[HESI MATERNITY AND PEDIATRIC EXAM 2024] QUESTIONS AND ANSWERS ALREADY GRADED A+| 100%
VERIFIED SOLUTIONS NEXT GEN (NGN)GUARANTEED PASS
CORE DOMAINS
Antepartum Nursing Care
Intrapartum and Postpartum Nursing Care
Newborn Assessment and Care
Pediatric Growth and Development
Pediatric Acute and Chronic Illnesses
Pediatric Medication Administration and Dosage Calculations
Family Dynamics, Ethics, and Legal Issues in Maternal-Child Nursing
Introduction
This comprehensive examination is designed to assess the foundational and applied knowledge necessary for
successful practice in maternity and pediatric nursing. It evaluates critical thinking, clinical judgment, and the
ability to prioritize patient care in a variety of scenarios. The assessment is structured with multiple-choice
questions that integrate theoretical concepts with real-world clinical applications, emphasizing safe, evidence-
based, and culturally competent care. Candidates will be tested on their understanding of physiological changes,
,disease processes, pharmacological interventions, and the unique psychosocial needs of childbearing families and
children from infancy through adolescence. The questions require the synthesis of information to make sound
decisions, reflecting the standards of professional nursing practice and ensuring patient safety across all care
settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client at 38 weeks gestation who is experiencing preterm labor. The healthcare
provider prescribes betamethasone. What is the primary purpose of this medication?
A. To stop uterine contractions.
B. To prevent maternal seizures.
C. To accelerate fetal lung maturity.
D. To treat a maternal infection.
🟢 Correct answer: C
🔴 RATIONALE: Betamethasone is a corticosteroid administered to a pregnant woman at risk of preterm
delivery to stimulate the production of surfactant in the fetal lungs, which accelerates lung maturity and reduces
the risk of respiratory distress syndrome (RDS) in the newborn. It does not stop contractions (tocolysis), prevent
seizures (magnesium sulfate), or treat infections (antibiotics).
2. A nurse is assessing a newborn who is 12 hours old. Which finding should be reported to the healthcare
provider immediately?
,A. Acrocyanosis of the hands and feet.
B. A respiratory rate of 40 breaths per minute.
C. A heart rate of 160 beats per minute.
D. Grunting respirations with nasal flaring.
🟢 Correct answer: D
🔴 RATIONALE: Grunting respirations with nasal flaring are signs of respiratory distress in a newborn, which can
indicate conditions like transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), or
pneumonia. Acrocyanosis (A) is a common finding in the first 24-48 hours. A respiratory rate of 40 bpm (B) and
a heart rate of 160 bpm (C) are within normal limits for a newborn.
3. A 4-year-old child is admitted to the pediatric unit with dehydration. Which of the following assessment
findings indicates a late sign of shock in this child?
A. Tachycardia.
B. Capillary refill of 3 seconds.
C. Hypotension.
D. Decreased urine output.
🟢 Correct answer: C
🔴 RATIONALE: In children, compensatory mechanisms (e.g., tachycardia, peripheral vasoconstriction) maintain
blood pressure for a significant time. Hypotension is a late and ominous sign of shock, indicating that
compensatory mechanisms are failing. The other options are earlier signs of impending shock.
4. A nurse is providing discharge teaching to the parents of a 6-month-old infant diagnosed with
bronchiolitis. Which statement by the parent indicates a need for further teaching?
, A. "I will keep the head of the crib elevated to help my baby breathe easier."
B. "I will use a cool-mist humidifier in the baby's room."
C. "I will offer small amounts of fluid frequently to prevent dehydration."
D. "I will give my baby honey to help soothe the cough."
🟢 Correct answer: D
🔴 RATIONALE: Honey should not be given to infants under 12 months of age due to the risk of infant
botulism. The other statements reflect appropriate care for a child with bronchiolitis: elevating the head of the
bed (A), using a cool-mist humidifier (B), and offering frequent small feeds (C) are all safe and effective
interventions.
5. A postpartum client asks the nurse about resuming sexual activity. What is the most appropriate response
by the nurse?
A. "You can resume sexual activity as soon as you are discharged from the hospital."
B. "You should wait until your six-week postpartum checkup."
C. "You can resume when the lochia has stopped and you feel comfortable."
D. "It is recommended to wait at least three months to allow for complete healing."
🟢 Correct answer: C
🔴 RATIONALE: Resumption of sexual activity is generally safe when lochia (postpartum bleeding) has ceased
and the client feels physically and emotionally ready, which is often around 4-6 weeks. The recommendation
should be individualized. While a six-week checkup (B) is a common guideline, it is not a strict rule for all, and
comfort and cessation of lochia are key indicators.
