HESI PN MATERNAL-NEWBORN NURSING
ACCURATE PRACTICE EXAM WITH ALL POSSIBLE
APPROVED WELL ELABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY (100% CORRECT VERIFIED
SOLUTIONS) 2026-2027 CURRENTLY UPDATED
VERSION Q&A GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
Question 1
A primigravida at 38 weeks gestation is admitted
with contractions every 3 to 4 minutes, lasting 50
seconds. Her cervix is 5 cm dilated, 90% effaced,
and the fetal head is at 0 station. The fetal heart
rate tracing shows moderate variability and
accelerations. Which of the following is the priority
nursing action?
A. Prepare for immediate cesarean birth
B. Encourage the use of breathing techniques and
,position changes
C. Administer oxytocin to augment labor
D. Notify the provider of late decelerations
Rationale: The patient is in active labor with
reassuring fetal status and adequate progression.
Encouraging non-pharmacologic pain management
and position changes supports normal labor
progression. The findings do not indicate cesarean,
augmentation, or fetal compromise.
Question 2
A nurse is assessing a newborn who is 12 hours old.
The infant’s heart rate is 140 bpm, respiratory rate
is 50 breaths/min, and temperature is 36.5°C
(97.7°F) axillary. Which of the following actions
should the nurse take first?
A. Apply a pulse oximeter to the right hand
B. Obtain a blood glucose level
C. Place the infant skin-to-skin with the mother
and cover with a warm blanket
D. Notify the healthcare provider of subnormal
temperature
Rationale: A temperature of 36.5°C is slightly below
,the normal axillary range of 36.5°C to 37.5°C. The
priority is to warm the infant using skin-to-skin
contact and blankets. This is a common and safe
intervention before notifying the provider or
performing additional assessments.
Question 3
A client at 32 weeks gestation with preeclampsia is
receiving magnesium sulfate. Which of the
following findings indicates magnesium toxicity?
A. Respiratory rate of 16 breaths/min
B. Deep tendon reflexes of 2+
C. Urine output of 35 mL/hr
D. Serum magnesium level of 9 mg/dL
Rationale: The therapeutic range for magnesium
sulfate is 4 to 7 mg/dL. A level of 9 mg/dL is toxic
and can cause respiratory depression, loss of
reflexes, and cardiac arrest. The other findings are
within normal limits.
Question 4
A postpartum client who is Rh-negative and gave
birth to an Rh-positive infant asks why she needs to
, receive Rh immunoglobulin. Which of the following
is the best response?
A. "It will prevent your baby from becoming
anemic."
B. "It prevents your immune system from forming
antibodies that could harm a future pregnancy."
C. "It is given to treat the jaundice your baby may
develop."
D. "It is a routine vitamin supplement after
delivery."
Rationale: Rh immunoglobulin prevents maternal
sensitization by destroying fetal Rh-positive red
blood cells in the maternal circulation, thus
preventing antibody formation that could cause
hemolytic disease in a subsequent Rh-positive fetus.
Question 5
During a vaginal examination, the nurse identifies
the umbilical cord protruding from the vagina.
Which of the following is the priority action?
A. Place the client in the lithotomy position
B. Apply upward pressure on the presenting part
with a gloved hand
ACCURATE PRACTICE EXAM WITH ALL POSSIBLE
APPROVED WELL ELABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY (100% CORRECT VERIFIED
SOLUTIONS) 2026-2027 CURRENTLY UPDATED
VERSION Q&A GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
Question 1
A primigravida at 38 weeks gestation is admitted
with contractions every 3 to 4 minutes, lasting 50
seconds. Her cervix is 5 cm dilated, 90% effaced,
and the fetal head is at 0 station. The fetal heart
rate tracing shows moderate variability and
accelerations. Which of the following is the priority
nursing action?
A. Prepare for immediate cesarean birth
B. Encourage the use of breathing techniques and
,position changes
C. Administer oxytocin to augment labor
D. Notify the provider of late decelerations
Rationale: The patient is in active labor with
reassuring fetal status and adequate progression.
Encouraging non-pharmacologic pain management
and position changes supports normal labor
progression. The findings do not indicate cesarean,
augmentation, or fetal compromise.
Question 2
A nurse is assessing a newborn who is 12 hours old.
The infant’s heart rate is 140 bpm, respiratory rate
is 50 breaths/min, and temperature is 36.5°C
(97.7°F) axillary. Which of the following actions
should the nurse take first?
A. Apply a pulse oximeter to the right hand
B. Obtain a blood glucose level
C. Place the infant skin-to-skin with the mother
and cover with a warm blanket
D. Notify the healthcare provider of subnormal
temperature
Rationale: A temperature of 36.5°C is slightly below
,the normal axillary range of 36.5°C to 37.5°C. The
priority is to warm the infant using skin-to-skin
contact and blankets. This is a common and safe
intervention before notifying the provider or
performing additional assessments.
Question 3
A client at 32 weeks gestation with preeclampsia is
receiving magnesium sulfate. Which of the
following findings indicates magnesium toxicity?
A. Respiratory rate of 16 breaths/min
B. Deep tendon reflexes of 2+
C. Urine output of 35 mL/hr
D. Serum magnesium level of 9 mg/dL
Rationale: The therapeutic range for magnesium
sulfate is 4 to 7 mg/dL. A level of 9 mg/dL is toxic
and can cause respiratory depression, loss of
reflexes, and cardiac arrest. The other findings are
within normal limits.
Question 4
A postpartum client who is Rh-negative and gave
birth to an Rh-positive infant asks why she needs to
, receive Rh immunoglobulin. Which of the following
is the best response?
A. "It will prevent your baby from becoming
anemic."
B. "It prevents your immune system from forming
antibodies that could harm a future pregnancy."
C. "It is given to treat the jaundice your baby may
develop."
D. "It is a routine vitamin supplement after
delivery."
Rationale: Rh immunoglobulin prevents maternal
sensitization by destroying fetal Rh-positive red
blood cells in the maternal circulation, thus
preventing antibody formation that could cause
hemolytic disease in a subsequent Rh-positive fetus.
Question 5
During a vaginal examination, the nurse identifies
the umbilical cord protruding from the vagina.
Which of the following is the priority action?
A. Place the client in the lithotomy position
B. Apply upward pressure on the presenting part
with a gloved hand
