MATERNITY EXAM 2 HESI STUDY GUIDE | COMPLETE MATERNAL-
NEWBORN NURSING EXAM REVIEW QUESTIONS AND ANSWERS
2026/2027
C - ANS ✔✔The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction should the nurse provide?
A. Strict bed rest is required after the procedure.
B. Hospitalization is necessary for 24 hours after the procedure.
C. An informed consent needs to be signed before the procedure.
D. A fever is expected after the procedure because of the trauma to the abdomen.
A - ANS ✔✔The nurse has performed a nonstress test on pregnant client and is reviewing the fetal
monitor strip. The nurse interprets the test as reactive. How should the nurse document this finding?
A. Normal
B. Abnormal
C. The need for further evaluation
D. That findings were difficult to interpret
D - ANS ✔✔The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if
which is noted on the external monitor tracing during a contraction?
A. Variability
B.Accelerations
C. Early decelerations
D. Variable decelerations
B - ANS ✔✔The nurse is admitting a pregnant client to the labor room and attaches an external
electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal monitor, what is
the next nursing action?
A. Identify the types of accelerations.
B. Assess the baseline fetal heart rate.
C. Determine the intensity of the contractions.
D .Determine the frequency of the contractions.
, B - ANS ✔✔The nurse has been working with a laboring client and notes that she has been pushing
effectively for 1 hour. What is the client's primary physiological need at this time?
A. Ambulation
B. Rest between contractions
C. Change positions frequently
D. Consume oral food and fluids
B - ANS ✔✔The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on
admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional
sign would be consistent with this syndrome?
A.Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz 4.
D. Head circumference appropriate for gestational age
D - ANS ✔✔The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn and the
mother asks the nurse why this is performed. Which explanation is best for the nurse to provide about
neonatal eye prophylaxis?
A. Protects the newborn's eyes from possible infections acquired while hospitalized.
B. Prevents cataracts in the newborn born to a woman who is susceptible to rubella.
C. Minimizes the spread of microorganisms to the newborn from invasive procedures during labor.
D. Prevents an infection called ophthalmia neonatorum from occurring after delivery in a newborn born
to a woman with an untreated gonococcal infection.
D, E, F - ANS ✔✔The nurse is preparing to care for a newborn receiving phototherapy. Which
interventions should be included in the plan of care? Select all that apply
A. Avoid stimulation.
B. Decrease fluid intake.
C. Expose all of the newborn's skin.
D. Monitor skin temperature closely.
E. Reposition the newborn every 2 hours.
F. Cover the newborn's eyes with eye shields or patches.
NEWBORN NURSING EXAM REVIEW QUESTIONS AND ANSWERS
2026/2027
C - ANS ✔✔The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instruction should the nurse provide?
A. Strict bed rest is required after the procedure.
B. Hospitalization is necessary for 24 hours after the procedure.
C. An informed consent needs to be signed before the procedure.
D. A fever is expected after the procedure because of the trauma to the abdomen.
A - ANS ✔✔The nurse has performed a nonstress test on pregnant client and is reviewing the fetal
monitor strip. The nurse interprets the test as reactive. How should the nurse document this finding?
A. Normal
B. Abnormal
C. The need for further evaluation
D. That findings were difficult to interpret
D - ANS ✔✔The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if
which is noted on the external monitor tracing during a contraction?
A. Variability
B.Accelerations
C. Early decelerations
D. Variable decelerations
B - ANS ✔✔The nurse is admitting a pregnant client to the labor room and attaches an external
electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal monitor, what is
the next nursing action?
A. Identify the types of accelerations.
B. Assess the baseline fetal heart rate.
C. Determine the intensity of the contractions.
D .Determine the frequency of the contractions.
, B - ANS ✔✔The nurse has been working with a laboring client and notes that she has been pushing
effectively for 1 hour. What is the client's primary physiological need at this time?
A. Ambulation
B. Rest between contractions
C. Change positions frequently
D. Consume oral food and fluids
B - ANS ✔✔The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on
admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional
sign would be consistent with this syndrome?
A.Length of 19 inches
B. Abnormal palmar creases
C. Birth weight of 6 lb, 14 oz 4.
D. Head circumference appropriate for gestational age
D - ANS ✔✔The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn and the
mother asks the nurse why this is performed. Which explanation is best for the nurse to provide about
neonatal eye prophylaxis?
A. Protects the newborn's eyes from possible infections acquired while hospitalized.
B. Prevents cataracts in the newborn born to a woman who is susceptible to rubella.
C. Minimizes the spread of microorganisms to the newborn from invasive procedures during labor.
D. Prevents an infection called ophthalmia neonatorum from occurring after delivery in a newborn born
to a woman with an untreated gonococcal infection.
D, E, F - ANS ✔✔The nurse is preparing to care for a newborn receiving phototherapy. Which
interventions should be included in the plan of care? Select all that apply
A. Avoid stimulation.
B. Decrease fluid intake.
C. Expose all of the newborn's skin.
D. Monitor skin temperature closely.
E. Reposition the newborn every 2 hours.
F. Cover the newborn's eyes with eye shields or patches.
