HESI OB / MATERNITY PRACTICE QUIZ |
COMPREHENSIVE MATERNAL
NEWBORN NURSING STUDY GUIDE
2026| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,A newborn, whose mother is HIV positive, is scheduled c. a persistent cold
for follow-up assessments. The nurse knows that the most
likely presenting symptom for a pediatric client with AIDS
is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly
Twenty minutes after a continuous epidural anesthetic is c. place the woman in a lateral position
administered, a laboring client's blood pressure drops
from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant parents, the d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
nurse plans to include information about when the second month
parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the
normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the
posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the
posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the
posterior by the end of the second week
d. anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
A client in active labor is admitted with preeclampsia. a. patellar reflex 4+
Which assessment finding is most significant in planning
this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
,A 4 week old premature infant has been receiving c. changes in apical rate from the 180s to the 140s
epoetin alfa for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl
A pregnant client tells the nurse that the first day of her b. May 9, 2007
last menstrual period was August 2, 2006. Based on
Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
The nurse is performing a AGA on a full-term newborn a, b, c
during the first hour of transition using the Dubowitz
scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40 weeks. Which
findings should the nurse identify to determine if the
neonate is SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position
The nurse assess a client admitted to the labor and c. monitor for bleeding from IV sites
delivery unit and obtains the following data: BP 110/68,
FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based
on these assessment findings, what intervention should
the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
Immediately after birth a newborn infant is suctioned, a. initiate positive pressure ventilation
dried, and placed under a radiant warmer. The infant has
spontaneous respirations and the nurse assess an apical
heart rate of 80 bpm and respirations 20. What action
should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
, A client with no prenatal care arrives at the labor unit c. date of last normal menstrual period
screaming, "The baby is coming!" The nurse performs a
vaginal examination that reveals the cervix is 3 cm dilated
and 75% effaced. What additional information is most
important for the nurse to obtain?
a. gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
A mutigravida client at 41 weeks gestation present in the a. biophysical profile
labor and delivery unit after a non-stress test indicated
that the fetus is experiencing some difficulties in utero.
Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling
A client receiving epidural anesthesia begins to a. raise the foot of the bed
experience nausea and becomes pale and clammy. What
intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure
A client at 28 weeks gestation calls the antepartal clinic a. come to the clinic today for an ultrasound
and states that she is experiencing a small amount of
vaginal bleeding which she describes as bright red. She
further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should
the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
c. lie on your left side for about one hour and see if the
bleeding stops
d. bring a urine specimen to the lab tomorrow to
determine if you have a UTI
COMPREHENSIVE MATERNAL
NEWBORN NURSING STUDY GUIDE
2026| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,A newborn, whose mother is HIV positive, is scheduled c. a persistent cold
for follow-up assessments. The nurse knows that the most
likely presenting symptom for a pediatric client with AIDS
is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly
Twenty minutes after a continuous epidural anesthetic is c. place the woman in a lateral position
administered, a laboring client's blood pressure drops
from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant parents, the d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
nurse plans to include information about when the second month
parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the
normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the
posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the
posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the
posterior by the end of the second week
d. anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
A client in active labor is admitted with preeclampsia. a. patellar reflex 4+
Which assessment finding is most significant in planning
this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
,A 4 week old premature infant has been receiving c. changes in apical rate from the 180s to the 140s
epoetin alfa for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl
A pregnant client tells the nurse that the first day of her b. May 9, 2007
last menstrual period was August 2, 2006. Based on
Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
The nurse is performing a AGA on a full-term newborn a, b, c
during the first hour of transition using the Dubowitz
scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40 weeks. Which
findings should the nurse identify to determine if the
neonate is SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position
The nurse assess a client admitted to the labor and c. monitor for bleeding from IV sites
delivery unit and obtains the following data: BP 110/68,
FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based
on these assessment findings, what intervention should
the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
Immediately after birth a newborn infant is suctioned, a. initiate positive pressure ventilation
dried, and placed under a radiant warmer. The infant has
spontaneous respirations and the nurse assess an apical
heart rate of 80 bpm and respirations 20. What action
should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
, A client with no prenatal care arrives at the labor unit c. date of last normal menstrual period
screaming, "The baby is coming!" The nurse performs a
vaginal examination that reveals the cervix is 3 cm dilated
and 75% effaced. What additional information is most
important for the nurse to obtain?
a. gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
A mutigravida client at 41 weeks gestation present in the a. biophysical profile
labor and delivery unit after a non-stress test indicated
that the fetus is experiencing some difficulties in utero.
Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling
A client receiving epidural anesthesia begins to a. raise the foot of the bed
experience nausea and becomes pale and clammy. What
intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure
A client at 28 weeks gestation calls the antepartal clinic a. come to the clinic today for an ultrasound
and states that she is experiencing a small amount of
vaginal bleeding which she describes as bright red. She
further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should
the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
c. lie on your left side for about one hour and see if the
bleeding stops
d. bring a urine specimen to the lab tomorrow to
determine if you have a UTI
