MATERNITY(PRACTICE) HESI (1) COMPREHENSIVE
PRACTICE EXAM LATEST UPDATED ACTUAL FINAL
EXAM WITH ALL POSSIBLE MOST TESTED 100
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS FULLY SOLVED WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY 2026-2027 FINAL EXAM UPDATED VERSION
100% GUARANTEED PASS MOST RECENT!!!
1. A client at 37 weeks’ gestation calls the clinic
reporting a gush of fluid from the vagina. She denies
contractions. What is the priority nursing action?
A. Tell the client to come to the hospital
immediately.
B. Ask the client to describe the color and amount
of the fluid.
C. Instruct the client to lie down and count fetal
movements.
D. Ask the client if she is sure the fluid is not urine.
Rationale: The priority is to determine if the
membranes have ruptured. Assessing the color
,and amount helps determine if it is amniotic fluid
and if there is meconium staining, which guides
the urgency and management. Coming to the
hospital is necessary but gathering data first is the
priority. Counting fetal movements is not the
immediate priority action during the phone triage.
2. A nurse is assessing a client who is 12 hours
postpartum. The fundus is firm at the umbilicus. The
client reports heavy bleeding and saturation of one
perineal pad in 30 minutes. What is the priority
nursing action?
A. Notify the healthcare provider immediately.
B. Massage the fundus until firm.
C. Assess for a distended bladder.
D. Inspect the perineum for lacerations.
Rationale: A firm, well-contracted fundus with
heavy bleeding indicates the bleeding is not from
uterine atony. The source is likely from a
laceration, hematoma, or retained placental
fragments. Inspecting the perineum is the next
logical step to identify the source. Notifying the
,provider should occur after a thorough
assessment.
3. The nurse is teaching a client about
breastfeeding. Which statement indicates a need for
further teaching?
A. “I will feed my baby on demand, at least 8-12
times in 24 hours.”
B. “I should hear my baby swallowing during the
feeding.”
C. “I will wash my nipples with soap and water
before each feeding.”
D. “I will alternate the breast I start with at each
feeding.”
Rationale: Soap can remove natural oils and cause
nipple dryness and cracking. Nipples should be
washed with water only. The other statements
indicate correct understanding of breastfeeding
principles.
4. A primigravida at 40 weeks’ gestation is in active
labor. The fetal heart rate baseline is 150 bpm with
accelerations. The membranes rupture
, spontaneously, and the nurse notes a moderate
amount of greenish fluid. What is the priority
nursing action?
A. Apply an internal fetal scalp electrode.
B. Assess the fetal heart rate immediately.
C. Prepare for an immediate cesarean birth.
D. Increase the rate of intravenous fluids.
Rationale: Greenish fluid indicates meconium-
stained amniotic fluid. The primary concern is
umbilical cord compression or meconium
aspiration. The immediate priority is to assess the
fetal heart rate to check for non-reassuring signs
like variable or late decelerations.
5. A client at 28 weeks’ gestation is admitted with
preeclampsia. The nurse is administering
magnesium sulfate IV. Which assessment finding
would indicate magnesium sulfate toxicity?
A. Respiratory rate of 18 breaths per minute.
B. Deep tendon reflexes 2+.
C. Urine output of 40 mL/hour.
D. Patellar reflexes absent.
Rationale: Absent deep tendon reflexes (DTRs) are
PRACTICE EXAM LATEST UPDATED ACTUAL FINAL
EXAM WITH ALL POSSIBLE MOST TESTED 100
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS FULLY SOLVED WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY 2026-2027 FINAL EXAM UPDATED VERSION
100% GUARANTEED PASS MOST RECENT!!!
1. A client at 37 weeks’ gestation calls the clinic
reporting a gush of fluid from the vagina. She denies
contractions. What is the priority nursing action?
A. Tell the client to come to the hospital
immediately.
B. Ask the client to describe the color and amount
of the fluid.
C. Instruct the client to lie down and count fetal
movements.
D. Ask the client if she is sure the fluid is not urine.
Rationale: The priority is to determine if the
membranes have ruptured. Assessing the color
,and amount helps determine if it is amniotic fluid
and if there is meconium staining, which guides
the urgency and management. Coming to the
hospital is necessary but gathering data first is the
priority. Counting fetal movements is not the
immediate priority action during the phone triage.
2. A nurse is assessing a client who is 12 hours
postpartum. The fundus is firm at the umbilicus. The
client reports heavy bleeding and saturation of one
perineal pad in 30 minutes. What is the priority
nursing action?
A. Notify the healthcare provider immediately.
B. Massage the fundus until firm.
C. Assess for a distended bladder.
D. Inspect the perineum for lacerations.
Rationale: A firm, well-contracted fundus with
heavy bleeding indicates the bleeding is not from
uterine atony. The source is likely from a
laceration, hematoma, or retained placental
fragments. Inspecting the perineum is the next
logical step to identify the source. Notifying the
,provider should occur after a thorough
assessment.
3. The nurse is teaching a client about
breastfeeding. Which statement indicates a need for
further teaching?
A. “I will feed my baby on demand, at least 8-12
times in 24 hours.”
B. “I should hear my baby swallowing during the
feeding.”
C. “I will wash my nipples with soap and water
before each feeding.”
D. “I will alternate the breast I start with at each
feeding.”
Rationale: Soap can remove natural oils and cause
nipple dryness and cracking. Nipples should be
washed with water only. The other statements
indicate correct understanding of breastfeeding
principles.
4. A primigravida at 40 weeks’ gestation is in active
labor. The fetal heart rate baseline is 150 bpm with
accelerations. The membranes rupture
, spontaneously, and the nurse notes a moderate
amount of greenish fluid. What is the priority
nursing action?
A. Apply an internal fetal scalp electrode.
B. Assess the fetal heart rate immediately.
C. Prepare for an immediate cesarean birth.
D. Increase the rate of intravenous fluids.
Rationale: Greenish fluid indicates meconium-
stained amniotic fluid. The primary concern is
umbilical cord compression or meconium
aspiration. The immediate priority is to assess the
fetal heart rate to check for non-reassuring signs
like variable or late decelerations.
5. A client at 28 weeks’ gestation is admitted with
preeclampsia. The nurse is administering
magnesium sulfate IV. Which assessment finding
would indicate magnesium sulfate toxicity?
A. Respiratory rate of 18 breaths per minute.
B. Deep tendon reflexes 2+.
C. Urine output of 40 mL/hour.
D. Patellar reflexes absent.
Rationale: Absent deep tendon reflexes (DTRs) are
