RN HESI Maternity EXAM 2024-2025 QUESTIONS and
ANSWERS
The nurse is counseling a patient who is at 6 weeks gestation and is experiencing morning
sickness , but does not want to take any drugs for this discomfort. Which herbal supplement is
likely to help this client with the nausea she is experiencing ?
A. Ginger
B. Chamomile
C. Peppermint
D. Ginko - ANSWER>>A. Ginger
The nurse who is working at a prenatal clinic notes a woman that is at 18 weeks of gestation
has two elevated maternal alpha feto-protein (MSAFP) values. What action should the nurse
implement?
A. Instruct the client to increase intake of folic acid supplements
B. Request a consultation with genetic counselor
C. Schedule a sonogram in the radiology department
D. Send the client to the laboratory for repeat MSAFP - ANSWER>>C. schedule a sonogram in
the radiology department
Following a minor vehicle collision , a client 36 weeks gestation is brought to the emergency
center. She is lying supine on a backboard , is awake , denies any complaints. Her blood
pressure is 80/50 mm Hg and heart rate is 130 beats per min. What action should the nurse
implement first?
A. Turn the board sideways to displace the uterus lateral
B. Palpate the abdomen for contractions
C. Infuse 1,000 normal saline using a large bore IV
D. Obtain blood sample for a complete blood count - ANSWER>>A. Turn the board sideways to
displace the uterus lateral
When assessing a pregnant woman who is 39 weeks gestation who is admitted to labor and
delivery, which finding is most important to report the health care provider?
A. + 1 proteinuria
B. 130/70 blood pressure
,C. 102 oral temperature
D. +1 pedal edema - ANSWER>>C. 102 oral temperature
During a routine prenatal vital a client 32 weeks gestation complains of urinary frequency has
increased during the day as well at night. The nurse determines the client is having irregular
uterine contractions. What should the nurse implement ?
A. Ask the client if she had sexual intercourse yesterday
B. Determine if she has change in vaginal discharge
C. Collect urine sample from dipstick analysis
D. Obtain a midstream urine specimen for culture - ANSWER>>D. Obtain a midstream urine
specimen for culture
The nurse teaching a preconception preparation class is discussing ways to improve dietary folic
acid intake. Which evening snack contains the most folic acid?
A. Fresh strawberries
B. Roasted peanuts in shell
C. Unflavored yogurt
D. Vanilla milkshake with protein supplement - ANSWER>>B. roasted peanut in shell
A 38 week primigravida is admitted to labor and delivery after a non-reactive result on a non-
stress test (NST) .The nurse begins contraction stress test (CST) with an oxytocin ( Pitocin )
infusion. Which finding is most important for the nurse to report to the health care provider ?
A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations - ANSWER>>D. A pattern of late fetal decelerations
A primigravida is 36 weeks gestation, is Rh negative is experienced abdominal trauma in a
motor vehicle collision. Which assessment finding is most important for the nurse to report to
the healthcare provider?
A. Positive fetal hemoglobin test
B. Fetal heart rate is 162 beats / min
,C. Trace of protein in urine
D. Mild contractions every 10 mins - ANSWER>>A. Positive fetal hemoglobin test
The nurse is caring for an newborn who is 18 inches long, weighs 4 pounds , 14 ounces, has a
head circumference of 13 inches and chest circumference is of 10 inches. Based on these
physical findings , assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbillirubinemia
C. Polycythemia
D. Hypoglycemia - ANSWER>>D. Hypoglycemia
A school nurse is preparing a seminar to address the concerns of pregnant adolescent. What
information is most important for the nurse to include in this program?
A. Nutritional requirements during pregnancy
B. Pain management options for labor
C. Comparison of infant feeding method
D. Symptoms to report to the healthcare provider - ANSWER>>A. Nutritional requirements
during pregnancy
A postpartal client who is bottle feeding develops engorgement . What is the best
recommendation for nurse to provide this client ?
A. Avoid stimulation to breast and wear a tight bra
B. Express small amount of breast milk in your hand
C. Take a prescribed analgesic and express the breast to air
D. Place warm packs on both sides of breast - ANSWER>>A. Avoid stimulation to breast and
wear tight bra
The nurse is assessing a patient who is 36 hours post delivery. Which finding should the nurse
report to the healthcare provider?
A. White blood cell count 19,000
B. Oral temperature of 100.6
C. Fundus deviated to the right
, D. Breast are firm when palpated - ANSWER>>B. Oral temperature of 100.6
A full term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record
reports that the mother is positive for HIV and received AZT intravenously during labor. What
action should the nurse implement first?
A. Ensure that AZT is given within 6 hours after birth
B. Collect venous specimen for serum glucose level
C. Asses for the presence of the Moro reflex
D. Obtain consent for the Hep B vaccine - ANSWER>>A. Ensure that AZT is given within 6 hours
after birth
The healthcare provider prescribe Pitocin 2milliunits / min to induce labor for a client at 41
weeks gestation. The nurse initiates an infusion of Lactated Ringer 1000 ml with Pitocin 10
units. How many ml/ hr should the nurse program the infusion pump? - ANSWER>>12
At 0600 while admitting a woman for a scheduled repeat c-section the client tells the nurse that
she had coffee at 0400 because she wanted avoid getting a headache. What action should the
nurse take first?
A. Ensure preoperative lab results are available
B. Start IV presecribed Lactated ringers
C. Inform the anesthesia care provider
D. Contact the client obstetrician - ANSWER>>C. Inform the anesthesia care provider
A mother spontaneously delivers her infant in a taxi cab on the way to the hospital. The
emergency room nurse reports that the mother has active herpes (HSVII) lesion on the vulva.
