NURt 202/t NUR202t HESI:t (Latestt 2025/t
2026t Update)t Maternal-Newbornt Nursingt
Review|t Qst &t As|t Gradet A|t 100%t
Correctt (Verifiedt Answers)-t Fortis
QUESTION
At mothert whot ist breastfeedingt hert babyt receivest instructionst fromt thet nurse.t Whicht
instructiont ist mostt effectivet tot preventt nipplet soreness?t
a.t Weart at cottont bra
b.t Increaset nursingt timet gradually
c.t Correctlyt placet thet infantt ont thet breast
d.t Manuallyt expresst at smallt amountt oft milkt beforet nursing
Answer:
c.t Correctlyt placet thet infantt ont thet breast
Thet mostt commont causet oft nipplet sorenesst ist incorrectt positioningt (C)t oft thet infantt
ont thet breast,t e.g.,t graspingt toot littlet oft thet areolat ort graspingt ont thet nipple.
QUESTION
Thet nurset ist counselingt at womant whot wantst tot becomet pregnant.t Thet womant tellst thet
nurset thatt shet hast at 36-dayt menstrualt cyclet andt thet firstt dayt oft hert menstrualt periodt
wast Januaryt *.t Thet nurset correctlyt calculatest thatt thet woman'st nextt fertilet periodt ist
a.t Januaryt 14-15
b.t Januaryt 22-23
c.t Januaryt 30-31
d.t Februaryt 6-7
Answer:
c.t Januaryt 30-31
Thist womant cant expectt hert nextt periodt tot begint 36t dayst fromt thet firstt dayt oft hert
lastt menstrualt periodt -t thet cyclet beginst att thet firstt dayt oft thet cyclet andt continuest tot
thet firstt dayt oft thet nextt cycle.t Hert nextt periodt would,t therefore,t begint ont Februaryt
13.t Ovulationt occurst 14t dayst beforet thet firstt dayt oft thet menstrualt period.t Therefore,t
ovulationt fort thist womant wouldt occurt Januaryt 31t (C).
,QUESTION
Thet nurset shouldt encouraget thet laboringt clientt tot begint pushingt whent
a.t theret ist onlyt ant anteriort ort posteriort lipt oft cervixt left
b.t thet clientt describest thet needt tot havet at bowelt movement
c.t thet cervixt ist completelyt dilated
d.t thet cervixt ist completelyt effaced
Answer:
c.t thet cervixt ist completelyt dilated
Pushingt beginst witht thet secondt staget oft labor,t i.e.,t whent thet cervixt ist completelyt
dilatedt (A,t B,t andt D),t thet cervixt cant becomet edematoust andt mayt nevert completelyt
dilate,t necessitatingt ant operativet delivery.t Manyt primigravida'st begint activet labort 100%t
effacedt andt thent proceedt tot dilate.
QUESTION
Onet hourt aftert givingt birtht tot ant 8-poundt infant,t at client'st lochiat rubrat hast increasedt
fromt smallt tot larget andt hert fundust ist boggyt despitet massage.t Thet client'st pulset ist 84t
beats/minutet andt bloodt pressuret ist 156/96.t Thet healthcaret providert prescribest Methergine
0.2t mgt IMt xt 1.t Whatt actiont shouldt thet nurset taket immediately?
a.t Givet thet medicationt ast prescribedt andt monitort fort efficacy
b.t Encouraget thet clientt tot breastfeedt rathert thant bottlet feed
c.t Havet thet clientt emptyt hert bladdert andt massaget thet fundus
d.t Callt thet healthcaret providert tot questiont thet prescription
Answer:
d.t Callt thet healthcaret providert tot questiont thet prescription
Metherginet ist contraindicatedt fort clientst witht elevatedt bloodt pressure,t sot thet nurset
shouldt contactt thet healthcaret providert andt questiont thet prescriptiont (D).
QUESTION
At newborn,t whoset mothert ist HIVt positive,t ist scheduledt fort follow-upt assessments.t Thet
nurset knowst thatt thet mostt likelyt presentingt symptomt fort at pediatrict clientt witht AIDSt
is:
a.t shortnesst oft breath
b.t jointt pain
c.t at persistentt cold
d.t organomegaly
Answer:
,c.t at persistentt cold
Respiratoryt tractt infectionst commonlyt occurt int thet pediatrict population.t However,t thet
childt witht AIDSt hast at decreasedt abilityt tot defendt thet bodyt againstt theset infectionst andt
oftent thet presentingt symptomt oft at childt witht AIDSt ist at persistentt coldt (C).
