HESI RN MATERNITY NURSING 2026
Practice Exam - 50 Original Questions with Answers and Rationales
PRENATAL LABOR MONITORING POSTPARTUM NEWBORN MED/EMERG
10 10 8 9 8 5
HOW TO USE THIS PAPER
Complete all 50 items before checking the key. For each missed item, identify the maternal or fetal cue, the priority
problem, and the safest nursing action. Review the rationale and retest the topic.
Coverage: prenatal care, labor and birth, fetal monitoring, postpartum complications, newborn transition and
safety, medications, and obstetric emergencies.
Important: This independently created practice resource is not affiliated with, sponsored by, or endorsed by
Elsevier, HESI, or any nursing school. It contains no copied, recalled, leaked, or actual secure exam questions.
Verify care against current course materials, local policy, and clinical guidance.
Suggested time: 65 minutes Target score: 80% or higher
Independent original maternity nursing practice resource - educational use only Page 1
, PRENATAL CARE
1. Which finding at 32 weeks of gestation requires immediate follow-up?
A. Mild ankle edema late in the day
B. Persistent headache with visual changes
C. Urinary frequency
D. Braxton Hicks contractions relieved by rest
2. A pregnant client is Rh-negative and unsensitized. When is Rh immune globulin routinely expected?
A. Only during the first prenatal visit
B. Every week after 20 weeks
C. Only if the newborn is Rh-negative
D. At about 28 weeks and after an Rh-positive birth
3. Which food should a pregnant client avoid because of listeriosis risk?
A. Unpasteurized soft cheese
B. Washed fresh fruit
C. Pasteurized yogurt
D. Fully cooked eggs
4. A client at 10 weeks has unilateral pelvic pain, shoulder pain, and dizziness. What is the priority concern?
A. False labor
B. Round ligament discomfort
C. Ruptured ectopic pregnancy
D. Normal uterine growth
5. Which instruction is appropriate for oral iron supplementation?
A. Take it with an antacid
B. Take it with vitamin C-rich fluid if tolerated
C. Expect pale stools
D. Stop it when constipation occurs
6. A client with gestational diabetes asks why glucose control matters. Which response is best?
A. It reduces risks such as fetal overgrowth and newborn hypoglycemia
B. It guarantees a vaginal birth
C. It prevents all congenital anomalies after diagnosis
D. It eliminates all pregnancy risks
7. Which symptom should a client at 30 weeks report immediately?
A. Occasional leg cramps
B. Breast tenderness
C. Increased vaginal fluid that may be leaking
D. Mild heartburn after a meal
Independent original maternity nursing practice resource - educational use only Page 2
Practice Exam - 50 Original Questions with Answers and Rationales
PRENATAL LABOR MONITORING POSTPARTUM NEWBORN MED/EMERG
10 10 8 9 8 5
HOW TO USE THIS PAPER
Complete all 50 items before checking the key. For each missed item, identify the maternal or fetal cue, the priority
problem, and the safest nursing action. Review the rationale and retest the topic.
Coverage: prenatal care, labor and birth, fetal monitoring, postpartum complications, newborn transition and
safety, medications, and obstetric emergencies.
Important: This independently created practice resource is not affiliated with, sponsored by, or endorsed by
Elsevier, HESI, or any nursing school. It contains no copied, recalled, leaked, or actual secure exam questions.
Verify care against current course materials, local policy, and clinical guidance.
Suggested time: 65 minutes Target score: 80% or higher
Independent original maternity nursing practice resource - educational use only Page 1
, PRENATAL CARE
1. Which finding at 32 weeks of gestation requires immediate follow-up?
A. Mild ankle edema late in the day
B. Persistent headache with visual changes
C. Urinary frequency
D. Braxton Hicks contractions relieved by rest
2. A pregnant client is Rh-negative and unsensitized. When is Rh immune globulin routinely expected?
A. Only during the first prenatal visit
B. Every week after 20 weeks
C. Only if the newborn is Rh-negative
D. At about 28 weeks and after an Rh-positive birth
3. Which food should a pregnant client avoid because of listeriosis risk?
A. Unpasteurized soft cheese
B. Washed fresh fruit
C. Pasteurized yogurt
D. Fully cooked eggs
4. A client at 10 weeks has unilateral pelvic pain, shoulder pain, and dizziness. What is the priority concern?
A. False labor
B. Round ligament discomfort
C. Ruptured ectopic pregnancy
D. Normal uterine growth
5. Which instruction is appropriate for oral iron supplementation?
A. Take it with an antacid
B. Take it with vitamin C-rich fluid if tolerated
C. Expect pale stools
D. Stop it when constipation occurs
6. A client with gestational diabetes asks why glucose control matters. Which response is best?
A. It reduces risks such as fetal overgrowth and newborn hypoglycemia
B. It guarantees a vaginal birth
C. It prevents all congenital anomalies after diagnosis
D. It eliminates all pregnancy risks
7. Which symptom should a client at 30 weeks report immediately?
A. Occasional leg cramps
B. Breast tenderness
C. Increased vaginal fluid that may be leaking
D. Mild heartburn after a meal
Independent original maternity nursing practice resource - educational use only Page 2
