HESI OB PEDS ACTUAL EXAM | COMPLETE QUESTIONS WITH 100% RATED
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. The father of a 3-day-old infant who is breastfeeding calls the postpartum helpline to report that his wife is acting
strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. Which information is
most important for the nurse to provide this father?
A- Tell the father to count the newborn's number of soiled diapers over the next few days.
B- A fluctuation in hormones in the early postpartum period can cause mood changes.
C- Recommend giving supplemental bottle feedings to the baby between breastfeeding.
D- Contact the clinic if the behaviors continue for more than two weeks or
become worse: D- Contact the clinic if the behaviors continue for more than two weeks or become worse 2. A school-
age child presents for a well-child visit with a hemoglobin level of 10 g/dL (100 g/L) and a body mass index of 15
kg/mm. Which additional assessment should the nurse obtain to help identify a potential cause of these clinical
manifestations?
A- Average daily intake of meals.
B- Primary source of water.
C- Family history of eating disorders.
D- Standard household income: A- Average daily intake of meals.
3. The nurse is caring for a newborn infant who was recently diagnosed with a congenital heart defect. Which
assessment finding warrants immediate intervention by the nurse?
,A- Bluish tinge to the tongue. B- Increased
respiratory rate C- Weak peripheral pulses.
D- Sweating during feedings.: A- Bluish tinge to the tongue.
4. Which action should the nurse take if an infant, who was born yesterday, weighing 7.5 Ibs. (3, 402 grams), weighs 7
lbs (3,175 grams) today?
A- Monitor the stool and urine output of the neonate for the last 24 hours.
B- Inform and assure the mother that this is a normal weight loss.
C- Encourage the mother to increase the frequency of breastfeeding.
D- After verifying the accuracy of the weight, notify the healthcare provider.: B-
Inform and assure the mother that this is a normal weight loss.
5. The nurse is preparing to administer phytonadione to a newborn. Which statement made by the parents
indicates understanding why the nurse is administering this medication?
Help an immature liver.
Prevent hemorrhagic disorders.
Stimulate the immune system.
Improve insufficient dietary intake.: Prevent hemorrhagic disorders.
6. A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32.3% (0.323),
tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the lab value might affect
her pregnancy, which information should the nurse provide?
Reference range:
Hemoglobin 12 to 16 g/di (7.4 to 9.9mmol/L): pregnant greater than 11 d/d/ (0.68mmol/L)
Hematocrit 37% to 47% (0.37 to 0.47 volume fraction); pregnant greater than 33 % (0.33 volume fraction)
, A- Plasma volume increases, making the blood count appear low.
B- Increasing intake of protein might improve these values.
C- It might be necessary to take an iron supplement twice daily.
D- Almost all women at 28-weeks gestation have anemia.: A- Plasma volume increases, making the blood count
appear low.
7. A client who is 5 ft 5 inch tall and weighs 72 lbs presents to the emergency department after a syncopal episode
at home. The client has poor skin turgor with tenting and blood pressure of 80/50 mm Hg. Which action should the
nurse implement first?
Insert peripheral IV for fluid resuscitation.
Calculate body mass index (BMI).
Obtain date of last menstrual cycle.
Assess routine daily dietary intake.: Insert peripheral IV for fluid resuscitation.
8. A newborn infant is receiving immunizations prior to discharge. Which action should the nurse implement?
Give the first dose of the vaccine for Rotavirus if any siblings have diarrhea now.
Ask the mother if she wants the infant immunized for Haemophilus influenzae.
Obtain signed consent from the mother for administration of Hepatitis B vaccine.
Prepare the first dose for Diphtheria, tetanus toxoid and acellular pertussis
(DTaP): Obtain signed consent from the mother for administration of Hepatitis B vaccine.
9. The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the
nurse implement first?
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. The father of a 3-day-old infant who is breastfeeding calls the postpartum helpline to report that his wife is acting
strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. Which information is
most important for the nurse to provide this father?
A- Tell the father to count the newborn's number of soiled diapers over the next few days.
B- A fluctuation in hormones in the early postpartum period can cause mood changes.
C- Recommend giving supplemental bottle feedings to the baby between breastfeeding.
D- Contact the clinic if the behaviors continue for more than two weeks or
become worse: D- Contact the clinic if the behaviors continue for more than two weeks or become worse 2. A school-
age child presents for a well-child visit with a hemoglobin level of 10 g/dL (100 g/L) and a body mass index of 15
kg/mm. Which additional assessment should the nurse obtain to help identify a potential cause of these clinical
manifestations?
A- Average daily intake of meals.
B- Primary source of water.
C- Family history of eating disorders.
D- Standard household income: A- Average daily intake of meals.
3. The nurse is caring for a newborn infant who was recently diagnosed with a congenital heart defect. Which
assessment finding warrants immediate intervention by the nurse?
,A- Bluish tinge to the tongue. B- Increased
respiratory rate C- Weak peripheral pulses.
D- Sweating during feedings.: A- Bluish tinge to the tongue.
4. Which action should the nurse take if an infant, who was born yesterday, weighing 7.5 Ibs. (3, 402 grams), weighs 7
lbs (3,175 grams) today?
A- Monitor the stool and urine output of the neonate for the last 24 hours.
B- Inform and assure the mother that this is a normal weight loss.
C- Encourage the mother to increase the frequency of breastfeeding.
D- After verifying the accuracy of the weight, notify the healthcare provider.: B-
Inform and assure the mother that this is a normal weight loss.
5. The nurse is preparing to administer phytonadione to a newborn. Which statement made by the parents
indicates understanding why the nurse is administering this medication?
Help an immature liver.
Prevent hemorrhagic disorders.
Stimulate the immune system.
Improve insufficient dietary intake.: Prevent hemorrhagic disorders.
6. A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32.3% (0.323),
tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the lab value might affect
her pregnancy, which information should the nurse provide?
Reference range:
Hemoglobin 12 to 16 g/di (7.4 to 9.9mmol/L): pregnant greater than 11 d/d/ (0.68mmol/L)
Hematocrit 37% to 47% (0.37 to 0.47 volume fraction); pregnant greater than 33 % (0.33 volume fraction)
, A- Plasma volume increases, making the blood count appear low.
B- Increasing intake of protein might improve these values.
C- It might be necessary to take an iron supplement twice daily.
D- Almost all women at 28-weeks gestation have anemia.: A- Plasma volume increases, making the blood count
appear low.
7. A client who is 5 ft 5 inch tall and weighs 72 lbs presents to the emergency department after a syncopal episode
at home. The client has poor skin turgor with tenting and blood pressure of 80/50 mm Hg. Which action should the
nurse implement first?
Insert peripheral IV for fluid resuscitation.
Calculate body mass index (BMI).
Obtain date of last menstrual cycle.
Assess routine daily dietary intake.: Insert peripheral IV for fluid resuscitation.
8. A newborn infant is receiving immunizations prior to discharge. Which action should the nurse implement?
Give the first dose of the vaccine for Rotavirus if any siblings have diarrhea now.
Ask the mother if she wants the infant immunized for Haemophilus influenzae.
Obtain signed consent from the mother for administration of Hepatitis B vaccine.
Prepare the first dose for Diphtheria, tetanus toxoid and acellular pertussis
(DTaP): Obtain signed consent from the mother for administration of Hepatitis B vaccine.
9. The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the
nurse implement first?
