HESI RN Maternal Newborn Proctored
Exam | Complete Practice Question and
Answers Latest Version 2026/27 | Real
Questions with Verified Answers and
Rationales - Graded A+
Question 1
A 34-week gestation multigravida comes to the clinic for her bimonthly appointment.
Which assessment finding should the nurse report to the healthcare provider (HCP)?
A. 1+ edema on her lower extremities
B. Fundal height of 30 cm
C. Weight gain of 2 pounds (0.91 kg)
D. Fetal heart rate of 110 beats/minute
Answer: B
Rationale: At 34 weeks of gestation, the fundal height is typically expected to be within
2 cm of the gestational age (32-36 cm). A measurement of 30 cm is below the expected
range and may indicate intrauterine growth restriction (IUGR) or oligohydramnios. This
finding requires further evaluation by the healthcare provider.
Question 2
The nurse reviews the client's history and physical, the nurses' notes, and the flow sheet.
Select the findings that will help the nurse determine what is causing the client's
symptoms.
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 to 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL (92 g/L)
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Answer: A, D, E, F, G
pg. 1
,Rationale: Rupture of membranes for 16 hours (A) increases infection risk.
Hemoglobin of 9.2 g/dL (D) indicates anemia. Current vital signs (E) show fever and
tachycardia indicating infection. Shopping for 5 hours (F) may have led to milk stasis.
Foul-smelling lochia rubra (G) is a classic sign of endometritis.
Question 3
For each assessment finding, click to indicate whether findings from this client's
assessment are generally associated with mastitis, endometritis, or could be a sign of
both conditions.
A. Pulse of 105 beats/minute
B. Feeling chilled, achy, and fatigued
C. Baby fed pumped breast milk
D. Pain rating of 4 on a 0 to 10 scale
E. Foul-smelling lochia rubra at 2 weeks postpartum
F. Temperature of 101.2°F (38.4°C)
Answer: A. Both, B. Both, C. Mastitis, D. Mastitis, E. Endometritis, F. Both
Rationale: Tachycardia and fever can occur with both infections. Chills and fatigue are
systemic signs seen in both. Pumped breast milk is associated with mastitis. Pain rating
is more specific to mastitis. Foul-smelling lochia is specific to endometritis.
Question 4
Which education by the nurse will help resolve the issue for the client? Select all that
apply.
pg. 2
, A. Wear an underwire bra around the clock
B. Apply warm compresses to affected area before feeding
C. Pump breasts if feeding will be missed, due to absence from the infant
D. Pump breastmilk and feed it to infant instead of nursing
E. Finish antibiotics even if symptoms improve
F. Maintain activity due to the risk of blood clots with extra rest
G. Wash hands before handling the breast
H. Start infant on the unaffected side, so there is less pain when infant is the hungriest
I. Vary breastfeeding positions at each feeding
Answer: B, C, E, G, H, I
Rationale: Warm compresses (B) promote milk flow. Pumping when away (C)
prevents stasis. Finishing antibiotics (E) prevents recurrence. Hand washing (G)
prevents bacterial spread. Starting on unaffected side (H) reduces pain. Varying
positions (I) ensures complete drainage.
Question 5
Choose the most likely options for the information missing from the statement by
selecting from the list of options provided. The nurse knows that the mastitis in this
scenario is most likely caused by _______ as evidenced by ________.
Answer: Plugged duct; Firm, red, warm area on the right breast
Rationale: A plugged duct occurs when milk is not effectively drained, leading to milk
stasis and inflammation. The firm, red, warm area on the breast is a hallmark symptom
of mastitis, indicating localized inflammation and infection.
Question 6
Based on the assessment findings, the priority diagnosis suspected is ______ This
diagnosis places the client at risk of ________.
Answer: Mastitis; Abscess
Rationale: Mastitis is an infection of breast tissue that occurs when milk stasis leads to
bacterial overgrowth. If mastitis is not treated promptly, it can lead to a breast abscess, a
localized collection of pus requiring drainage.
