MATERNITY HESI TEST PAPER 2025/2026 QUESTIONS AND
SOLUTIONS MARKED A+
✔✔The home care nurse visits a pregnant client who has a diagnosis of mild
preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and
the need to notify the health care provider?
A. Urinary output has increased.
B. Dependent edema has resolved.
C. Blood pressure reading is at the prenatal baseline.
D. The client complains of a headache and blurred vision. - ✔✔D. The client complains
of a headache and blurred vision.
✔✔The nurse implements a teaching plan for a pregnant client who is newly diagnosed
with gestational diabetes mellitus. Which statement made by the client indicates a need
for further teaching?
A. "I should stay on the diabetic diet."
B. "I should perform glucose monitoring at home."
C. "I should avoid exercise because of the negative effects on insulin production."
D. "I should be aware of any infections and report signs of infection immediately to my
health care provider." - ✔✔C. "I should avoid exercise because of the negative effects
on insulin production."
✔✔The home care nurse is monitoring a pregnant client with gestational hypertension
who is at risk for preeclampsia. At each home care visit, the nurse assesses the client
for which classic signs of preeclampsia? Select all that apply.
A. Proteinuria
B. Hypertension
C. Low-grade fever
D. Generalized edema
E. Increased pulse rate
F. Increased respiratory rate - ✔✔A. Proteinuria
B. Hypertension
D. Generalized edema
✔✔The nurse is providing instructions to a maternity client with a history of cardiac
disease regarding appropriate dietary measures. Which statement, if made by the client,
indicates an understanding of the information provided by the nurse?
A. "I should increase my sodium intake during pregnancy."
B. "1 should lower my blood volume by limiting my Fluids."
C. "I should maintain a low-calorie diet to prevent any weight gain."
,D. "I should drink adequate fluids and increase my intake of high-fiber foods." - ✔✔D. "I
should drink adequate fluids and increase my intake of high-fiber foods."
✔✔A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected,
and the nurse instructs the client regarding management of care. Which statement
made by the client indicates a need for further instruction?
A. "I will watch for the evidence of the passage of tissue."
B. "I will maintain strict bed rest throughout the remainder of the pregnancy."
C. "I will count the number of perineal pads used on a daily basis and note the amount
and color of blood on the pad."
D. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks
following the last evidence of bleeding." - ✔✔B. "I will maintain strict bed rest throughout
the remainder of the pregnancy."
✔✔The nurse is caring for a client in labor. Which assessment finding indicates to the
nurse that the client is beginning the second stage of labor?
A. The contractions are regular.
B. The membranes have ruptured.
C. The cervix is dilated completely.
D. The client begins to expel clear vaginal fluid. - ✔✔C. The cervix is dilated completely.
✔✔The nurse in the labor room is caring for a client in the active stage of the first phase
of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the
monitor strip. What is the most appropriate nursing action?
A. Administer oxygen via face mask.
B. Place the mother in a supine position.
C. Increase the rate of the oxytocin (Pitocin) intravenous infusion.
D. Document the findings and continue to monitor the fetal patterns. - ✔✔A. Administer
oxygen via face mask
✔✔The nurse is performing an assessment of a client who is scheduled for a cesarean
delivery. Which assessment finding would indicate the need to contact the health care
provider?
A. Hemoglobin of 11 g/dL
B. Fetal heart rate of 180 beats/minute
C. Maternal pulse rate of 85 beats/minute
D. White blood cell count of 12,000 cells/mm3 - ✔✔B. Fetal heart rate of 180
beats/minute
, ✔✔The nurse has provided discharge instructions to a client who delivered a healthy
newborn by cesarean delivery. Which statement made by the client indicates a need for
further instruction?
A. "I will begin abdominal exercises immediately."
B. "I will notify the health care provider if I develop a fever."
C. "I will turn on my side and push up with my arms to get out of bed."
D. "I will lift nothing heavier than my newborn baby for at least 2 weeks." - ✔✔A. "I will
begin abdominal exercises immediately."
✔✔The nurse is monitoring a client in active labor and notes that the client is having
contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart
rate between contractions is 100 beats/minute. Which nursing action is most
appropriate?
A. Notify the health care provider (HCP).
B. Continue monitoring the fetal heart rate.
C. Encourage the client to continue pushing with each contraction.
D. Instruct the client's coach to continue to encourage breathing techniques. - ✔✔A.
Notify the health care provider (HCP).
✔✔The nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal
monitor tracing. Which action is most appropriate?
A. Notify the health care provider of the findings.
B. Reposition the mother and check the monitor for changes in the fetal tracing.
C. Take the mother's vital signs and tell the mother that bed rest is required to conserve
oxygen.
D. Document the findings and tell the mother that the pattern on the monitor indicates
fetal well-being - ✔✔D. Document the findings and tell the mother that the pattern on
the monitor indicates fetal well-being
✔✔Which assessment finding following an amniotomy should be conducted first?
A. Cervical dilation
B. Bladder distention
C. Fetal heart rate pattern
D. Maternal blood pressure - ✔✔C. Fetal heart rate pattern
✔✔The nurse is assisting a client undergoing induction of labor at 41 weeks' gestation.
The client's contractions are moderate and occurring every 2 to 3 minutes, with a
duration of 60 seconds. An internal fetal heart rate monitor is in place. The baseline fetal
heart rate has been 120 to 122 beats/minute for the past hour. What is the priority
nursing action?
