Maternity HESI Case Study Questions With
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Questions and Correct Answers 2025-2026
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GRADED A+
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The ,nurse ,performs ,the ,first ,assessment ,upon ,the ,client's ,arrival ,to ,the ,postpartum
,unit. ,Where ,would ,the ,nurse ,expect ,to ,palpate ,the ,fundus?
a. ,3 ,cm ,above ,the ,umbilicus.
b. ,1 ,cm ,above ,the ,umbilicus.
c. ,To ,the ,right ,of ,the ,umbilicus.
d. ,Midway ,between ,the ,umbilicus ,and ,the ,pubic ,bone. ,- ,CORRECT ,ANSWER-b. ,1
,cm ,above ,the ,umbilicus.
For ,the ,first ,12 ,hours, ,the ,fundus ,should ,be ,1 ,to ,2 ,cm ,above ,the ,umbilicus
Fifteen ,minutes ,after ,the ,initial ,assessment, ,the ,nurse ,finds ,the ,client ,disoriented ,and
,lying ,on ,her ,back ,in ,a ,pool ,of ,vaginal ,blood, ,with ,the ,sheets ,beneath ,her ,saturated
,with ,blood.
Which ,action ,is ,most ,important ,for ,the ,nurse ,to ,implement ,immediately?
a. ,Take ,vital ,signs
b. ,Massage ,the ,fundus
c. ,Check ,the ,bladder
d. ,Increase ,the ,IV ,rate ,- ,CORRECT ,ANSWER-b. ,Massage ,the ,fundus.
,Since ,a ,boggy ,fundus ,is ,the ,most ,likely ,reason ,for ,this ,client's ,hemorrhaging,
,massing ,the ,fundus ,is ,the ,most ,important ,intervention. ,The ,nurse ,should ,also ,call ,for
,assistance ,due ,to ,the ,amount ,of ,blood ,that ,has ,pooled ,under ,the ,client.
what ,is ,the ,most ,likely ,reason ,a ,postpartum ,patient ,would ,be ,hemorrhaging? ,-
,CORRECT ,ANSWER-uterine ,atony ,(a ,"boggy" ,fundus)
What ,should ,be ,assessed ,immediately ,after ,fundus ,is ,massaged ,and ,nurse ,has
,called ,for ,help? ,- ,CORRECT ,ANSWER-Assess ,for ,bladder ,distention
--> ,The ,client ,is ,2 ,hours ,post-delivery ,with ,an ,IV ,infusion ,at ,125 ,mL/hour, ,which ,can
,contribute ,to ,diuresis. ,A ,distended ,bladder ,impedes ,uterine ,contraction ,and
,contributes ,to ,excessive ,bleeding. ,After ,the ,fundus ,is ,massaged, ,the ,bladder ,should
,be ,checked ,for ,distention.
When ,the ,nurse ,conducts ,a ,gestational ,age ,assessment, ,which ,findings ,may ,indicate
,postmaturity? ,(Select ,all ,that ,apply. ,One, ,some, ,or ,all ,options ,may ,be ,correct.)
a. ,Testes ,descended, ,good ,rugae.
b. ,Formed ,ears ,with ,instant ,recall.
c. ,Peeling, ,parchment-like ,skin.
d. ,Thin ,with ,loose ,skin ,and ,little ,subcutaneous ,fat.
e. ,Deep ,creases ,at ,the ,base ,of ,the ,toes ,extending ,to ,the ,heels. ,- ,CORRECT
,ANSWER-c. ,d. ,and ,e. ,
c. ,Peeling, ,parchment-like ,skin.
d. ,Thin ,with ,loose ,skin ,and ,little ,subcutaneous ,fat.
--> ,Subcutaneous ,fat, ,which ,had ,been ,used ,for ,nourishment, ,is ,lost ,prior ,to ,birth.
,This ,results ,in ,the ,infant's ,low ,temperature.
e. ,Deep ,creases ,at ,the ,base ,of ,the ,toes ,extending ,to ,the ,heels.
