HESI-MATERNITY & PEDIATRICS
EXAM QUESTIONS WITH VERIFIED
ANSWERS
The nurse is counseling a client who wants to become pregnant. She tells the nurse
that she has a 36-day menstrual cycle and the first day of her last menstrual period
was January 8. When will the client's next fertile period occur? - ANSWER-January
29 to 30
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The
nurse determines that the client is dilated 7 cm and is 100% effaced at 0 station, with
intact membranes. The monitor indicates that the FHR decelerates at the onset of
several contractions and returns to baseline before each contraction ends. Which
action should the nurse take next? - ANSWER-Continue to monitor labor progress.
The postpartum client is preparing for discharge. She states to the nurse, "I have not
had a bowel movement yet." What are the nurse's recommendations for this client?
(Select all that apply.) - ANSWER-"Drink no less than 5, 8-ounce glasses of water or
non-caffeine beverages per day."
"Make sure you eat 4 to 5 servings if high fiber foods a day, like broccoli and pears."
"Since it is nice outside, take a 15-minute walk two to three times a day."
The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need for administering antibiotic ointment into the eyes of the newborn.
An expectant father asks, "What type of disease causes infections in babies that can
be prevented by using this ointment?" Which response by the nurse is accurate?
(Select all that apply.) - ANSWER-Gonorrhea
Chlamydia
The nurse is teaching the pregnant client about fetal growth and development. Which
client statements indicate understanding of the teaching? (Select all that apply.) -
ANSWER-My baby gets oxygen through the placenta.
The amniotic fluid helps with muscle development.
My baby will gain about a half a pound per week after 36 weeks.
The nurse is providing care for a laboring client with a GTPAL of 65005 at term.
Which assessments will the nurse include in this client's plan of care for after
delivery? (Select all that apply.) - ANSWER-Fundal assessment should be made
every 5 minutes for 30 minutes after delivery of the placenta.
Assess for lochia every 5 minutes for 30 minutes after delivery of the placenta.
Place the infant to breast immediately after delivery
The clinic nurse is providing care to a client at 28 weeks gestation. The client asks,
"What does my baby look like now?" How will the nurse respond? (Select all that
apply.) - ANSWER-"Your baby weighs about 2.5 pounds."
"The baby's arms are bent at the elbows."
"Your baby can open and close its eyes now."
,When preparing a class on newborn care for expectant parents, which is correct for
the nurse to teach concerning the newborn infant born at term gestation? -
ANSWER-Vernix is a white cheesy substance, predominantly located in the skin
folds.
The nurse is providing care to a client who just delivered her sixth term infant. In
addition to routine postpartum care, what additional priority nursing action will the
nurse include in this client's plan of care? - ANSWER-Weigh the peri pads before
and after placement to the peri area.
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? - ANSWER-Skin color that is slightly jaundiced
Which client statement indicates that she understands the instructions of
breastfeeding her newborn? (Select all that apply.) - ANSWER-"Breastfeeding my
infant consistently every 3 to 4 hours decreases the likelihood of me ovulating."
"I should avoid foods that usually give me gas."
"When I feed my baby, I should start on the breast the baby stopped on last."
"I should drink fluids when breastfeeding my baby, especially at night."
Prior to discharge, what instructions should the nurse give to parents regarding the
newborn's umbilical cord care at home? - ANSWER-Allow the cord to air-dry as
much as possible.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant
while her husband is screaming for someone to help his wife. What is the next
nursing action? - ANSWER-Put the newborn to the breast immediately.
The nurse is discussing the timing of the next prenatal visit for the client at 34 weeks
gestation. If the current visit occurred on April 4, which statement indicates the client
understands the teaching? - ANSWER-"I can come in on April 18."
The clinic nurse is performing an assessment on a client who is 20 weeks gestation,
which was confirmed by ultrasound. When performing the fundal height assessment,
where will the nurse start palpating the abdomen? - ANSWER-At the umbilicus
A new mother who has been insulin dependent for eight years just delivered
spontaneously an 8 pound, 4 ounce infant/3740 grams infant. The nurse obtains a
blood glucose reading of 112 mg/dL when the infant is 8 hours old. What is the best
nursing action for this client? - ANSWER-Document the finding in the client's chart.
A new mother asks the nurse, "How do I know that my baby is getting enough breast
milk?" Which explanation is most appropriate? - ANSWER-"Your milk is sufficient if
the baby is voiding pale, straw-colored urine six to ten times a day."
An induction of labor is planned for the client with diabetes mellitus and dependent
on insulin since the age of 10. The nurse is gathering supplies to care for the client
,during the induction. What supplies will the nurse gather? (Select all that apply.) -
ANSWER-An fusion pump for 3 lines
Normal saline
10% dextrose solution
Glucose monitoring kit
The nurse is providing care for a woman who just delivered. The umbilical cord
extends from the vagina accompanied by a gush of blood. What is the next nursing
action? - ANSWER-Massage the fundus.
The laboring client requests an epidural placement for labor pain. The standing order
is for 1000 mL of LR to infuse over 15 minutes prior to the placement of the epidural.
The client asks, "How come I have to have so much fluid so fast?" What is the
nurse's best response? - ANSWER-"It is to help prevent low blood pressure."
A client at 34 weeks gestation arrives to the clinic and says to the nurse that she
thinks she is having contractions. What actions will the nurse include in this client's
plan of care? (Select all that apply.) - ANSWER-State to her, "Let me know if you
have a contraction during your visit today."
Ask the client, "Are the contractions painful?"
Ask her, "Do they come a frequently as every 5 minutes?"
Inform her, "Those could be Braxton-Hicks contractions."
The labor and delivery nurse is providing care to a client at term with known cardiac
disease. Which focused assessments will the nurse include in the client's plan of
care? (Select all that apply.) - ANSWER-Cough
Dyspnea
Chest pain
The nurse is discussing many of the changes a pregnancy brings to a couple. Which
of the father's statements concerns the nurse the most? (Select all that apply.) -
ANSWER-"I do not want to be a father!"
"I am sure I am not the father of this baby."
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60 mm Hg. Which actions should the
nurse take immediately? (Select all that apply.) - ANSWER-Place the client in a
lateral position.
Increase the rate of the main line IV.
Place oxygen by facemask.
The nurse is performing an initial intake assessment for a newly pregnant client.
Which questions will the nurse include in the assessment? (Select all that apply.) -
ANSWER-"Do you have proof of your immunizations?"
"Were your periods regular at every 28 days?"
"Are you have any nausea at any time during the day?"
In developing a teaching plan for expectant parents, the nurse decides to include
information about when the parents can expect the infant's fontanels to close. Which
statement is accurate regarding the timing of closure of an infant's fontanels that
, should be included in this teaching plan? - ANSWER-The anterior fontanel closes at
12 to 18 months and the posterior fontanel by the end of the second month.
The nurse calls a client who is 4 days postpartum to follow up about her transition
with her newborn at home. The woman tells the nurse, "I don't know what is wrong. I
love my baby, but I feel so let down. I seem to cry for no reason!" Which adjustment
phase should the nurse determine the client is experiencing? - ANSWER-
Postpartum blues
A pregnant teen says to the nurse, "I hope nothing happens to my breasts while I am
pregnant!" What will the nurse include in the client's plan of care regarding breast
changes in pregnancy? (Select all that apply.) - ANSWER-Areola darkening
Veins easier to see under the skin
The postpartum client has a rubella vaccine ordered prior to discharge. The nurse
reviews with the student nurse the proper technique to use when administering this
immunization. Which student statement indicates to the nurse the correct technique
is planned? - ANSWER-At a 45 degrees angle
The nurse is teaching a nursing student about the abbreviation GTPAL to note
pregnancy outcomes. The nurse determines the teaching was successful when the
students relates the abbreviation GTPAL to which terms? (Select all that apply.) -
ANSWER-Gravidity
Living
The nurse is performing teaching for a pregnant client who has been an insulin
dependent diabetic since she was 13 year old. Which statement indicates to the
nurse that the teaching was effective? - ANSWER-"My insulin requirements will likely
increase around 24 weeks gestation."
The pregnant client at 28 weeks gestation complains to the nurse about hemorrhoid
pain. What suggestions should the nurse offer the client? (Select all that apply.) -
ANSWER-"Find a soft pillow when you are sitting at your desk at work."
"Walk for 30 minutes at least twice a day."
"Eat one cup of raspberries or a medium pear every day."
The nurse is reviewing the prenatal record for a client scheduled for a glucose
challenge test. Which maternal findings place this client at an increased risk for
developing gestational diabetes? (Select all that apply.) - ANSWER-The client is 37
years old.
The client is having twins.
The client's pre-pregnant weight was 190 pounds/86 kilograms.
When reviewing a prenatal record for a client at 32 weeks gestation, the nurse notes
that the client was recently diagnosed with chlamydia. What will the nurse include in
the client's teaching plan? (Select all that apply.) - ANSWER-Call the clinic
immediately if you feel any gush of fluid from your vagina.
Call the clinic immediately if you have contractions every 5 minutes for an hour.
Do not have sex for 7 days after you take your antibiotics.