QUESTION
At healthcaret providert informst thet charget nurset oft at labort andt deliveryt unitt thatt at
clientt ist comingt tot thet unitt witht suspectedt abruptiot placentae.t Whatt findingst shouldt thet
charget nurset expectt thet clientt tot demonstrate?t (Selectt allt thatt apply)t
a.t Dark,t redt vaginalt bleeding
b.t Lowert backt pain
c.t Prematuret rupturet oft membranes
d.t Increasedt uterinet irritability
e.t Bilateralt pittingt edema
f.t At rigidt abdomen
Answer:
a.t Dark,t redt vaginalt bleeding
d.t Increasedt uterinet irritability
f.t At rigidt abdomen
Thet symptomst oft abruptiot placentaet includet darkt redt vaginalt bleedingt (A),t increasedt
uterinet irritabilityt (D),t andt at rigidt abdoment (F).
QUESTION
Thet nurset assessest at clientt admittedt tot thet labort andt deliveryt unitt andt obtainst thet
followingt data:t darkt redt vaginalt bleeding,t uterust slightlyt tenset betweent contractions,t BPt
110/68,t FHRt 110t beats/minute,t cervixt 1t cmt dilatedt andt uneffaced.t Basedt ont theset
assessmentt findings,t whatt interventiont shouldt thet nurset implement?t
a.t Insertt ant internalt fetalt monitor
b.t Assesst fort cervicalt changest q1h
c.t Monitort bleedingt fromt IVt sites
d.t Performt Leopold'st maneuvers
Answer:
c.t Monitort bleedingt fromt IVt sites
Monitoringt bleedingt fromt peripheralt sitest (C)t ist thet priorityt intervention.t Thist clientt ist
presentingt witht signst oft placentalt abruption.t Disseminatedt intravasculart coagulationt
(DIC)t ist at complicationt oft placentalt abruption,t characterizedt byt abnormalt bleeding.
, QUESTION
At clientt whot ist attendingt antepartumt classest askst thet nurset whyt hert healthcaret
providert hast prescribedt iront tablets.t Thet nurse'st responset ist basedt ont whatt knowledge?
a.t Supplementaryt iront ist moret efficientlyt utilizedt duringt pregnancy
b.t Itt difficultt tot consumet 18t mgt oft additionalt iront byt diett alone
c.t Iront absorptiont ist decreasedt int thet GIt tractt duringt pregnancy
d.t Iront ist neededt tot preventt megaloblastict anemiat int thet lastt trimester
Answer:
b.t Itt difficultt tot consumet 18t mgt oft additionalt iront byt diett alone
Consumingt enought iron-containingt foodst tot facilitatet adequatet fetalt storaget oft iront andt
tot meett thet demandst oft pregnancyt ist difficultt (B)t sot iront supplementst aret oftent
recommended.
QUESTION
At 42-weekt gestationalt clientt ist receivingt ant intravenoust infusiont oft oxytocint (Pitocin)t
tot augmentt earlyt labor.t Thet nurset shouldt discontinuet thet oxytocint infusiont fort whicht
patternt oft contractions?t
a.t Transitiont labort witht contractionst everyt 2t minutes,t lastingt 90t secondst each
a.t Earlyt labort witht contractionst everyt 5t minutes,t lastingt 40t secondst each
c.t Activet labort witht contractionst everyt 31t minutes,t lastingt 60t secondst each
d.t Activet labort witht contractionst everyt 2t tot 3t minutes,t lastingt 70t tot 80t secondst each
Answer:
a.t Transitiont labort witht contractionst everyt 2t minutes,t lastingt 90t secondst each
Contractionst patternt (A)t describest hyperstimulationt andt ant inadequatet restingt timet
betweent contractionst tot allowt fort placentalt perfusion.t Thet oxytocint infusiont shouldt bet
discontinued.