--> ,Postterm ,infants ,develop ,deep ,creases ,on ,the ,feet, ,extending ,from ,the ,base
The ,infant ,has ,a ,reddish ,papular ,rash ,across ,his ,face. ,How ,should ,the ,nurse ,respond
,when ,the ,client ,asks ,about ,the ,rash?
a. ,Don't ,worry ,about ,it. ,This ,rash ,will ,go ,away ,in ,a ,couple ,of ,days.
, b. ,I ,see ,you ,are ,concerned, ,so ,I ,will ,call ,your ,pediatrician.
c. ,A ,newborn ,rash ,is ,very ,common, ,but ,it ,will ,disappear ,soon.
d. ,Good ,question. ,Let ,me ,take ,the ,infant's ,vital ,signs ,and ,examine ,him ,- ,CORRECT
,ANSWER-c. ,A ,newborn ,rash ,is ,very ,common, ,but ,it ,will ,disappear ,soon.
--> ,The ,infant ,rash, ,erythema ,toxicum, ,is ,very ,common ,and ,usually ,disappears ,by ,the
,third ,day ,of ,life.
Which ,factor ,should ,alert ,the ,nurse ,to ,assess ,for ,the ,risk ,of ,jaundice? ,- ,CORRECT
,ANSWER-trauma ,at ,birth
what ,is ,a ,normal ,bilirubin ,range ,for ,a ,newborn? ,- ,CORRECT ,ANSWER-5-6 ,mg/dL
Which ,instructions ,should ,the ,nurse ,include ,in ,the ,discharge ,planning ,regarding ,the
,infant's ,jaundice?
a. ,The ,phototherapy ,blanket ,is ,placed ,over ,the ,infant's ,clothing.
b. ,Holding ,the ,infant ,does ,not ,interrupt ,the ,phototherapy ,process.
c. ,A ,phototherapy ,blanket ,is ,more ,effective ,than ,the ,overhead ,lights.
d. ,The ,length ,of ,time ,required ,for ,phototherapy ,intervention ,is ,decreased. ,-
,CORRECT ,ANSWER-b. ,Holding ,the ,infant ,does ,not ,interrupt ,the ,phototherapy
,process.
--> ,Although ,diapers ,can ,be ,worn, ,the ,blanket ,is ,placed ,next ,to ,the ,skin ,on ,the ,trunk
,of ,the ,body ,to ,expose ,as ,much ,skin ,as ,possible ,to ,the ,light.
--> ,The ,phototherapy ,blanket ,allows ,the ,infant ,to ,be ,held ,while ,the ,process ,is
,continued.
A ,client ,in ,her ,first ,trimester ,is ,concerned ,about ,how ,weight ,gain ,will ,affect ,her
,appearance ,and ,questions ,the ,nurse ,concerning ,dietary ,restrictions. ,How ,much
,weight ,gain ,should ,the ,nurse ,point ,out ,will ,be ,safe ,for ,this ,client ,with ,a ,low ,BMI? ,-
,CORRECT ,ANSWER-28 ,to ,40 ,pounds
The ,recommendation ,for ,average ,weight ,gain ,is ,25 ,to ,35 ,lbs ,(11 ,to ,16 ,kilograms). ,
The ,woman ,who ,is ,underweight ,with ,a ,low ,BMI ,should ,gain ,28 ,to ,40 ,pounds ,(13 ,to
,18 ,kilograms). ,
Individuals ,with ,a ,high ,BMI ,should ,gain ,15 ,to ,25 ,pounds ,(7 ,to ,11 ,kilograms).
