HESI RN Maternity Assignment Exam
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A pregnant client at 32 weeks gestation reports sudden swelling of her face and hands. What is
the nurse’s priority action?
A. Document the finding and continue routine care
✔✔B. Assess for signs of preeclampsia and notify the provider
C. Encourage the client to rest for an hour
D. Provide a low-sodium snack
A nurse is caring for a client in labor. The fetal heart rate drops from 140 to 90 bpm during a
contraction. What is the first action?
A. Increase oxytocin infusion
✔✔B. Reposition the client and administer oxygen
C. Prepare for immediate delivery
D. Document and continue monitoring
A postpartum client reports soaking 5 pads in 1 hour. What is the nurse’s priority action?
1
,A. Encourage oral fluids
B. Continue routine observation
✔✔C. Assess for postpartum hemorrhage
D. Notify the dietary department
A nurse is teaching a client about breastfeeding. Which statement indicates correct
understanding?
A. “Formula should be given first before breastfeeding.”
✔✔B. “Feed my baby whenever it shows signs of hunger.”
C. “I should avoid feeding on demand.”
D. “Only feed every 4–5 hours.”
A client at 28 weeks gestation reports severe headache and blurred vision. What should the nurse
do first?
A. Ask the client to rest
✔✔B. Assess blood pressure and notify the provider immediately
C. Offer water and a snack
D. Document the complaint
2
,A nurse is assessing a newborn 1 minute after birth. Which finding requires immediate
intervention?
A. Crying and moving all extremities
✔✔B. Heart rate of 70 bpm
C. Pink skin with acrocyanosis
D. Strong reflexes
A laboring client receiving epidural anesthesia reports hypotension. What is the nurse’s first
action?
A. Continue monitoring
✔✔B. Place client in left lateral position and administer IV fluids
C. Encourage the client to breathe deeply
D. Raise the head of the bed
A client at 36 weeks gestation reports decreased fetal movement. What is the best nursing action?
A. Schedule a routine prenatal visit next week
✔✔B. Perform fetal kick count and notify provider if decreased
3
, C. Encourage walking for exercise
D. Reassure the client without assessment
A postpartum client asks about pain relief during breastfeeding. Which statement is correct?
A. Avoid all medications while breastfeeding
B. Only use herbal remedies
✔✔C. Acetaminophen or ibuprofen are safe if prescribed
D. Take opioid medications as needed without consultation
A newborn has a temperature of 36.0°C (96.8°F). What is the priority intervention?
A. Swaddle the newborn and monitor temperature
✔✔B. Initiate skin-to-skin contact and warm the infant
C. Document and recheck in 4 hours
D. Delay feeding until temperature normalizes
A client in labor has contractions every 2 minutes and fetal heart rate decelerations. What is the
nurse’s priority action?
A. Increase IV fluids
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A pregnant client at 32 weeks gestation reports sudden swelling of her face and hands. What is
the nurse’s priority action?
A. Document the finding and continue routine care
✔✔B. Assess for signs of preeclampsia and notify the provider
C. Encourage the client to rest for an hour
D. Provide a low-sodium snack
A nurse is caring for a client in labor. The fetal heart rate drops from 140 to 90 bpm during a
contraction. What is the first action?
A. Increase oxytocin infusion
✔✔B. Reposition the client and administer oxygen
C. Prepare for immediate delivery
D. Document and continue monitoring
A postpartum client reports soaking 5 pads in 1 hour. What is the nurse’s priority action?
1
,A. Encourage oral fluids
B. Continue routine observation
✔✔C. Assess for postpartum hemorrhage
D. Notify the dietary department
A nurse is teaching a client about breastfeeding. Which statement indicates correct
understanding?
A. “Formula should be given first before breastfeeding.”
✔✔B. “Feed my baby whenever it shows signs of hunger.”
C. “I should avoid feeding on demand.”
D. “Only feed every 4–5 hours.”
A client at 28 weeks gestation reports severe headache and blurred vision. What should the nurse
do first?
A. Ask the client to rest
✔✔B. Assess blood pressure and notify the provider immediately
C. Offer water and a snack
D. Document the complaint
2
,A nurse is assessing a newborn 1 minute after birth. Which finding requires immediate
intervention?
A. Crying and moving all extremities
✔✔B. Heart rate of 70 bpm
C. Pink skin with acrocyanosis
D. Strong reflexes
A laboring client receiving epidural anesthesia reports hypotension. What is the nurse’s first
action?
A. Continue monitoring
✔✔B. Place client in left lateral position and administer IV fluids
C. Encourage the client to breathe deeply
D. Raise the head of the bed
A client at 36 weeks gestation reports decreased fetal movement. What is the best nursing action?
A. Schedule a routine prenatal visit next week
✔✔B. Perform fetal kick count and notify provider if decreased
3
, C. Encourage walking for exercise
D. Reassure the client without assessment
A postpartum client asks about pain relief during breastfeeding. Which statement is correct?
A. Avoid all medications while breastfeeding
B. Only use herbal remedies
✔✔C. Acetaminophen or ibuprofen are safe if prescribed
D. Take opioid medications as needed without consultation
A newborn has a temperature of 36.0°C (96.8°F). What is the priority intervention?
A. Swaddle the newborn and monitor temperature
✔✔B. Initiate skin-to-skin contact and warm the infant
C. Document and recheck in 4 hours
D. Delay feeding until temperature normalizes
A client in labor has contractions every 2 minutes and fetal heart rate decelerations. What is the
nurse’s priority action?
A. Increase IV fluids
4
