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HESI MATERNITY ACTUAL EXAM TEST BANK
2026 ALL QUESTIONSAND VERIFIED ANSWERS
WITH RATIONALES |TOP RATED VERSION FOR
2026 BY EXPERTS|RATED A+ |NEW AND
REVISED|INSTANT DOWNLOAD
A 38-week primigravida who works as a secretary and sits at a computer
8 hours each day tells the nurse that her feet have begun to swell. Which
instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - ANSWER- C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged
uterus exerting pressure on the pelvic veins. Moving about every
hour will relieve pressure on the pelvic veins and increase venous
return. Option A would increase venous return from varicose veins
in the lower extremities but would be of little help with swelling.
Option B might be helpful with generalized edema but is not specific
,2|Page
for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive
clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term
male infant develops localized swelling on the right side of his head. In a
newborn, what is the most likely cause of this accumulation of blood
between the periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage -
ANSWER- A.Cephalhematoma, which is caused by forceps trauma
Rationale: Cephalhematoma, a slight abnormal variation of the
newborn, usually arises within the first 24 hours after delivery.
Trauma from delivery causes capillary bleeding between the
periosteum and skull. Option C is a cranial distortion lasting 5 to 7
days, caused by pressure on the cranium during vaginal delivery,
and is a common variation of the newborn. Options B and D both
involve intracranial bleeding and could not be detected by physical
assessment alone.
,3|Page
Prior to discharge, what instructions should the nurse give to parents
regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - ANSWER- C.Allow
the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol in
the cord healing process. Options A, B, and D are incorrect because
they promote moisture and increase the potential for infection.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent
infection.
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C.Place petroleum ointment around the glans with each diaper change
and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes
if bleeding occurs. - ANSWER- C.Place petroleum ointment around the
glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the healing
surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as
the area heals and epithelializes, is not an infective process and
should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding with
sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28
weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her labor
contractions. What are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
HESI MATERNITY ACTUAL EXAM TEST BANK
2026 ALL QUESTIONSAND VERIFIED ANSWERS
WITH RATIONALES |TOP RATED VERSION FOR
2026 BY EXPERTS|RATED A+ |NEW AND
REVISED|INSTANT DOWNLOAD
A 38-week primigravida who works as a secretary and sits at a computer
8 hours each day tells the nurse that her feet have begun to swell. Which
instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - ANSWER- C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged
uterus exerting pressure on the pelvic veins. Moving about every
hour will relieve pressure on the pelvic veins and increase venous
return. Option A would increase venous return from varicose veins
in the lower extremities but would be of little help with swelling.
Option B might be helpful with generalized edema but is not specific
,2|Page
for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive
clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term
male infant develops localized swelling on the right side of his head. In a
newborn, what is the most likely cause of this accumulation of blood
between the periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage -
ANSWER- A.Cephalhematoma, which is caused by forceps trauma
Rationale: Cephalhematoma, a slight abnormal variation of the
newborn, usually arises within the first 24 hours after delivery.
Trauma from delivery causes capillary bleeding between the
periosteum and skull. Option C is a cranial distortion lasting 5 to 7
days, caused by pressure on the cranium during vaginal delivery,
and is a common variation of the newborn. Options B and D both
involve intracranial bleeding and could not be detected by physical
assessment alone.
,3|Page
Prior to discharge, what instructions should the nurse give to parents
regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - ANSWER- C.Allow
the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol in
the cord healing process. Options A, B, and D are incorrect because
they promote moisture and increase the potential for infection.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent
infection.
, 4|Page
C.Place petroleum ointment around the glans with each diaper change
and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes
if bleeding occurs. - ANSWER- C.Place petroleum ointment around the
glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the healing
surface. Prepackaged wipes often contain other products that may
irritate the site. The yellow exudate, which covers the glans penis as
the area heals and epithelializes, is not an infective process and
should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding with
sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28
weeks of gestation in preterm labor. She is given three doses of
terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her labor
contractions. What are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
