RN HESI Maternal Newborn Study Set
150 Questions and ANSWERS 2025\2026
update (100% VERIFIED)
A nurse is admitting a client to the labor and delivery unit when the client states, "my water just
broke", which of the following is the priority intervention for the nurse to take?
a. Perform Nitrazine testing
b. Assess the amniotic fluid
c. Check cervical dilation
d. Monitor the fetal heart rate - ANS>>d. Monitor the fetal heart rate
Rupture of the membranes places the fetus at risk for umbilical cord prolapse.
A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
c. Positive
d. Negative - ANS>>c. Positive
Indicates an adverse reaction by the fetus and should be reported to the provider
A nurse is providing family planning education to a client who has decided to use a diaphragm.
Which of the following should the nurse include in the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after intercourse
c. You should use an oil based product as a lubricant when inserting the diaphragm
d. You should insert the diaphragm when your bladder is full - ANS>>b. You should leave the
,b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia - ANS>>a. Abruptio placenta
Cocaine increases the risk for vasoconstriction and possible abruptio placenta
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the
following statements by the client indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone - ANS>>a. I should eat to taste
instead of trying to balance my meals
Eat to taste to avoid nausea
A nurse is caring for a client who is in active labor and reports back pain. The nurse performs a
vaginal exam and determines the client is 8cm dilated, 100% effaced, and -2 station. The fetus is in
the occiput posterior position. Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - ANS>>c. Assist the client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit that is at 38 weeks of gestation. Which of
the following client findings should the nurse report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - ANS>>c. Weight gain of 2.2 kg
Above the expected reference range and could indicate complications
A nurse is caring for a client who is pregnant and has epilepsy. The nurse observes the client
having a seizure. After turning the client's head to one side, which of the following actions should
the nurse take next?
, A nurse is providing discharge instructions to a client who had a vaginal delivery and is
breastfeeding her newborn. Which of the following statements indicates an understanding of the
teaching?
a. I will need to eat an additional 330 calories a day while I'm breastfeeding
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours - ANS>>a. I will need to eat an additional 330 calories a
day while I'm breastfeeding
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should
the nurse take prior to applying an external transducer for fetal monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers
c. Sterile speculum exam
d. Nitrazine test - ANS>>b. Leopold maneuvers
Helps the nurse assess the position of the fetus to best determine the optimal placement for the
fetal monitoring transducer.
A client who is pregnant presents to a prenatal clinic for her first visit. She tells the nurse that her
last normal menstrual period began Oct 13. Using Nagele's rule, the nurse should determine the
client's estimated date of delivery as which of the following?
a. July 6
b. July 13
c. July 20
d. July 27 - ANS>>c. July 20
Add a year, subtract 3 months, add 7 days
A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
c. Positive
d. Negative - ANS>>c. Positive
150 Questions and ANSWERS 2025\2026
update (100% VERIFIED)
A nurse is admitting a client to the labor and delivery unit when the client states, "my water just
broke", which of the following is the priority intervention for the nurse to take?
a. Perform Nitrazine testing
b. Assess the amniotic fluid
c. Check cervical dilation
d. Monitor the fetal heart rate - ANS>>d. Monitor the fetal heart rate
Rupture of the membranes places the fetus at risk for umbilical cord prolapse.
A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
c. Positive
d. Negative - ANS>>c. Positive
Indicates an adverse reaction by the fetus and should be reported to the provider
A nurse is providing family planning education to a client who has decided to use a diaphragm.
Which of the following should the nurse include in the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after intercourse
c. You should use an oil based product as a lubricant when inserting the diaphragm
d. You should insert the diaphragm when your bladder is full - ANS>>b. You should leave the
,b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia - ANS>>a. Abruptio placenta
Cocaine increases the risk for vasoconstriction and possible abruptio placenta
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the
following statements by the client indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone - ANS>>a. I should eat to taste
instead of trying to balance my meals
Eat to taste to avoid nausea
A nurse is caring for a client who is in active labor and reports back pain. The nurse performs a
vaginal exam and determines the client is 8cm dilated, 100% effaced, and -2 station. The fetus is in
the occiput posterior position. Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - ANS>>c. Assist the client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit that is at 38 weeks of gestation. Which of
the following client findings should the nurse report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - ANS>>c. Weight gain of 2.2 kg
Above the expected reference range and could indicate complications
A nurse is caring for a client who is pregnant and has epilepsy. The nurse observes the client
having a seizure. After turning the client's head to one side, which of the following actions should
the nurse take next?
, A nurse is providing discharge instructions to a client who had a vaginal delivery and is
breastfeeding her newborn. Which of the following statements indicates an understanding of the
teaching?
a. I will need to eat an additional 330 calories a day while I'm breastfeeding
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours - ANS>>a. I will need to eat an additional 330 calories a
day while I'm breastfeeding
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should
the nurse take prior to applying an external transducer for fetal monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers
c. Sterile speculum exam
d. Nitrazine test - ANS>>b. Leopold maneuvers
Helps the nurse assess the position of the fetus to best determine the optimal placement for the
fetal monitoring transducer.
A client who is pregnant presents to a prenatal clinic for her first visit. She tells the nurse that her
last normal menstrual period began Oct 13. Using Nagele's rule, the nurse should determine the
client's estimated date of delivery as which of the following?
a. July 6
b. July 13
c. July 20
d. July 27 - ANS>>c. July 20
Add a year, subtract 3 months, add 7 days
A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
c. Positive
d. Negative - ANS>>c. Positive
