1|Page: 2024/2025 Grade A+
Hesi Maternity Questions and Correct Answers
& Latest Updated
1.The nurse is counseling a client who wants to become pregnant. She tells the nurse that
she has a 36-day menstrual cycle and the first day of her last menstrual period was January
8. When will the client's next fertile period occur?
A. January 14 to 15
B. January 22 to 23
C. January 29 to 30
D. February 6 to 7
o This client can expect her next period to begin 36 days from the first day of her last menstrual
period. Her next period would begin on February 12. Ovulation occurs 14 days before the first
day of the menstrual period. The client can expect ovulation to occur January 29 to 30.
Options A, B, and D are incorrect.
2.Client teaching is an important part of the perinatal nurse's role. Which factor has the
greatest influence on successful teaching of the pregnant client?
A. The client's investment in what is being taught
B. The couple's highest levels of education
C. The order in which the information is presented
D. The extent to which the pregnancy was planned
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
o When teaching any client, readiness to learn is related to how much the client has invested in
what is being taught or how important the materials are to the client's particular life. For
example, the client with severe morning sickness in the first trimester may not be ready to
learn about labor and delivery but is probably very ready to learn about ways to relieve
morning sickness. Options B and C are factors that may influence learning but are not as
influential as option A. Even if a pregnancy is planned and very desirable, the client must be
ready to learn the content presented.
3.The nurse instructs a laboring client to use accelerated blow breathing. The client begins
to complain of tingling fingers and dizziness. Which action should the nurse take?
A.
Administer oxygen by facemask.
B.
Notify the health care provider of the client's symptoms.
C.
Have the client breathe into her cupped hands.
D.
Check the client's blood pressure and fetal heart rate.
o Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon
dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by
breathing into a paper bag or cupped hands. Option A is inappropriate because the carbon
dioxide level is low, not the oxygen level. Options B and D are not specific for this situation.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,3|Page: 2024/2025 Grade A+
4.Which findings are most critical for the nurse to report to the primary health care provider
when caring for the client during the last trimester of her pregnancy? (Select all that apply.)
A. Increased heartburn that is not relieved with doses of antacids
B. Increase of the fetal heart rate from 126 to 156 beats/min from the last visit
C. Shoes and rings that are too tight because of peripheral edema in extremities
D. Decrease in ability for the client to sleep for more than 2 hours at a time
E. Chronic headache that has been lingering for a week behind the client's eyes
o Options A and E are possible signs of preeclampsia or eclampsia but can also be normal signs
of pregnancy. These signs should be reported to the health care provider for further
evaluation for the safety of the client and the fetus. Options B, C, and D are all normal signs
during the last trimester of pregnancy.
5.Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to 90/60 mm Hg. Which action should the nurse take
immediately?
A. Notify the health care provider or anesthesiologist.
B. Continue to assess the blood pressure every 5 minutes.
C. Place the client in a lateral position.
D. Turn off the continuous epidural.
o The nurse should immediately turn the client to a lateral position or place a pillow or wedge
under one hip to deflect the uterus. Other immediate interventions include increasing the
rate of the main line IV infusion and administering oxygen by facemask. If the blood pressure
remains low after these interventions or decreases further, the anesthesiologist or health
care provider should be notified immediately. To continue to monitor blood pressure without
taking further action could constitute malpractice. Option D may also be warranted, but such
action is based on hospital protocol.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
, 4|Page: 2024/2025 Grade A+
6.The client comes to the hospital assuming she is in labor. Which assessment findings by
the nurse would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions
o These are all signs of true labor. Options B and D are signs of false labor.
7. Which maternal behavior is the nurse most likely to see when a new mother receives her
infant for the first time?
A. She eagerly reaches for the infant, undresses the infant, and examines the infant
completely.
B. Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
C. Her arms and hands receive the infant and she then cuddles the infant to her own body.
D. She eagerly reaches for the infant and then holds the infant close to her own body.
o Attachment and bonding theory indicates that most mothers will demonstrate behaviors
described in option B during the first visit with the newborn, which may be at delivery or
later. After the first visit, the mother may exhibit different touching behaviors such as eagerly
reaching for the infant and cuddling the infant close to her.
