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Peds & Maternity HESI Test with complete solutions
EXAM LATEST 2024-2025 COMPLETE 200 QUESTIONS AND
DETAILED CORRECT ANSWERS JUST RELEASED
The nurse is caring for a 3 year old child who is 2 hours postop from a
cardiac catheritization via the right femoral artery. Which assessment
finding is an indication of arterial obstruction? - ANSWER >>> Right foot
is cool to the touch and appears pale and blanched
During fundal massage, place one hand at the fundus, what is the
second hand used for - ANSWER >>> to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast
applied. Which toy is best for the nurse for this 3 year old child? -
ANSWER >>> Set of cloth and hand puppets
There is a question that has to be put in order - ANSWER >>> *isolate
the baby, move mom to private room, collect u/a, start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and
hyperpneic. Which action should the nurse implement first? - ANSWER
>>> Place the infant in a knee-chest position
How do you measure the frequency of contractions - ANSWER >>> from
the beginning of one to the beginning of the next
,2|Page
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate
is a compensatory mechanism for which acid base alteration? -
ANSWER >>> Metabolic Acidoses
Mothers Hemoglobin A1C - ANSWER >>> give her a consultation to a
nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare
provider? - ANSWER >>> Serum potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations -
ANSWER >>> gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165
beats/minute. Intervention best to implement? - ANSWER >>>
gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical
sprue (celiac disease). Choosing which food indicates that the teaching
has been effective? - ANSWER >>> *Creamed corn*
Baby is showing signs of mottling - ANSWER >>> check temperature
During a well-baby check, the nurse hides a block under the baby's
blanket, and the baby looks for the block. Which normal growth and
development milestone is the baby developing? - ANSWER >>> Object
Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most
concern out of the data of mom - ANSWER >>> increased weight gain
,3|Page
The nurse is measuring he frontal occipital circumference (FOC) of a 3
month old infant, and notes that the FOC has increased 5 inches since
birth and the child's head appears large in relation to body size. Which
action is most important for the nurse to take next? - ANSWER >>>
Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels -
ANSWER >>> it is state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for
suturing. Both parents and 12 years old sibling are at the child's
bedside. Which instruction best supports family? - ANSWER >>> Please
decide who will stay when the healthcare provider begins suturing
Patient is having labor back pain - ANSWER >>> counter pressure on
lower back (sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux
disease whose weight has decreased by 3 ounces since the last clinic
visit one month ago. To increase caloric intake and decrease vomiting,
what instructions should the nurse provide this mother? - ANSWER >>>
Thicken formula with cereal for each feeding
Woman had cleft lip, dads uncle had cleft lip - ANSWER >>> send them
for genetic testing
While teaching a parenting class to new parents the nurse describes the
needs of infants and toddlers regarding discipline and limit setting.
What is the most important reason for implementing such parenting
behaviors? - ANSWER >>> They provide the child with a sense of
security
, 4|Page
Woman in labor and they look at vagina and see cord - ANSWER >>>
put woman in Trendelenburg position
The parents of a newborn infant with hypospadia are concerned about
when the surgical correction should occur. What information should
the nurse provide? - ANSWER >>> Repairs typically should be done
before the child is potty trained
Pregnant woman has a diaphragm - ANSWER >>> she needs to have it
refitted for another diaphragm
Which drink choice on a hot day indicates to the nurse that a teenager
with sickle cell anemia understands dietary considerations related to
the disease? - ANSWER >>> Lemonade
The nurse is assessing an infant with diarrhea and lethargy. Which
finding should the nurse identify that is consistent with early
dehydration? - ANSWER >>> Tachycardia
Baby progressing in extrauterine life would show what signs - ANSWER
>>> good vigorous cry with stimulation
While auscultating the lung sounds of a 5 year old Chinese boy who
recently completed antibiotic therapy for pneumonia, the nurse notices
symmetrical, round, bruise-like blemishes on his chest. What action is
best for the nurse to take? - ANSWER >>> Inquire about the use of
alternative methods of treatment
Baby has peri-oral cyanosis - ANSWER >>> assess the oral mucosa
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