• HESI RN 09/11/2026
PEDIATRICS Exam
Pediatrics HESI RN V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that she is constantly
rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too
much. Which recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - Correct Answer :D) Reassure him that normal
maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence. No intervention is
needed. Quickening, the first perception of fetal movement, occurs at 17 to 20 weeks of gestation and begins a
new phase of prenatal bonding during the second trimester. Options A and C are not necessary because the
behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is completed, it is
most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - Correct Answer :C. Fetal heart rate (FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes that may indicate the presence
of cord compression or prolapse. An amniotomy (artificial rupture of membranes [AROM]) is used to stimulate
labor when the condition of the cervix is favorable. The fluid should be assessed for color, odor, and consistency.
Option A should be assessed every 15 to 20 minutes during labor but is not specific for AROM. Option B is
monitored hourly after the membranes are ruptured to detect the development of amnionitis. Option D should
be determined for all clients in labor.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In developing a plan
of care, the nurse should give the highest priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Correct Answer :B. Skin color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of bilirubin, which should be further
evaluated in a newborn <24 hours old. Acrocyanosis (blue color of the hands and feet) is a common finding in
newborns; it occurs because the capillary system is immature. Milia are small white papules present on the nose
and chin that are caused by sebaceous gland blockage and disappear in a few weeks. Small red patches on the
cheeks and trunk are called erythema toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. - Correct Answer
:A.Breastfeed the infant, ensuring that both breasts are completely emptied.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
Rationale:Mastitis, caused by plugged milk ducts, is related to breast engorgement, and breastfeeding during
mastitis facilitates the complete emptying of engorged breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate complete emptying of the breast tissue. Option C will not
relieve the engorgement on the affected side. Option D will not decrease antibiotic effects on the infant.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her
feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - Correct Answer :C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins.
Moving about every hour will relieve pressure on the pelvic veins and increase venous return. Option A would
increase venous return from varicose veins in the lower extremities but would be of little help with swelling.
Option B might be helpful with generalized edema but is not specific for edematous lower extremities. Option D
does not address venous return, and there is no indication in the question that constrictive clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized swelling on
the right side of his head. In a newborn, what is the most likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
P 4
PEDIATRICS Exam
Pediatrics HESI RN V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that she is constantly
rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too
much. Which recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - Correct Answer :D) Reassure him that normal
maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence. No intervention is
needed. Quickening, the first perception of fetal movement, occurs at 17 to 20 weeks of gestation and begins a
new phase of prenatal bonding during the second trimester. Options A and C are not necessary because the
behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is completed, it is
most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - Correct Answer :C. Fetal heart rate (FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes that may indicate the presence
of cord compression or prolapse. An amniotomy (artificial rupture of membranes [AROM]) is used to stimulate
labor when the condition of the cervix is favorable. The fluid should be assessed for color, odor, and consistency.
Option A should be assessed every 15 to 20 minutes during labor but is not specific for AROM. Option B is
monitored hourly after the membranes are ruptured to detect the development of amnionitis. Option D should
be determined for all clients in labor.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In developing a plan
of care, the nurse should give the highest priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Correct Answer :B. Skin color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of bilirubin, which should be further
evaluated in a newborn <24 hours old. Acrocyanosis (blue color of the hands and feet) is a common finding in
newborns; it occurs because the capillary system is immature. Milia are small white papules present on the nose
and chin that are caused by sebaceous gland blockage and disappear in a few weeks. Small red patches on the
cheeks and trunk are called erythema toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. - Correct Answer
:A.Breastfeed the infant, ensuring that both breasts are completely emptied.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
Rationale:Mastitis, caused by plugged milk ducts, is related to breast engorgement, and breastfeeding during
mastitis facilitates the complete emptying of engorged breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate complete emptying of the breast tissue. Option C will not
relieve the engorgement on the affected side. Option D will not decrease antibiotic effects on the infant.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her
feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - Correct Answer :C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins.
Moving about every hour will relieve pressure on the pelvic veins and increase venous return. Option A would
increase venous return from varicose veins in the lower extremities but would be of little help with swelling.
Option B might be helpful with generalized edema but is not specific for edematous lower extremities. Option D
does not address venous return, and there is no indication in the question that constrictive clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized swelling on
the right side of his head. In a newborn, what is the most likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
P 4
