1|Page
RN HESI Maternity Exam 2026/2027 Edition ||Verified
Exam!!!|| Elsevier Evolve & AWHONN Standards
Alignment || Questions with Detailed Rationales for
RN Licensure Readiness
A mother of a 3-year-old boy has just given birth to a new
baby girl. The little boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How should the nurse
respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in
this way
B. Reassure the older brother that it does not hurt his
mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice -
Answer-A. Explain that newborns get milk from their
mothers in this way
B. Reassure the older brother that it does not hurt his
mother
C. Remind him that his mother breastfed him too
,2|Page
The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm
approach - Answer-D. Place the infant in warm room and
use a calm approach
The nurse is planning care for a client at 30-weeks
gestation who is experiencing preterm labor. What
maternal prescription is most important in preventing this
fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x3 - Answer-A. Betamethasone (Celestone) 12
mg deep IM
A 3-month-old with myelomeningocele and atonic bladder
is catheterized every 4 hours to prevent urinary retention.
The home health nurse notes that the child has developed
,3|Page
episodes of sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important for the
nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change -
Answer-C. Change to latex-free gloves when handling
infant
The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112
mmHg, facial and hand swelling, complaints of blurry
vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - Answer-D. Magnesium sulfate
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
, 4|Page
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? - Answer-Contractions decrease
with walking.
A primipara has delivered a stillborn fetus at 30 weeks
gestation. To asses the parents in the grieving process
which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in
privacy
C. Encourage the parents to seek counseling within the
next few weeks
D. Assist the couple to request autopsy - Answer-B.
provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately
following the birth of an infant with esophageal atresia and
a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
RN HESI Maternity Exam 2026/2027 Edition ||Verified
Exam!!!|| Elsevier Evolve & AWHONN Standards
Alignment || Questions with Detailed Rationales for
RN Licensure Readiness
A mother of a 3-year-old boy has just given birth to a new
baby girl. The little boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How should the nurse
respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in
this way
B. Reassure the older brother that it does not hurt his
mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice -
Answer-A. Explain that newborns get milk from their
mothers in this way
B. Reassure the older brother that it does not hurt his
mother
C. Remind him that his mother breastfed him too
,2|Page
The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm
approach - Answer-D. Place the infant in warm room and
use a calm approach
The nurse is planning care for a client at 30-weeks
gestation who is experiencing preterm labor. What
maternal prescription is most important in preventing this
fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x3 - Answer-A. Betamethasone (Celestone) 12
mg deep IM
A 3-month-old with myelomeningocele and atonic bladder
is catheterized every 4 hours to prevent urinary retention.
The home health nurse notes that the child has developed
,3|Page
episodes of sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important for the
nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change -
Answer-C. Change to latex-free gloves when handling
infant
The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112
mmHg, facial and hand swelling, complaints of blurry
vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - Answer-D. Magnesium sulfate
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
, 4|Page
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? - Answer-Contractions decrease
with walking.
A primipara has delivered a stillborn fetus at 30 weeks
gestation. To asses the parents in the grieving process
which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in
privacy
C. Encourage the parents to seek counseling within the
next few weeks
D. Assist the couple to request autopsy - Answer-B.
provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately
following the birth of an infant with esophageal atresia and
a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
