HESI MATERNITY PRACTICE TEST 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ A new mother asks the nurse "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide?
a. weigh the baby daily and if she is gaining weight she is eating
enough
b. your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day
c. offer the baby extra bottle milk after her feeding and see if she is
still hungry
d. if you're concerned you might consider bottle feeding so that you
can monitor her intake
Answer: b. your milk is sufficient if the bay is voiding pale straw-
colored urine 6 to 10 times a day
◉ On admission to the prenatal clinic, a 23 year old woman tells the
nurse that her last menstrual period began on February 15 that
previously her periods were regular. Her pregnancy test is positive.
This client's expected date of delivery
a. November 22
,b. November 8
c. December 22
d. October 22
Answer: a. November 22
◉ An off-duty finds a woman in a supermarket parking lot delivering
an infant while her husband is screaming for someone to help his
wife. Which intervention has the highest priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm
Answer: c. put the newborn to breast
◉ During a prenatal visit, the nurse discusses with a client the
effects of smoking on the fetus. When compared with nonsmokers,
mothers who smoke during pregnancy tend to produce infants who
have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores
Answer: c. lower birth weights
,◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny looking
head." Which response by the nurse is best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10
days
c. it may look funny to you but newborn babies are often born with
heads like your baby's
d. your pelvis was too small so the baby's head had to adjust to the
birth canal
Answer: b. that is normal the head will return to a round shape
within 7 to 10 days
◉ After each feeding, a 3 day old newborn is spitting up large
amounts of newborn formula, a nonfat cow's milk formula. The
pediatric healthcare provider changes the neonates's formula to
Similac. What information should the nurse provide to the mother
about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed
with diarrhea
b. The new formula is a coconut milk formula used with babies with
impaired fat absorption
c. the new formula is a casein protein source that is low in
phenylalanine
, d. similac is a soy based formula that contains sucrose
Answer: d. similac is a soy based formula that contains sucrose
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last
trimester
d. supplementary iron is more efficiently utilized during pregnancy
Answer: b. it is difficult to consume 18 mg of additional iron by diet
alone
◉ When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant
Answer: b, d
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ A new mother asks the nurse "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide?
a. weigh the baby daily and if she is gaining weight she is eating
enough
b. your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day
c. offer the baby extra bottle milk after her feeding and see if she is
still hungry
d. if you're concerned you might consider bottle feeding so that you
can monitor her intake
Answer: b. your milk is sufficient if the bay is voiding pale straw-
colored urine 6 to 10 times a day
◉ On admission to the prenatal clinic, a 23 year old woman tells the
nurse that her last menstrual period began on February 15 that
previously her periods were regular. Her pregnancy test is positive.
This client's expected date of delivery
a. November 22
,b. November 8
c. December 22
d. October 22
Answer: a. November 22
◉ An off-duty finds a woman in a supermarket parking lot delivering
an infant while her husband is screaming for someone to help his
wife. Which intervention has the highest priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm
Answer: c. put the newborn to breast
◉ During a prenatal visit, the nurse discusses with a client the
effects of smoking on the fetus. When compared with nonsmokers,
mothers who smoke during pregnancy tend to produce infants who
have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores
Answer: c. lower birth weights
,◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny looking
head." Which response by the nurse is best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10
days
c. it may look funny to you but newborn babies are often born with
heads like your baby's
d. your pelvis was too small so the baby's head had to adjust to the
birth canal
Answer: b. that is normal the head will return to a round shape
within 7 to 10 days
◉ After each feeding, a 3 day old newborn is spitting up large
amounts of newborn formula, a nonfat cow's milk formula. The
pediatric healthcare provider changes the neonates's formula to
Similac. What information should the nurse provide to the mother
about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed
with diarrhea
b. The new formula is a coconut milk formula used with babies with
impaired fat absorption
c. the new formula is a casein protein source that is low in
phenylalanine
, d. similac is a soy based formula that contains sucrose
Answer: d. similac is a soy based formula that contains sucrose
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last
trimester
d. supplementary iron is more efficiently utilized during pregnancy
Answer: b. it is difficult to consume 18 mg of additional iron by diet
alone
◉ When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant
Answer: b, d
