HESI MATERNITY AND PEDIATRICS FINAL 2026
PEDIATRIC GROWTH AND DEVELOPMENT
DRILL PACK ANSWER SHEET
◉ An insulin-dependent client with gestational diabetes mellitus is
in the second stage of labor. What supplies will the delivery nurse
gather for care of the newborn? (Select all that apply.)
Answer: Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit
◉ A client is admitted to the hospital at 28 weeks of gestation in
preterm labor. The nurse administers three doses of terbutaline
sulfate, 0.25 mg subcutaneously. Which side effects will the nurse
anticipate for this client? (Select all that apply.)
Answer: Feeling of nervousness
Tachycardia
Restlessness
◉ The nurse is interviewing a newly pregnancy client who is 16-
years old. Which client statement indicates teaching is necessary for
a safe pregnancy? (Select all that apply.)
,Answer: "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
◉ The nurse is preparing to administer an IV pain medication to a
client in labor. What will the nurse include in this client's plan of
care related to the administration of the medication? (Select all that
apply.)
Answer: Administer the medication only when the client is having a
contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to
administering the pain medication.
◉ The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of
moderate intensity, for the past 6 hours. Her cervical exam upon
admission is 4/0/75%, and membranes are intact. In the next 20
minutes, what supplies will the nurse gather for this client? (Select
all that apply.)
Answer: Amnihook
1000 mL of D5LR
Oxytocin
,◉ The nurse is providing care to a postpartum client with O negative
blood who is antibody positive. The newborn is O negative. What is
the best nursing action for this client?
Answer: Ask the mother if she desires any more children.
◉ The nurse is preparing a newborn for discharge. There is an order
for a hepatitis B vaccination prior to discharge. When planning to
administer the vaccination, what information must the nurse obtain
from the infants chart?
Answer: Site of the vitamin K injection
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next?
Answer: Have the client breathe into her cupped hands.
◉ The nurse is counseling a couple who has sought information
about conceiving. The couple asks the nurse to explain when
ovulation usually occurs. Which statement by the nurse is correct?
Answer: Two weeks before menstruation
◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
, Answer: Place petroleum ointment around the glans with each
diaper change and cleansing.
◉ The clinic nurse takes a phone call from a client who reports she
is at 12 weeks gestation. Which statements indicate to the nurse the
client may be having a spontaneous abortion? (Select all that apply.)
Answer: "I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
◉ A 25-year-old client has a positive pregnancy test. One year ago
she had a spontaneous abortion at 3 months of gestation. What will
the nurse document in the client's chart regarding her GTPAL?
Answer: 20010
◉ A client in active labor is becoming increasingly fearful because
her contractions are occurring more often than she had expected.
Her partner is also becoming anxious. What is the nurse's best
action?
Answer: Asking the client and her partner if they would like the
nurse to stay in the room
◉ What specific instructions will the nurse include in the pregnancy
client's teaching plan who is also human immunodeficiency virus
(HIV) positive? (Select all that apply.)
Answer: Use condoms when having sex.
PEDIATRIC GROWTH AND DEVELOPMENT
DRILL PACK ANSWER SHEET
◉ An insulin-dependent client with gestational diabetes mellitus is
in the second stage of labor. What supplies will the delivery nurse
gather for care of the newborn? (Select all that apply.)
Answer: Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit
◉ A client is admitted to the hospital at 28 weeks of gestation in
preterm labor. The nurse administers three doses of terbutaline
sulfate, 0.25 mg subcutaneously. Which side effects will the nurse
anticipate for this client? (Select all that apply.)
Answer: Feeling of nervousness
Tachycardia
Restlessness
◉ The nurse is interviewing a newly pregnancy client who is 16-
years old. Which client statement indicates teaching is necessary for
a safe pregnancy? (Select all that apply.)
,Answer: "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
◉ The nurse is preparing to administer an IV pain medication to a
client in labor. What will the nurse include in this client's plan of
care related to the administration of the medication? (Select all that
apply.)
Answer: Administer the medication only when the client is having a
contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to
administering the pain medication.
◉ The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of
moderate intensity, for the past 6 hours. Her cervical exam upon
admission is 4/0/75%, and membranes are intact. In the next 20
minutes, what supplies will the nurse gather for this client? (Select
all that apply.)
Answer: Amnihook
1000 mL of D5LR
Oxytocin
,◉ The nurse is providing care to a postpartum client with O negative
blood who is antibody positive. The newborn is O negative. What is
the best nursing action for this client?
Answer: Ask the mother if she desires any more children.
◉ The nurse is preparing a newborn for discharge. There is an order
for a hepatitis B vaccination prior to discharge. When planning to
administer the vaccination, what information must the nurse obtain
from the infants chart?
Answer: Site of the vitamin K injection
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next?
Answer: Have the client breathe into her cupped hands.
◉ The nurse is counseling a couple who has sought information
about conceiving. The couple asks the nurse to explain when
ovulation usually occurs. Which statement by the nurse is correct?
Answer: Two weeks before menstruation
◉ A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
, Answer: Place petroleum ointment around the glans with each
diaper change and cleansing.
◉ The clinic nurse takes a phone call from a client who reports she
is at 12 weeks gestation. Which statements indicate to the nurse the
client may be having a spontaneous abortion? (Select all that apply.)
Answer: "I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
◉ A 25-year-old client has a positive pregnancy test. One year ago
she had a spontaneous abortion at 3 months of gestation. What will
the nurse document in the client's chart regarding her GTPAL?
Answer: 20010
◉ A client in active labor is becoming increasingly fearful because
her contractions are occurring more often than she had expected.
Her partner is also becoming anxious. What is the nurse's best
action?
Answer: Asking the client and her partner if they would like the
nurse to stay in the room
◉ What specific instructions will the nurse include in the pregnancy
client's teaching plan who is also human immunodeficiency virus
(HIV) positive? (Select all that apply.)
Answer: Use condoms when having sex.