QUESTION
Whicht maternalt behaviort ist thet nurset mostt likelyt tot seet whent at newt mothert receivest
hert infantt fort thet firstt time?t
a.t Shet eagerlyt reachest fort thet infant,t undressest thet infants,t andt examinest thet infantt
completely
b.t Hert armst andt handst receivet thet infantt andt shet thent tracest thet infant'st profilet witht
hert fingertips
c.t Hert armst andt handst receivet thet infantt andt shet thent cuddlest thet infantt tot hert ownt
body
2026t Update)t Maternal-Newbornt Nursingt
Review|t Qst &t As|t Gradet A|t 100%t
Correctt (Verifiedt Answers)-t Fortis
QUESTION
At mothert whot ist breastfeedingt hert babyt receivest instructionst fromt thet nurse.t Whicht
instructiont ist mostt effectivet tot preventt nipplet soreness?t
a.t Weart at cottont bra
b.t Increaset nursingt timet gradually
c.t Correctlyt placet thet infantt ont thet breast
d.t Manuallyt expresst at smallt amountt oft milkt beforet nursing
Answer:
c.t Correctlyt placet thet infantt ont thet breast
Thet mostt commont causet oft nipplet sorenesst ist incorrectt positioningt (C)t oft thet infantt
ont thet breast,t e.g.,t graspingt toot littlet oft thet areolat ort graspingt ont thet nipple.
QUESTION
Thet nurset ist counselingt at womant whot wantst tot becomet pregnant.t Thet womant tellst thet
nurset thatt shet hast at 36-dayt menstrualt cyclet andt thet firstt dayt oft hert menstrualt periodt
wast Januaryt *.t Thet nurset correctlyt calculatest thatt thet woman'st nextt fertilet periodt ist
a.t Januaryt 14-15
b.t Januaryt 22-23
c.t Januaryt 30-31
d.t Februaryt 6-7
Answer:
c.t Januaryt 30-31
Thist womant cant expectt hert nextt periodt tot begint 36t dayst fromt thet firstt dayt oft hert
lastt menstrualt periodt -t thet cyclet beginst att thet firstt dayt oft thet cyclet andt continuest tot
thet firstt dayt oft thet nextt cycle.t Hert nextt periodt would,t therefore,t begint ont Februaryt
13.t Ovulationt occurst 14t dayst beforet thet firstt dayt oft thet menstrualt period.t Therefore,t
ovulationt fort thist womant wouldt occurt Januaryt 31t (C).
,QUESTION
Thet nurset shouldt encouraget thet laboringt clientt tot begint pushingt whent
a.t theret ist onlyt ant anteriort ort posteriort lipt oft cervixt left
b.t thet clientt describest thet needt tot havet at bowelt movement
c.t thet cervixt ist completelyt dilated
d.t thet cervixt ist completelyt effaced
Answer:
c.t thet cervixt ist completelyt dilated
Pushingt beginst witht thet secondt staget oft labor,t i.e.,t whent thet cervixt ist completelyt
dilatedt (A,t B,t andt D),t thet cervixt cant becomet edematoust andt mayt nevert completelyt
dilate,t necessitatingt ant operativet delivery.t Manyt primigravida'st begint activet labort 100%t
effacedt andt thent proceedt tot dilate.
QUESTION
Onet hourt aftert givingt birtht tot ant 8-poundt infant,t at client'st lochiat rubrat hast increasedt
fromt smallt tot larget andt hert fundust ist boggyt despitet massage.t Thet client'st pulset ist 84t
beats/minutet andt bloodt pressuret ist 156/96.t Thet healthcaret providert prescribest Methergine
0.2t mgt IMt xt 1.t Whatt actiont shouldt thet nurset taket immediately?
a.t Givet thet medicationt ast prescribedt andt monitort fort efficacy
b.t Encouraget thet clientt tot breastfeedt rathert thant bottlet feed
c.t Havet thet clientt emptyt hert bladdert andt massaget thet fundus
d.t Callt thet healthcaret providert tot questiont thet prescription
Answer:
d.t Callt thet healthcaret providert tot questiont thet prescription
Metherginet ist contraindicatedt fort clientst witht elevatedt bloodt pressure,t sot thet nurset
shouldt contactt thet healthcaret providert andt questiont thet prescriptiont (D).
QUESTION
At newborn,t whoset mothert ist HIVt positive,t ist scheduledt fort follow-upt assessments.t Thet
nurset knowst thatt thet mostt likelyt presentingt symptomt fort at pediatrict clientt witht AIDSt
is:
a.t shortnesst oft breath
b.t jointt pain
c.t at persistentt cold
d.t organomegaly
Answer:
,c.t at persistentt cold
Respiratoryt tractt infectionst commonlyt occurt int thet pediatrict population.t However,t thet
childt witht AIDSt hast at decreasedt abilityt tot defendt thet bodyt againstt theset infectionst andt
oftent thet presentingt symptomt oft at childt witht AIDSt ist at persistentt coldt (C).
