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RN HESI Maternity Study Guide 2026 | Practice Questions, Answers & Rationales (Maternal-Newborn Nursing)

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Prepare confidently for the RN HESI Maternity exam with this comprehensive maternal-newborn nursing study guide designed for nursing students. This resource covers key maternity topics including pregnancy, labor and delivery, postpartum care, and newborn assessment in a clear and structured format aligned with HESI exam standards. It simplifies complex concepts into high-yield notes to support effective revision and faster understanding. It also includes exam-style questions, correct answers, and detailed rationales to strengthen critical thinking and improve test performance. Ideal for final exam preparation, this guide helps you build confidence and achieve higher scores on your RN HESI Maternity exam.

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RN HESI Maternity Study
Guide 2026 | Practice
Questions, Answers &
Rationales
(Maternal-Newborn
Nursing) | Graded A+ |
Guaranteed Success



Updated 2026 Questions and Answers

100% Verified Exam Prep and Comprehensive Rationales
Included

,A primigravida arrives at the observation unit of the Contractions decrease with walking.
maternity unit because thinks is in labor. The
nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140
beats/minute and the contractions are occurring
irregularly every 10 to 15 minutes. What
assessment finding confirms to the nurse that the client is
not labor at this time?


A primipara has delivered a stillborn fetus at 30 weeks B. provide a time for the parents to hold their infant in privacy
gestation. To asses the parents in the grieving process
which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in
privacy
C. Encourage the parents to seek counseling within the
next few weeks
D. Assist the couple to request autopsy


What is the priority nursing assessment immediately A. body temperature
following the birth of an infant with esophageal atresia
and a tracheoesophageal (the) fistula ?


A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord

, What is the most important assessment for the nurse to D. Maternal blood pressure
conduct following the administration of epidural
anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure


A 34-week primigravida with pregnancy induced D. 75
hypertension (PIH) is receiving Ringer's Lactate 500 ml
with magnesium sulfate 20 grams at the rate of 3
grams/hour. How many ml/hour should the nurse
program the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75


A mother of a 3-year-old boy has just given birth to a A. Explain that newborns get milk from their mothers in this way
new baby girl. The little boy asks the nurse, "Why is my B. Reassure the older brother that it does not hurt his mother
baby sister eating my mommy's breast?" How should the C. Remind him that his mother breastfed him too
nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in
this way
B. Reassure the older brother that it does not hurt his
mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice


The nurse is examining an infant for possible D. Place the infant in warm room and use a calm approach
cryptorchidism. Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm
approach


The nurse is planning care for a client at 30-weeks A. Betamethasone (Celestone) 12 mg deep IM
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

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