RN HESI 2026/2027 MATERNAL NEWBORN NURSING
EXAM PREP:HIGH YIELD PRACTICE QUESTIONS AND
CORRECTLY DETAILED ANSWERS.
Q1
A primigravida arrives at the observation unit of the maternity unit because thinks
is in labor. Thenurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140beats/minute and the contractions are occurring irregularly
every 10 to 15 minutes. Whatassessment finding confirms to the nurse that the
client is not labor at this time?
Contractions decrease with walking.
Q2
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
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,Q3
What is the priority nursing assessment immediately following the birth of an infant wit
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h esophageal atresia and a tracheoesophageal (the) fistula ?
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A. body temperature
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B. level of pain
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C. time of first void
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D. number of vessels in the cord
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A. body temperature
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Q4
What is the most important assessment for the nurse to conduct following the administr
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ation of epidural anesthesia to a client who is at 40-weeks gestation?
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A. Level of pain sensation
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B. Station of presenting part
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C. Variability of fetal heart rate
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D. Maternal blood pressure
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D. Maternal blood pressure
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Q5
A 34- st
week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's La
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ctate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml
st st st st st st st st st st st st st st st st
/hour should the nurse program the infusion pump? (Enter numeric value only)
st st st st st st st st st st st
A. 120 st
B. 70 st
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,C. 65 st
D. 75 st
D. 75 st
Q6
A mother of a 3-year-
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old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my ba
st st st st st st st st st st st st st st st st st st st st
by sister eating my mommy's breast?" How should the nurse respond? (Select all that ap
st st st st st st st st st st st st st st
ply)
A. Explain that newborns get milk from their mothers in this way
st st st st st st st st st st
B. Reassure the older brother that it does not hurt his mother st st st st st st st st st st
C. Remind him that his mother breastfed him too st st st st st st st
D. Suggest that the baby can also drink from a bottle st st st st st st st st st
E. Clarify that breastfeeding is his mother's choice st st st st st st
A. Explain that newborns get milk from their mothers in this way
st st st st st st st st st st
B. Reassure the older brother that it does not hurt his mother st st st st st st st st st st
C. Remind him that his mother breastfed him too st st st st st st st
Q7
The nurse is examining an infant for possible cryptorchidism. Which exam technique sh
st st st st st st st st st st st st
ould be used? st st
A. Place the infant in side-lying to facilitate the exam
st st st st st st st st
B. Hold the penis and retract the foreskin gently
st st st st st st st
C. Cleanse the penis with an antiseptic-soaked pad st st st st st st
D. Place the infant in warm room and use a calm approach
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D. Place the infant in warm room and use a calm approach
st st st st st st st st st st st
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, Q8
The nurse is planning care for a client at 30-
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weeks gestation who is experiencing preterm labor. What maternal prescription is mos
st st st st st st st st st st st
t important in preventing this fetus from developing respiratory distress syndrome?
st st st st st st st st st st
A. Betamethasone (Celestone) 12 mg deep IM
st st st st st st
B. Butorphanol 1 mg IV push q2h PRN pain
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C. Ampicillin 1 Gram IV push q8h
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D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
st st st st st st st st
A. Betamethasone (Celestone) 12 mg deep IM
st st st st st st
Q9
A 3-month-st
old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent
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urinary retention. The home health nurse notes that the child has developed episodes of
st st st st st st st st st st st st st
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most impo
st st st st st st st st st st st st st st st st
rtant for the nurse to take? st st st st st
A. Auscultate the lungs for respiratory pneumonia.
st st st st st st
B. Draw blood to analyze for streptococcal infection
st st st st st st st
C. Change to latex-free gloves when handling infant
st st st st st st st
D. Apply zinc oxide to perineum with each diaper change
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C. Change to latex-free gloves when handling infant
st st st st st st st
Q10
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings inclu
st st st st st st st st st st st st st
de +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry visi
st st st st st st st st st st st st st
on and a severe frontal headache. Which medication should the nurse anticipate for this
st st st st st st st st st st st st st st
client?
A. Clonidine hydrochloride
st st
B. Carbamazepine
st
Downloaded by Brian Njenga () st st st st
EXAM PREP:HIGH YIELD PRACTICE QUESTIONS AND
CORRECTLY DETAILED ANSWERS.
