HESI PN OB / HESI PN Pediatrics / HESI PN
Maternity Exam — Newest 2025/2026 | 150
Questions Total
Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic
Program Admission Prep | Graded A+
Introduction
This fully updated prep guide includes 150 verified multiple-choice questions and correct
answers from the newest HESI PN OB, Pediatrics, and Maternity Exams for the
2025/2026 cycle. It thoroughly covers maternal health, pediatric nursing, labor and delivery,
newborn care, growth and development, and patient safety—ideal for Licensed Practical
Nurse (LPN) candidates preparing for specialty and exit HESI exams.
Answer Format
All correct answers are clearly marked in bold and green for efficient review and
confident preparation.
Section 2: Exam Questions and Answers
HESI PN OB / Maternity Questions - 50 Questions
Question 1
A multiparous client at 36 hours postpartum reports increased bleeding and cramping. On
examination, the nurse finds the uterine fundus 2 centimeters above the umbilicus. Which
action should the nurse take first?
A) Increase the intravenous fluid to 150 mL/hr
B) Call the healthcare provider
C) Encourage the client to void
D) Administer ibuprofen 800 milligrams by mouth
Rationale: A full bladder can displace the uterus and cause increased bleeding; encouraging
the client to void is the first step to address this.
Question 2
A newborn nursery protocol includes a prescription for ophthalmic erythromycin 5%
ointment to both eyes upon admission. What action should the nurse take to ensure adequate
installation?
A) Instill a thin ribbon into each lower conjunctival sac
B) Occlude the inner canthus after retracting the eyelids
C) Mummy wrap the infant before instilling the ointment
D) Stabilize the instilling hand on the neonate's head
Rationale: Instilling a thin ribbon into the lower conjunctival sac ensures proper application
and absorption, per standard protocol.
,Question 3
A new mother asks the nurse about an area of swelling on her baby's head near the posterior
fontanel that lies across the suture line. What should the nurse explain?
A) Ask if she has help to care for the baby at home
B) Provide a video on newborn safety and care
C) Explore the basis of fears with the client
D) Encourage rooming in while in the hospital
Rationale: This is likely a caput succedaneum, a normal finding; rooming in allows
observation and reassurance.
Question 4
A 3-hour-old male infant has cyanotic hands and feet, an axillary temperature of 96°F (35°C),
a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute. What
nursing action should the nurse implement?
A) Administer oxygen by mask at 2 L/min
B) Gradually warm the infant under a radiant heat source
C) Notify the pediatrician of the infant's vital signs
D) Perform a heel-stick to measure blood glucose level
Rationale: Hypothermia is the priority; gradual warming under a radiant heat source
corrects the temperature safely.
Question 5
A 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-hour labor. What
complication is the nurse most likely to assess for?
A) Postpartum hemorrhage
B) Perineal laceration
C) Uterine atony
D) Infection
Rationale: Prolonged labor and a large infant increase the risk of perineal laceration.
Question 6
A client at 32 weeks gestation reports decreased fetal movement over the past 24 hours. What
should the nurse do first?
A) Schedule an ultrasound for the next day
B) Instruct the client to perform a kick count immediately
C) Administer a tocolytic medication
D) Reassure the client that this is normal
Rationale: Assessing fetal movement with a kick count is the first step to evaluate fetal well-
being.
Question 7
During a prenatal visit, a client at 28 weeks gestation has a blood pressure of 140/90 mmHg.
What action should the nurse take next?
A) Recheck the blood pressure in 1 hour
,B) Notify the healthcare provider
C) Encourage the client to rest supine
D) Administer an antihypertensive medication
Rationale: Elevated blood pressure may indicate preeclampsia; notifying the provider is
priority.
Question 8
A postpartum client complains of severe headache and blurred vision 12 hours after delivery.
What should the nurse suspect?
A) Migraine headache
B) Postpartum preeclampsia
C) Dehydration
D) Post-anesthesia effect
Rationale: These symptoms suggest postpartum preeclampsia, requiring immediate attention.
Question 9
A newborn is born with a cephalohematoma. What should the nurse include in the teaching
plan for the parents?
A) The swelling will resolve within a few days
B) The swelling may take weeks to resolve and should be monitored
C) Apply warm compresses to reduce the swelling
D) The infant will need surgery to correct it
Rationale: Cephalohematoma resolves slowly and requires monitoring for complications like
jaundice.
Question 10
A client in active labor is receiving oxytocin. The fetal heart rate suddenly drops to 80 bpm.
What should the nurse do first?
A) Increase the oxytocin infusion rate
B) Stop the oxytocin infusion
C) Administer oxygen via mask
D) Reposition the client to the left side
Rationale: Stopping oxytocin is the first step to address potential fetal distress.
Question 11
A client at 34 weeks gestation reports leaking fluid from the vagina. What should the nurse
do first?
A) Perform a vaginal exam
B) Test the fluid with nitrazine paper
C) Administer antibiotics
D) Apply a fetal monitor
Rationale: Testing for amniotic fluid leakage with nitrazine paper is the initial step.
, Question 12
A newborn has a heart rate of 100 bpm, cries when stimulated, and has a pink body with blue
extremities. What is the Apgar score at 1 minute?
A) 6
B) 7
C) 8
D) 9
Rationale: Heart rate 100 (2), cries (2), pink body with blue extremities (1) = 7.
Question 13
A client 2 days postpartum develops a fever of 100.6°F (38.1°C). What should the nurse
assess next?
A) Breastfeeding technique
B) Uterine fundus and lochia
C) Blood pressure and pulse
D) Emotional response to motherhood
Rationale: Fever may indicate endometritis; assessing the fundus and lochia is priority.
Question 14
A pregnant client at 38 weeks gestation has a blood glucose level of 200 mg/dL. What should
the nurse do?
A) Encourage a high-carbohydrate snack
B) Notify the healthcare provider
C) Recheck the glucose in 2 hours
D) Administer insulin without a prescription
Rationale: Elevated glucose may indicate gestational diabetes; notifying the provider is
essential.
Question 15
A client in the second stage of labor has a blood pressure of 160/100 mmHg. What should the
nurse do first?
A) Administer magnesium sulfate
B) Reposition the client to the left side
C) Increase the IV fluid rate
D) Prepare for an emergency cesarean section
Rationale: Repositioning may relieve supine hypotension; it’s the first step.
Question 16
A newborn’s bilirubin level is 12 mg/dL at 48 hours of age. What should the nurse
anticipate?
A) Discharge the infant home
B) Phototherapy treatment
C) Blood transfusion
Maternity Exam — Newest 2025/2026 | 150
Questions Total
Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic
Program Admission Prep | Graded A+
Introduction
This fully updated prep guide includes 150 verified multiple-choice questions and correct
answers from the newest HESI PN OB, Pediatrics, and Maternity Exams for the
2025/2026 cycle. It thoroughly covers maternal health, pediatric nursing, labor and delivery,
newborn care, growth and development, and patient safety—ideal for Licensed Practical
Nurse (LPN) candidates preparing for specialty and exit HESI exams.
Answer Format
All correct answers are clearly marked in bold and green for efficient review and
confident preparation.
Section 2: Exam Questions and Answers
HESI PN OB / Maternity Questions - 50 Questions
Question 1
A multiparous client at 36 hours postpartum reports increased bleeding and cramping. On
examination, the nurse finds the uterine fundus 2 centimeters above the umbilicus. Which
action should the nurse take first?
A) Increase the intravenous fluid to 150 mL/hr
B) Call the healthcare provider
C) Encourage the client to void
D) Administer ibuprofen 800 milligrams by mouth
Rationale: A full bladder can displace the uterus and cause increased bleeding; encouraging
the client to void is the first step to address this.
Question 2
A newborn nursery protocol includes a prescription for ophthalmic erythromycin 5%
ointment to both eyes upon admission. What action should the nurse take to ensure adequate
installation?
A) Instill a thin ribbon into each lower conjunctival sac
B) Occlude the inner canthus after retracting the eyelids
C) Mummy wrap the infant before instilling the ointment
D) Stabilize the instilling hand on the neonate's head
Rationale: Instilling a thin ribbon into the lower conjunctival sac ensures proper application
and absorption, per standard protocol.
,Question 3
A new mother asks the nurse about an area of swelling on her baby's head near the posterior
fontanel that lies across the suture line. What should the nurse explain?
A) Ask if she has help to care for the baby at home
B) Provide a video on newborn safety and care
C) Explore the basis of fears with the client
D) Encourage rooming in while in the hospital
Rationale: This is likely a caput succedaneum, a normal finding; rooming in allows
observation and reassurance.
