HESI PN OBSTETRICS/MATERNITY Final
Exam Prep 2025-2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
1. Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery? - ANSWER ✓ The Rh-negative mother
who delivers a Rh-positive baby.
2. Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that
apply.) - ANSWER ✓ A. Displacement of the colon.
E. Decrease in peristalsis.
3. A 14-week gestational client, who weighed 125 pounds before pregnancy,
comes into the health clinic for a prenatal appointment. The client's weight
today is 129 pounds. What action should the practical nurse (PN)
implement? - ANSWER ✓ Document the finding in the medical record.
4. The practical nurse (PN) is reviewing the informational packets with a client
who is at risk for preeclampsia. Which information is most important for the
PN reinforce with the client? - ANSWER ✓ Notify the clinic if any vision
changes are experienced.
5. A primigravida at 33-weeks gestation is admitted after being involved in a
motor vehicle collision (MVC). The client has no complaints of abdominal
pain and no evidence of vaginal bleeding. Which action should the practical
, nurse (PN) anticipate implementing for the client? - ANSWER ✓ Obtain a
biophysical profile.
6. A primigravida client asks the practical nurse (PN). "How will i know that I
will be going into labor soon?" Which sign should the PN provide that is a
common sign? - ANSWER ✓ Burst of energy.
7. A primigravida client who is at 39-weeks gestation arrives at the clinic and
tells the practical nurse (PN) she is having contractions every 5 minutes. The
healthcare provider determines she is dilated 3 cm and in early labor. What
action should the practical nurse (PN) implement when the client groans
with each contraction? - ANSWER ✓ Demonstrate simple relaxation
measures.
8. A primiparous client asks the practical nurse (PN) how much her newborn
baby should sleep every day. What information should the PN provide? -
ANSWER ✓ A newborn sleeps most of the day and gradually will have
increasing periods of wakefulness.
9. The mother asks the practical nurse (PN) what her infant may need if the
phenylketonuria(PKU) test is positive. What type of treatment should the PN
tell the mother will be required? - ANSWER ✓ Lifelong dietary
management.
10.The mother of a young child with Type 1 diabetes mellitus (DM) who needs
insulin injections at home tells the practical nurse (PN) that she is afraid she
does not know what to do properly. Which action is most important for the
PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother - ANSWER ✓
Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an
opportunity to reinforce information & provide validation to increase the
, mother's confidence and relieve apprehension about caring for her child with
DM. (A, B, and D) are of less priority than (C).
11.Which first aid action should the practical nurse implement for a child who
has sustained a second degree thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present - ANSWER ✓ Answer: C
Rationale:
First aid treatment of a second degree thermal burn is immersion of the
burned area in cold water (C) to halt the burning process. (A, B, and D) are
not indicated due tot he risk of increased skin damage or infection.
12.What information should the practical nurse (PN) reinforce with the parents
of a 3 month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's
tongue
d) use an oral syringe to place the medication in the side of the infant's
mouth - ANSWER ✓ Answer: D
Rationale:
An oral syringe is a useful device for measuring small quantities of
medications for infants. The syringe is placed in the side of the mouth. (B)
increases the amount of air the infant swallows, which cause excessive gas.
(B and D) increase the risk for aspiration.
13.What action should the practical nurse (PN) implement when caring for a
dying child and the family?
a) Provide adequate oral intake on a regular schedule
b) Organize care to minimize contact that interrupts rests
c) Allow family to give basic care when the child is alert
, d) Tell family to continue talking to the child until time of death -
ANSWER ✓ Answer: D
Rationale:
Families should be encouraged to talk to the child because the sense of
hearing is acute until death (D), and verbal communication and physical
touch provide comfort for both the family and child. When a child is dying,
comfort is based on measures that respond to the child's requests beyond a
regular schedule for fluids (A). Nursing care should minimize disruptions
but not contact (B). family involvement in the basic care of the child should
continue throughout the child's dying process, not only when the child is
alert (C).
14.A 2 year old child who is hospitalized has become withdrawn and quiet on
the fourth day after admission. The parent expresses concern about this
change in behavior. Which explanation should the practical nurse (PN)
provide? The child is
a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - ANSWER ✓ Answer: A
Rationale:
In the despair stage of separation (A), the child exhibits signs of
hopelessness and becomes quiet, withdrawn, and apathetic. Toddlers do not
readily "adjust" to hospitalization (D) and separation from caregivers.
During the detachment stage (B) which occurs after prolonged separation,
the child becomes interested in the environment and begins to play. In the
protest stage (C), the child is likely to cry and resist care by others, and is
inconsolable.
15.A 3 year old boy cries, kicks, and clings to his father when the parents try to
leave the hospital room. The parents express their concern to the practical
nurse (PN). What response should the PN provide?
a) "It is not helpful for parents to stay with children during
hospitalization."
