MATERNITY HESI STUDY GUIDE |
COMPREHENSIVE MATERNAL
NEWBORN NURSING PRACTICE
QUESTIONS 2026| GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,The nurse assesses a male newborn and determines that 3. Assess the infant's blood glucose level.
he has the following vital signs: axillary temperature 95.1
F, heart rate 136 beats/minute and a respiratory rate 48 The nurse should first assess the infant's blood glucose level (C), because the
breaths/minute. Based on these findings, which action infant is displaying signs of hypothermia (normal newborn axillary temperature is
should the nurse take first? 96 to 98 F) and hypoglycemia may occur as glucose is metabolized in an effort to
meet cellular energy demands. The infant's respiratory and heart rates are within
1. Check the infant's arterial blood gases. normal limits, so (A) is not a priority. (B and D) would be implemented after
2. Notify the pediatrician of the infant's vital signs. information regarding the blood sugar level has been obtained.
3. Assess the infant's blood glucose level.
4. Encourage the infant to take the breast or sugar water.
A client at 29-weeks gestation with possible placental 2. Ultrasonography.
insufficiency is being prepared for prenatal testing.
Information about which diagnostic study should the Gestational age, fetal growth, and the status and position of the placenta are
nurse provide information to the client? monitored by ultrasound.
1. Amniocentesis.
2. Ultrasonography.
3. Chorionic villus sampling.
4. Maternal serum alpha-fetoprotein.
A multigravida client at 40+ weeks gestation is induced 2. Intensity of contractions is 130 mm Hg.
using oxytocin (Pitocin). An intrauterine pressure catheter
(IUPC) is in place when the client's membranes rupture The goal of induction of labor with oxytocin is to produce an effective labor,
after 5 hours of active labor. Which finding should require which can be measured by an IUPC reading of 40 to 90 mm Hg for contractions
the nurse to implement further action? when giving oxytocin, so (B) requires further intervention. (A, C, and D) are goals
for induction of labor using oxytocin.
1. Labor has progressed at 1 cm/hr dilation.
2. Intensity of contractions is 130 mm Hg.
3. Contractions are lasting 60 to 80 seconds.
4. Oxytocin is infusing at a rate ot 30 mU/min.
Which finding in the medical history of a post-partum 1. Pregnancy induced hypertension.
client should the nurse withhold the administration of a
routine standing order for methylergonovine maleate Methergine is used for post-partum bleeding. A client's history of pregnancy-
(Methergine)? induced hypertension (A) is a contraindication for Methergine which causes
vasoconstriction and increases blood pressure, so the routine standing order
1. Pregnancy induced hypertension. should be withheld and reported to the healthcare provider. (B, C, and D) are not
2. Placenta previa. contraindications for the use of Methergine.
3. Gestational diabetes.
4. Postpartum hemorrhage.
, The nurse is assisting with the insertion of a pulmonary 3. Monitor for premature ventricular contractions.
artery catheter (PAC) for a client at 32-weeks gestation
who has severe preeclampsia with pulmonary edema. As During and following the insertion of a pulmonary artery catheter (PAC), ECG
the PAC enters the right ventricle, what is the priority activity should be monitored for the occurrence of any ventricular ectopy (C).
nursing assessment? Although fetal well-being (A) is important, the primary nursing assessment at this
time is monitoring for immediate cardiac changes in the mother. Adverse cardiac
1. Assess fetal response to the procedure. responses to PAC insertion should first identify changes in the client's heart
2. Note any complaint of sudden chest pain. rhythm before the client complains of chest pain (B). Manual blood pressures (D)
3. Monitor for premature ventricular contractions. evaluate systemic perfusion, but the primary purpose in monitoring pulmonary
4. Observe for maternal blood pressure changes. artery pressures is to detect early cardiac changes due to left ventricular failure.
A primigravida at 12-weeks gestation tells the nurse that 3. Canned sardines.
she does not like diary products. Which food should the
nurse recommend to increase the client's calcium intake? A 3 ounce can of sardines (with bones) provides about the same amount of
calcium as 1 cup of milk (C). (A, B, and D) are not good sources for dietary calcium.
1. Canned clams.
2. Fresh apricots.
3. Canned sardines.
4. Spaghetti with meat sauce.
A woman who is bottle-feeding her newborn infant calls 1. Apply ice to the breasts.
the clinic 72 hours after delivery and tells the nurse that
both of her breasts are swollen, warm, and tender. What Since the baby is receiving bottled formula, suppression of breast milk production
instructions should the nurse give? is desired. Ice applications to the breast cause vasoconstriction which reduces
engorgement and provides topical pain relief. A well-fitted support bra or breast
1. Apply ice to the breasts. binder , not (B), should be recommended to reduce stimulation of the nipples and
2. Wear a loose-fitting bra. breast tissue, which often stimulates breast milk production and engorgement.
3. Run warm water on the breasts during a shower. Applying heat to the breast causes vasodilation and increased engorgement (C).
4. Express small amounts of milk from the breasts. Expressing milk from the breast will stimulate additional milk production (D) and
contribute to engorgement.
The nurse is assessing a full-term newborn's breathing 2. Chest breathing with nasal flaring.
pattern. Which findings should the nurse assess further? 3. Diaphragmatic with chest retraction.
(Select all that apply.) 6. Grunting heard with a stethoscope.