EXAM QUESTIONS WITH VERIFIED
ANSWERS
The nurse is counseling a client who wants to become pregnant. She tells the nurse
that she has a 36-day menstrual cycle and the first day of her last menstrual period
was January 8. When will the client's next fertile period occur? - ANSWER-January
29 to 30
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The
nurse determines that the client is dilated 7 cm and is 100% effaced at 0 station, with
intact membranes. The monitor indicates that the FHR decelerates at the onset of
several contractions and returns to baseline before each contraction ends. Which
action should the nurse take next? - ANSWER-Continue to monitor labor progress.
The postpartum client is preparing for discharge. She states to the nurse, "I have not
had a bowel movement yet." What are the nurse's recommendations for this client?
(Select all that apply.) - ANSWER-"Drink no less than 5, 8-ounce glasses of water or
non-caffeine beverages per day."
"Make sure you eat 4 to 5 servings if high fiber foods a day, like broccoli and pears."
"Since it is nice outside, take a 15-minute walk two to three times a day."
The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need for administering antibiotic ointment into the eyes of the newborn.
An expectant father asks, "What type of disease causes infections in babies that can
be prevented by using this ointment?" Which response by the nurse is accurate?
(Select all that apply.) - ANSWER-Gonorrhea
Chlamydia
The nurse is teaching the pregnant client about fetal growth and development. Which
client statements indicate understanding of the teaching? (Select all that apply.) -
ANSWER-My baby gets oxygen through the placenta.
The amniotic fluid helps with muscle development.
My baby will gain about a half a pound per week after 36 weeks.
The nurse is providing care for a laboring client with a GTPAL of 65005 at term.
Which assessments will the nurse include in this client's plan of care for after
delivery? (Select all that apply.) - ANSWER-Fundal assessment should be made
every 5 minutes for 30 minutes after delivery of the placenta.
Assess for lochia every 5 minutes for 30 minutes after delivery of the placenta.
Place the infant to breast immediately after delivery
The clinic nurse is providing care to a client at 28 weeks gestation. The client asks,
"What does my baby look like now?" How will the nurse respond? (Select all that
apply.) - ANSWER-"Your baby weighs about 2.5 pounds."
"The baby's arms are bent at the elbows."
"Your baby can open and close its eyes now."
,When preparing a class on newborn care for expectant parents, which is correct for
the nurse to teach concerning the newborn infant born at term gestation? -
ANSWER-Vernix is a white cheesy substance, predominantly located in the skin
folds.
The nurse is providing care to a client who just delivered her sixth term infant. In
addition to routine postpartum care, what additional priority nursing action will the
nurse include in this client's plan of care? - ANSWER-Weigh the peri pads before
and after placement to the peri area.
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? - ANSWER-Skin color that is slightly jaundiced
Which client statement indicates that she understands the instructions of
breastfeeding her newborn? (Select all that apply.) - ANSWER-"Breastfeeding my
infant consistently every 3 to 4 hours decreases the likelihood of me ovulating."
"I should avoid foods that usually give me gas."
"When I feed my baby, I should start on the breast the baby stopped on last."
"I should drink fluids when breastfeeding my baby, especially at night."
Prior to discharge, what instructions should the nurse give to parents regarding the
newborn's umbilical cord care at home? - ANSWER-Allow the cord to air-dry as
much as possible.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant
while her husband is screaming for someone to help his wife. What is the next
nursing action? - ANSWER-Put the newborn to the breast immediately.
The nurse is discussing the timing of the next prenatal visit for the client at 34 weeks
gestation. If the current visit occurred on April 4, which statement indicates the client
understands the teaching? - ANSWER-"I can come in on April 18."
The clinic nurse is performing an assessment on a client who is 20 weeks gestation,
which was confirmed by ultrasound. When performing the fundal height assessment,
where will the nurse start palpating the abdomen? - ANSWER-At the umbilicus
A new mother who has been insulin dependent for eight years just delivered
spontaneously an 8 pound, 4 ounce infant/3740 grams infant. The nurse obtains a
blood glucose reading of 112 mg/dL when the infant is 8 hours old. What is the best
nursing action for this client? - ANSWER-Document the finding in the client's chart.
A new mother asks the nurse, "How do I know that my baby is getting enough breast
milk?" Which explanation is most appropriate? - ANSWER-"Your milk is sufficient if
the baby is voiding pale, straw-colored urine six to ten times a day."
