HESI PN Obstetrics/Maternity Practice Exam 2025 WITH ANS
1. After repeating the vital signs for a newborn who is 4 Tremors of the hands dur-
hours old, the practical nurse (PN) obtains an axillary ing crying.
temperature of 97.2 F and places the newborn under a
radiant heat warmer. Which additional finding should
the PN observe in the newborn?
2. Which information should the practical nurse (PN) pro- Prophylactic treatment for
vide the parents about the purpose of instilling ery- gonorrheal and chlamydia
thromycin (llotycin) ophthalmic ointment in the new- infection.
born's eyes.
3. What is the most important action by the practical Hand washing.
nurse (PN) in preventing neonatal infection?
4. a client who took iron supplements during pregnancy Record color and consis-
delivers and infant by cesarean section. On the second tency of the stool.
postpartum day, the client reports having a constipat-
ed stool that is greenish-black in color. Which action
should the practical nurse (PN) implement?
5. A client is 5 weeks pregnant call the clinic to report that A. Vaginal bleeding
her home pregnancy test is positive. She asks what she D. Membrane rupture
should be concerned about during the weeks before E. Severe headaches
her first visit. Which signs and symptoms should the
practical nurse (PN) tell the client to report immediate-
ly to the healthcare provider? (select all that apply)
6. A 3-day-old newborn who weighed 7 pounds, 8 ounces Document the weight loss
at birth is breast feeding and now weighs 6 pound
and 15 ounces. Which action should the practical nurse
take?
7. Erythromycin (iilotycin)
1/5
, HESI PN Obstetrics/Maternity Practice Exam 2025 WITH ANS
Which medication is prescribed for the prevention of
ophthalmia neonatorum?
8. A multiparous client's membranes rupture after 8 Assess the fetal heart rate
hours of labor. which action should the practical nurse (FHR) and pattern.
implement at this time?
9. The practical nurse (PN) palpates fundal height at the Continue to massage the
umbilicus of a multiparous client who has just given fundus until firm.
birth to an 8-pound boy when dark red blood comes
from the client's vagina. What action is most important
for the PN to implement?
10. Which client should the practical nurse (PN) closely A multigravida who is
monitor for severe after pains? breastfeeding.
11. The practical nurse (PN) is assessing a client 2 hours Excessive bleeding on the
after a vaginal delivery of a 7-pound 3-ounce new- perineal pad.
born and determines the client's bladder is distended.
Which additional finding should the PN report to the
charge nurse?
12. The practical nurse (PN) places a newborn who is 4 The newborn's thin layer of
hours old with an axillary temperature of 97.2 F under subcutaneous fat provides
the radiant heat warmer. Which rationale supports the poor insulation.
PN's action?
13. Which strategy should the practical nurse (PN) imple- Implement strict medical
ment to prevent a puerperal infection for a client dur- and aseptic technique.
ing the first postpartum week?
14. Which client is a candidate for the administration of
human immune globulin (RhoGam) after delivery?
2/5
1. After repeating the vital signs for a newborn who is 4 Tremors of the hands dur-
hours old, the practical nurse (PN) obtains an axillary ing crying.
temperature of 97.2 F and places the newborn under a
radiant heat warmer. Which additional finding should
the PN observe in the newborn?
2. Which information should the practical nurse (PN) pro- Prophylactic treatment for
vide the parents about the purpose of instilling ery- gonorrheal and chlamydia
thromycin (llotycin) ophthalmic ointment in the new- infection.
born's eyes.
3. What is the most important action by the practical Hand washing.
nurse (PN) in preventing neonatal infection?
4. a client who took iron supplements during pregnancy Record color and consis-
delivers and infant by cesarean section. On the second tency of the stool.
postpartum day, the client reports having a constipat-
ed stool that is greenish-black in color. Which action
should the practical nurse (PN) implement?
5. A client is 5 weeks pregnant call the clinic to report that A. Vaginal bleeding
her home pregnancy test is positive. She asks what she D. Membrane rupture
should be concerned about during the weeks before E. Severe headaches
her first visit. Which signs and symptoms should the
practical nurse (PN) tell the client to report immediate-
ly to the healthcare provider? (select all that apply)
6. A 3-day-old newborn who weighed 7 pounds, 8 ounces Document the weight loss
at birth is breast feeding and now weighs 6 pound
and 15 ounces. Which action should the practical nurse
take?
7. Erythromycin (iilotycin)
1/5
, HESI PN Obstetrics/Maternity Practice Exam 2025 WITH ANS
Which medication is prescribed for the prevention of
ophthalmia neonatorum?
8. A multiparous client's membranes rupture after 8 Assess the fetal heart rate
hours of labor. which action should the practical nurse (FHR) and pattern.
implement at this time?
9. The practical nurse (PN) palpates fundal height at the Continue to massage the
umbilicus of a multiparous client who has just given fundus until firm.
birth to an 8-pound boy when dark red blood comes
from the client's vagina. What action is most important
for the PN to implement?
10. Which client should the practical nurse (PN) closely A multigravida who is
monitor for severe after pains? breastfeeding.
11. The practical nurse (PN) is assessing a client 2 hours Excessive bleeding on the
after a vaginal delivery of a 7-pound 3-ounce new- perineal pad.
born and determines the client's bladder is distended.
Which additional finding should the PN report to the
charge nurse?
12. The practical nurse (PN) places a newborn who is 4 The newborn's thin layer of
hours old with an axillary temperature of 97.2 F under subcutaneous fat provides
the radiant heat warmer. Which rationale supports the poor insulation.
PN's action?
13. Which strategy should the practical nurse (PN) imple- Implement strict medical
ment to prevent a puerperal infection for a client dur- and aseptic technique.
ing the first postpartum week?
14. Which client is a candidate for the administration of
human immune globulin (RhoGam) after delivery?
2/5
