NURSG 125 RN HESI Maternity Samuel Merritt
University Exam 2025/2026 – Updated Questions &
Study Guide
In preparing a gravid client for a triple screen analysis, which action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - answer :A. Prepare to draw blood for analysis.
During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an
increase in vaginal discharge that is white, thin, and watery. What action should the nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - answer :A. Inform her that this is a normal
physiological change.
Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her
vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that this sign
may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
,D. A full urinary bladder. - answer :B. Laceration on the cervix
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. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - answer :A. "This is called
caput succedaneum. It will absorb and cause no problems."
The parents of a male newborn have signed an informed consent for circumcision. What priority
intervention should the nurse implement upon completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - answer :C. Place petrolatum gauze dressing on the site.
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - answer :D. Hypoglycemia
A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client for the
procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to
obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
,D. Lecithin-sphingomyelin ration. - answer :B. Fetal growth and gestational age.
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress test (NST). The
nurse begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - answer :D. A pattern of fetal late decelerations.
In determining the one minute Apgar score of a male infant the nurse asses a heart rate of 120 per
min....respiration.. He has a loud cry with stimualtion, good muscle tone, color is acrocyanotic . What
should the nurse assign?
A. 7
B. 8
C. 9
D. 10 - answer :C. 9
The nurses assessment on a preterm infant reveals decreased muscle tone , sign of respiratory distress ,
irritability , mottled cool skin.Which intervention should the nurse implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water - answer :A. Position a radiant warmer on the crib
Vaginal prostiglandin gel is used to induce labor women who are 42 weeks of gestation. Thirty minutes
after insertion of the gel , the client complains of vaginal warmth, and is experiencing 90 second
contractions with fetal heart deceleration. What action should the nurse implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
, D. Turn to a side lying position - answer :D. Turn to a side lying position
A primigravida at 40 weeks gestation is contraction q2 minutes her cervix is 9cm dilated and 100%
effaced. The fetus heart rate is 120 beats per minute. The client is screaming and her husband is
alarmed. What intervention should the nurse do?A. Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic - answer :B. Have delivery table set up
The nurse is assessing a client at 29 weeks gestation. Which assessment measure would provide the
most accurate determination of fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler - answer :A. Ultrasound
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
On the first postpartum day, the nurse examines the breasts of the new mother. Which condition is the
nurse most likely to.
A. Slightly firm with immediate let down response
B. Filing and secreting colostrum
C. Soft, with no change from before delivery
D. Firm, larger very tender to touch - answer :B. Filling and secreting colostrum
University Exam 2025/2026 – Updated Questions &
Study Guide
In preparing a gravid client for a triple screen analysis, which action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - answer :A. Prepare to draw blood for analysis.
During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an
increase in vaginal discharge that is white, thin, and watery. What action should the nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - answer :A. Inform her that this is a normal
physiological change.
Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her
vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that this sign
may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
,D. A full urinary bladder. - answer :B. Laceration on the cervix
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. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - answer :A. "This is called
caput succedaneum. It will absorb and cause no problems."
The parents of a male newborn have signed an informed consent for circumcision. What priority
intervention should the nurse implement upon completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - answer :C. Place petrolatum gauze dressing on the site.
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - answer :D. Hypoglycemia
A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client for the
procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to
obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
,D. Lecithin-sphingomyelin ration. - answer :B. Fetal growth and gestational age.
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress test (NST). The
nurse begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - answer :D. A pattern of fetal late decelerations.
In determining the one minute Apgar score of a male infant the nurse asses a heart rate of 120 per
min....respiration.. He has a loud cry with stimualtion, good muscle tone, color is acrocyanotic . What
should the nurse assign?
A. 7
B. 8
C. 9
D. 10 - answer :C. 9
The nurses assessment on a preterm infant reveals decreased muscle tone , sign of respiratory distress ,
irritability , mottled cool skin.Which intervention should the nurse implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water - answer :A. Position a radiant warmer on the crib
Vaginal prostiglandin gel is used to induce labor women who are 42 weeks of gestation. Thirty minutes
after insertion of the gel , the client complains of vaginal warmth, and is experiencing 90 second
contractions with fetal heart deceleration. What action should the nurse implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
, D. Turn to a side lying position - answer :D. Turn to a side lying position
A primigravida at 40 weeks gestation is contraction q2 minutes her cervix is 9cm dilated and 100%
effaced. The fetus heart rate is 120 beats per minute. The client is screaming and her husband is
alarmed. What intervention should the nurse do?A. Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic - answer :B. Have delivery table set up
The nurse is assessing a client at 29 weeks gestation. Which assessment measure would provide the
most accurate determination of fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler - answer :A. Ultrasound
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
On the first postpartum day, the nurse examines the breasts of the new mother. Which condition is the
nurse most likely to.
A. Slightly firm with immediate let down response
B. Filing and secreting colostrum
C. Soft, with no change from before delivery
D. Firm, larger very tender to touch - answer :B. Filling and secreting colostrum
