UPDATED EXAM SOLUTION QUESTIONS AND
ANSWER EXAMS FOR HESI 1 and 2 MATERNITY
PRACTICE QUESTIONS (2024-2025) GRADED A+
1. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory distress
syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain -
CORRECT ANSWER 2. HESI textbook ref pg: 689
2. A gravid client develops maternal hypotension following
regional anesthesia. What intervention(s) should the nurse
implement? Select all the apply.
,1. Administer oxygen
2. Assist the client to a sitting position
3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT
ANSWER 1, 3, 4, 5, HESI textbook ref pg: 348
. When assessing the integument of a 24 hour old newborn, the
nurse notes a pink papular rash with superimposed vesicles on
the thorax, back and abdomen. What action should the nurse
implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
,HESI textbook ref pg: 473
. A client at 28 weeks gestation experiences blunt abdominal
trauma. Which parameter should the nurse assess first for signs
of internal hemorrhage?
1. Vaginal bleeding
2. Complaints of abdominal pain
3. Changes in the fetal heart rate patterns
4. Alteration in maternal blood pressure -
CORRECT ANSWER 3, HESI textbook ref pg:
Davis textbook ref pg:
, The healthcare provider prescribes a secondary infusion of
Dextrose 5% in Water (D5W) 50 mg IV with magnesium sulfate 4
grams/50 mL to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to
deliver how many mL/hr? (enter numeric value only. If rounding is
required, round to the nearest whole number) - CORRECT
ANSWER 100 mL/hr
50 mL x 60 min = 3000
mL/min 3000 mL / 30
minutes = 100mL/hr HESI
textbook ref pg:
Davis textbook ref pg:
While assessing a newborn the nurse observes diffused edema of
the soft issues of the scalp that cross the suture lines. How should
the nurse document this finding?
1. Cephalohematoma
2. Molding
3. Caput succedaneum
4. Hemangioma - CORRECT
ANSWER 3, HESI textbook ref
pg: