UPDATED EXAM SOLUTION QUESTIONS AND
ANSWER EXAMS FOR HESI PA 1 and 2 MATERNITY
PRACTICE QUESTIONS (2025 GRADED A+
1. The nurse is planning care for a client at 30-weeks gestation
who is experiencing preterm labor. What maternal prescription
is most important in preventing this fetus from developing
respiratory distress syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain -
CORRECT ANSWER 2. HESI textbook ref pg: 689
2. A gravid client develops maternal hypotension following
regional anesthesia. What intervention(s) should the nurse
implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position
,3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT
ANSWER 1, 3, 4, 5, HESI textbook ref pg: 348
. When assessing the integument of a 24 hour old newborn, the
nurse notes a pink papular rash with superimposed vesicles on
the thorax, back and abdomen. What action should the nurse
implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
,HESI textbook ref pg: 473
. A client at 28 weeks gestation experiences blunt abdominal
trauma. Which parameter should the nurse assess first for signs
of internal hemorrhage?
1. Vaginal bleeding
2. Complaints of abdominal pain
3. Changes in the fetal heart rate patterns
4. Alteration in maternal blood pressure -
CORRECT ANSWER 3, HESI textbook ref pg:
Davis textbook ref pg:
, The dhealthcare dprovider dprescribes da dsecondary dinfusion dof
d Dextrose d5% din dWater d(D5W)d50 dmg dIV dwith dmagnesium dsulfate
d 4 dgrams/50 dmL dto dbe dinfused dover d30 dminutes dfor da dclient
with dpreeclampsia. dThe dnurse dshould dprogram dthe dinfusion
d
d pump dto ddeliver dhow dmany dmL/hr? d(enter dnumeric dvalue donly.
d If drounding dis drequired, dround dto dthe dnearest dwhole dnumber) d-
d CORRECT dANSWER d100 dmL/hr
50 dmL dx d60 dmin d=
d 3000 dmL/min d3000 dmL
d d / 30 dminutes d=
d 100mL/hrdHESI
d textbook dref dpg:
Davis dtextbook dref dpg:
While dassessing da dnewborn dthe dnurse dobserves ddiffused
d edema dof dthe dsoft dissues dof dthedscalp dthat dcross dthe dsuture
d lines. dHow dshould dthe dnurse ddocument dthis dfinding?
1. Cephalohematoma
2. Molding
3. Caput dsuccedaneum
4. Hemangioma d- dCORRECT
d ANSWER d3,dHESI dtextbook
ref dpg:
d