An induction of labor is planned for the client with diabetes mellitus and dependent
on insulin since the age of 10. The nurse is gathering supplies to care for the client
,during the induction. What supplies will the nurse gather? (Select all that apply.) -
ANSWER-An fusion pump for 3 lines
Normal saline
10% dextrose solution
Glucose monitoring kit
The nurse is providing care for a woman who just delivered. The umbilical cord
extends from the vagina accompanied by a gush of blood. What is the next nursing
action? - ANSWER-Massage the fundus.
The laboring client requests an epidural placement for labor pain. The standing order
is for 1000 mL of LR to infuse over 15 minutes prior to the placement of the epidural.
The client asks, "How come I have to have so much fluid so fast?" What is the
nurse's best response? - ANSWER-"It is to help prevent low blood pressure."
A client at 34 weeks gestation arrives to the clinic and says to the nurse that she
thinks she is having contractions. What actions will the nurse include in this client's
plan of care? (Select all that apply.) - ANSWER-State to her, "Let me know if you
have a contraction during your visit today."
Ask the client, "Are the contractions painful?"
Ask her, "Do they come a frequently as every 5 minutes?"
Inform her, "Those could be Braxton-Hicks contractions."
The labor and delivery nurse is providing care to a client at term with known cardiac
disease. Which focused assessments will the nurse include in the client's plan of
care? (Select all that apply.) - ANSWER-Cough
Dyspnea
Chest pain
The nurse is discussing many of the changes a pregnancy brings to a couple. Which
of the father's statements concerns the nurse the most? (Select all that apply.) -
ANSWER-"I do not want to be a father!"
"I am sure I am not the father of this baby."
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60 mm Hg. Which actions should the
nurse take immediately? (Select all that apply.) - ANSWER-Place the client in a
lateral position.
Increase the rate of the main line IV.
Place oxygen by facemask.
The nurse is performing an initial intake assessment for a newly pregnant client.
Which questions will the nurse include in the assessment? (Select all that apply.) -
ANSWER-"Do you have proof of your immunizations?"
"Were your periods regular at every 28 days?"
"Are you have any nausea at any time during the day?"
In developing a teaching plan for expectant parents, the nurse decides to include
information about when the parents can expect the infant's fontanels to close. Which
statement is accurate regarding the timing of closure of an infant's fontanels that
, should be included in this teaching plan? - ANSWER-The anterior fontanel closes at
12 to 18 months and the posterior fontanel by the end of the second month.
The nurse calls a client who is 4 days postpartum to follow up about her transition
with her newborn at home. The woman tells the nurse, "I don't know what is wrong. I
love my baby, but I feel so let down. I seem to cry for no reason!" Which adjustment
phase should the nurse determine the client is experiencing? - ANSWER-
Postpartum blues
A pregnant teen says to the nurse, "I hope nothing happens to my breasts while I am
pregnant!" What will the nurse include in the client's plan of care regarding breast
changes in pregnancy? (Select all that apply.) - ANSWER-Areola darkening
Veins easier to see under the skin
The postpartum client has a rubella vaccine ordered prior to discharge. The nurse
reviews with the student nurse the proper technique to use when administering this
immunization. Which student statement indicates to the nurse the correct technique
is planned? - ANSWER-At a 45 degrees angle
The nurse is teaching a nursing student about the abbreviation GTPAL to note
pregnancy outcomes. The nurse determines the teaching was successful when the
students relates the abbreviation GTPAL to which terms? (Select all that apply.) -
ANSWER-Gravidity
Living
The nurse is performing teaching for a pregnant client who has been an insulin
dependent diabetic since she was 13 year old. Which statement indicates to the
nurse that the teaching was effective? - ANSWER-"My insulin requirements will likely
increase around 24 weeks gestation."
The pregnant client at 28 weeks gestation complains to the nurse about hemorrhoid
pain. What suggestions should the nurse offer the client? (Select all that apply.) -
ANSWER-"Find a soft pillow when you are sitting at your desk at work."
"Walk for 30 minutes at least twice a day."
"Eat one cup of raspberries or a medium pear every day."
The nurse is reviewing the prenatal record for a client scheduled for a glucose
challenge test. Which maternal findings place this client at an increased risk for
developing gestational diabetes? (Select all that apply.) - ANSWER-The client is 37
years old.
The client is having twins.
The client's pre-pregnant weight was 190 pounds/86 kilograms.
When reviewing a prenatal record for a client at 32 weeks gestation, the nurse notes
that the client was recently diagnosed with chlamydia. What will the nurse include in
the client's teaching plan? (Select all that apply.) - ANSWER-Call the clinic
immediately if you feel any gush of fluid from your vagina.
Call the clinic immediately if you have contractions every 5 minutes for an hour.
Do not have sex for 7 days after you take your antibiotics.
