{"id":116955,"date":"2023-08-26T19:46:15","date_gmt":"2023-08-26T19:46:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116955"},"modified":"2023-08-26T19:46:17","modified_gmt":"2023-08-26T19:46:17","slug":"2023-hesi-maternity-pediatrics-exam-version-12-3-actual-exam-each-version-contains-55-questions-and-correct-detailed-answers-with-rationales-100-verified-answer-already-graded-a-brand-new-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/2023-hesi-maternity-pediatrics-exam-version-12-3-actual-exam-each-version-contains-55-questions-and-correct-detailed-answers-with-rationales-100-verified-answer-already-graded-a-brand-new-2\/","title":{"rendered":"2023 HESI MATERNITY PEDIATRICS EXAM VERSION 1,2 & 3 ACTUAL EXAM EACH VERSION CONTAINS 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWER) |ALREADY GRADED A+ (BRAND NEW!!)"},"content":{"rendered":"\n

lOMoAR cPSD|19500986
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\u2019s teaching plan?
A.Oral contraceptive use for at least one year.
2.The nurse is planning care for a client at 30-weeks\u2019 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.<\/p>\n\n\n\n

    \n
  1. 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.<\/li>\n\n\n\n
  2. 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
    1 | P a g e<\/li>\n<\/ol>\n\n\n\n

    lOMoAR cPSD|19500986<\/p>\n\n\n\n

      \n
    1. 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.<\/li>\n\n\n\n
    2. 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.\u201cWhile waiting for the healthcare provider, only one visitor may stay with the child\u201d<\/li>\n\n\n\n
    3. 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.<\/li>\n\n\n\n
    4. 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.<\/li>\n\n\n\n
    5. Which toy is most appropriate for a 10-year-old child with acute rheumatic fever who is
      on strict bedrest?
      D. Checkers<\/li>\n\n\n\n
    6. 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.<\/li>\n\n\n\n
    7. 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?
      2 | P a g e<\/li>\n<\/ol>\n\n\n\n

      lOMoAR cPSD|19500986
      C.The TSH is high because of the low production of T4 by the thyroid.<\/p>\n\n\n\n

        \n
      1. 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.<\/li>\n\n\n\n
      2. At 6-weeks\u2019 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.<\/li>\n\n\n\n
      3. 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.<\/li>\n\n\n\n
      4. One day after vaginal delivery of a full-term baby, a postpartum client\u2019s 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.<\/li>\n\n\n\n
      5. 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\u2019s
        condition, what information is most important for the nurse to provide?
        A.Maternal blood pressure.<\/li>\n\n\n\n
      6. 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.
        3 | P a g e
        <\/li>\n<\/ol>\n\n\n\n

        lOMoAR cPSD|19500986
        2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 3 ACTUAL
        EXAM TEST BANK 130 QUESTIONS AND CORRECT DETAILED
        ANSWERS WITH RATIONALES (100% VERIFIED ANSWER)
        |ALREADY GRADED A+ (BRAND NEW!!)<\/p>\n\n\n\n

          \n
        1. Monitoring for fetal position is important because the mother cannot tell you she has
          back pain, which is the cardinal sign of persistent posterior fetal position. Why do the
          regional blocks, especially epidural and caudal, often result in assisted delivery?
          A. inability to push effectively in 3rd stage
          B. inability to push effectively in 4th stage
          C. inability to push effectively in 1st stage
          D. inability to push effectively in 2nd stage<\/li>\n\n\n\n
        2. Early detection of rheumatoid arthritis can decrease the amount of bone and joint
          destruction and often the disease will go into remission. What activity recommendations
          should the nurse provide a client with rheumatoid arthritis?
          A. Exercise of painful, swollen joints to strengthen them
          B. Exercise joint to the point of pain so that the pain lessens
          C. Make Jerky movements during the exercise so that the pain lessens
          D. Perform exercises slowly and smoothly<\/li>\n\n\n\n
        3. A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal
          bleeding, 100 bpm FHR, rigid abdomen, and severe pain. What is the difference
          between abruptio placentae and placenta previa?
          A. Abruptio placentae: painless bright red bleeding occurring in the third trimester
          B. Abruptio placentae: occurs in the second trimester
          C. Placenta previa: occurs in the second trimester
          D. Placenta previa: painless bright red bleeding occurring in the third trimester<\/li>\n\n\n\n
        4. A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the
          nurse determines the FHR to be 100 bpm and her abdomen is rigid and board like. What
          action should the nurse take first?
          A. Administer O2 per face mask
          B. Abdominal manipulation
          C. vaginal manipulation
          D. Abdominal exam<\/li>\n\n\n\n
        5. A nurse must use knowledge base to differentiate between abruptio placentae from
          placenta previa. What assessments should be done in case of a patient suspected of
          abruptio placentae or placenta previa.
          A. abdominal or vaginal manipulation<\/li>\n<\/ol>\n\n\n\n

          lOMoAR cPSD|19500986
          B. Leopold’s maneuvers
          C. internal monitoring
          D. Monitor for bleeding at IV sites and gums due to increased risk of DIC<\/p>\n\n\n\n