The ,nurse ,is ,counseling ,a ,client ,with ,a ,BMI ,of ,23 ,about ,weight ,gain ,during
,pregnancy. ,The ,nurse ,teaches ,the ,client ,that ,during ,the ,second ,and ,third ,trimester ,of
, , , , ,
Questions and Correct Answers 2025-2026
, , , , ,
GRADED A+
, ,
The ,nurse ,performs ,the ,first ,assessment ,upon ,the ,client's ,arrival ,to ,the ,postpartum
,unit. ,Where ,would ,the ,nurse ,expect ,to ,palpate ,the ,fundus?
a. ,3 ,cm ,above ,the ,umbilicus.
b. ,1 ,cm ,above ,the ,umbilicus.
c. ,To ,the ,right ,of ,the ,umbilicus.
d. ,Midway ,between ,the ,umbilicus ,and ,the ,pubic ,bone. ,- ,CORRECT ,ANSWER-b. ,1
,cm ,above ,the ,umbilicus.
For ,the ,first ,12 ,hours, ,the ,fundus ,should ,be ,1 ,to ,2 ,cm ,above ,the ,umbilicus
Fifteen ,minutes ,after ,the ,initial ,assessment, ,the ,nurse ,finds ,the ,client ,disoriented ,and
,lying ,on ,her ,back ,in ,a ,pool ,of ,vaginal ,blood, ,with ,the ,sheets ,beneath ,her ,saturated
,with ,blood.
Which ,action ,is ,most ,important ,for ,the ,nurse ,to ,implement ,immediately?
a. ,Take ,vital ,signs
b. ,Massage ,the ,fundus
c. ,Check ,the ,bladder
d. ,Increase ,the ,IV ,rate ,- ,CORRECT ,ANSWER-b. ,Massage ,the ,fundus.
,Since ,a ,boggy ,fundus ,is ,the ,most ,likely ,reason ,for ,this ,client's ,hemorrhaging,
,massing ,the ,fundus ,is ,the ,most ,important ,intervention. ,The ,nurse ,should ,also ,call ,for
,assistance ,due ,to ,the ,amount ,of ,blood ,that ,has ,pooled ,under ,the ,client.
what ,is ,the ,most ,likely ,reason ,a ,postpartum ,patient ,would ,be ,hemorrhaging? ,-
,CORRECT ,ANSWER-uterine ,atony ,(a ,"boggy" ,fundus)
What ,should ,be ,assessed ,immediately ,after ,fundus ,is ,massaged ,and ,nurse ,has
,called ,for ,help? ,- ,CORRECT ,ANSWER-Assess ,for ,bladder ,distention
--> ,The ,client ,is ,2 ,hours ,post-delivery ,with ,an ,IV ,infusion ,at ,125 ,mL/hour, ,which ,can
,contribute ,to ,diuresis. ,A ,distended ,bladder ,impedes ,uterine ,contraction ,and
,contributes ,to ,excessive ,bleeding. ,After ,the ,fundus ,is ,massaged, ,the ,bladder ,should
,be ,checked ,for ,distention.
When ,the ,nurse ,conducts ,a ,gestational ,age ,assessment, ,which ,findings ,may ,indicate
,postmaturity? ,(Select ,all ,that ,apply. ,One, ,some, ,or ,all ,options ,may ,be ,correct.)
a. ,Testes ,descended, ,good ,rugae.
b. ,Formed ,ears ,with ,instant ,recall.
c. ,Peeling, ,parchment-like ,skin.
d. ,Thin ,with ,loose ,skin ,and ,little ,subcutaneous ,fat.
e. ,Deep ,creases ,at ,the ,base ,of ,the ,toes ,extending ,to ,the ,heels. ,- ,CORRECT
,ANSWER-c. ,d. ,and ,e. ,
c. ,Peeling, ,parchment-like ,skin.
d. ,Thin ,with ,loose ,skin ,and ,little ,subcutaneous ,fat.
--> ,Subcutaneous ,fat, ,which ,had ,been ,used ,for ,nourishment, ,is ,lost ,prior ,to ,birth.
,This ,results ,in ,the ,infant's ,low ,temperature.
e. ,Deep ,creases ,at ,the ,base ,of ,the ,toes ,extending ,to ,the ,heels.
