HESI MATERNITY PRACTICE TEST 2026
ACTUAL TEST PAPER QUESTIONS SOLUTIONS
VERIFIED COMPLETE STUDY PACKAGE
◉ A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately.
A.heart rate of 100 beats min
B. variable fetal HR
C. Onset of uterine contractions
D. Burning on urination
Answer: Onset of uterine contractions.
◉ A multigravida client arrives at the L&D unit and tells the nurse
that her bag of water has broken. The nurse identifies the presence
of meconium fluid on the perineum and determines the fetal HR is
between 140 and 150 beats/min. What action should the nurse
implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate cesarean bitrh
D. Obtain sterile suction equipment
Answer: A. complete sterile vag exam
,◉ Immediately after birth a newborn infant is suctioned, dried and
placed under a radiant warmer. The infant has spontaneous
respirations and the nurse assesses an apical HR of 80 beats/minute
and respirations of 20 breaths/min. What action should be
performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level
Answer: A. Initiate positive pressure ventilation
◉ A pregnant woman comes to the prenatal clinic for an initial visit.
In reviewing her childbearing hx, the client indicates that she has
delivered premature twins, one full term baby and has had no
abortions. Which GTPAL should the nurse document in this client's
record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3
Answer: D. 3-1-1-0-3
,◉ The healthcare provider prescribes terbutaline for a client in
preterm labor. Before initating this prescription, it is most important
for the nurse to assess the client for which of condition.
A. gestational diabetes
B. Elevated BP
C. UTI
D> Swelling in lower extremities
Answer: A. gestational diabetes
◉ A 4 week old premature infant has been receiving epoetin alfa for
the last 3 weeks. WHich assessment finding indicates to the nurse
that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl.
Answer: C. changes in apica HR from the 180 to the 140
◉ The nurse should explain to a 30 year old gravid client that alpha
fetoprotein testing is recommended for which purpose?
A.detect cardiovascular disorders
B.screen for neural tube defects
c .monitor the placental functioning
, d. assess for maternal pre-eclampsia
Answer: B.screen for neural tube defects
◉ During labor, the nurse determine that a full term client is
demonstrating late decelerations. In which sequence should the
nurse implement these nursing actions.
Answer: 1. Reposition the client
2. Provide O2 via face mask
3. Increase IV fluid
4. Call the healthcare provider
◉ A vaginally delivered infant of an HIV positive mother is admitted
to the newborn nursery. What intervention should the nurse
perform first?
Answer: A.Bathe the infant with an antimicrobial soap.
B.Measure the head and chest circumference.
C. Obtain the infant's footprints.
D. Administer vitamin K (AquaMEPHYTON).
◉ At 14-weeks gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her
abdomen. The nurse obtains a blood sample and initiates an IV.
Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include
ACTUAL TEST PAPER QUESTIONS SOLUTIONS
VERIFIED COMPLETE STUDY PACKAGE
◉ A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately.
A.heart rate of 100 beats min
B. variable fetal HR
C. Onset of uterine contractions
D. Burning on urination
Answer: Onset of uterine contractions.
◉ A multigravida client arrives at the L&D unit and tells the nurse
that her bag of water has broken. The nurse identifies the presence
of meconium fluid on the perineum and determines the fetal HR is
between 140 and 150 beats/min. What action should the nurse
implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate cesarean bitrh
D. Obtain sterile suction equipment
Answer: A. complete sterile vag exam
,◉ Immediately after birth a newborn infant is suctioned, dried and
placed under a radiant warmer. The infant has spontaneous
respirations and the nurse assesses an apical HR of 80 beats/minute
and respirations of 20 breaths/min. What action should be
performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level
Answer: A. Initiate positive pressure ventilation
◉ A pregnant woman comes to the prenatal clinic for an initial visit.
In reviewing her childbearing hx, the client indicates that she has
delivered premature twins, one full term baby and has had no
abortions. Which GTPAL should the nurse document in this client's
record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3
Answer: D. 3-1-1-0-3
,◉ The healthcare provider prescribes terbutaline for a client in
preterm labor. Before initating this prescription, it is most important
for the nurse to assess the client for which of condition.
A. gestational diabetes
B. Elevated BP
C. UTI
D> Swelling in lower extremities
Answer: A. gestational diabetes
◉ A 4 week old premature infant has been receiving epoetin alfa for
the last 3 weeks. WHich assessment finding indicates to the nurse
that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl.
Answer: C. changes in apica HR from the 180 to the 140
◉ The nurse should explain to a 30 year old gravid client that alpha
fetoprotein testing is recommended for which purpose?
A.detect cardiovascular disorders
B.screen for neural tube defects
c .monitor the placental functioning
, d. assess for maternal pre-eclampsia
Answer: B.screen for neural tube defects
◉ During labor, the nurse determine that a full term client is
demonstrating late decelerations. In which sequence should the
nurse implement these nursing actions.
Answer: 1. Reposition the client
2. Provide O2 via face mask
3. Increase IV fluid
4. Call the healthcare provider
◉ A vaginally delivered infant of an HIV positive mother is admitted
to the newborn nursery. What intervention should the nurse
perform first?
Answer: A.Bathe the infant with an antimicrobial soap.
B.Measure the head and chest circumference.
C. Obtain the infant's footprints.
D. Administer vitamin K (AquaMEPHYTON).
◉ At 14-weeks gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her
abdomen. The nurse obtains a blood sample and initiates an IV.
Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include