            \n
          1. A patient suspected of abruptio placentae or placenta previa should be monitored for
            bleeding at IV sites and gums due to increased risk of DIC. What isn’t DIC related to?
            A. cervical carcinoma
            B. fetal demise
            C. infection\/sepsis
            D. pregnancy-induced hypertension<\/li>\n\n\n\n
          2. If a child is on oral iron medication, the family should be taught by the nurse how it
            should be administered. Out of the following options, what oral iron administration advise
            is inappropriate?
            A. Oral iron should be given on empty stomach
            B. Oral iron should be given with citrus juices
            C. Oral iron should be given with dairy products
            D. A dropper or straw should be used to avoid discoloring teeth<\/li>\n\n\n\n
          3. In autosomal recessive disease, both parents must be heterozygous, or carriers of the
            recessive trait, for the disease to be expressed in their offspring. If both parents are
            heterozygous, what is the chance the baby to have the disease as well?
            A. 1:2
            B. 1:3
            C. 1:4
            D. 1:1<\/li>\n\n\n\n
          4. When it comes to X-linked recessive linked recessive trait, the trait is carried on the x
            chromosome, therefore, usually affects male offspring. What is the chance for a
            pregnant woman carrier her offspring to get the disease?
            A. Male child: 75% of having the disease
            B. Female child: 50% of having the disease
            C. Male child: 50% of having the disease
            D. Female child: 25% of having disease<\/li>\n\n\n\n
          5. Supplemental iron is not given to clients with sickle cell anemia because the anemia is
            not caused by iron deficiency. What aspect is very important in treatment of sickle cell
            disease because it promotes hemodilution and circulation of red cells through the blood
            vessels?<\/li>\n<\/ol>\n\n\n\n

            lOMoAR cPSD|19500986
            A. HgbAS
            B. HGBS
            C. Hydration
            D. Hydrotherapy<\/p>\n\n\n\n

              \n
            1. An infant with hypothyroidism is often described as a “good, quite baby” by the parents.
              What early disease detection is essential in preventing mental retardation in infants?
              A. Hyperthyroidism
              B. Phenylketonuria
              C. Diabetes Mellitus
              D. Ketoacidosis<\/li>\n\n\n\n
            2. Diabetes mellitus (DM) in children was typically diagnosed as insulin dependent diabetes
              until recently. What diabetes type has been discovered to occur more often in Native
              Americans, African Americans, and Hispanic children and adolescents?
              A. Type 1
              B. Type 2
              C. Type 3
              D. Type 4<\/li>\n\n\n\n
            3. There has been an increase in the number of children diagnosed with Type 2 diabetes
              with the increasing rate of obesity in children thought to be a contributing factor. What
              other factors are thought to be contributing in the increase of Type 2 cases?
              A. Hypotension
              B. Hypokalemia
              C. Lack of physical activity
              D. Hyperkalemia<\/li>\n\n\n\n
            4. Fractures in older children are common as they fall during play and are involved in motor
              vehicle accidents. What fractures in children are related to child abuse?
              A. Greenstick Fracture
              B. Growth plate Fracture
              C. Torus Fracture
              D. Spiral fracture<\/li>\n\n\n\n
            5. Skin traction for fracture reduction should not be removed unless prescribed by
              healthcare provider. What fractures have serious consequences in terms of growth of the
              affected limb?
              A. Greenstick fracture<\/li>\n<\/ol>\n\n\n\n