Question 7
Which description(s) by the client should help confirm that the mastitis has been
resolved and breastfeeding/breast health is well maintained? Select all that apply.
pg. 3
Exam | Complete Practice Question and
Answers Latest Version 2026/27 | Real
Questions with Verified Answers and
Rationales - Graded A+
Question 1
A 34-week gestation multigravida comes to the clinic for her bimonthly appointment.
Which assessment finding should the nurse report to the healthcare provider (HCP)?
A. 1+ edema on her lower extremities
B. Fundal height of 30 cm
C. Weight gain of 2 pounds (0.91 kg)
D. Fetal heart rate of 110 beats/minute
Answer: B
Rationale: At 34 weeks of gestation, the fundal height is typically expected to be within
2 cm of the gestational age (32-36 cm). A measurement of 30 cm is below the expected
range and may indicate intrauterine growth restriction (IUGR) or oligohydramnios. This
finding requires further evaluation by the healthcare provider.
Question 2
The nurse reviews the client's history and physical, the nurses' notes, and the flow sheet.
Select the findings that will help the nurse determine what is causing the client's
symptoms.
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 to 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL (92 g/L)
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Answer: A, D, E, F, G
pg. 1
,Rationale: Rupture of membranes for 16 hours (A) increases infection risk.
Hemoglobin of 9.2 g/dL (D) indicates anemia. Current vital signs (E) show fever and
tachycardia indicating infection. Shopping for 5 hours (F) may have led to milk stasis.
Foul-smelling lochia rubra (G) is a classic sign of endometritis.
Question 3
For each assessment finding, click to indicate whether findings from this client's
assessment are generally associated with mastitis, endometritis, or could be a sign of
both conditions.
A. Pulse of 105 beats/minute
B. Feeling chilled, achy, and fatigued
C. Baby fed pumped breast milk
D. Pain rating of 4 on a 0 to 10 scale
E. Foul-smelling lochia rubra at 2 weeks postpartum
F. Temperature of 101.2°F (38.4°C)
Answer: A. Both, B. Both, C. Mastitis, D. Mastitis, E. Endometritis, F. Both
Rationale: Tachycardia and fever can occur with both infections. Chills and fatigue are
systemic signs seen in both. Pumped breast milk is associated with mastitis. Pain rating
is more specific to mastitis. Foul-smelling lochia is specific to endometritis.
Question 4
Which education by the nurse will help resolve the issue for the client? Select all that
apply.
pg. 2
, A. Wear an underwire bra around the clock
B. Apply warm compresses to affected area before feeding
C. Pump breasts if feeding will be missed, due to absence from the infant
D. Pump breastmilk and feed it to infant instead of nursing
E. Finish antibiotics even if symptoms improve
F. Maintain activity due to the risk of blood clots with extra rest
G. Wash hands before handling the breast
H. Start infant on the unaffected side, so there is less pain when infant is the hungriest
I. Vary breastfeeding positions at each feeding
Answer: B, C, E, G, H, I
Rationale: Warm compresses (B) promote milk flow. Pumping when away (C)
prevents stasis. Finishing antibiotics (E) prevents recurrence. Hand washing (G)
prevents bacterial spread. Starting on unaffected side (H) reduces pain. Varying
positions (I) ensures complete drainage.
Question 5
Choose the most likely options for the information missing from the statement by
selecting from the list of options provided. The nurse knows that the mastitis in this
scenario is most likely caused by _______ as evidenced by ________.
Answer: Plugged duct; Firm, red, warm area on the right breast
Rationale: A plugged duct occurs when milk is not effectively drained, leading to milk
stasis and inflammation. The firm, red, warm area on the breast is a hallmark symptom
of mastitis, indicating localized inflammation and infection.
Question 6
Based on the assessment findings, the priority diagnosis suspected is ______ This
diagnosis places the client at risk of ________.
Answer: Mastitis; Abscess
Rationale: Mastitis is an infection of breast tissue that occurs when milk stasis leads to
bacterial overgrowth. If mastitis is not treated promptly, it can lead to a breast abscess, a
localized collection of pus requiring drainage.
Question 7
Which description(s) by the client should help confirm that the mastitis has been
resolved and breastfeeding/breast health is well maintained? Select all that apply.
pg. 3
