2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 2 ACTUAL EXAM 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWER) |ALREADY GRADED A+ (BRAND NEW!!)

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2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 2 ACTUAL
EXAM 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWER) |ALREADY GRADED A+
(BRAND NEW!!)
1.The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to include in this client’s teaching plan?
A.Oral contraceptive use for at least one year.
2.The nurse is planning care for a client at 30-weeks’ gestation who is experiencing preterm
labor. What maternal prescription is most important in preventing this fetus from developing
respiratory distress syndrome?
C. Betamethasone (Celestone) 12 mg deep IM.
3.The nurse places one hand above the symphysis while massaging the fundus of a multiparous
client whose uterine tone is boggy 15 minutes after delivering a 7-pound 10-ounce infant.
Which information should the nurse provide the client about this finding?
B. Both the lower uterine segment and the fundus must be massaged.
4.Which instruction should the nurse include in the discharge teaching plan of a 7-year-old girl
with a history of frequent urinary tract infections?
D. Monitor for changes in urinary odor.

5. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a
   hematocrit of 25.1%. What foot should the nurse encourage this client to include in her diet?
   B. Chicken.
6. The newborn nursery admission protocol includes a perception for phytonadione
   (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
   provides 2 mg/ml. How many ml should the nurse administer?
   0.3
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7. The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum
   client. Based on what assessment finding should the nurse withhold the drug?
   C.Blood pressure 149/90.
8. The nurse is preparing a 10-year-old with a lacerated forehead forsuturing. Both parents and
   a 12- year-old sibling are the child bedside. Which instruction best supports this family?
   A.“While waiting for the healthcare provider, only one visitor may stay with the child”
9. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA).
   The nurse includes activities to strengthen and mobilize the joints and surrounding muscle.
   Which physical therapy regimen should the nurse encourage the adolescent to implement?
   C.Exercise in a swimming pool.
10. A primigravida arrives at the observation unit of the maternity unit because thinks is in
    labor. The nurse applies the external fetal heart monitor and determines that the fetal heart
    rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15
    minutes. What assessment finding confirms to the nurse that the client is not labor at this
    time?
    D.Contractions decrease with walking.
11. Which toy is most appropriate for a 10-year-old child with acute rheumatic fever who is
    on strict bedrest?
    D. Checkers
12. The nurse has completed a teaching plan for the mother of a child who is taking digitalis
    and a diuretic for treatment of the heart failure. Choosing which lunch would indicate
    that the mother understands the best diet for her child?
    B. Peanut butter and banana sandwich with orange juice.
13. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of
    thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
    explanation for this finding?
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C.The TSH is high because of the low production of T4 by the thyroid.

14. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. What
    should the nurse do first?
    D.Stimulate the infant to cry.
15. At 6-weeks’ gestation, the rubella titer of a client indicates she is non-immune. When is the
    best time to administer a rubella vaccine to this client?
    D. Early postpartum, within 72 hours of delivery.
16. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most
    important for the nurse to obtain each time the infusion rate is increased?
    D. Contraction pattern.
17. One day after vaginal delivery of a full-term baby, a postpartum client’s white blood cell
    count is 15,000/mm3. What action should the nurse take first?
    A.Check the differential, since the WBC is normal for this client.
18. A client delivers a viable infant, but beginsto have excessive uncontrolled vaginal bleeding
    after the IV Pitocin is infused. When notifying the healthcare provider of the client’s
    condition, what information is most important for the nurse to provide?
    A.Maternal blood pressure.
19. While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the
    nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the
    nurse implement? A. Inspect the posterior oropharynx.
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