--> ,Postterm ,infants ,develop ,deep ,creases ,on ,the ,feet, ,extending ,from ,the ,base
The ,infant ,has ,a ,reddish ,papular ,rash ,across ,his ,face. ,How ,should ,the ,nurse ,respond
,when ,the ,client ,asks ,about ,the ,rash?
a. ,Don't ,worry ,about ,it. ,This ,rash ,will ,go ,away ,in ,a ,couple ,of ,days.
, b. ,I ,see ,you ,are ,concerned, ,so ,I ,will ,call ,your ,pediatrician.
c. ,A ,newborn ,rash ,is ,very ,common, ,but ,it ,will ,disappear ,soon.
d. ,Good ,question. ,Let ,me ,take ,the ,infant's ,vital ,signs ,and ,examine ,him ,- ,CORRECT
,ANSWER-c. ,A ,newborn ,rash ,is ,very ,common, ,but ,it ,will ,disappear ,soon.
--> ,The ,infant ,rash, ,erythema ,toxicum, ,is ,very ,common ,and ,usually ,disappears ,by ,the
,third ,day ,of ,life.
Which ,factor ,should ,alert ,the ,nurse ,to ,assess ,for ,the ,risk ,of ,jaundice? ,- ,CORRECT
,ANSWER-trauma ,at ,birth
what ,is ,a ,normal ,bilirubin ,range ,for ,a ,newborn? ,- ,CORRECT ,ANSWER-5-6 ,mg/dL
Which ,instructions ,should ,the ,nurse ,include ,in ,the ,discharge ,planning ,regarding ,the
,infant's ,jaundice?
a. ,The ,phototherapy ,blanket ,is ,placed ,over ,the ,infant's ,clothing.
b. ,Holding ,the ,infant ,does ,not ,interrupt ,the ,phototherapy ,process.
c. ,A ,phototherapy ,blanket ,is ,more ,effective ,than ,the ,overhead ,lights.
d. ,The ,length ,of ,time ,required ,for ,phototherapy ,intervention ,is ,decreased. ,-
,CORRECT ,ANSWER-b. ,Holding ,the ,infant ,does ,not ,interrupt ,the ,phototherapy
,process.
--> ,Although ,diapers ,can ,be ,worn, ,the ,blanket ,is ,placed ,next ,to ,the ,skin ,on ,the ,trunk
,of ,the ,body ,to ,expose ,as ,much ,skin ,as ,possible ,to ,the ,light.
--> ,The ,phototherapy ,blanket ,allows ,the ,infant ,to ,be ,held ,while ,the ,process ,is
,continued.
A ,client ,in ,her ,first ,trimester ,is ,concerned ,about ,how ,weight ,gain ,will ,affect ,her
,appearance ,and ,questions ,the ,nurse ,concerning ,dietary ,restrictions. ,How ,much
,weight ,gain ,should ,the ,nurse ,point ,out ,will ,be ,safe ,for ,this ,client ,with ,a ,low ,BMI? ,-
,CORRECT ,ANSWER-28 ,to ,40 ,pounds
The ,recommendation ,for ,average ,weight ,gain ,is ,25 ,to ,35 ,lbs ,(11 ,to ,16 ,kilograms). ,
The ,woman ,who ,is ,underweight ,with ,a ,low ,BMI ,should ,gain ,28 ,to ,40 ,pounds ,(13 ,to
,18 ,kilograms). ,
Individuals ,with ,a ,high ,BMI ,should ,gain ,15 ,to ,25 ,pounds ,(7 ,to ,11 ,kilograms).
The ,nurse ,is ,counseling ,a ,client ,with ,a ,BMI ,of ,23 ,about ,weight ,gain ,during
,pregnancy. ,The ,nurse ,teaches ,the ,client ,that ,during ,the ,second ,and ,third ,trimester ,of