Q1
A primigravida arrives at the observation unit of the maternity unit because thinks
is in labor. Thenurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140beats/minute and the contractions are occurring irregularly
every 10 to 15 minutes. Whatassessment finding confirms to the nurse that the
client is not labor at this time?
Contractions decrease with walking.
Q2
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
Downloaded by Brian Njenga ()
st st st st
,Q3
What is the priority nursing assessment immediately following the birth of an infant wit
st st st st st st st st st st st st st
h esophageal atresia and a tracheoesophageal (the) fistula ?
st st st st st st st st
A. body temperature
st st
B. level of pain
st st st
C. time of first void
st st st st
D. number of vessels in the cord
st st st st st st
A. body temperature
st st
Q4
What is the most important assessment for the nurse to conduct following the administr
st st st st st st st st st st st st st
ation of epidural anesthesia to a client who is at 40-weeks gestation?
st st st st st st st st st st st
A. Level of pain sensation
st st st st
B. Station of presenting part
st st st st
C. Variability of fetal heart rate
st st st st st
D. Maternal blood pressure
st st st
D. Maternal blood pressure
st st st
Q5
A 34- st
week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's La
st st st st st st st st st st
ctate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml
st st st st st st st st st st st st st st st st
/hour should the nurse program the infusion pump? (Enter numeric value only)
st st st st st st st st st st st
A. 120 st
B. 70 st
Downloaded by Brian Njenga ()
st st st st
,C. 65 st
D. 75 st
D. 75 st
Q6
A mother of a 3-year-
st st st st
old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my ba
st st st st st st st st st st st st st st st st st st st st
by sister eating my mommy's breast?" How should the nurse respond? (Select all that ap
st st st st st st st st st st st st st st
ply)
A. Explain that newborns get milk from their mothers in this way
st st st st st st st st st st
B. Reassure the older brother that it does not hurt his mother st st st st st st st st st st
C. Remind him that his mother breastfed him too st st st st st st st
D. Suggest that the baby can also drink from a bottle st st st st st st st st st
E. Clarify that breastfeeding is his mother's choice st st st st st st
A. Explain that newborns get milk from their mothers in this way
st st st st st st st st st st
B. Reassure the older brother that it does not hurt his mother st st st st st st st st st st
C. Remind him that his mother breastfed him too st st st st st st st
Q7
The nurse is examining an infant for possible cryptorchidism. Which exam technique sh
st st st st st st st st st st st st
ould be used? st st
A. Place the infant in side-lying to facilitate the exam
st st st st st st st st
B. Hold the penis and retract the foreskin gently
st st st st st st st
C. Cleanse the penis with an antiseptic-soaked pad st st st st st st
D. Place the infant in warm room and use a calm approach
st st st st st st st st st st
D. Place the infant in warm room and use a calm approach
st st st st st st st st st st st
Downloaded by Brian Njenga () st st st st
, Q8
The nurse is planning care for a client at 30-
st st st st st st st st st
weeks gestation who is experiencing preterm labor. What maternal prescription is mos
st st st st st st st st st st st
t important in preventing this fetus from developing respiratory distress syndrome?
st st st st st st st st st st
A. Betamethasone (Celestone) 12 mg deep IM
st st st st st st
B. Butorphanol 1 mg IV push q2h PRN pain
st st st st st st st st
C. Ampicillin 1 Gram IV push q8h
st st st st st st
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
st st st st st st st st
A. Betamethasone (Celestone) 12 mg deep IM
st st st st st st
Q9
A 3-month-st
old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent
st st st st st st st st st st st st st
urinary retention. The home health nurse notes that the child has developed episodes of
st st st st st st st st st st st st st
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most impo
st st st st st st st st st st st st st st st st
rtant for the nurse to take? st st st st st
A. Auscultate the lungs for respiratory pneumonia.
st st st st st st
B. Draw blood to analyze for streptococcal infection
st st st st st st st
C. Change to latex-free gloves when handling infant
st st st st st st st
D. Apply zinc oxide to perineum with each diaper change
st st st st st st st st st
C. Change to latex-free gloves when handling infant
st st st st st st st
Q10
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings inclu
st st st st st st st st st st st st st
de +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry visi
st st st st st st st st st st st st st
on and a severe frontal headache. Which medication should the nurse anticipate for this
st st st st st st st st st st st st st st
client?
A. Clonidine hydrochloride
st st
B. Carbamazepine
st
Downloaded by Brian Njenga () st st st st