1. Shallow with an irregular rhythm. Breathing with nasal flaring, diaphragmatic breathing with chest retraction, and
2. Chest breathing with nasal flaring. grunting are signs of respiratory distress in the infant.
3. Diaphragmatic with chest retraction.
4. Abdominal with synchronous chest movements.
5. Heart rate of 158 beats per minute.
6. Grunting heard with a stethoscope.
COMPREHENSIVE MATERNAL
NEWBORN NURSING PRACTICE
QUESTIONS 2026| GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,The nurse assesses a male newborn and determines that 3. Assess the infant's blood glucose level.
he has the following vital signs: axillary temperature 95.1
F, heart rate 136 beats/minute and a respiratory rate 48 The nurse should first assess the infant's blood glucose level (C), because the
breaths/minute. Based on these findings, which action infant is displaying signs of hypothermia (normal newborn axillary temperature is
should the nurse take first? 96 to 98 F) and hypoglycemia may occur as glucose is metabolized in an effort to
meet cellular energy demands. The infant's respiratory and heart rates are within
1. Check the infant's arterial blood gases. normal limits, so (A) is not a priority. (B and D) would be implemented after
2. Notify the pediatrician of the infant's vital signs. information regarding the blood sugar level has been obtained.
3. Assess the infant's blood glucose level.
4. Encourage the infant to take the breast or sugar water.
A client at 29-weeks gestation with possible placental 2. Ultrasonography.
insufficiency is being prepared for prenatal testing.
Information about which diagnostic study should the Gestational age, fetal growth, and the status and position of the placenta are
nurse provide information to the client? monitored by ultrasound.
1. Amniocentesis.
2. Ultrasonography.
3. Chorionic villus sampling.
4. Maternal serum alpha-fetoprotein.
A multigravida client at 40+ weeks gestation is induced 2. Intensity of contractions is 130 mm Hg.
using oxytocin (Pitocin). An intrauterine pressure catheter
(IUPC) is in place when the client's membranes rupture The goal of induction of labor with oxytocin is to produce an effective labor,
after 5 hours of active labor. Which finding should require which can be measured by an IUPC reading of 40 to 90 mm Hg for contractions
the nurse to implement further action? when giving oxytocin, so (B) requires further intervention. (A, C, and D) are goals
for induction of labor using oxytocin.
1. Labor has progressed at 1 cm/hr dilation.
2. Intensity of contractions is 130 mm Hg.
3. Contractions are lasting 60 to 80 seconds.
4. Oxytocin is infusing at a rate ot 30 mU/min.
Which finding in the medical history of a post-partum 1. Pregnancy induced hypertension.
client should the nurse withhold the administration of a
routine standing order for methylergonovine maleate Methergine is used for post-partum bleeding. A client's history of pregnancy-
(Methergine)? induced hypertension (A) is a contraindication for Methergine which causes
vasoconstriction and increases blood pressure, so the routine standing order
1. Pregnancy induced hypertension. should be withheld and reported to the healthcare provider. (B, C, and D) are not
2. Placenta previa. contraindications for the use of Methergine.
3. Gestational diabetes.
4. Postpartum hemorrhage.
, The nurse is assisting with the insertion of a pulmonary 3. Monitor for premature ventricular contractions.
artery catheter (PAC) for a client at 32-weeks gestation
who has severe preeclampsia with pulmonary edema. As During and following the insertion of a pulmonary artery catheter (PAC), ECG
the PAC enters the right ventricle, what is the priority activity should be monitored for the occurrence of any ventricular ectopy (C).
nursing assessment? Although fetal well-being (A) is important, the primary nursing assessment at this
time is monitoring for immediate cardiac changes in the mother. Adverse cardiac
1. Assess fetal response to the procedure. responses to PAC insertion should first identify changes in the client's heart
2. Note any complaint of sudden chest pain. rhythm before the client complains of chest pain (B). Manual blood pressures (D)
3. Monitor for premature ventricular contractions. evaluate systemic perfusion, but the primary purpose in monitoring pulmonary
4. Observe for maternal blood pressure changes. artery pressures is to detect early cardiac changes due to left ventricular failure.
A primigravida at 12-weeks gestation tells the nurse that 3. Canned sardines.
she does not like diary products. Which food should the
nurse recommend to increase the client's calcium intake? A 3 ounce can of sardines (with bones) provides about the same amount of
calcium as 1 cup of milk (C). (A, B, and D) are not good sources for dietary calcium.
1. Canned clams.
2. Fresh apricots.
3. Canned sardines.
4. Spaghetti with meat sauce.
A woman who is bottle-feeding her newborn infant calls 1. Apply ice to the breasts.
the clinic 72 hours after delivery and tells the nurse that
both of her breasts are swollen, warm, and tender. What Since the baby is receiving bottled formula, suppression of breast milk production
instructions should the nurse give? is desired. Ice applications to the breast cause vasoconstriction which reduces
engorgement and provides topical pain relief. A well-fitted support bra or breast
1. Apply ice to the breasts. binder , not (B), should be recommended to reduce stimulation of the nipples and
2. Wear a loose-fitting bra. breast tissue, which often stimulates breast milk production and engorgement.
3. Run warm water on the breasts during a shower. Applying heat to the breast causes vasodilation and increased engorgement (C).
4. Express small amounts of milk from the breasts. Expressing milk from the breast will stimulate additional milk production (D) and
contribute to engorgement.
The nurse is assessing a full-term newborn's breathing 2. Chest breathing with nasal flaring.
pattern. Which findings should the nurse assess further? 3. Diaphragmatic with chest retraction.
(Select all that apply.) 6. Grunting heard with a stethoscope.
1. Shallow with an irregular rhythm. Breathing with nasal flaring, diaphragmatic breathing with chest retraction, and
2. Chest breathing with nasal flaring. grunting are signs of respiratory distress in the infant.
3. Diaphragmatic with chest retraction.
4. Abdominal with synchronous chest movements.
5. Heart rate of 158 beats per minute.
6. Grunting heard with a stethoscope.
