HESI OBSTETRICS/MATERNITY PRACTICE EXAM QUESTIONS
AND CORRECT ANSWERS |2026/2027 UPDATED
|GUARANTEED PASS.
The nurse is preparing to give an enema to a laboring client. Which client would require the
most caution when carrying out this procedure? - Answer -D. a 40-week primagravida who
presents at 100% effacement, 3 cm dilation, and a -1 station.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding after it changes?" What should the nurse
instruct the client to do? - Answer -A. Reduce activity level and notify healthcare provider.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small
to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and
blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What
action should the nurse take immediately? - Answer -D. Call the healthcare provider to question
the prescription.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is
most indicative of an impending convulsion? - Answer -C. epigastric pain
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask the
client? - Answer -D. Do you have a history of rheumatic fever?
1|Page
,A couple has been trying to conceive for 9 months without success. Which information obtained
from the clients is most likely to have an impact on the couple's ability to conceive? - Answer -D.
They use lubricants with each sexual encounter to decrease friction.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn
Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the neonate's
formula to Similac Soy Isomil Formula, a soy protein isolate based infant formula. What
information should the nurse provide to the mother about the newly prescribed formula? -
Answer -D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose.
The nurse is performing a gestational age assessment on a full-term newborn during the first
hour of transition using the Ballard scale. Based on this assessment, the nurse determines that
the neonate has a maturity rating at 40-weeks. What findings should the nurse identify to
determine if the neonate is SGA? - Answer -A. admission weight of 4 lbs.
B. Head to heel length of 17 inches.
C. frontal occipital circumference of 12.5 inches.
The nurse is assessing a client who is having a NST at 41-weeks gestation. The nurse determines
that the client is not having contractions, the FHR baseline is 144 bpm, and no FHR accels are
occurring. What action should the nurse take? - Answer -D. Ask the client if she has felt any fetal
movement.
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first? - Answer -A. Bathe the infant with antimicrobial
soap.
2|Page
, A pregnant client tells the nurse that the first day of her LMP was 8/2/06. Based on Nagele's
rule, what is the estimated date of delivery? - Answer -B. 5/9/07
Which action should the nurse implement when preparing to measure the fundal height of a
pregnant client? - Answer -A. Have the client empty her bladder.
A client who is in the 2nd trimester of pregnancy tells the nurse that she wants to use herbal
therapy. Which response is best for the nurse to provide? - Answer -D. It is important that you
want to take part in your care.
The nurse is planning preconception care for a new female client. Which information should the
nurse provide to the client? - Answer -D. Encourage healthy lifestyles for families during
pregnancy.
A primagravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an
epidural for pain relief. Which assessment finding is most important to the nurse to report to
the healthcare provider? - Answer -D. A platelet count of 67,000/mm3.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What action
should the nurse take? - Answer -A. apply cold compresses to both breasts for comfort.
3|Page
AND CORRECT ANSWERS |2026/2027 UPDATED
|GUARANTEED PASS.
The nurse is preparing to give an enema to a laboring client. Which client would require the
most caution when carrying out this procedure? - Answer -D. a 40-week primagravida who
presents at 100% effacement, 3 cm dilation, and a -1 station.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding after it changes?" What should the nurse
instruct the client to do? - Answer -A. Reduce activity level and notify healthcare provider.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small
to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and
blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What
action should the nurse take immediately? - Answer -D. Call the healthcare provider to question
the prescription.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is
most indicative of an impending convulsion? - Answer -C. epigastric pain
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask the
client? - Answer -D. Do you have a history of rheumatic fever?
1|Page
,A couple has been trying to conceive for 9 months without success. Which information obtained
from the clients is most likely to have an impact on the couple's ability to conceive? - Answer -D.
They use lubricants with each sexual encounter to decrease friction.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn
Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the neonate's
formula to Similac Soy Isomil Formula, a soy protein isolate based infant formula. What
information should the nurse provide to the mother about the newly prescribed formula? -
Answer -D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose.
The nurse is performing a gestational age assessment on a full-term newborn during the first
hour of transition using the Ballard scale. Based on this assessment, the nurse determines that
the neonate has a maturity rating at 40-weeks. What findings should the nurse identify to
determine if the neonate is SGA? - Answer -A. admission weight of 4 lbs.
B. Head to heel length of 17 inches.
C. frontal occipital circumference of 12.5 inches.
The nurse is assessing a client who is having a NST at 41-weeks gestation. The nurse determines
that the client is not having contractions, the FHR baseline is 144 bpm, and no FHR accels are
occurring. What action should the nurse take? - Answer -D. Ask the client if she has felt any fetal
movement.
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first? - Answer -A. Bathe the infant with antimicrobial
soap.
2|Page
, A pregnant client tells the nurse that the first day of her LMP was 8/2/06. Based on Nagele's
rule, what is the estimated date of delivery? - Answer -B. 5/9/07
Which action should the nurse implement when preparing to measure the fundal height of a
pregnant client? - Answer -A. Have the client empty her bladder.
A client who is in the 2nd trimester of pregnancy tells the nurse that she wants to use herbal
therapy. Which response is best for the nurse to provide? - Answer -D. It is important that you
want to take part in your care.
The nurse is planning preconception care for a new female client. Which information should the
nurse provide to the client? - Answer -D. Encourage healthy lifestyles for families during
pregnancy.
A primagravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an
epidural for pain relief. Which assessment finding is most important to the nurse to report to
the healthcare provider? - Answer -D. A platelet count of 67,000/mm3.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What action
should the nurse take? - Answer -A. apply cold compresses to both breasts for comfort.
3|Page
