HESI MATERNITY PEDS PRACTICE
ASSESSMENT 2026 COMPLETE SOLVED
QUESTIONS AND MODEL RESPONSES
◉ What goal is most important for the nurse to include in the plan of
care for a client with gestational diabetes?
Answer: Restrict carbohydrate intake.
◉ The nurse is interacting with a female client who is diagnosed
with postpartum depression. Which finding should the nurse
document as an objective signs of depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance.
Answer: A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
,◉ The nurse is planning care for a client at 30-weeks gestation who
is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain
Answer: A. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x 3
◉ In preparing a gravid client for a triple screen analysis, which
action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen.
Answer: A. Prepare to draw blood for analysis.
◉ During a routine first trimester prenatal exam, a pregnant client
tells the nurse that she has noticed an increase in vaginal discharge
that is white, thin, and watery. What action should the nurse
implement?
A. Inform her that this is a normal physiological change.
, B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam.
Answer: A. Inform her that this is a normal physiological change.
◉ Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her uterus
is firm and her vital signs are within normal limits. The nurse
determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.
Answer: B. Laceration on the cervix
◉ A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no
problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is
absorbed."
ASSESSMENT 2026 COMPLETE SOLVED
QUESTIONS AND MODEL RESPONSES
◉ What goal is most important for the nurse to include in the plan of
care for a client with gestational diabetes?
Answer: Restrict carbohydrate intake.
◉ The nurse is interacting with a female client who is diagnosed
with postpartum depression. Which finding should the nurse
document as an objective signs of depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance.
Answer: A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
,◉ The nurse is planning care for a client at 30-weeks gestation who
is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain
Answer: A. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x 3
◉ In preparing a gravid client for a triple screen analysis, which
action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen.
Answer: A. Prepare to draw blood for analysis.
◉ During a routine first trimester prenatal exam, a pregnant client
tells the nurse that she has noticed an increase in vaginal discharge
that is white, thin, and watery. What action should the nurse
implement?
A. Inform her that this is a normal physiological change.
, B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam.
Answer: A. Inform her that this is a normal physiological change.
◉ Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her uterus
is firm and her vital signs are within normal limits. The nurse
determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.
Answer: B. Laceration on the cervix
◉ A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no
problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is
absorbed."
