HESI MATERNITY PN EXAM 2025
QUESTIONS AND ANSWERS
A 23-year-old woman arrives at the prenatal clinic because she thinks that she is pregnant. Her
last menstrual period began on March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of birth (EDB)?
A. July 8
B. Jan 7
C. Dec 7
D. Dec 24 - ANS B. Jan 7
A woman arrives at the prenatal clinic stating that her pregnancy test is positive. She asks the
nurse for information about an abortion. After verifying that the woman is at 8 weeks'
gestation, the nurse counsels her that having an abortion is controversial and that many
women have long-lasting feelings of guilt after an abortion. What is the nurse's legal
responsibility?
1- To share her own thoughts on abortion with the client
2- To provide the client with correct, unbiased information
3 -To ask why the client wants information about abortion
4-To notify the health care provider because this is beyond the scope of nursing practice -
ANS 2
To provide the client with correct, unbiased information
Using the five-digit system, determine the obstetric history in this situation: The client is 38
weeks into her fourth pregnancy. Her third pregnancy, a twin gestation, ended at 32 weeks
with a live birth, her second pregnancy ended at 38 weeks with a live birth, and her first
pregnancy ended at 18 weeks.
1
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
,G4, T2, P1, A1, L2
2
G4, T1, P2, A1, L1
3
G4, T1, P1, A1, L3
4
G4, T2, P1, A1, L1 - ANS 3
G4, T1, P1, A1, L3
A nurse is counseling a pregnant client who is a vegetarian. What should the nurse plan to do to
ensure optimal nutrition during the pregnancy?
1
Refer the client to a dietitian to help plan her daily menu.
2
Encourage the client to join a group that teaches nutrition.
3
Explain that she needs to include meat in her diet at least once a day.
4
Advise the client that it is unhealthy to continue a vegetarian diet during pregnancy. - ANS 1
Refer the client to a dietitian to help plan her daily menu.
A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is very
important during pregnancy and that she is taking a prescribed supplement. She asks the nurse
what foods contain folic acid (folate) so she may add them to her diet in its natural form. Which
foods should the nurse recommend? Select all that apply.
1
Beef and fish
2
Milk and cheese
3
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 2
,Chicken and turkey
4
Black and pinto beans
5
Enriched bread and pasta - ANS Correct4
Black and pinto beans
Correct5
Enriched bread and pasta
A woman who is pregnant for the first time is concerned about regaining her figure after her
baby is born and wishes to diet during pregnancy. What should the nurse advise her?
1
Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to lessen the incidence of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake can cause gestational diabetes mellitus. - ANS Correct1
Inadequate food intake can result in a low-birth-weight infant.
During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The client
states that her mother told her that she should restrict her salt intake. What is the nurse's best
response?
1
"Your mother is always correct. You should use less salt to prevent swelling during pregnancy."
2
"Because you need salt to maintain body water balance, it is not restricted. Just eat a well-
balanced diet."
3
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
, "Salt is an essential nutrient that is naturally reduced by the body's estrogen. There's no reason
to restrict salt in your diet."
4
"We no longer recommend that salt intake be as restricted as much as in the past, but you still
shouldn't add salt to your food." - ANS 2
"Because you need salt to maintain body water balance, it is not restricted. Just eat a well-
balanced diet."
A client at 22 weeks' gestation asks the nurse how to prevent back pain as her pregnancy
progresses. What does the nurse suggest that she wear?
1
Maternity girdle
2
Support stockings
3
Low-heeled shoes
4
Loose-fitting clothing - ANS Correct3
Low-heeled shoes
A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and got a
positive result. She confides that her grandfather, with whom she, her younger sisters, and her
mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl
whether she has told anyone else, she replies, "Yes, but my mother doesn't believe me."
Legally, who should the nurse notify?
