MATERNITY HESI — PREMIUM ORIGINAL STUDY GUIDE
2023/2024-STYLE MATERNAL–NEWBORN EXAM PREPARATION
Antepartum • Hypertensive Disorders • Diabetes • Labor • Fetal Monitoring • Emergencies • Postpartum • Newborn
Source note: The supplied Stuvia listing is titled “Maternity HESI 12 Test Bank Questions & Answers & Rationale Summer 2023/2024 100%
Study Guide.” Search access to the exact page was unavailable, so this document is independently authored from the title/topic signal and
standard maternal-newborn nursing knowledge. It does not reproduce or reconstruct paid Stuvia/HESI questions and does not claim that any
question is an actual or verified exam item.
Maternity HESI — Independent Study Resource Page 1
, 1. ANTEPARTUM & PRENATAL CARE
Question 1: Which prenatal teaching best explains the importance of folic acid?
A. It prevents all congenital anomalies
B. It reduces the risk of neural-tube defects when adequate folate is available early in pregnancy
C. It prevents gestational diabetes
D. It guarantees normal fetal growth
Correct Answer: B
Rationale: Adequate folate is particularly important before conception and during early embryonic development. It lowers neural-tube-defect risk
but does not prevent every congenital abnormality.
Question 2: A pregnant client reports severe headache, visual disturbances and right-upper-quadrant pain. Which
concern is highest priority?
A. Normal discomfort of pregnancy
B. Severe preeclampsia
C. Round-ligament pain
D. Mild hyperemesis
Correct Answer: B
Rationale: Neurologic symptoms and RUQ/epigastric pain are warning signs of severe hypertensive disease and require prompt evaluation.
Question 3: Which finding is most concerning in a pregnant client with vaginal bleeding?
A. Painless spotting after intercourse
B. Heavy bleeding with dizziness or abdominal pain
C. Mild nausea
D. Increased urinary frequency
Correct Answer: B
Rationale: Heavy bleeding accompanied by pain or hemodynamic symptoms may signal an obstetric emergency.
Question 4: Which nutritional principle is appropriate during pregnancy?
A. Avoid all additional calories
B. Follow individualized nutrition guidance with adequate protein, micronutrients and appropriate weight gain
C. Double food intake in every trimester
D. Avoid all carbohydrates
Correct Answer: B
Rationale: Pregnancy increases nutritional needs, but the appropriate amount varies by pre-pregnancy BMI, trimester and clinical
circumstances.
Question 5: Which fetal assessment becomes increasingly useful as pregnancy progresses?
A. Gestational-age-appropriate fetal heart assessment and movement evaluation
B. Maternal shoe size
C. Maternal hair texture
D. Visual acuity
Correct Answer: A
Rationale: Prenatal surveillance uses gestational-age-appropriate fetal heart assessment, movement history, fundal growth and additional
testing when indicated.
2. HYPERTENSIVE DISORDERS
Maternity HESI — Independent Study Resource Page 2
2023/2024-STYLE MATERNAL–NEWBORN EXAM PREPARATION
Antepartum • Hypertensive Disorders • Diabetes • Labor • Fetal Monitoring • Emergencies • Postpartum • Newborn
Source note: The supplied Stuvia listing is titled “Maternity HESI 12 Test Bank Questions & Answers & Rationale Summer 2023/2024 100%
Study Guide.” Search access to the exact page was unavailable, so this document is independently authored from the title/topic signal and
standard maternal-newborn nursing knowledge. It does not reproduce or reconstruct paid Stuvia/HESI questions and does not claim that any
question is an actual or verified exam item.
Maternity HESI — Independent Study Resource Page 1
, 1. ANTEPARTUM & PRENATAL CARE
Question 1: Which prenatal teaching best explains the importance of folic acid?
A. It prevents all congenital anomalies
B. It reduces the risk of neural-tube defects when adequate folate is available early in pregnancy
C. It prevents gestational diabetes
D. It guarantees normal fetal growth
Correct Answer: B
Rationale: Adequate folate is particularly important before conception and during early embryonic development. It lowers neural-tube-defect risk
but does not prevent every congenital abnormality.
Question 2: A pregnant client reports severe headache, visual disturbances and right-upper-quadrant pain. Which
concern is highest priority?
A. Normal discomfort of pregnancy
B. Severe preeclampsia
C. Round-ligament pain
D. Mild hyperemesis
Correct Answer: B
Rationale: Neurologic symptoms and RUQ/epigastric pain are warning signs of severe hypertensive disease and require prompt evaluation.
Question 3: Which finding is most concerning in a pregnant client with vaginal bleeding?
A. Painless spotting after intercourse
B. Heavy bleeding with dizziness or abdominal pain
C. Mild nausea
D. Increased urinary frequency
Correct Answer: B
Rationale: Heavy bleeding accompanied by pain or hemodynamic symptoms may signal an obstetric emergency.
Question 4: Which nutritional principle is appropriate during pregnancy?
A. Avoid all additional calories
B. Follow individualized nutrition guidance with adequate protein, micronutrients and appropriate weight gain
C. Double food intake in every trimester
D. Avoid all carbohydrates
Correct Answer: B
Rationale: Pregnancy increases nutritional needs, but the appropriate amount varies by pre-pregnancy BMI, trimester and clinical
circumstances.
Question 5: Which fetal assessment becomes increasingly useful as pregnancy progresses?
A. Gestational-age-appropriate fetal heart assessment and movement evaluation
B. Maternal shoe size
C. Maternal hair texture
D. Visual acuity
Correct Answer: A
Rationale: Prenatal surveillance uses gestational-age-appropriate fetal heart assessment, movement history, fundal growth and additional
testing when indicated.
2. HYPERTENSIVE DISORDERS
Maternity HESI — Independent Study Resource Page 2