Question 4
A 3-hour-old male infant has cyanotic hands and feet, an axillary temperature of 96°F (35°C),
a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute. What
nursing action should the nurse implement?
A) Administer oxygen by mask at 2 L/min
B) Gradually warm the infant under a radiant heat source
C) Notify the pediatrician of the infant's vital signs
D) Perform a heel-stick to measure blood glucose level
Rationale: Hypothermia is the priority; gradual warming under a radiant heat source
corrects the temperature safely.
Question 5
A 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-hour labor. What
complication is the nurse most likely to assess for?
A) Postpartum hemorrhage
B) Perineal laceration
C) Uterine atony
D) Infection
Rationale: Prolonged labor and a large infant increase the risk of perineal laceration.
Question 6
A client at 32 weeks gestation reports decreased fetal movement over the past 24 hours. What
should the nurse do first?
A) Schedule an ultrasound for the next day
B) Instruct the client to perform a kick count immediately
C) Administer a tocolytic medication
D) Reassure the client that this is normal
Rationale: Assessing fetal movement with a kick count is the first step to evaluate fetal well-
being.
Question 7
During a prenatal visit, a client at 28 weeks gestation has a blood pressure of 140/90 mmHg.
What action should the nurse take next?
A) Recheck the blood pressure in 1 hour
,B) Notify the healthcare provider
C) Encourage the client to rest supine
D) Administer an antihypertensive medication
Rationale: Elevated blood pressure may indicate preeclampsia; notifying the provider is
priority.
Question 8
A postpartum client complains of severe headache and blurred vision 12 hours after delivery.
What should the nurse suspect?
A) Migraine headache
B) Postpartum preeclampsia
C) Dehydration
D) Post-anesthesia effect
Rationale: These symptoms suggest postpartum preeclampsia, requiring immediate attention.
Question 9
A newborn is born with a cephalohematoma. What should the nurse include in the teaching
plan for the parents?
A) The swelling will resolve within a few days
B) The swelling may take weeks to resolve and should be monitored
C) Apply warm compresses to reduce the swelling
D) The infant will need surgery to correct it
Rationale: Cephalohematoma resolves slowly and requires monitoring for complications like
jaundice.
Question 10
A client in active labor is receiving oxytocin. The fetal heart rate suddenly drops to 80 bpm.
What should the nurse do first?
A) Increase the oxytocin infusion rate
B) Stop the oxytocin infusion
C) Administer oxygen via mask
D) Reposition the client to the left side
Rationale: Stopping oxytocin is the first step to address potential fetal distress.
Question 11
A client at 34 weeks gestation reports leaking fluid from the vagina. What should the nurse
do first?
A) Perform a vaginal exam
B) Test the fluid with nitrazine paper
C) Administer antibiotics
D) Apply a fetal monitor
Rationale: Testing for amniotic fluid leakage with nitrazine paper is the initial step.
, Question 12
A newborn has a heart rate of 100 bpm, cries when stimulated, and has a pink body with blue
extremities. What is the Apgar score at 1 minute?
A) 6
B) 7
C) 8
D) 9
Rationale: Heart rate 100 (2), cries (2), pink body with blue extremities (1) = 7.
Question 13
A client 2 days postpartum develops a fever of 100.6°F (38.1°C). What should the nurse
assess next?
A) Breastfeeding technique
B) Uterine fundus and lochia
C) Blood pressure and pulse
D) Emotional response to motherhood
Rationale: Fever may indicate endometritis; assessing the fundus and lochia is priority.
Question 14
A pregnant client at 38 weeks gestation has a blood glucose level of 200 mg/dL. What should
the nurse do?
A) Encourage a high-carbohydrate snack
B) Notify the healthcare provider
C) Recheck the glucose in 2 hours
D) Administer insulin without a prescription
Rationale: Elevated glucose may indicate gestational diabetes; notifying the provider is
essential.
Question 15
A client in the second stage of labor has a blood pressure of 160/100 mmHg. What should the
nurse do first?
A) Administer magnesium sulfate
B) Reposition the client to the left side
C) Increase the IV fluid rate
D) Prepare for an emergency cesarean section
Rationale: Repositioning may relieve supine hypotension; it’s the first step.
Question 16
A newborn’s bilirubin level is 12 mg/dL at 48 hours of age. What should the nurse
anticipate?
A) Discharge the infant home
B) Phototherapy treatment
C) Blood transfusion
