Fortis-PN-Maternity Hesi Practice Exam ( ACTUAL 2026)
QUESTIONS AND VERIFIED ANSWERS REAL QUIZ
positive. What type of treatment should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. - answer :3. Lifelong dietary management
PKU is a condition related to the infant's inability to utilize the amino acid, phenylalanine, which must be
omitted or strictly minimized in the diet throughout life (C). (A, B, and D) are not indicated.
A young adult female comes to the health clinic to confirm a positive home pregnancy test. After
determining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB)
should the practical nurse (PN)calculate?
1. April 29
2. May 12
3. July 1
4. July 12 - answer :2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days to the first day of the LMP and then
subtracting 3 months, so (B) is the correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
Which client should the practical nurse (PN) closely monitor for severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
2. A primiparous client who is bottle feeding.
3. A multigravida who is breastfeeding.
, 4. A primigravida who delivered a 5 pound 3 ounce infant. - answer :3. A multigravida who is
breastfeeding.
After multiple deliveries, the over-distended uterus establishes tonicity during early involution by
periodically relaxing and then vigorously contracting, which is also stimulated by breastfeeding which
releases oxytocin and causes post-delivery uterine contractions. A multigravida client who is
breastfeeding (C) is mostly likely to experience severe afterpains. Oligohydramnios (A) (low amount of
amniotic fluid) and bottle feeding (B) do not place the client at risk for experiencing severe afterpains
related to multiparity. A low-birth weight infant (D) does not over-distend the uterus during the
pregnancy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)
she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm and
in early labor. What action should the practical nurse (PN) implement when the client groans with each
contraction?
1. Assist the client to the bathroom to void.
2. Give a prescribed narcotic analgesic.
3. Document the maternal vital signs.
4. Demonstrate simple relaxation measures. - answer :4. Demonstrate simple relaxation measures.
The use of relaxation techniques (D) is a recommended and effective method of decreasing the
perception of uterine contraction intensity in early labor. Ambulating the client to the bathroom to
empty her bladder (A) should allow labor progression, but does not minimize her discomfort. (B) is not
indicated at this time. Documentation of vital signs should be made (C), but relaxation techniques
provide distraction in early labor and relief of discomfort.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 o F
under the radiant heat warmer. Which rationale supports the PN's action?
1. Heat loss increases as the newborn stretches from a flexed position.
2. The newborn's thin layer of subcutaneous fat provides poor insulation.
3. The basal metabolic rate is higher in a neonate that an adult.
4. Neonatal body surface area allows for a slower rate of heat loss. - answer :2. The newborn's thin layer
of subcutaneous fat provides poor insulation.
QUESTIONS AND VERIFIED ANSWERS REAL QUIZ
positive. What type of treatment should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. - answer :3. Lifelong dietary management
PKU is a condition related to the infant's inability to utilize the amino acid, phenylalanine, which must be
omitted or strictly minimized in the diet throughout life (C). (A, B, and D) are not indicated.
A young adult female comes to the health clinic to confirm a positive home pregnancy test. After
determining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB)
should the practical nurse (PN)calculate?
1. April 29
2. May 12
3. July 1
4. July 12 - answer :2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days to the first day of the LMP and then
subtracting 3 months, so (B) is the correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
Which client should the practical nurse (PN) closely monitor for severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
2. A primiparous client who is bottle feeding.
3. A multigravida who is breastfeeding.
, 4. A primigravida who delivered a 5 pound 3 ounce infant. - answer :3. A multigravida who is
breastfeeding.
After multiple deliveries, the over-distended uterus establishes tonicity during early involution by
periodically relaxing and then vigorously contracting, which is also stimulated by breastfeeding which
releases oxytocin and causes post-delivery uterine contractions. A multigravida client who is
breastfeeding (C) is mostly likely to experience severe afterpains. Oligohydramnios (A) (low amount of
amniotic fluid) and bottle feeding (B) do not place the client at risk for experiencing severe afterpains
related to multiparity. A low-birth weight infant (D) does not over-distend the uterus during the
pregnancy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)
she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm and
in early labor. What action should the practical nurse (PN) implement when the client groans with each
contraction?
1. Assist the client to the bathroom to void.
2. Give a prescribed narcotic analgesic.
3. Document the maternal vital signs.
4. Demonstrate simple relaxation measures. - answer :4. Demonstrate simple relaxation measures.
The use of relaxation techniques (D) is a recommended and effective method of decreasing the
perception of uterine contraction intensity in early labor. Ambulating the client to the bathroom to
empty her bladder (A) should allow labor progression, but does not minimize her discomfort. (B) is not
indicated at this time. Documentation of vital signs should be made (C), but relaxation techniques
provide distraction in early labor and relief of discomfort.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 o F
under the radiant heat warmer. Which rationale supports the PN's action?
1. Heat loss increases as the newborn stretches from a flexed position.
2. The newborn's thin layer of subcutaneous fat provides poor insulation.
3. The basal metabolic rate is higher in a neonate that an adult.
4. Neonatal body surface area allows for a slower rate of heat loss. - answer :2. The newborn's thin layer
of subcutaneous fat provides poor insulation.
