1
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NEW UPDATED EXAM SOLUTION
QUESTIONS AND ANSWER EXAMS FOR
HESI PA 1 and 2 MATERNITY PRACTICE
QUESTIONS (2025-2026)
1. 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?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3 2. Betamethasone
(Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT ANSWER 2. HESI
textbook ref pg: 689
2. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should
the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position 3. Monitor
fetal status
4. Place the client in a lateral position 5. Increase IV
fluids
6. Perform a vaginal examination - CORRECT ANSWER 1, 3, 4, 5, HESI
textbook ref pg: 348
, 2
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3. When assessing the integument of a 24 hour old newborn, the nurse notes a pink papular rash with
superimposed vesicles on the thorax, back and abdomen. What action should the nurse implement
next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4.Move the newborn to an isolated nursery - CORRECT ANSWER 1,
HESI textbook ref pg: 473
, 3
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4. A primigravida at 12 weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which immunization(s) should the nurse administer at this time? Select
all that apply.
1.Hepatitis B2.
Chickenpox 3.
Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4, 5, HESI
textbook ref pg:
5. Which client finding should the nurse document as a positive sign of pregnancy?
1. Last menstrual cycle occurred 2 months ago 2. Fetal heart
tones heard with a doppler
3. Presence of braxton hicks contractions
4. Aurine sample with a positive pregnancy test. - CORRECT ANSWER 2, HESI
textbook ref pg: 262
6. The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? Select all that apply.
1. Sterile vaginal spectrum 2.
Lubricant
3. Litmus paper 4. An
amnihook
5. A sterile glove
6. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5
HESI textbook ref pg: 702
, 4
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7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment the nurse
determines the uterus is boggy and is displaced above and to the right of the umbilicus.
Which action should the nurse implement next?
1.Observe maternal vital signs
2. Document the color of the lochia 3. Assist the
client to the bathroom
4. Notify the healthcare provider - CORRECTANSWER 3,
HESI textbook ref pg: 422
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical history includes 3 live births at
39 weeks, 34 weeks and 35 weeks gestation. Using the GTPAL system which designation is the most
accurate summary of this client's obstetrical history?
1. 4-1-2-0-3 2.
3-0-3-0-3 3. 4-3-
1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER1, HESI
textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the lower lumbar- sacral area.
What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques 3. Apply counter
pressure against the sacrum
4. Assist the client in guided imagery - CORRECT ANSWER 3,
HESI textbook ref pg: 339
Davis textbook ref pg:
© lec_Bismark | Educational Resources
NEW UPDATED EXAM SOLUTION
QUESTIONS AND ANSWER EXAMS FOR
HESI PA 1 and 2 MATERNITY PRACTICE
QUESTIONS (2025-2026)
1. 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?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3 2. Betamethasone
(Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT ANSWER 2. HESI
textbook ref pg: 689
2. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should
the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position 3. Monitor
fetal status
4. Place the client in a lateral position 5. Increase IV
fluids
6. Perform a vaginal examination - CORRECT ANSWER 1, 3, 4, 5, HESI
textbook ref pg: 348
, 2
© lec_Bismark | Educational Resources
3. When assessing the integument of a 24 hour old newborn, the nurse notes a pink papular rash with
superimposed vesicles on the thorax, back and abdomen. What action should the nurse implement
next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4.Move the newborn to an isolated nursery - CORRECT ANSWER 1,
HESI textbook ref pg: 473
, 3
© lec_Bismark | Educational Resources
4. A primigravida at 12 weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which immunization(s) should the nurse administer at this time? Select
all that apply.
1.Hepatitis B2.
Chickenpox 3.
Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4, 5, HESI
textbook ref pg:
5. Which client finding should the nurse document as a positive sign of pregnancy?
1. Last menstrual cycle occurred 2 months ago 2. Fetal heart
tones heard with a doppler
3. Presence of braxton hicks contractions
4. Aurine sample with a positive pregnancy test. - CORRECT ANSWER 2, HESI
textbook ref pg: 262
6. The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? Select all that apply.
1. Sterile vaginal spectrum 2.
Lubricant
3. Litmus paper 4. An
amnihook
5. A sterile glove
6. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5
HESI textbook ref pg: 702
, 4
© lec_Bismark | Educational Resources
7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment the nurse
determines the uterus is boggy and is displaced above and to the right of the umbilicus.
Which action should the nurse implement next?
1.Observe maternal vital signs
2. Document the color of the lochia 3. Assist the
client to the bathroom
4. Notify the healthcare provider - CORRECTANSWER 3,
HESI textbook ref pg: 422
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical history includes 3 live births at
39 weeks, 34 weeks and 35 weeks gestation. Using the GTPAL system which designation is the most
accurate summary of this client's obstetrical history?
1. 4-1-2-0-3 2.
3-0-3-0-3 3. 4-3-
1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER1, HESI
textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the lower lumbar- sacral area.
What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques 3. Apply counter
pressure against the sacrum
4. Assist the client in guided imagery - CORRECT ANSWER 3,
HESI textbook ref pg: 339
Davis textbook ref pg:
