, HESI RN Maternity Exam 2026 | 145 Exam Questions and Correct Answers | OB
Childbearing Family Comprehensive Review Guide.
1. A primipara has delivered a stillborn fetus at 30 weeks gestation. To assess
the parents in the grieving process which intervention is most important for
the nurse to implement?
✓ provide a time for the parents to hold their infant in privacy
2. What is the priority nursing assessment immediately following the birth
of an infant with esophageal atresia and a tracheoesophageal (the) fistula?
✓ Body temperature
3. What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40 weeks gestation?
✓ Maternal blood pressure
4. A 34-week primigravida with preeclampsia is receiving Lactated Ringer's 500
ML with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many
mL/hours should the nurse program into the infusion pump?
✓ 75mL/hour
5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is most important for the nurse to implement?
✓ Assess bilateral lung sounds
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How
should the nurse respond? (Select all that apply.)
✓ Remind him that his mother breastfed him too
✓ Reassure the older brother that it does not hurt
✓ Explain that newborns get milk from mothers this way
7. The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
✓ Place the infant in a warm room and use a calm approach
8. The nurse is planning care for a client at 30 weeks’ gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
✓ Betamethasone (Celestone) 12 mg deep IM.
9. Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis (DKA). Which action is important for the nurse to
include in the child's care plan?
✓ Monitor serum glucose for adjustment in the infusion rate of regular
insulin (Novolin R).
10. A 3-month-old with myelomeningocele and atonic bladder is catheterized
every four hours to prevent urinary retention. The home health nurse notes
, that the child has developed episodes of sneezing, urticaria, watery eyes, and a
rash in the diaper area. What action is most important for the nurse to take?
✓ Change to latex-free gloves when handling the infant
11. The healthcare provider prescribes amoxicillin 500 mg PO every eight hours
for a child who weighs 77 pounds. The available suspension is labeled,
amoxicillin suspension 250 mg/5 ml. The recommended maximum dose is 50
mg/kg/24 hour. How many mL should the nurse administer in a single dose
based on the child's weight? (enter the numerical value only. If rounding is
required, round to the whole number.)
✓ 10mL/dose
12. The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complains of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
✓ Magnesium Sulfate
13. A client at 35 weeks gestation complains of a "pain whenever the baby moves."
On assessment, the nurse notes the client's temperature to be 101.2 F, with
severe abdominal or uterine tenderness on palpation. The nurse knows that
these findings are indicative of what condition?
✓ Chorioamnionitis
14. A four-year-old boy was recently diagnosis with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during initial teaching?
✓ Lower legs become progressively weaker, causing a wedding, unsteady
gait
15. A male infant with a 2-day history of fever and diarrhea is brought to the clinic
by his mother who tells the nurse that the child refuses to drink anything. The
nurse determines that the child has a weak cry with no tears. What
prescription is most important to implement?
✓ Infuse normal saline intravenously
16. A one-day-old neonate develops a cephalohematoma. The nurse should
closely assess this neonate for which common complication?
✓ Jaundice
17. While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "v" shaped
appearance. What action should the nurse take first?
✓ Change maternal position (for U shaped too)
18. The parents of a newborn tell the nurse that their newborn is already trying to
walk. How should the nurse respond?
Childbearing Family Comprehensive Review Guide.
1. A primipara has delivered a stillborn fetus at 30 weeks gestation. To assess
the parents in the grieving process which intervention is most important for
the nurse to implement?
✓ provide a time for the parents to hold their infant in privacy
2. What is the priority nursing assessment immediately following the birth
of an infant with esophageal atresia and a tracheoesophageal (the) fistula?
✓ Body temperature
3. What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40 weeks gestation?
✓ Maternal blood pressure
4. A 34-week primigravida with preeclampsia is receiving Lactated Ringer's 500
ML with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many
mL/hours should the nurse program into the infusion pump?
✓ 75mL/hour
5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is most important for the nurse to implement?
✓ Assess bilateral lung sounds
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How
should the nurse respond? (Select all that apply.)
✓ Remind him that his mother breastfed him too
✓ Reassure the older brother that it does not hurt
✓ Explain that newborns get milk from mothers this way
7. The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
✓ Place the infant in a warm room and use a calm approach
8. The nurse is planning care for a client at 30 weeks’ gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
✓ Betamethasone (Celestone) 12 mg deep IM.
9. Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis (DKA). Which action is important for the nurse to
include in the child's care plan?
✓ Monitor serum glucose for adjustment in the infusion rate of regular
insulin (Novolin R).
10. A 3-month-old with myelomeningocele and atonic bladder is catheterized
every four hours to prevent urinary retention. The home health nurse notes
, that the child has developed episodes of sneezing, urticaria, watery eyes, and a
rash in the diaper area. What action is most important for the nurse to take?
✓ Change to latex-free gloves when handling the infant
11. The healthcare provider prescribes amoxicillin 500 mg PO every eight hours
for a child who weighs 77 pounds. The available suspension is labeled,
amoxicillin suspension 250 mg/5 ml. The recommended maximum dose is 50
mg/kg/24 hour. How many mL should the nurse administer in a single dose
based on the child's weight? (enter the numerical value only. If rounding is
required, round to the whole number.)
✓ 10mL/dose
12. The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complains of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
✓ Magnesium Sulfate
13. A client at 35 weeks gestation complains of a "pain whenever the baby moves."
On assessment, the nurse notes the client's temperature to be 101.2 F, with
severe abdominal or uterine tenderness on palpation. The nurse knows that
these findings are indicative of what condition?
✓ Chorioamnionitis
14. A four-year-old boy was recently diagnosis with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during initial teaching?
✓ Lower legs become progressively weaker, causing a wedding, unsteady
gait
15. A male infant with a 2-day history of fever and diarrhea is brought to the clinic
by his mother who tells the nurse that the child refuses to drink anything. The
nurse determines that the child has a weak cry with no tears. What
prescription is most important to implement?
✓ Infuse normal saline intravenously
16. A one-day-old neonate develops a cephalohematoma. The nurse should
closely assess this neonate for which common complication?
✓ Jaundice
17. While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "v" shaped
appearance. What action should the nurse take first?
✓ Change maternal position (for U shaped too)
18. The parents of a newborn tell the nurse that their newborn is already trying to
walk. How should the nurse respond?
