RN HESI MATERNITY EXAM QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS BRAND NEW 2025
A prim gravida arrives at the observation unit of the maternity
unit because thinks is in labor. The
nurse applies the external fetal heart monitor and determines
that the fetal heart rate is 140
beats/minute and the contractions are occurring irregularly
every 10 to 15 minutes. What
assessment finding confirms to the nurse that the client is not
labor at this time? - CORRECT ANSWER - >Contractions
decrease with walking.
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 - CORRECT ANSWER -
>B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following
the birth of an infant with esophageal atresia and a
tracheoesophageal (the) fistula ?
,A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - CORRECT ANSWER - >A. body
temperature
What is the most important assessment for the nurse to
conduct following the administration of epidural anesthesia to
a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure - CORRECT ANSWER - >D. Maternal
blood pressure
A 34-week primigravida with pregnancy induced hypertension
(PIH) is receiving Ringer's Lactate 500 ml with magnesium
sulfate 20 grams at the rate of 3 grams/hour. How many
ml/hour should the nurse program the infusion pump? (Enter
numeric value only)
A. 120
B. 70
C. 65
D. 75 - CORRECT ANSWER - >D. 75
A mother of a 3-year-old boy has just given birth to a new baby
girl. The little boy asks the nurse, "Why is my baby sister eating
my mommy's breast?" How should the nurse respond? (Select
all that apply)
,A. Explain that newborns get milk from their mothers in this
way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice - CORRECT
ANSWER - >A. Explain that newborns get milk from their
mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism.
Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach -
CORRECT ANSWER - >D. Place the infant in warm room and use
a calm approach
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
, D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes
x3 - CORRECT ANSWER - >A. Betamethasone (Celestone) 12 mg
deep IM
A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The
home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper
area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change -
CORRECT ANSWER - >C. Change to latex-free gloves when
handling infant
The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112
mmHg, facial and hand swelling, complaints of blurry vision and
a severe frontal headache. Which medication should the nurse
anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - CORRECT ANSWER - >D. Magnesium
sulfate
A client at 35-weeks gestation complains of a "pain whenever
the baby moves." On assessment, the nurse notes the client's
GUARANTEED PASS BRAND NEW 2025
A prim gravida arrives at the observation unit of the maternity
unit because thinks is in labor. The
nurse applies the external fetal heart monitor and determines
that the fetal heart rate is 140
beats/minute and the contractions are occurring irregularly
every 10 to 15 minutes. What
assessment finding confirms to the nurse that the client is not
labor at this time? - CORRECT ANSWER - >Contractions
decrease with walking.
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 - CORRECT ANSWER -
>B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following
the birth of an infant with esophageal atresia and a
tracheoesophageal (the) fistula ?
,A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - CORRECT ANSWER - >A. body
temperature
What is the most important assessment for the nurse to
conduct following the administration of epidural anesthesia to
a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure - CORRECT ANSWER - >D. Maternal
blood pressure
A 34-week primigravida with pregnancy induced hypertension
(PIH) is receiving Ringer's Lactate 500 ml with magnesium
sulfate 20 grams at the rate of 3 grams/hour. How many
ml/hour should the nurse program the infusion pump? (Enter
numeric value only)
A. 120
B. 70
C. 65
D. 75 - CORRECT ANSWER - >D. 75
A mother of a 3-year-old boy has just given birth to a new baby
girl. The little boy asks the nurse, "Why is my baby sister eating
my mommy's breast?" How should the nurse respond? (Select
all that apply)
,A. Explain that newborns get milk from their mothers in this
way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice - CORRECT
ANSWER - >A. Explain that newborns get milk from their
mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism.
Which exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach -
CORRECT ANSWER - >D. Place the infant in warm room and use
a calm approach
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
, D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes
x3 - CORRECT ANSWER - >A. Betamethasone (Celestone) 12 mg
deep IM
A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The
home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper
area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change -
CORRECT ANSWER - >C. Change to latex-free gloves when
handling infant
The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112
mmHg, facial and hand swelling, complaints of blurry vision and
a severe frontal headache. Which medication should the nurse
anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - CORRECT ANSWER - >D. Magnesium
sulfate
A client at 35-weeks gestation complains of a "pain whenever
the baby moves." On assessment, the nurse notes the client's
