HESI RN NGN MATERNITY EXAM 2025/2026
PREMIUM ORIGINAL MATERNAL–NEWBORN EXAM PREPARATION GUIDE
Antepartum • Intrapartum • Postpartum • Newborn • High-Risk Obstetrics • NGN Clinical Judgment
Source note: The supplied Stuvia listing is marketed as a HESI RN NGN Maternity Exam 2025/2026 resource with purported actual questions,
verified answers and evidence-based rationales. Public search results for related HESI maternity resources identify recurring domains
including prenatal care, fetal monitoring, labor and delivery, postpartum complications, newborn care, gestational diabetes, preeclampsia,
preterm labor and NGN-style clinical judgment. This guide is independently authored from those public topic signals and standard
maternal-newborn nursing knowledge. It does not reproduce, transcribe, or reconstruct paid Stuvia/HESI exam questions and does not claim
that any item is an actual or recently tested question.
HESI RN NGN Maternity — Independent Study Resource Page 1
, 1. ANTEPARTUM ASSESSMENT & PRENATAL CARE
Question 1: A client at 10 weeks' gestation asks why folic acid is recommended before and during early pregnancy.
What is the best explanation?
A. It prevents all congenital abnormalities
B. It supports neural-tube development during early embryogenesis
C. It guarantees normal birth weight
D. It prevents gestational hypertension
Correct Answer: B
Rationale: Neural-tube development occurs very early, often before pregnancy is recognized. Adequate folate reduces the risk of neural-tube
defects but does not prevent every congenital condition.
Question 2: Which finding during pregnancy should be reported promptly?
A. Mild nausea in the first trimester
B. Vaginal bleeding accompanied by abdominal pain
C. Increased urinary frequency early in pregnancy
D. Mild breast tenderness
Correct Answer: B
Rationale: Bleeding with pain can indicate a pregnancy complication and requires assessment. Normal pregnancy symptoms should still be
interpreted in context.
Question 3: Which assessment is most useful for evaluating fetal well-being during prenatal care?
A. Maternal and fetal assessment appropriate to gestational age
B. Maternal temperature alone
C. Maternal height alone
D. Pulse oximetry alone
Correct Answer: A
Rationale: Prenatal care combines maternal history, vital signs, fundal assessment, fetal heart assessment and gestational-age-appropriate
screening.
Question 4: A pregnant client asks about immunization. Which principle is most appropriate?
A. All vaccines are contraindicated in pregnancy
B. Vaccine recommendations depend on the vaccine and pregnancy-specific guidance
C. Vaccines have no role in pregnancy
D. Live vaccines should always be administered during pregnancy
Correct Answer: B
Rationale: Vaccination in pregnancy is vaccine-specific. Some vaccines are recommended during pregnancy, while certain live vaccines are
generally avoided.
Question 5: A client with a low pre-pregnancy BMI asks about expected weight gain. What is the best response?
A. Weight goals should be individualized using pre-pregnancy BMI and established pregnancy guidelines
B. All pregnant clients should gain exactly 10 lb
C. Weight gain should be avoided
D. BMI is irrelevant
Correct Answer: A
Rationale: Pre-pregnancy BMI helps guide recommended gestational weight gain. Nutrition and weight trends should be monitored throughout
pregnancy.
HESI RN NGN Maternity — Independent Study Resource Page 2
PREMIUM ORIGINAL MATERNAL–NEWBORN EXAM PREPARATION GUIDE
Antepartum • Intrapartum • Postpartum • Newborn • High-Risk Obstetrics • NGN Clinical Judgment
Source note: The supplied Stuvia listing is marketed as a HESI RN NGN Maternity Exam 2025/2026 resource with purported actual questions,
verified answers and evidence-based rationales. Public search results for related HESI maternity resources identify recurring domains
including prenatal care, fetal monitoring, labor and delivery, postpartum complications, newborn care, gestational diabetes, preeclampsia,
preterm labor and NGN-style clinical judgment. This guide is independently authored from those public topic signals and standard
maternal-newborn nursing knowledge. It does not reproduce, transcribe, or reconstruct paid Stuvia/HESI exam questions and does not claim
that any item is an actual or recently tested question.
HESI RN NGN Maternity — Independent Study Resource Page 1
, 1. ANTEPARTUM ASSESSMENT & PRENATAL CARE
Question 1: A client at 10 weeks' gestation asks why folic acid is recommended before and during early pregnancy.
What is the best explanation?
A. It prevents all congenital abnormalities
B. It supports neural-tube development during early embryogenesis
C. It guarantees normal birth weight
D. It prevents gestational hypertension
Correct Answer: B
Rationale: Neural-tube development occurs very early, often before pregnancy is recognized. Adequate folate reduces the risk of neural-tube
defects but does not prevent every congenital condition.
Question 2: Which finding during pregnancy should be reported promptly?
A. Mild nausea in the first trimester
B. Vaginal bleeding accompanied by abdominal pain
C. Increased urinary frequency early in pregnancy
D. Mild breast tenderness
Correct Answer: B
Rationale: Bleeding with pain can indicate a pregnancy complication and requires assessment. Normal pregnancy symptoms should still be
interpreted in context.
Question 3: Which assessment is most useful for evaluating fetal well-being during prenatal care?
A. Maternal and fetal assessment appropriate to gestational age
B. Maternal temperature alone
C. Maternal height alone
D. Pulse oximetry alone
Correct Answer: A
Rationale: Prenatal care combines maternal history, vital signs, fundal assessment, fetal heart assessment and gestational-age-appropriate
screening.
Question 4: A pregnant client asks about immunization. Which principle is most appropriate?
A. All vaccines are contraindicated in pregnancy
B. Vaccine recommendations depend on the vaccine and pregnancy-specific guidance
C. Vaccines have no role in pregnancy
D. Live vaccines should always be administered during pregnancy
Correct Answer: B
Rationale: Vaccination in pregnancy is vaccine-specific. Some vaccines are recommended during pregnancy, while certain live vaccines are
generally avoided.
Question 5: A client with a low pre-pregnancy BMI asks about expected weight gain. What is the best response?
A. Weight goals should be individualized using pre-pregnancy BMI and established pregnancy guidelines
B. All pregnant clients should gain exactly 10 lb
C. Weight gain should be avoided
D. BMI is irrelevant
Correct Answer: A
Rationale: Pre-pregnancy BMI helps guide recommended gestational weight gain. Nutrition and weight trends should be monitored throughout
pregnancy.
HESI RN NGN Maternity — Independent Study Resource Page 2
