LATEST VERSION
Which physiological cause(s) for con-
1. Displacement of the colon.
stipation during pregnancy should the
5. Decrease in peristalsis.
practical nurse (PN) explain to a client in
the first trimester? (Select all that apply.)
During pregnancy, the enlarging uterus
1. Displacement of the colon.
compresses and displaces the colon (A),
2. Tightening of the anal sphincter.
which leads to a decrease in peristalsis
3. Change in nutrient absorption.
(E), which contribute to constipation dur-
4. Shifting of liver placement.
ing pregnancy. (B, C, D, and F) do not
5. Decrease in peristalsis.
cause constipation in pregnancy.
6. Increase bile production.
Which intervention should the practical
nurse (PN) provide a neonate during
hospitalization? 2. Offer the neonate to a room with other
1. Provide play activities in the hospital neonates.
room.
2. Offer the neonate a pacifier between The neonate needs opportunities for
feedings. nonnutritive sucking and oral stimulation
3. Assign the neonate to a room with using a pacifier (B). (A , C and D) are not
other neonates. indicated for a neonate.
4. Request that parents bring security
object from home.
Which client is a candidate for the ad-
ministration of human immune globulin 4. The Rh-negative mother who delivers
(RhoGam) after delivery? a Rh-positive baby.
1. The Rh-positive mother who delivers a
Rh-positive baby. RhoGam is a human immune globulin
2. The Rh-negative mother who delivers that prevents the formation of anti-Rh an-
a Rh-negative baby. tibodies in an Rh-negative mother who
3. The Rh-positive mother who delivers a has given birth to an Rh-positive infant
Rh-negative baby. (D). (A, B, or C) are not candidates for
4. The Rh-negative mother who delivers RhoGam.
a Rh-positive baby.
A client who took iron supplements dur-
ing pregnancy delivers an infant by ce-
sarean section. On the second postpar-
tum day, the client reports having a con-
stipated stool that is greenish-black in
color. Which action should the practical
, Fortis-PN-Maternity Hesi Practice Exam with verified answers 2025
LATEST VERSION
nurse (PN) implement?
1. Collect a stool sample for guaiac test-
3. Record color and consistency of the
ing.
stool.
2. Administer a prescribed rectal suppos-
itory.
Iron supplements cause constipation
3. Record color and consistency of the
and contribute to the dark green-black
stool.
color in stool, which should be docu-
4. Report the complaints to the charge
mented (C) as an expected finding. (A,
nurse.
B, and D) are not indicated at this time.
4. Report the complaints to the charge
nurse.
The mother asks the practical nurse (PN)
what her infant may need if the phenylke- 3. Lifelong dietary management
tonuria (PKU) test is positive. What type
of treatment should the PN tell the moth- PKU is a condition related to the infant's
er will be required? inability to utilize the amino acid, pheny-
1. Blood transfusions. lalanine, which must be omitted or strictly
2. Iron-enriched formula. minimized in the diet throughout life (C).
3. Lifelong dietary management. (A, B, and D) are not indicated.
4. Medications to prevent infection.
A young adult female comes to the
health clinic to confirm a positive home
2. May 12
pregnancy test. After determining the
client's last menstrual period (LMP)
Naegele's rule for calculation of EDB is
as August 5, what expected date of
determined by adding 7 days to the first
birth (EDB) should the practical nurse
day of the LMP and then subtracting 3
(PN)calculate?
months, so (B) is the correct calculation.
1. April 29
(A, C, and D) incorrectly apply Naegele's
2. May 12
rule.
3. July 1
4. July 12
3. A multigravida who is breastfeeding.
Which client should the practical nurse After multiple deliveries, the over-dis-
(PN) closely monitor for severe after- tended uterus establishes tonicity during
pains? early involution by periodically relaxing
and then vigorously contracting, which is
also stimulated by breastfeeding which