Maternal HESI and Pediatrics HESI

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Sample questions from Maternal HESI and Pediatrics HESI

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client at 10 weeks of gestation reports nausea that is worse in the morning. Which instruction should the nurse provide?

   • A.Lie flat for 30 minutes after eating.
   • B.Drink a large glass of water with each meal.
   • C.Skip breakfast until the nausea resolves.
   • D.Eat a few dry crackers before getting out of bed.

   Rationale: Eating a small amount of dry food before rising may help reduce nausea. Large drinks with meals can increase gastric fullness, and lying flat after eating can worsen reflux. Skipping breakfast may leave the stomach empty and aggravate nausea.

2. 2.A client at 28 weeks of gestation has a blood pressure of 148/94 mm Hg and reports a severe headache and blurred vision. What is the nurse's priority action?

   • A.Notify the health care provider promptly.
   • B.Recheck the blood pressure in 4 hours.
   • C.Teach the client to limit dietary protein.
   • D.Encourage the client to walk in the hallway.

   Rationale: Hypertension with severe headache and visual changes suggests preeclampsia with severe features and requires prompt evaluation. Waiting several hours delays care, and walking does not address the potential emergency. Protein restriction is not a treatment for preeclampsia and could compromise nutrition.

3. 3.A client at 30 weeks of gestation is being evaluated for possible preterm labor. Which findings should the nurse report promptly? Select all that apply.

   • A.Burning with urination and urinary frequency.
   • B.A new sensation of pelvic pressure.
   • C.Regular uterine tightening occurring every 8 minutes.
   • D.Dull, persistent lower backache.
   • E.A small amount of clear vaginal discharge without odor.

   Rationale: Regular contractions, pelvic pressure, and persistent backache can indicate preterm labor and warrant prompt assessment. Burning and frequency may indicate a urinary infection, which can contribute to uterine irritability and needs evaluation. A small amount of clear, odorless discharge can be a normal pregnancy finding unless it is watery, bloody, or associated with other symptoms.

4. 4.A client at 12 weeks of gestation asks which food is the best source of folate. Which response should the nurse give?

   • A.Unpasteurized soft cheese and deli meat.
   • B.Enriched cereal and leafy green vegetables.
   • C.Liver and high-mercury fish.
   • D.White rice and fruit juice.

   Answer and rationale are in the full material.

5. 5.A client at 26 weeks of gestation asks how to perform daily fetal movement counts. Which instruction is appropriate?

   • A.Stop counting after the first movement each day.
   • B.Count only strong kicks and ignore rolls or flutters.
   • C.Choose a time when the fetus is usually active and count movements as instructed by the provider.
   • D.Count movements for 1 hour after each meal and call only if none occur.

   Answer and rationale are in the full material.