QUESTION
At healthcaret providert informst thet charget nurset oft at labort andt deliveryt unitt thatt at
clientt ist comingt tot thet unitt witht suspectedt abruptiot placentae.t Whatt findingst shouldt thet
charget nurset expectt thet clientt tot demonstrate?t (Selectt allt thatt apply)t
a.t Dark,t redt vaginalt bleeding
b.t Lowert backt pain
c.t Prematuret rupturet oft membranes
d.t Increasedt uterinet irritability
e.t Bilateralt pittingt edema
f.t At rigidt abdomen
Answer:
a.t Dark,t redt vaginalt bleeding
d.t Increasedt uterinet irritability
f.t At rigidt abdomen
Thet symptomst oft abruptiot placentaet includet darkt redt vaginalt bleedingt (A),t increasedt
uterinet irritabilityt (D),t andt at rigidt abdoment (F).
QUESTION
Thet nurset assessest at clientt admittedt tot thet labort andt deliveryt unitt andt obtainst thet
followingt data:t darkt redt vaginalt bleeding,t uterust slightlyt tenset betweent contractions,t BPt
110/68,t FHRt 110t beats/minute,t cervixt 1t cmt dilatedt andt uneffaced.t Basedt ont theset
assessmentt findings,t whatt interventiont shouldt thet nurset implement?t
a.t Insertt ant internalt fetalt monitor
b.t Assesst fort cervicalt changest q1h
c.t Monitort bleedingt fromt IVt sites
d.t Performt Leopold'st maneuvers
Answer:
c.t Monitort bleedingt fromt IVt sites
Monitoringt bleedingt fromt peripheralt sitest (C)t ist thet priorityt intervention.t Thist clientt ist
presentingt witht signst oft placentalt abruption.t Disseminatedt intravasculart coagulationt
(DIC)t ist at complicationt oft placentalt abruption,t characterizedt byt abnormalt bleeding.
, QUESTION
At clientt whot ist attendingt antepartumt classest askst thet nurset whyt hert healthcaret
providert hast prescribedt iront tablets.t Thet nurse'st responset ist basedt ont whatt knowledge?
a.t Supplementaryt iront ist moret efficientlyt utilizedt duringt pregnancy
b.t Itt difficultt tot consumet 18t mgt oft additionalt iront byt diett alone
c.t Iront absorptiont ist decreasedt int thet GIt tractt duringt pregnancy
d.t Iront ist neededt tot preventt megaloblastict anemiat int thet lastt trimester
Answer:
b.t Itt difficultt tot consumet 18t mgt oft additionalt iront byt diett alone
Consumingt enought iron-containingt foodst tot facilitatet adequatet fetalt storaget oft iront andt
tot meett thet demandst oft pregnancyt ist difficultt (B)t sot iront supplementst aret oftent
recommended.
QUESTION
At 42-weekt gestationalt clientt ist receivingt ant intravenoust infusiont oft oxytocint (Pitocin)t
tot augmentt earlyt labor.t Thet nurset shouldt discontinuet thet oxytocint infusiont fort whicht
patternt oft contractions?t
a.t Transitiont labort witht contractionst everyt 2t minutes,t lastingt 90t secondst each
a.t Earlyt labort witht contractionst everyt 5t minutes,t lastingt 40t secondst each
c.t Activet labort witht contractionst everyt 31t minutes,t lastingt 60t secondst each
d.t Activet labort witht contractionst everyt 2t tot 3t minutes,t lastingt 70t tot 80t secondst each
Answer:
a.t Transitiont labort witht contractionst everyt 2t minutes,t lastingt 90t secondst each
Contractionst patternt (A)t describest hyperstimulationt andt ant inadequatet restingt timet
betweent contractionst tot allowt fort placentalt perfusion.t Thet oxytocint infusiont shouldt bet
discontinued.
QUESTION
Whicht maternalt behaviort ist thet nurset mostt likelyt tot seet whent at newt mothert receivest
hert infantt fort thet firstt time?t
a.t Shet eagerlyt reachest fort thet infant,t undressest thet infants,t andt examinest thet infantt
completely
b.t Hert armst andt handst receivet thet infantt andt shet thent tracest thet infant'st profilet witht
hert fingertips
c.t Hert armst andt handst receivet thet infantt andt shet thent cuddlest thet infantt tot hert ownt
body
