RN HESI MATERNITY LATEST STUDY QUESTIONS 2026
WITH CORRECT VERIFIED ANSWERS 100% GUARANTEED
PASS | RATED A+
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia
(PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now
complaining of nausea and bloating, and states that because she had nothing to eat, she is too
weak to breastfeed her infant. Which nursing diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant - Answer>>> C.
Impaired bowel motility related to pain medication and immobility
A mother spontaneously delivers her infant in a taxi cab on the way to the hospital. The
emergency room nurse reports that the mother has active herpes (HSVII) lesion on the vulva.
What intervention should the nurse implement first when admitting the neonate in the nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection - Answer>>> C. Place newborn in the isolation area of the
nursery
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal heart rate
(FHR) has remained nonreactive during the 30 minutes of evaluation. Based on this finding,
which action should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
,C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen - Answer>>> D. Place an acoustic stimulator on
the abdomen
A client with gestational diabetes is undergoing a non-stress test at 34 weeks gestation. Fetal
heart beat is 144 beats / min. The client is instructed to mark the fetal monitor paper by pressing
each time the baby moves. After 20 mins the nurse evaluates the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - Answer>>> C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
A multiparous women at 38 weeks gestation with a history of rapid progression of labor is
admitted for induction due to signs and symptoms of pregnancy induced hypertension (PIH).
One hour after the oxytocin infusion is initiated she complains of a headache. Her contractions
are occurring every 1-2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side - Answer>>> C. Discontinue the Pitocin infusion
The nurse who is working at a prenatal clinic notes a woman that is at 18 weeks of gestation has
two elevated maternal alpha feto-protein (MSAFP) values. What action should the nurse
implement?
A. Instruct the client to increase intake of folic acid supplements
B. Request a consultation with genetic counselor
,C. Schedule a sonogram in the radiology department
D. Send the client to the laboratory for repeat MSAFP - Answer>>> C. schedule a sonogram in
the radiology department
A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright
red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate FHR) is 90
beats/minute, and the maternal heart rate is 120 beats/minute. What action should the nurse
implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - Answer>>> B. Notify the
healthcare provider from the client's bedside
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 - Answer>>> A.
Betamethasone (Celestone) 12 mg deep IM
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a
motor vehicle collision. While stabilizing the patient , the nurse obtains fetal monitor reading.
Which action should the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
, C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - Answer>>> D. Contact
the healthcare provider after initiating oxygen per face mask
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for
the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - Answer>>> C. Change to latex-free
gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a
severe frontal headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - Answer>>> D. Magnesium sulfate
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In
developing a plan of care, the nurse should give the highest priority to which finding?
A. Cyanosis of the hands and feet
B. Skin color that is slightly jaundiced
C. Tiny white papules on the nose or chin
D. Red patches on the cheeks and trunk - Answer>>> B. Skin color that is slightly jaundiced
WITH CORRECT VERIFIED ANSWERS 100% GUARANTEED
PASS | RATED A+
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia
(PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now
complaining of nausea and bloating, and states that because she had nothing to eat, she is too
weak to breastfeed her infant. Which nursing diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant - Answer>>> C.
Impaired bowel motility related to pain medication and immobility
A mother spontaneously delivers her infant in a taxi cab on the way to the hospital. The
emergency room nurse reports that the mother has active herpes (HSVII) lesion on the vulva.
What intervention should the nurse implement first when admitting the neonate in the nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection - Answer>>> C. Place newborn in the isolation area of the
nursery
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal heart rate
(FHR) has remained nonreactive during the 30 minutes of evaluation. Based on this finding,
which action should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
,C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen - Answer>>> D. Place an acoustic stimulator on
the abdomen
A client with gestational diabetes is undergoing a non-stress test at 34 weeks gestation. Fetal
heart beat is 144 beats / min. The client is instructed to mark the fetal monitor paper by pressing
each time the baby moves. After 20 mins the nurse evaluates the fetal monitor strip
A. The mother perceives and marks at least four fetal movements
B. Fetal movements must be elicited with a vibroacoustic stimulator
C. Two fetal heart accelerations of 15 beats/ min x 15 seconds are recorded
D. No FHR late decelerations occur in response to fetal movement - Answer>>> C. Two FHR
accelerations of 15 beats/minute x 15 seconds are recorded.
A multiparous women at 38 weeks gestation with a history of rapid progression of labor is
admitted for induction due to signs and symptoms of pregnancy induced hypertension (PIH).
One hour after the oxytocin infusion is initiated she complains of a headache. Her contractions
are occurring every 1-2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side - Answer>>> C. Discontinue the Pitocin infusion
The nurse who is working at a prenatal clinic notes a woman that is at 18 weeks of gestation has
two elevated maternal alpha feto-protein (MSAFP) values. What action should the nurse
implement?
A. Instruct the client to increase intake of folic acid supplements
B. Request a consultation with genetic counselor
,C. Schedule a sonogram in the radiology department
D. Send the client to the laboratory for repeat MSAFP - Answer>>> C. schedule a sonogram in
the radiology department
A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright
red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate FHR) is 90
beats/minute, and the maternal heart rate is 120 beats/minute. What action should the nurse
implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - Answer>>> B. Notify the
healthcare provider from the client's bedside
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 - Answer>>> A.
Betamethasone (Celestone) 12 mg deep IM
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a
motor vehicle collision. While stabilizing the patient , the nurse obtains fetal monitor reading.
Which action should the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
, C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - Answer>>> D. Contact
the healthcare provider after initiating oxygen per face mask
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for
the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - Answer>>> C. Change to latex-free
gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a
severe frontal headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - Answer>>> D. Magnesium sulfate
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In
developing a plan of care, the nurse should give the highest priority to which finding?
A. Cyanosis of the hands and feet
B. Skin color that is slightly jaundiced
C. Tiny white papules on the nose or chin
D. Red patches on the cheeks and trunk - Answer>>> B. Skin color that is slightly jaundiced
