HESI Maternal-Newborn Nursing Test
Bank Exam 2025-2026 With complete
Questions and Correct Answers|Brand
new version.
1. A client at 8 weeks’ gestation reports spotting and mild cramping. The
cervix is closed. Which condition is suspected?
A. Inevitable abortion
B. Incomplete abortion
C. Threatened abortion
D. Missed abortion
Answer: C
Threatened abortion presents with vaginal bleeding and cramping, but the
cervix remains closed.
2. Fundal height at 20 weeks’ gestation should be located at the:
A. Symphysis pubis
B. Umbilicus
C. Xiphoid process
D. Midway between symphysis and umbilicus
Answer: B
At 20 weeks, the fundus is typically at the level of the umbilicus.
3. Which hormone maintains the uterine lining during early pregnancy?
A. Estrogen
B. hCG
C. Progesterone
D. Oxytocin
Answer: C
Progesterone maintains the endometrium to support early pregnancy.
,4. A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates toxicity?
A. BP 150/90
B. Respirations 18/min
C. Absent deep tendon reflexes
D. Urine output 40 mL/hr
Answer: C
Loss of deep tendon reflexes is an early sign of magnesium toxicity.
5. The priority nursing action for a client with placenta previa and painless
bleeding is to:
A. Perform vaginal exam
B. Assess fetal heart rate
C. Encourage ambulation
D. Apply fundal pressure
Answer: B
Fetal assessment is priority. Vaginal exams are contraindicated.
6. A client in labor has variable decelerations. What is the initial nursing
intervention?
A. Increase oxytocin
B. Reposition the client
C. Administer narcotics
D. Prepare for cesarean
Answer: B
Variable decelerations indicate cord compression; repositioning relieves
pressure.
7. The first stage of labor ends when:
A. Contractions begin
B. Membranes rupture
C. Cervix is fully dilated
D. Baby is delivered
, Answer: C
Stage one lasts from onset of contractions until full dilation (10 cm).
8. A postpartum client saturates a pad in 15 minutes. What is the priority
action?
A. Check temperature
B. Encourage fluids
C. Massage the fundus
D. Call family
Answer: C
Heavy bleeding suggests uterine atony; fundal massage stimulates contraction.
9. Which finding is expected in a newborn?
A. BP 120/80
B. HR 60 bpm
C. Acrocyanosis
D. Teeth present
Answer: C
Acrocyanosis (blue hands/feet) is normal in newborns.
10. The most important intervention for a newborn immediately after birth
is:
A. Bathing
B. Vitamin K
C. Maintaining airway and warmth
D. Footprinting
Answer: C
Airway and thermoregulation are priority per neonatal resuscitation principles.
11. A client with gestational diabetes should be taught to monitor:
A. Blood pressure daily
B. Blood glucose levels
Bank Exam 2025-2026 With complete
Questions and Correct Answers|Brand
new version.
1. A client at 8 weeks’ gestation reports spotting and mild cramping. The
cervix is closed. Which condition is suspected?
A. Inevitable abortion
B. Incomplete abortion
C. Threatened abortion
D. Missed abortion
Answer: C
Threatened abortion presents with vaginal bleeding and cramping, but the
cervix remains closed.
2. Fundal height at 20 weeks’ gestation should be located at the:
A. Symphysis pubis
B. Umbilicus
C. Xiphoid process
D. Midway between symphysis and umbilicus
Answer: B
At 20 weeks, the fundus is typically at the level of the umbilicus.
3. Which hormone maintains the uterine lining during early pregnancy?
A. Estrogen
B. hCG
C. Progesterone
D. Oxytocin
Answer: C
Progesterone maintains the endometrium to support early pregnancy.
,4. A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates toxicity?
A. BP 150/90
B. Respirations 18/min
C. Absent deep tendon reflexes
D. Urine output 40 mL/hr
Answer: C
Loss of deep tendon reflexes is an early sign of magnesium toxicity.
5. The priority nursing action for a client with placenta previa and painless
bleeding is to:
A. Perform vaginal exam
B. Assess fetal heart rate
C. Encourage ambulation
D. Apply fundal pressure
Answer: B
Fetal assessment is priority. Vaginal exams are contraindicated.
6. A client in labor has variable decelerations. What is the initial nursing
intervention?
A. Increase oxytocin
B. Reposition the client
C. Administer narcotics
D. Prepare for cesarean
Answer: B
Variable decelerations indicate cord compression; repositioning relieves
pressure.
7. The first stage of labor ends when:
A. Contractions begin
B. Membranes rupture
C. Cervix is fully dilated
D. Baby is delivered
, Answer: C
Stage one lasts from onset of contractions until full dilation (10 cm).
8. A postpartum client saturates a pad in 15 minutes. What is the priority
action?
A. Check temperature
B. Encourage fluids
C. Massage the fundus
D. Call family
Answer: C
Heavy bleeding suggests uterine atony; fundal massage stimulates contraction.
9. Which finding is expected in a newborn?
A. BP 120/80
B. HR 60 bpm
C. Acrocyanosis
D. Teeth present
Answer: C
Acrocyanosis (blue hands/feet) is normal in newborns.
10. The most important intervention for a newborn immediately after birth
is:
A. Bathing
B. Vitamin K
C. Maintaining airway and warmth
D. Footprinting
Answer: C
Airway and thermoregulation are priority per neonatal resuscitation principles.
11. A client with gestational diabetes should be taught to monitor:
A. Blood pressure daily
B. Blood glucose levels
