HESI Maternity Exam – Exam (2025)
(questions and verified answers) ACTUAL
EXAM 2025 TEST!! AGRADE
1. A client at 36 weeks gestation reports experiencing lower back pain and
irregular contractions. What is the most appropriate initial action by the nurse?
A. Administer terbutaline as prescribed
B. Encourage rest and hydration
C. Initiate magnesium sulfate therapy
D. Prepare for immediate delivery
2. Which of the following findings in a newborn requires immediate
intervention?
A. Respiratory rate of 70 breaths per minute
B. Heart rate of 140 bpm
C. Acrocyanosis
D. Positive Moro reflex
3. A woman in labor is at 8 cm dilation and begins to feel the urge to push. What
is the nurse’s best action?
A. Encourage pushing with contractions
B. Instruct the client to pant and not push
C. Administer IV pain medication
D. Check for fetal station
,4. What is the priority nursing diagnosis for a client experiencing postpartum
hemorrhage?
A. Risk for infection
B. Deficient fluid volume
C. Risk for impaired skin integrity
D. Impaired urinary elimination
5. A patient at 10 weeks gestation is experiencing nausea. What advice should
the nurse provide?
A. Take iron supplements on an empty stomach
B. Eat three large meals per day
C. Drink fluids with meals
D. Eat dry crackers before getting out of bed
6. Which sign indicates effective breastfeeding in a newborn?
A. Infant sleeps through the night
B. Audible swallowing is heard
C. Mother reports breast pain
D. Infant has two wet diapers per day
7. What is the priority action after the rupture of membranes?
A. Monitor maternal temperature
B. Administer oxytocin
C. Assess maternal blood pressure
D. Assess fetal heart rate
8. A nurse notes a boggy uterus deviated to the right postpartum. What is the
appropriate nursing intervention?
A. Notify the provider
B. Assist the client to void
, C. Begin fundal massage
D. Administer oxytocin
9. A patient at 32 weeks gestation presents with painless vaginal bleeding. What
condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
10. The purpose of administering Rh immune globulin (RhoGAM) is to:
A. Prevent neural tube defects
B. Reduce nausea and vomiting
C. Prevent Rh sensitization
D. Promote fetal lung maturity
11. What is the nurse’s priority action for a newborn with a heart rate of 90 bpm
and irregular breathing?
A. Give oxygen via nasal cannula
B. Prepare for intubation
C. Begin positive pressure ventilation
D. Stimulate the newborn
12. A client reports leaking of fluid at 38 weeks gestation. What is the best
action?
A. Perform a nitrazine test
B. Check cervical dilation
C. Offer reassurance
D. Send the patient home
(questions and verified answers) ACTUAL
EXAM 2025 TEST!! AGRADE
1. A client at 36 weeks gestation reports experiencing lower back pain and
irregular contractions. What is the most appropriate initial action by the nurse?
A. Administer terbutaline as prescribed
B. Encourage rest and hydration
C. Initiate magnesium sulfate therapy
D. Prepare for immediate delivery
2. Which of the following findings in a newborn requires immediate
intervention?
A. Respiratory rate of 70 breaths per minute
B. Heart rate of 140 bpm
C. Acrocyanosis
D. Positive Moro reflex
3. A woman in labor is at 8 cm dilation and begins to feel the urge to push. What
is the nurse’s best action?
A. Encourage pushing with contractions
B. Instruct the client to pant and not push
C. Administer IV pain medication
D. Check for fetal station
,4. What is the priority nursing diagnosis for a client experiencing postpartum
hemorrhage?
A. Risk for infection
B. Deficient fluid volume
C. Risk for impaired skin integrity
D. Impaired urinary elimination
5. A patient at 10 weeks gestation is experiencing nausea. What advice should
the nurse provide?
A. Take iron supplements on an empty stomach
B. Eat three large meals per day
C. Drink fluids with meals
D. Eat dry crackers before getting out of bed
6. Which sign indicates effective breastfeeding in a newborn?
A. Infant sleeps through the night
B. Audible swallowing is heard
C. Mother reports breast pain
D. Infant has two wet diapers per day
7. What is the priority action after the rupture of membranes?
A. Monitor maternal temperature
B. Administer oxytocin
C. Assess maternal blood pressure
D. Assess fetal heart rate
8. A nurse notes a boggy uterus deviated to the right postpartum. What is the
appropriate nursing intervention?
A. Notify the provider
B. Assist the client to void
, C. Begin fundal massage
D. Administer oxytocin
9. A patient at 32 weeks gestation presents with painless vaginal bleeding. What
condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Uterine rupture
10. The purpose of administering Rh immune globulin (RhoGAM) is to:
A. Prevent neural tube defects
B. Reduce nausea and vomiting
C. Prevent Rh sensitization
D. Promote fetal lung maturity
11. What is the nurse’s priority action for a newborn with a heart rate of 90 bpm
and irregular breathing?
A. Give oxygen via nasal cannula
B. Prepare for intubation
C. Begin positive pressure ventilation
D. Stimulate the newborn
12. A client reports leaking of fluid at 38 weeks gestation. What is the best
action?
A. Perform a nitrazine test
B. Check cervical dilation
C. Offer reassurance
D. Send the patient home