SOLUTIONS MARKED A+
✔✔The home care nurse visits a pregnant client who has a diagnosis of mild
preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and
the need to notify the health care provider?
A. Urinary output has increased.
B. Dependent edema has resolved.
C. Blood pressure reading is at the prenatal baseline.
D. The client complains of a headache and blurred vision. - ✔✔D. The client complains
of a headache and blurred vision.
✔✔The nurse implements a teaching plan for a pregnant client who is newly diagnosed
with gestational diabetes mellitus. Which statement made by the client indicates a need
for further teaching?
A. "I should stay on the diabetic diet."
B. "I should perform glucose monitoring at home."
C. "I should avoid exercise because of the negative effects on insulin production."
D. "I should be aware of any infections and report signs of infection immediately to my
health care provider." - ✔✔C. "I should avoid exercise because of the negative effects
on insulin production."
✔✔The home care nurse is monitoring a pregnant client with gestational hypertension
who is at risk for preeclampsia. At each home care visit, the nurse assesses the client
for which classic signs of preeclampsia? Select all that apply.
A. Proteinuria
B. Hypertension
C. Low-grade fever
D. Generalized edema
E. Increased pulse rate
F. Increased respiratory rate - ✔✔A. Proteinuria
B. Hypertension
D. Generalized edema
✔✔The nurse is providing instructions to a maternity client with a history of cardiac
disease regarding appropriate dietary measures. Which statement, if made by the client,
indicates an understanding of the information provided by the nurse?
A. "I should increase my sodium intake during pregnancy."
B. "1 should lower my blood volume by limiting my Fluids."
C. "I should maintain a low-calorie diet to prevent any weight gain."
,D. "I should drink adequate fluids and increase my intake of high-fiber foods." - ✔✔D. "I
should drink adequate fluids and increase my intake of high-fiber foods."
✔✔A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected,
and the nurse instructs the client regarding management of care. Which statement
made by the client indicates a need for further instruction?
A. "I will watch for the evidence of the passage of tissue."
B. "I will maintain strict bed rest throughout the remainder of the pregnancy."
C. "I will count the number of perineal pads used on a daily basis and note the amount
and color of blood on the pad."
D. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks
following the last evidence of bleeding." - ✔✔B. "I will maintain strict bed rest throughout
the remainder of the pregnancy."
✔✔The nurse is caring for a client in labor. Which assessment finding indicates to the
nurse that the client is beginning the second stage of labor?
A. The contractions are regular.
B. The membranes have ruptured.
C. The cervix is dilated completely.
D. The client begins to expel clear vaginal fluid. - ✔✔C. The cervix is dilated completely.
✔✔The nurse in the labor room is caring for a client in the active stage of the first phase
of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the
monitor strip. What is the most appropriate nursing action?
A. Administer oxygen via face mask.
B. Place the mother in a supine position.
C. Increase the rate of the oxytocin (Pitocin) intravenous infusion.
D. Document the findings and continue to monitor the fetal patterns. - ✔✔A. Administer
oxygen via face mask
✔✔The nurse is performing an assessment of a client who is scheduled for a cesarean
delivery. Which assessment finding would indicate the need to contact the health care
provider?
A. Hemoglobin of 11 g/dL
B. Fetal heart rate of 180 beats/minute
C. Maternal pulse rate of 85 beats/minute
D. White blood cell count of 12,000 cells/mm3 - ✔✔B. Fetal heart rate of 180
beats/minute
, ✔✔The nurse has provided discharge instructions to a client who delivered a healthy
newborn by cesarean delivery. Which statement made by the client indicates a need for
further instruction?
A. "I will begin abdominal exercises immediately."
B. "I will notify the health care provider if I develop a fever."
C. "I will turn on my side and push up with my arms to get out of bed."
D. "I will lift nothing heavier than my newborn baby for at least 2 weeks." - ✔✔A. "I will
begin abdominal exercises immediately."
✔✔The nurse is monitoring a client in active labor and notes that the client is having
contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart
rate between contractions is 100 beats/minute. Which nursing action is most
appropriate?
A. Notify the health care provider (HCP).
B. Continue monitoring the fetal heart rate.
C. Encourage the client to continue pushing with each contraction.
D. Instruct the client's coach to continue to encourage breathing techniques. - ✔✔A.
Notify the health care provider (HCP).
✔✔The nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal
monitor tracing. Which action is most appropriate?
A. Notify the health care provider of the findings.
B. Reposition the mother and check the monitor for changes in the fetal tracing.
C. Take the mother's vital signs and tell the mother that bed rest is required to conserve
oxygen.
D. Document the findings and tell the mother that the pattern on the monitor indicates
fetal well-being - ✔✔D. Document the findings and tell the mother that the pattern on
the monitor indicates fetal well-being
✔✔Which assessment finding following an amniotomy should be conducted first?
A. Cervical dilation
B. Bladder distention
C. Fetal heart rate pattern
D. Maternal blood pressure - ✔✔C. Fetal heart rate pattern
✔✔The nurse is assisting a client undergoing induction of labor at 41 weeks' gestation.
The client's contractions are moderate and occurring every 2 to 3 minutes, with a
duration of 60 seconds. An internal fetal heart rate monitor is in place. The baseline fetal
heart rate has been 120 to 122 beats/minute for the past hour. What is the priority
nursing action?