Exam Prep 2025-2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
1. Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery? - ANSWER ✓ The Rh-negative mother
who delivers a Rh-positive baby.
2. Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that
apply.) - ANSWER ✓ A. Displacement of the colon.
E. Decrease in peristalsis.
3. A 14-week gestational client, who weighed 125 pounds before pregnancy,
comes into the health clinic for a prenatal appointment. The client's weight
today is 129 pounds. What action should the practical nurse (PN)
implement? - ANSWER ✓ Document the finding in the medical record.
4. The practical nurse (PN) is reviewing the informational packets with a client
who is at risk for preeclampsia. Which information is most important for the
PN reinforce with the client? - ANSWER ✓ Notify the clinic if any vision
changes are experienced.
5. A primigravida at 33-weeks gestation is admitted after being involved in a
motor vehicle collision (MVC). The client has no complaints of abdominal
pain and no evidence of vaginal bleeding. Which action should the practical
, nurse (PN) anticipate implementing for the client? - ANSWER ✓ Obtain a
biophysical profile.
6. A primigravida client asks the practical nurse (PN). "How will i know that I
will be going into labor soon?" Which sign should the PN provide that is a
common sign? - ANSWER ✓ Burst of energy.
7. A primigravida client who is at 39-weeks gestation arrives at the clinic and
tells the practical nurse (PN) she is having contractions every 5 minutes. The
healthcare provider determines she is dilated 3 cm and in early labor. What
action should the practical nurse (PN) implement when the client groans
with each contraction? - ANSWER ✓ Demonstrate simple relaxation
measures.
8. A primiparous client asks the practical nurse (PN) how much her newborn
baby should sleep every day. What information should the PN provide? -
ANSWER ✓ A newborn sleeps most of the day and gradually will have
increasing periods of wakefulness.
9. The mother asks the practical nurse (PN) what her infant may need if the
phenylketonuria(PKU) test is positive. What type of treatment should the PN
tell the mother will be required? - ANSWER ✓ Lifelong dietary
management.
10.The mother of a young child with Type 1 diabetes mellitus (DM) who needs
insulin injections at home tells the practical nurse (PN) that she is afraid she
does not know what to do properly. Which action is most important for the
PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother - ANSWER ✓
Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an
opportunity to reinforce information & provide validation to increase the
, mother's confidence and relieve apprehension about caring for her child with
DM. (A, B, and D) are of less priority than (C).
11.Which first aid action should the practical nurse implement for a child who
has sustained a second degree thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present - ANSWER ✓ Answer: C
Rationale:
First aid treatment of a second degree thermal burn is immersion of the
burned area in cold water (C) to halt the burning process. (A, B, and D) are
not indicated due tot he risk of increased skin damage or infection.
12.What information should the practical nurse (PN) reinforce with the parents
of a 3 month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's
tongue
d) use an oral syringe to place the medication in the side of the infant's
mouth - ANSWER ✓ Answer: D
Rationale:
An oral syringe is a useful device for measuring small quantities of
medications for infants. The syringe is placed in the side of the mouth. (B)
increases the amount of air the infant swallows, which cause excessive gas.
(B and D) increase the risk for aspiration.
13.What action should the practical nurse (PN) implement when caring for a
dying child and the family?
a) Provide adequate oral intake on a regular schedule
b) Organize care to minimize contact that interrupts rests
c) Allow family to give basic care when the child is alert
, d) Tell family to continue talking to the child until time of death -
ANSWER ✓ Answer: D
Rationale:
Families should be encouraged to talk to the child because the sense of
hearing is acute until death (D), and verbal communication and physical
touch provide comfort for both the family and child. When a child is dying,
comfort is based on measures that respond to the child's requests beyond a
regular schedule for fluids (A). Nursing care should minimize disruptions
but not contact (B). family involvement in the basic care of the child should
continue throughout the child's dying process, not only when the child is
alert (C).
14.A 2 year old child who is hospitalized has become withdrawn and quiet on
the fourth day after admission. The parent expresses concern about this
change in behavior. Which explanation should the practical nurse (PN)
provide? The child is
a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - ANSWER ✓ Answer: A
Rationale:
In the despair stage of separation (A), the child exhibits signs of
hopelessness and becomes quiet, withdrawn, and apathetic. Toddlers do not
readily "adjust" to hospitalization (D) and separation from caregivers.
During the detachment stage (B) which occurs after prolonged separation,
the child becomes interested in the environment and begins to play. In the
protest stage (C), the child is likely to cry and resist care by others, and is
inconsolable.
15.A 3 year old boy cries, kicks, and clings to his father when the parents try to
leave the hospital room. The parents express their concern to the practical
nurse (PN). What response should the PN provide?
a) "It is not helpful for parents to stay with children during
hospitalization."