              lOMoAR cPSD|19500986
              2023 HESI MATERNITY PEDIATRICS EXAM VERSION 1 ACTUAL
              EXAM 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
              RATIONALES (100% VERIFIED ANSWER) |ALREADY GRADED A+
              (BRAND NEW!!)
              A child with severe burns begins to exhibit decreased level of consciousnessand
              lethargy four days after being admitted to the burn unit. The nurse’s assessment reveals
              a low-grade fever, but the client’s other vital signs are stable. The nurse should be alert
              for which potential complication?
              Respiratory failure.
              Dehydration.
              Correct
              Sepsis.
              Hypovolemia.
              Rationale
              Dead tissue and exudate associated with burned skin provides a fertile field for bacterial growth.If the
              burn site is contaminated with infectious material, sepsis may occur. Decreased level of consciousness
              and lethargy are early signs of sepsis.
              Question 2 of 3
              The parents of a 13-year-old male client are concerned that he may not have started
              puberty. The client’s stage of puberty is assessed using the Tanner scale of
              development. Which type of test is performed to determine this child’sTanner stage?
              Correct
              Orchidometry.
              Radiological examination.
              Bone densitometry.
              Muscle mass calculation.
              Rationale
              Tanner’s staging is used to assess puberty milestones and compare individuals. In males, thestages are
              partly based on testes volume, which is measured with an orchidometer.
              Question 3 of 3
              The nurse is assessing a 16-month old child whose mother is concerned thather 16-
              month old child is not spontanesously speaking any meaningful
              words. The child uses gestures and appears to have difficulty following verbal
              directions. What is the next action the nurse should take?
              Advise the mother to ask the primary care provider to conduct a thorough language<\/p>\n\n\n\n

              lOMoAR cPSD|19500986
              assessment.
              Correct<\/p>\n\n\n\n

              lOMoAR cPSD|19500986
              Reassure the mother that this may be a variation of normal development.
              Tell the mother that the child should see a speech pathologist before the child’ssecond
              birthday.
              Teach the mother that language development is not completed until 4 years of age.
              Rationale
              Indications for a referral for possible communication Impairment should be made if a toddler bythe age of
              two is not speaking meaningful words spontaneously, consistently uses gestures rather than vocalizations,
              appears to have difficulty in following verbal directions and fails to respond consistently to sound.
              Question 1 of 3
              The nurse is reviewing the white blood cell differential for an infant admittedfor
              suspected sepsis in the client’s electronic medical record. The nurse should expect
              the client to have elevated levels of which cells?
              Monocytes.
              Correct
              Neutrophils.
              Eosinophils.
              Lymphocytes.
              Rationale
              Neutrophils are phagocytic immune cells that are recruited to sites of infection early in the immunologic
              response cycle, known as the “first responders”. An acute bacterial infection increases the need for
              neutrophils, so the nurse should expect a white blood cell differential thatreflects neutrophilia.
              Question 2 of 3
              An eighteen-month-old is put into an isolation room for suspected mumps dueto
              presenting the following symptoms of parotitis, high fever, weakness
              and muscle aches. Which factor should the nurse evaluate to help reduce thespread of
              infection?
              History of prodromal symptoms in child.
              Documentation of immunization history.
              Correct
              Family members’ compliance with isolation measures.
              Evidence of mumps in child’s school.
              Rationale<\/p>\n\n\n\n

              lOMoAR cPSD|19500986
              Isolation precautions must be observed in order to prevent the spread of communicablediseases. The
              nurse must ensure that visiting family members adhere to the relevant precautions.
              Question 3 of 3
              Which information about toxic shock syndrome should the nurse emphasizewhen
              counseling an adolescent female client?
              Symptoms.
              Correct
              Prevention.
              Medication.
              Treatment.
              Rationale
              Toxic shock syndrome (TSS) occurs from a buildup of toxins produced by staphylococcus bacteria and
              can lead to acute multisystem organ failure. Education should focus on preventivemeasures, such as the
              dangers of prolonged tampon replacement use.
              Question 1 of 5
              The nurse is caring for a child who has just recovered from a transient periodof low
              cardiac output. Which complication should the nurse be vigilant in assessing for in
              this client?
              Correct
              Renal failure.
              Rebound hypertension.
              Persistent pallor.
              Liver failure.
              Rationale
              Renal failure is a potential complication when a child suffers from a transient period of lowcardiac
              output. The nurse should carefully measure and document intake and output.
              Question 2 of 5
              The nurse is assessing a 19-year-old client who is pregnant with twins. The client
              reports persistent severe headaches and blurry vision. The nurse notesthat the client’s
              blood pressure is 190\/100. Which complication should the nurse suspect?
              Correct<\/p>\n","protected":false},"excerpt":{"rendered":"

              lOMoAR cPSD|195009862023 HESI MATERNITY & PEDIATRICS EXAM VERSION 2 ACTUALEXAM 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITHRATIONALES (100% VERIFIED ANSWER) |ALREADY GRADED A+(BRAND NEW!!)1.The nurse is planning discharge teaching for a client who had an evacuation ofgestational trophoblastic disease (GTD) two days ago. Which information is mostimportant for the nurse to include in this client\u2019s […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116955","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116955"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116955\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}