1|Page
HESI Maternal–Newborn Exam Prep Bundle 2026/2027
||Verified Exam!!!|| Elsevier Evolve & AWHONN
Standards Alignment | Complete Exam-Style
Questions with Detailed Rationales
A nurse is caring for a client who is in active labor and
reports back pain. The nurse performs a vaginal exam and
determines the client is 8cm dilated, 100% effaced, and -2
station. The fetus is in the occiput posterior position.
Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - Answer-c. Assist the
client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit
that is at 38 weeks of gestation. Which of the following
client findings should the nurse report to the provider?
,2|Page
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - Answer-c.
Weight gain of 2.2 kg
Above the expected reference range and could indicate
complications
A nurse is caring for a client who is pregnant and has
epilepsy. The nurse observes the client having a seizure.
After turning the client's head to one side, which of the
following actions should the nurse take next?
a. Monitor the fetal heart rate
b. Assess uterine activity
c. Administer oxygen via a non-rebreather mask
d. Start a bolus of IV fluids - Answer-c. Administer oxygen
via a non-rebreather mask
A nurse is providing discharge instructions to a client who
had a vaginal delivery and is breastfeeding her newborn.
,3|Page
Which of the following statements indicates an
understanding of the teaching?
a. I will need to eat an additional 330 calories a day while
I'm breastfeeding
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours - Answer-a. I
will need to eat an additional 330 calories a day while I'm
breastfeeding
A nurse is caring for a client who is at 38 weeks of
gestation. Which of the following actions should the nurse
take prior to applying an external transducer for fetal
monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers
c. Sterile speculum exam
d. Nitrazine test - Answer-b. Leopold maneuvers
, 4|Page
Helps the nurse assess the position of the fetus to best
determine the optimal placement for the fetal monitoring
transducer.
A client who is pregnant presents to a prenatal clinic for
her first visit. She tells the nurse that her last normal
menstrual period began Oct 13. Using Nagele's rule, the
nurse should determine the client's estimated date of
delivery as which of the following?
a. July 6
b. July 13
c. July 20
d. July 27 - Answer-c. July 20
Add a year, subtract 3 months, add 7 days
A nurse is caring for a client undergoing an oxytocin-
stimulated contraction test. The nurse notes three
contractions in 10 min with late decelerations occurring
with two of the contractions. Which of the following
findings should the nurse report to the provider?
HESI Maternal–Newborn Exam Prep Bundle 2026/2027
||Verified Exam!!!|| Elsevier Evolve & AWHONN
Standards Alignment | Complete Exam-Style
Questions with Detailed Rationales
A nurse is caring for a client who is in active labor and
reports back pain. The nurse performs a vaginal exam and
determines the client is 8cm dilated, 100% effaced, and -2
station. The fetus is in the occiput posterior position.
Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - Answer-c. Assist the
client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit
that is at 38 weeks of gestation. Which of the following
client findings should the nurse report to the provider?
,2|Page
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - Answer-c.
Weight gain of 2.2 kg
Above the expected reference range and could indicate
complications
A nurse is caring for a client who is pregnant and has
epilepsy. The nurse observes the client having a seizure.
After turning the client's head to one side, which of the
following actions should the nurse take next?
a. Monitor the fetal heart rate
b. Assess uterine activity
c. Administer oxygen via a non-rebreather mask
d. Start a bolus of IV fluids - Answer-c. Administer oxygen
via a non-rebreather mask
A nurse is providing discharge instructions to a client who
had a vaginal delivery and is breastfeeding her newborn.
,3|Page
Which of the following statements indicates an
understanding of the teaching?
a. I will need to eat an additional 330 calories a day while
I'm breastfeeding
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours - Answer-a. I
will need to eat an additional 330 calories a day while I'm
breastfeeding
A nurse is caring for a client who is at 38 weeks of
gestation. Which of the following actions should the nurse
take prior to applying an external transducer for fetal
monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers
c. Sterile speculum exam
d. Nitrazine test - Answer-b. Leopold maneuvers
, 4|Page
Helps the nurse assess the position of the fetus to best
determine the optimal placement for the fetal monitoring
transducer.
A client who is pregnant presents to a prenatal clinic for
her first visit. She tells the nurse that her last normal
menstrual period began Oct 13. Using Nagele's rule, the
nurse should determine the client's estimated date of
delivery as which of the following?
a. July 6
b. July 13
c. July 20
d. July 27 - Answer-c. July 20
Add a year, subtract 3 months, add 7 days
A nurse is caring for a client undergoing an oxytocin-
stimulated contraction test. The nurse notes three
contractions in 10 min with late decelerations occurring
with two of the contractions. Which of the following
findings should the nurse report to the provider?
