Maternal/Pediatric HESI exam|questions and 100% correct answers|2025/2026

Maternal/Pediatric HESI exam|questions and
100% correct answers|2025/2026
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influe
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nce on successful teaching of the gravid client?
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a. the client's readiness to learn
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b. the client's educational background
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c. the order in which the information is presented
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d. the extent to which the pregnancy is planned - ANSWER-A
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A 38-
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week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse th
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at her feet have begun to swell. Which instruction would be most effective in preventing pooling of bl
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ood in the lower extremities?
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a. wearing support stockings
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b. reduce salt in her diet
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c. move about every hour
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d. avoid constrictive clothing - ANSWER-C
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During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When co
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mpared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have
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a. lower apgar scores
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b. lower birth weights
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c. respiratory distress
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d. a higher rate of congenital anomalies - ANSWER-B
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A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
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weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcut
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aneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of te
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rbutaline sulfate? B




a. drowsiness and bradycardia
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b. depressed reflexes and increased respirations
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c. tachycardia and a feeling of nervousness.
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d. a flushed, warm feeling and a dry mouth - ANSWER-C
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,A mother who is breastfeeding her baby receives instructions from the nurse. Which instructions is m
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ost effective to prevent nipple soreness?
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a. wear a cotton bra
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b. increase nursing time gradually
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c. correctly place the infant on the breast
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d. manually express a small amount of milk before nursing - ANSWER-C
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A full term infant is transferred to the nursery from labor and delivery. Which information is most imp
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ortant for the nurse to receive when planning immediate care for the newborn?
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a. length of labor and method of delivery
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b. infant's condition at birth and treatment received
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c. feeding methods chosen by the parents
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d. history of drugs given to the mother during labor - ANSWER-B
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In developing a teaching plan for expectant parents, the nurse plans to include information about whe
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n the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledg
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e that for the normal new born, the
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a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
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b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week
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c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month
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d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month. -
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ANSWER-D
B




When assessing a client who is at 12-
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weeks gestation, the nurse recommends that she and her husband consider attending childbirth prep
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aration classes. When is the best time for the couple to attend these classes?
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a. at 16-week gestation
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b. at 20-weeks gestation
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c. at 24-weeks gestation
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d. at 30-weeks gestation - ANSWER-D
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The nurse should encourage the laboring client to begin pushing when
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a. there is only an anterior or posterior lip of cervix left.
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, b. the client describes the need to have a bowel movement
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c. the cervix is completely dilated
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d. the cervix is completely effaced - ANSWER-C
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The nurse is counseling a couple who has sought information about conceiving. For teaching purposes
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, the nurse should know that ovulation usually occurs
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a. two weeks before menstruation
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b. immediately after menstruation
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c. immediately before mensturation
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d. three weeks before menstruation - ANSWER-A
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The nurse instructs a laboring client to use accelerated-
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blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the
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nurse take?
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a. administer oxygen by face mask.
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b. notify the healthcare provider of the client's symptoms.
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c. have the client breathe into her cupped hands
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d. check the client's blood pressure and fetal heart rate - ANSWER-C
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When preparing a class on newborn care for expectant parents, what content should the nurse teach
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concerning the newborn infant born at term gestation? B B B B B B B




a. milia are red marks made by forceps and will disappear within 7 to 10 days
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b. meconium is the first stool and is usually yellow gold in color
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c. vernix is a white, cheesy substance, predominantly located in the skin folds.
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d. pseudostrabismus found in newborns is treated by minor surgery - ANSWER-C
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Twenty-four hours after admission to the newborn nursery, a full-
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term male infant develops localized edema on the right side of his head. The nurse knows that, in the
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newborn, an accumulation of blood between the periosteum and skull which does not cross the sutur
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e line is a newborn variation known as
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a. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
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b. a subarachnoid hematoma, which requires immediate drainage to prevent further complications
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c. modeling, caused by pressure during labor and will disappear within 2 to 3 days
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