VERIFIED SOLUTIONS NEXT GEN (NGN)GUARANTEED PASS
CORE DOMAINS
Antepartum Nursing Care
Intrapartum and Postpartum Nursing Care
Newborn Assessment and Care
Pediatric Growth and Development
Pediatric Acute and Chronic Illnesses
Pediatric Medication Administration and Dosage Calculations
Family Dynamics, Ethics, and Legal Issues in Maternal-Child Nursing
Introduction
This comprehensive examination is designed to assess the foundational and applied knowledge necessary for
successful practice in maternity and pediatric nursing. It evaluates critical thinking, clinical judgment, and the
ability to prioritize patient care in a variety of scenarios. The assessment is structured with multiple-choice
questions that integrate theoretical concepts with real-world clinical applications, emphasizing safe, evidence-
based, and culturally competent care. Candidates will be tested on their understanding of physiological changes,
,disease processes, pharmacological interventions, and the unique psychosocial needs of childbearing families and
children from infancy through adolescence. The questions require the synthesis of information to make sound
decisions, reflecting the standards of professional nursing practice and ensuring patient safety across all care
settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client at 38 weeks gestation who is experiencing preterm labor. The healthcare
provider prescribes betamethasone. What is the primary purpose of this medication?
A. To stop uterine contractions.
B. To prevent maternal seizures.
C. To accelerate fetal lung maturity.
D. To treat a maternal infection.
🟢 Correct answer: C
🔴 RATIONALE: Betamethasone is a corticosteroid administered to a pregnant woman at risk of preterm
delivery to stimulate the production of surfactant in the fetal lungs, which accelerates lung maturity and reduces
the risk of respiratory distress syndrome (RDS) in the newborn. It does not stop contractions (tocolysis), prevent
seizures (magnesium sulfate), or treat infections (antibiotics).
2. A nurse is assessing a newborn who is 12 hours old. Which finding should be reported to the healthcare
provider immediately?
,A. Acrocyanosis of the hands and feet.
B. A respiratory rate of 40 breaths per minute.
C. A heart rate of 160 beats per minute.
D. Grunting respirations with nasal flaring.
🟢 Correct answer: D
🔴 RATIONALE: Grunting respirations with nasal flaring are signs of respiratory distress in a newborn, which can
indicate conditions like transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), or
pneumonia. Acrocyanosis (A) is a common finding in the first 24-48 hours. A respiratory rate of 40 bpm (B) and
a heart rate of 160 bpm (C) are within normal limits for a newborn.
3. A 4-year-old child is admitted to the pediatric unit with dehydration. Which of the following assessment
findings indicates a late sign of shock in this child?
A. Tachycardia.
B. Capillary refill of 3 seconds.
C. Hypotension.
D. Decreased urine output.
🟢 Correct answer: C
🔴 RATIONALE: In children, compensatory mechanisms (e.g., tachycardia, peripheral vasoconstriction) maintain
blood pressure for a significant time. Hypotension is a late and ominous sign of shock, indicating that
compensatory mechanisms are failing. The other options are earlier signs of impending shock.
4. A nurse is providing discharge teaching to the parents of a 6-month-old infant diagnosed with
bronchiolitis. Which statement by the parent indicates a need for further teaching?
, A. "I will keep the head of the crib elevated to help my baby breathe easier."
B. "I will use a cool-mist humidifier in the baby's room."
C. "I will offer small amounts of fluid frequently to prevent dehydration."
D. "I will give my baby honey to help soothe the cough."
🟢 Correct answer: D
🔴 RATIONALE: Honey should not be given to infants under 12 months of age due to the risk of infant
botulism. The other statements reflect appropriate care for a child with bronchiolitis: elevating the head of the
bed (A), using a cool-mist humidifier (B), and offering frequent small feeds (C) are all safe and effective
interventions.
5. A postpartum client asks the nurse about resuming sexual activity. What is the most appropriate response
by the nurse?
A. "You can resume sexual activity as soon as you are discharged from the hospital."
B. "You should wait until your six-week postpartum checkup."
C. "You can resume when the lochia has stopped and you feel comfortable."
D. "It is recommended to wait at least three months to allow for complete healing."
🟢 Correct answer: C
🔴 RATIONALE: Resumption of sexual activity is generally safe when lochia (postpartum bleeding) has ceased
and the client feels physically and emotionally ready, which is often around 4-6 weeks. The recommendation
should be individualized. While a six-week checkup (B) is a common guideline, it is not a strict rule for all, and
comfort and cessation of lochia are key indicators.
