficit - answer-1.
When a boby roots and sucks poorly, the baby is unable to trasnsfer milk effectively. Because milk intake
is the baby's source of fluid, the baby is high risk for fluid volume deficit
The macrosomic baby in the nursery is suspected of having a fractured clavicle from a traumatic
delivery. Which of the following signs/symptoms would the nurse expect to see? ( Select all the apply) 1.
Pain with movement
, 2. Hard lump at the fracture site
3. Malpositioning of the arm
4. Asymmetrical Moro reflex
5. Marked localized ecchymosis - answer-1,2,3,4
1.The baby will complain of pain at the site.
2.If not in the immediate period after the injury, within a few days there will be a palpable lump on the
bone at the site of the break
3.Because of the break, the baby is likely to position the arm in an aytpical posture
4.Because of the injury to the bone, the baby is unable to respond with symmetrical arm movement
Four babies in the well baby nursery were born with congenital defects. Which of the babies'
complications developed as a result of the delivery method?
1. Clubfoot
2. Brachial palsy
3. Gastroschisis
4. Hydrocele - answer-2.
Brachial palsy can result from either a traumatic vertex or breech delivery
A nurse working with a 24 hour old neonate is the well baby nursery has made the following nursing
diagnosis: Risk for altered growth. Which of the following assessments would warrant this diagnosis?
1. The baby has lost 8% of weight since birth
2. The baby has not urinated since birth
3. The baby weighed 3,000 grams at birth
4. The baby exhibited signs of torticollis - answer-1.
A baby who has lost 8% of his or her weight after only 24 hours of life is very high risk for altered growth
The nurse is caring for an infant with congenital cardiac defect is monitoring the child for which of the
following early signs of congestive heart failure? (Select all that apply)
EXIT EXAM ACTUAL EXAM ACTUAL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Overview
Developed to reflect the structure, difficulty, and clinical judgment focus of the HESI OB &
Pediatrics Exit Exam, this comprehensive study guide includes 100 high-quality, exam-style
practice questions with correct, detailed explanations. Updated for the 2025–2026 cycle, it helps
nursing students strengthen maternal–child nursing knowledge, practice NGN-aligned reasoning,
and prepare confidently for high-stakes exit exams.
─────────────────────────────
Key Features
✅ 100 OB/Peds Exam-Style Practice Questions with Correct, Detailed Explanations
✅ Fully Updated for HESI Exit Exam Standards 2025–2026
✅ Realistic NGN-Aligned Formats: Case Studies, Matrix Items, Highlighting, Drop-Downs, and
Clinical Judgment Tasks
✅ Covers Core Areas: Obstetrics, Newborn Care, Pediatrics, Growth & Development,
Pharmacology, Priority & Safety
✅ A+ Graded, Expert-Verified Content for Accuracy and Reliability
─────────────────────────────
Purpose
• Provide a focused, maternal–child nursing review aligned with HESI Exit expectations
• Reinforce clinical judgment, priority-setting, and safe patient-care decision-making
• Support learners aiming for strong exit exam scores and NGN readiness
─────────────────────────────
Recommended For
• Nursing students preparing for the OB/Peds sections of the HESI Exit Exam
• Learners seeking targeted, rationale-supported practice questions
• Instructors and tutors creating high-quality HESI preparation materials
─────────────────────────────
Your Complete OB/Peds HESI Study Resource
With 100 expertly crafted, exam-style questions and detailed explanations, the OB & Pediatrics
,HESI Exit Exam Study Guide 2025–2026 is your most reliable, up-to-date, and effective tool for
mastering maternal–child nursing concepts and preparing with confidence.
A baby with hemolytic jaundice is being treated with fluorescent phototherapy. To provide safe
newborn care, which of the following actions should the nurse perform?
1. Cover the baby's eyes with eye pads
2. Turn the lights on for ten minutes every hour
3. Clothe the baby in a shirt and diaper only
4. Tightly swaddle the baby in a baby blanket - answer-1.
When phototherapy is administered, the baby's eyes must be protected from the light source
A baby is born with erythroblastosis fetalis. Which of the following signs/symptoms would the nurse
expect to see?
1. Ruddy complexion
2. Anasarca
3. Alopecia
4. Erythema toxicum - answer-2.
Babies born with erythroblastosis fetalis often ore in severe congestive heart failure and, therfore,
exhibit anasarca
Which of the following laboratory findings would the nurse expect to see in a baby diagnosed with
erythroblastosis fetalis?
1. Hemacrit 24%
2. Leukocyte count 45,000 cells/mm
3. Sodium 125 mEq/L
4. Potassium 5.5 mEq/L - answer-1.
The baby with erythroblastosis fetalis would exhibit signs of severe anemia, which a hematocrit of 24%
reflects
,A baby's blood type is B negative. The baby is at risk for hemolytic jaundice if the mother has which of
the following blood types?
1. Type O negative
2. Type A negative
3. Type B positive
4. Type AB positive - answer-1.
ABO incompatibility can arise when the mother is type O and the baby is either type A or B
A baby, born at 3,199 grams, now weighs 2,746 grams. The baby is being monitored for dehydration
because of the following percent weight loss? (calculate to the nearest hundreth)
____________________________% - answer-14.16%
The formula for percentage of weight loss is :
Original weight minus current weight divided by original weight. The value is then multiplies by 100 to
convert the number to percentage:
3199-2746=453
453/3199=0.1416*100=14.16%
A baby exhibits weak rooting and sudking reflexes. Which of the following nursing diagnoses would be
appropriate?
1. Risk for deficient fluid volume
2. Activity intolerance
3. Risk for aspiration
4. Feeding self care deficit - answer-1.
When a boby roots and sucks poorly, the baby is unable to trasnsfer milk effectively. Because milk intake
is the baby's source of fluid, the baby is high risk for fluid volume deficit
The macrosomic baby in the nursery is suspected of having a fractured clavicle from a traumatic
delivery. Which of the following signs/symptoms would the nurse expect to see? ( Select all the apply) 1.
Pain with movement
, 2. Hard lump at the fracture site
3. Malpositioning of the arm
4. Asymmetrical Moro reflex
5. Marked localized ecchymosis - answer-1,2,3,4
1.The baby will complain of pain at the site.
2.If not in the immediate period after the injury, within a few days there will be a palpable lump on the
bone at the site of the break
3.Because of the break, the baby is likely to position the arm in an aytpical posture
4.Because of the injury to the bone, the baby is unable to respond with symmetrical arm movement
Four babies in the well baby nursery were born with congenital defects. Which of the babies'
complications developed as a result of the delivery method?
1. Clubfoot
2. Brachial palsy
3. Gastroschisis
4. Hydrocele - answer-2.
Brachial palsy can result from either a traumatic vertex or breech delivery
A nurse working with a 24 hour old neonate is the well baby nursery has made the following nursing
diagnosis: Risk for altered growth. Which of the following assessments would warrant this diagnosis?
1. The baby has lost 8% of weight since birth
2. The baby has not urinated since birth
3. The baby weighed 3,000 grams at birth
4. The baby exhibited signs of torticollis - answer-1.
A baby who has lost 8% of his or her weight after only 24 hours of life is very high risk for altered growth
The nurse is caring for an infant with congenital cardiac defect is monitoring the child for which of the
following early signs of congestive heart failure? (Select all that apply)
