Maternity HESI Practice
Test Bank (Combined Red
HESI and Other Study
Sources) |
Maternal-Newborn Nursing
Questions, Answers, and
Rationales | Graded A+ |
Guaranteed Success
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,An expectant father tells the nurse he fears that his wife is D) Reassure him that normal maternal-fetal bonding is occurring.
"losing her mind." He states that she is constantly rubbing
her abdomen and talking to the baby and that she Rationale:
actually reprimands the baby when it moves too much. These behaviors are positive signs of maternal-fetal bonding and do not reflect
Which recommendation should the nurse make to this ambivalence. No intervention is needed. Quickening, the first perception of fetal
expectant father? movement, occurs at 17 to 20 weeks of gestation and begins a new phase of
prenatal bonding during the second trimester. Options A and C are not necessary
A.Suggest that his wife seek professional counseling to because the behaviors displayed are normal.
deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
C. Ask him to report similar abnormal behaviors at the
next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is
occurring.
, The nurse is preparing a laboring client for an amniotomy. C. Fetal heart rate (FHR)
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information? Rationale:
The FHR should be assessed before and after the procedure to detect changes
A.Maternal blood pressure that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
B.Maternal temperature condition of the cervix is favorable. The fluid should be assessed for color, odor,
and consistency. Option A should be assessed every 15 to 20 minutes during labor
C.Fetal heart rate (FHR) but is not specific for AROM. Option B is monitored hourly after the membranes
are ruptured to detect the development of amnionitis. Option D should be
D.White blood cell count (WBC) determined for all clients in labor.
A nurse receives a shift change report for a newborn who B. Skin color that is slightly jaundiced
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
finding? bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in newborns;
A.Cyanosis of the hands and feet it occurs because the capillary system is immature. Milia are small white papules
present on the nose and chin that are caused by sebaceous gland blockage and
B.Skin color that is slightly jaundiced disappear in a few weeks. Small red patches on the cheeks and trunk are called
erythema toxicum neonatorum, a common finding in newborns.
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk
A breastfeeding postpartum client is diagnosed with A.Breastfeed the infant, ensuring that both breasts are completely emptied.
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client? Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
A.Breastfeed the infant, ensuring that both breasts are emptying of engorged breasts, eliminating the pressure on the inflamed breast
completely emptied. tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
B.Feed expressed breast milk to avoid the pain of the Option D will not decrease antibiotic effects on the infant.
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
Test Bank (Combined Red
HESI and Other Study
Sources) |
Maternal-Newborn Nursing
Questions, Answers, and
Rationales | Graded A+ |
Guaranteed Success
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,An expectant father tells the nurse he fears that his wife is D) Reassure him that normal maternal-fetal bonding is occurring.
"losing her mind." He states that she is constantly rubbing
her abdomen and talking to the baby and that she Rationale:
actually reprimands the baby when it moves too much. These behaviors are positive signs of maternal-fetal bonding and do not reflect
Which recommendation should the nurse make to this ambivalence. No intervention is needed. Quickening, the first perception of fetal
expectant father? movement, occurs at 17 to 20 weeks of gestation and begins a new phase of
prenatal bonding during the second trimester. Options A and C are not necessary
A.Suggest that his wife seek professional counseling to because the behaviors displayed are normal.
deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
C. Ask him to report similar abnormal behaviors at the
next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is
occurring.
, The nurse is preparing a laboring client for an amniotomy. C. Fetal heart rate (FHR)
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information? Rationale:
The FHR should be assessed before and after the procedure to detect changes
A.Maternal blood pressure that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
B.Maternal temperature condition of the cervix is favorable. The fluid should be assessed for color, odor,
and consistency. Option A should be assessed every 15 to 20 minutes during labor
C.Fetal heart rate (FHR) but is not specific for AROM. Option B is monitored hourly after the membranes
are ruptured to detect the development of amnionitis. Option D should be
D.White blood cell count (WBC) determined for all clients in labor.
A nurse receives a shift change report for a newborn who B. Skin color that is slightly jaundiced
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
finding? bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in newborns;
A.Cyanosis of the hands and feet it occurs because the capillary system is immature. Milia are small white papules
present on the nose and chin that are caused by sebaceous gland blockage and
B.Skin color that is slightly jaundiced disappear in a few weeks. Small red patches on the cheeks and trunk are called
erythema toxicum neonatorum, a common finding in newborns.
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk
A breastfeeding postpartum client is diagnosed with A.Breastfeed the infant, ensuring that both breasts are completely emptied.
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client? Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
A.Breastfeed the infant, ensuring that both breasts are emptying of engorged breasts, eliminating the pressure on the inflamed breast
completely emptied. tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
B.Feed expressed breast milk to avoid the pain of the Option D will not decrease antibiotic effects on the infant.
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
