HESI MATERNITY PEDIATRIC CERTIFICATION
EVALUATION 2026 FULL SOLUTION VIEW
AHEAD QUESTIONS
◉ A client who is in the second trimester of pregnancy tells the
nurse that she wants to use herbal therapy. Which response is best
for the nurse to provide?
a. Herbs are a corner stone of good health to include in your
treatment
b. Touch is also therapeutic in relieving discomfort and anxiety
c. Your healthcare provider should direct treatment options for
herbal therapy
d. It is important that you want to take part in your care
Answer: d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as
herbal therapy, is that the client is viewed as a whole being, capable
of decision-making and an integral part of the health care team, so
(D) recognizes the client's request.
◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective to prevent nipple
soreness?
,a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing
Answer: c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
(C) of the infant on the breast, e.g., grasping too little of the areola or
grasping on the nipple.
◉ The nurse is counseling a woman who wants to become pregnant.
The woman tells the nurse that she has a 36-day menstrual cycle
and the first day of her menstrual period was January *. The nurse
correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7
Answer: c. January 30-31
This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first
day of the cycle and continues to the first day of the next cycle. Her
next period would, therefore, begin on February 13. Ovulation
,occurs 14 days before the first day of the menstrual period.
Therefore, ovulation for this woman would occur January 31 (C).
◉ The nurse should encourage the laboring client to begin pushing
when
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced
Answer: c. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), the cervix can become edematous
and may never completely dilate, necessitating an operative delivery.
Many primigravidas begin active labor 100% effaced and then
proceed to dilate.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
, c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription
Answer: d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood
pressure, so the nurse should contact the healthcare provider and
question the prescription (D).
◉ A newborn, whose mother is HIV positive, is scheduled for follow-
up assessments. The nurse knows that the most likely presenting
symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly
Answer: c. a persistent cold
Respiratory tract infections commonly occur in the pediatric
population. However, the child iwth AIDS has a decreased ability to
defend the body against these infections and often the presenting
symptom of a child with AIDS is a persistent cold (C).
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
EVALUATION 2026 FULL SOLUTION VIEW
AHEAD QUESTIONS
◉ A client who is in the second trimester of pregnancy tells the
nurse that she wants to use herbal therapy. Which response is best
for the nurse to provide?
a. Herbs are a corner stone of good health to include in your
treatment
b. Touch is also therapeutic in relieving discomfort and anxiety
c. Your healthcare provider should direct treatment options for
herbal therapy
d. It is important that you want to take part in your care
Answer: d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as
herbal therapy, is that the client is viewed as a whole being, capable
of decision-making and an integral part of the health care team, so
(D) recognizes the client's request.
◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective to prevent nipple
soreness?
,a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing
Answer: c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
(C) of the infant on the breast, e.g., grasping too little of the areola or
grasping on the nipple.
◉ The nurse is counseling a woman who wants to become pregnant.
The woman tells the nurse that she has a 36-day menstrual cycle
and the first day of her menstrual period was January *. The nurse
correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7
Answer: c. January 30-31
This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first
day of the cycle and continues to the first day of the next cycle. Her
next period would, therefore, begin on February 13. Ovulation
,occurs 14 days before the first day of the menstrual period.
Therefore, ovulation for this woman would occur January 31 (C).
◉ The nurse should encourage the laboring client to begin pushing
when
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced
Answer: c. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), the cervix can become edematous
and may never completely dilate, necessitating an operative delivery.
Many primigravidas begin active labor 100% effaced and then
proceed to dilate.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
, c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription
Answer: d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood
pressure, so the nurse should contact the healthcare provider and
question the prescription (D).
◉ A newborn, whose mother is HIV positive, is scheduled for follow-
up assessments. The nurse knows that the most likely presenting
symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly
Answer: c. a persistent cold
Respiratory tract infections commonly occur in the pediatric
population. However, the child iwth AIDS has a decreased ability to
defend the body against these infections and often the presenting
symptom of a child with AIDS is a persistent cold (C).
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
