RN HESI MATERNITY 2025 EXAM LATEST ACTUAL
EXAM 129 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - answers-A. Avoid alcohol
because it is excreted in breast milk.
The client comes to the hospital assuming she is in labor. Which assessment finding(s)
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 - answers-A. Pain in the lower back that
radiates to abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - answers-C. Ensure that
the baby is positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
,D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding
occurs. - answers-C. Place petroleum ointment around the glans with each diaper
change and cleansing.
A primigravida 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? -
answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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
EXAM 129 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - answers-A. Avoid alcohol
because it is excreted in breast milk.
The client comes to the hospital assuming she is in labor. Which assessment finding(s)
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 - answers-A. Pain in the lower back that
radiates to abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - answers-C. Ensure that
the baby is positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
,D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding
occurs. - answers-C. Place petroleum ointment around the glans with each diaper
change and cleansing.
A primigravida 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? -
answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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 - answers-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