8. The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which information?
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
Hesi Maternity Questions and Correct Answers
& Latest Updated
1.The nurse is counseling a client who wants to become pregnant. She tells the nurse that
she has a 36-day menstrual cycle and the first day of her last menstrual period was January
8. When will the client's next fertile period occur?
A. January 14 to 15
B. January 22 to 23
C. January 29 to 30
D. February 6 to 7
o This client can expect her next period to begin 36 days from the first day of her last menstrual
period. Her next period would begin on February 12. Ovulation occurs 14 days before the first
day of the menstrual period. The client can expect ovulation to occur January 29 to 30.
Options A, B, and D are incorrect.
2.Client teaching is an important part of the perinatal nurse's role. Which factor has the
greatest influence on successful teaching of the pregnant client?
A. The client's investment in what is being taught
B. The couple's highest levels of education
C. The order in which the information is presented
D. The extent to which the pregnancy was planned
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
o When teaching any client, readiness to learn is related to how much the client has invested in
what is being taught or how important the materials are to the client's particular life. For
example, the client with severe morning sickness in the first trimester may not be ready to
learn about labor and delivery but is probably very ready to learn about ways to relieve
morning sickness. Options B and C are factors that may influence learning but are not as
influential as option A. Even if a pregnancy is planned and very desirable, the client must be
ready to learn the content presented.
3.The nurse instructs a laboring client to use accelerated blow breathing. The client begins
to complain of tingling fingers and dizziness. Which action should the nurse take?
A.
Administer oxygen by facemask.
B.
Notify the health care provider of the client's symptoms.
C.
Have the client breathe into her cupped hands.
D.
Check the client's blood pressure and fetal heart rate.
o Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon
dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by
breathing into a paper bag or cupped hands. Option A is inappropriate because the carbon
dioxide level is low, not the oxygen level. Options B and D are not specific for this situation.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,3|Page: 2024/2025 Grade A+
4.Which findings are most critical for the nurse to report to the primary health care provider
when caring for the client during the last trimester of her pregnancy? (Select all that apply.)
A. Increased heartburn that is not relieved with doses of antacids
B. Increase of the fetal heart rate from 126 to 156 beats/min from the last visit
C. Shoes and rings that are too tight because of peripheral edema in extremities
D. Decrease in ability for the client to sleep for more than 2 hours at a time
E. Chronic headache that has been lingering for a week behind the client's eyes
o Options A and E are possible signs of preeclampsia or eclampsia but can also be normal signs
of pregnancy. These signs should be reported to the health care provider for further
evaluation for the safety of the client and the fetus. Options B, C, and D are all normal signs
during the last trimester of pregnancy.
5.Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to 90/60 mm Hg. Which action should the nurse take
immediately?
A. Notify the health care provider or anesthesiologist.
B. Continue to assess the blood pressure every 5 minutes.
C. Place the client in a lateral position.
D. Turn off the continuous epidural.
o The nurse should immediately turn the client to a lateral position or place a pillow or wedge
under one hip to deflect the uterus. Other immediate interventions include increasing the
rate of the main line IV infusion and administering oxygen by facemask. If the blood pressure
remains low after these interventions or decreases further, the anesthesiologist or health
care provider should be notified immediately. To continue to monitor blood pressure without
taking further action could constitute malpractice. Option D may also be warranted, but such
action is based on hospital protocol.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
, 4|Page: 2024/2025 Grade A+
6.The client comes to the hospital assuming she is in labor. Which assessment findings by
the nurse would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions
o These are all signs of true labor. Options B and D are signs of false labor.
7. Which maternal behavior is the nurse most likely to see when a new mother receives her
infant for the first time?
A. She eagerly reaches for the infant, undresses the infant, and examines the infant
completely.
B. Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
C. Her arms and hands receive the infant and she then cuddles the infant to her own body.
D. She eagerly reaches for the infant and then holds the infant close to her own body.
o Attachment and bonding theory indicates that most mothers will demonstrate behaviors
described in option B during the first visit with the newborn, which may be at delivery or
later. After the first visit, the mother may exhibit different touching behaviors such as eagerly
reaching for the infant and cuddling the infant close to her.
8. The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which information?
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