What intervention should the nurse implement first when admitting the neonate in the
nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection - ANSWER>>C. Place newborn in the isolation area of the
nursery
ANSWERS
The nurse is counseling a patient who is at 6 weeks gestation and is experiencing morning
sickness , but does not want to take any drugs for this discomfort. Which herbal supplement is
likely to help this client with the nausea she is experiencing ?
A. Ginger
B. Chamomile
C. Peppermint
D. Ginko - ANSWER>>A. Ginger
The nurse who is working at a prenatal clinic notes a woman that is at 18 weeks of gestation
has two elevated maternal alpha feto-protein (MSAFP) values. What action should the nurse
implement?
A. Instruct the client to increase intake of folic acid supplements
B. Request a consultation with genetic counselor
C. Schedule a sonogram in the radiology department
D. Send the client to the laboratory for repeat MSAFP - ANSWER>>C. schedule a sonogram in
the radiology department
Following a minor vehicle collision , a client 36 weeks gestation is brought to the emergency
center. She is lying supine on a backboard , is awake , denies any complaints. Her blood
pressure is 80/50 mm Hg and heart rate is 130 beats per min. What action should the nurse
implement first?
A. Turn the board sideways to displace the uterus lateral
B. Palpate the abdomen for contractions
C. Infuse 1,000 normal saline using a large bore IV
D. Obtain blood sample for a complete blood count - ANSWER>>A. Turn the board sideways to
displace the uterus lateral
When assessing a pregnant woman who is 39 weeks gestation who is admitted to labor and
delivery, which finding is most important to report the health care provider?
A. + 1 proteinuria
B. 130/70 blood pressure
,C. 102 oral temperature
D. +1 pedal edema - ANSWER>>C. 102 oral temperature
During a routine prenatal vital a client 32 weeks gestation complains of urinary frequency has
increased during the day as well at night. The nurse determines the client is having irregular
uterine contractions. What should the nurse implement ?
A. Ask the client if she had sexual intercourse yesterday
B. Determine if she has change in vaginal discharge
C. Collect urine sample from dipstick analysis
D. Obtain a midstream urine specimen for culture - ANSWER>>D. Obtain a midstream urine
specimen for culture
The nurse teaching a preconception preparation class is discussing ways to improve dietary folic
acid intake. Which evening snack contains the most folic acid?
A. Fresh strawberries
B. Roasted peanuts in shell
C. Unflavored yogurt
D. Vanilla milkshake with protein supplement - ANSWER>>B. roasted peanut in shell
A 38 week primigravida is admitted to labor and delivery after a non-reactive result on a non-
stress test (NST) .The nurse begins contraction stress test (CST) with an oxytocin ( Pitocin )
infusion. Which finding is most important for the nurse to report to the health care provider ?
A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations - ANSWER>>D. A pattern of late fetal decelerations
A primigravida is 36 weeks gestation, is Rh negative is experienced abdominal trauma in a
motor vehicle collision. Which assessment finding is most important for the nurse to report to
the healthcare provider?
A. Positive fetal hemoglobin test
B. Fetal heart rate is 162 beats / min
,C. Trace of protein in urine
D. Mild contractions every 10 mins - ANSWER>>A. Positive fetal hemoglobin test
The nurse is caring for an newborn who is 18 inches long, weighs 4 pounds , 14 ounces, has a
head circumference of 13 inches and chest circumference is of 10 inches. Based on these
physical findings , assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbillirubinemia
C. Polycythemia
D. Hypoglycemia - ANSWER>>D. Hypoglycemia
A school nurse is preparing a seminar to address the concerns of pregnant adolescent. What
information is most important for the nurse to include in this program?
A. Nutritional requirements during pregnancy
B. Pain management options for labor
C. Comparison of infant feeding method
D. Symptoms to report to the healthcare provider - ANSWER>>A. Nutritional requirements
during pregnancy
A postpartal client who is bottle feeding develops engorgement . What is the best
recommendation for nurse to provide this client ?
A. Avoid stimulation to breast and wear a tight bra
B. Express small amount of breast milk in your hand
C. Take a prescribed analgesic and express the breast to air
D. Place warm packs on both sides of breast - ANSWER>>A. Avoid stimulation to breast and
wear tight bra
The nurse is assessing a patient who is 36 hours post delivery. Which finding should the nurse
report to the healthcare provider?
A. White blood cell count 19,000
B. Oral temperature of 100.6
C. Fundus deviated to the right
, D. Breast are firm when palpated - ANSWER>>B. Oral temperature of 100.6
A full term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record
reports that the mother is positive for HIV and received AZT intravenously during labor. What
action should the nurse implement first?
A. Ensure that AZT is given within 6 hours after birth
B. Collect venous specimen for serum glucose level
C. Asses for the presence of the Moro reflex
D. Obtain consent for the Hep B vaccine - ANSWER>>A. Ensure that AZT is given within 6 hours
after birth
The healthcare provider prescribe Pitocin 2milliunits / min to induce labor for a client at 41
weeks gestation. The nurse initiates an infusion of Lactated Ringer 1000 ml with Pitocin 10
units. How many ml/ hr should the nurse program the infusion pump? - ANSWER>>12
At 0600 while admitting a woman for a scheduled repeat c-section the client tells the nurse that
she had coffee at 0400 because she wanted avoid getting a headache. What action should the
nurse take first?
A. Ensure preoperative lab results are available
B. Start IV presecribed Lactated ringers
C. Inform the anesthesia care provider
D. Contact the client obstetrician - ANSWER>>C. Inform the anesthesia care provider
A mother spontaneously delivers her infant in a taxi cab on the way to the hospital. The
emergency room nurse reports that the mother has active herpes (HSVII) lesion on the vulva.
What intervention should the nurse implement first when admitting the neonate in the
nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection - ANSWER>>C. Place newborn in the isolation area of the
nursery
