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HESI-Maternity & Pediatrics Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A newborn is born at 38 weeks gestation and has a heart rate of 90 bpm. What is the priority nursing intervention?✔✔Provide stimulation and administer oxygen as needed, assess for respiratory distress
A postpartum client reports sudden heavy bleeding 2 hours after delivery. What should the nurse do first?✔✔Assess uterine tone, massage the fundus, and monitor vital signs
A 3-year-old child presents with high fever and a stiff neck. What is the most important nursing assessment?✔✔Assess for signs of meningitis and prepare for immediate medical evaluation
A client at 36 weeks gestation reports decreased fetal movement over the past 12 hours. What is the priority action?✔✔Perform a non-stress test and instruct the client on fetal kick counts
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A newborn has jaundice with bilirubin of 16 mg/dL at 48 hours of life. What is the best nursing intervention?✔✔Initiate phototherapy and encourage frequent breastfeeding to promote bilirubin excretion
A postpartum client is breastfeeding and reports nipple cracking and pain. What should the nurse do first?✔✔Assess the latch technique and provide guidance on proper positioning
A child with asthma presents with wheezing and shortness of breath. What is the priority nursing intervention?✔✔Administer a prescribed bronchodilator and monitor oxygen saturation
A client in labor at 40 weeks gestation reports contractions every 3 minutes. What should the nurse assess first?✔✔Check cervical dilation and effacement to evaluate labor progression
A newborn presents with hypoglycemia, jitteriness, and lethargy. What is the immediate nursing action?✔✔Check blood glucose and initiate feeding or IV glucose as ordered 2 / 4
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A postpartum client reports severe headache, blurred vision, and swelling of the hands. What is the priority nursing assessment?✔✔Check blood pressure and assess for preeclampsia
A 6-month-old infant presents with persistent vomiting and dehydration. What is the priority nursing intervention?✔✔Assess hydration status, administer IV fluids, and monitor electrolytes
A client at 32 weeks gestation presents with vaginal bleeding and abdominal pain. What should the nurse suspect?✔✔Assess for placental abruption and monitor fetal status
A newborn has a weak cry, poor muscle tone, and cyanosis at birth. What is the initial nursing action?✔✔Provide resuscitation according to neonatal resuscitation guidelines
A 4-year-old child is scheduled for a vaccination and expresses fear. What is the best nursing intervention? 3 / 4
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✔✔Explain the procedure in simple terms and provide comfort measures
A postpartum client reports foul-smelling lochia and fever on day 4. What is the most likely cause?✔✔Assess for postpartum infection and notify the healthcare provider
A child with dehydration from diarrhea has a dry mouth, sunken eyes, and decreased urine output. What is the priority intervention?✔✔Initiate oral or IV rehydration therapy and monitor fluid balance
A client at 28 weeks gestation presents with severe pruritus and dark urine. What condition should be suspected?✔✔Assess for intrahepatic cholestasis of pregnancy and notify provider
A newborn is born via cesarean section and has a respiratory rate of 60/min with grunting. What is the priority nursing action?✔✔Provide supplemental oxygen and monitor for respiratory distress
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