1
Police concerning a possible sex crime
2
Health care provider to confirm the pregnancy
3
Child protective services for immediate intervention
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 4
QUESTIONS AND ANSWERS
A 23-year-old woman arrives at the prenatal clinic because she thinks that she is pregnant. Her
last menstrual period began on March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of birth (EDB)?
A. July 8
B. Jan 7
C. Dec 7
D. Dec 24 - ANS B. Jan 7
A woman arrives at the prenatal clinic stating that her pregnancy test is positive. She asks the
nurse for information about an abortion. After verifying that the woman is at 8 weeks'
gestation, the nurse counsels her that having an abortion is controversial and that many
women have long-lasting feelings of guilt after an abortion. What is the nurse's legal
responsibility?
1- To share her own thoughts on abortion with the client
2- To provide the client with correct, unbiased information
3 -To ask why the client wants information about abortion
4-To notify the health care provider because this is beyond the scope of nursing practice -
ANS 2
To provide the client with correct, unbiased information
Using the five-digit system, determine the obstetric history in this situation: The client is 38
weeks into her fourth pregnancy. Her third pregnancy, a twin gestation, ended at 32 weeks
with a live birth, her second pregnancy ended at 38 weeks with a live birth, and her first
pregnancy ended at 18 weeks.
1
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
,G4, T2, P1, A1, L2
2
G4, T1, P2, A1, L1
3
G4, T1, P1, A1, L3
4
G4, T2, P1, A1, L1 - ANS 3
G4, T1, P1, A1, L3
A nurse is counseling a pregnant client who is a vegetarian. What should the nurse plan to do to
ensure optimal nutrition during the pregnancy?
1
Refer the client to a dietitian to help plan her daily menu.
2
Encourage the client to join a group that teaches nutrition.
3
Explain that she needs to include meat in her diet at least once a day.
4
Advise the client that it is unhealthy to continue a vegetarian diet during pregnancy. - ANS 1
Refer the client to a dietitian to help plan her daily menu.
A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is very
important during pregnancy and that she is taking a prescribed supplement. She asks the nurse
what foods contain folic acid (folate) so she may add them to her diet in its natural form. Which
foods should the nurse recommend? Select all that apply.
1
Beef and fish
2
Milk and cheese
3
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 2
,Chicken and turkey
4
Black and pinto beans
5
Enriched bread and pasta - ANS Correct4
Black and pinto beans
Correct5
Enriched bread and pasta
A woman who is pregnant for the first time is concerned about regaining her figure after her
baby is born and wishes to diet during pregnancy. What should the nurse advise her?
1
Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to lessen the incidence of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake can cause gestational diabetes mellitus. - ANS Correct1
Inadequate food intake can result in a low-birth-weight infant.
During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The client
states that her mother told her that she should restrict her salt intake. What is the nurse's best
response?
1
"Your mother is always correct. You should use less salt to prevent swelling during pregnancy."
2
"Because you need salt to maintain body water balance, it is not restricted. Just eat a well-
balanced diet."
3
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
, "Salt is an essential nutrient that is naturally reduced by the body's estrogen. There's no reason
to restrict salt in your diet."
4
"We no longer recommend that salt intake be as restricted as much as in the past, but you still
shouldn't add salt to your food." - ANS 2
"Because you need salt to maintain body water balance, it is not restricted. Just eat a well-
balanced diet."
A client at 22 weeks' gestation asks the nurse how to prevent back pain as her pregnancy
progresses. What does the nurse suggest that she wear?
1
Maternity girdle
2
Support stockings
3
Low-heeled shoes
4
Loose-fitting clothing - ANS Correct3
Low-heeled shoes
A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and got a
positive result. She confides that her grandfather, with whom she, her younger sisters, and her
mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl
whether she has told anyone else, she replies, "Yes, but my mother doesn't believe me."
Legally, who should the nurse notify?
1
Police concerning a possible sex crime
2
Health care provider to confirm the pregnancy
3
Child protective services for immediate intervention
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 4
