FORTIS PN MATERNITY HESI ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Which intervention should the practical nurse (PN) provide a neonate
during hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. Answer: 2.
Offer the neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral
stimulation using a pacifier (B). (A , C and D) are not indicated for a
neonate.
◉ Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. Answer: 4.
The Rh-negative mother who delivers a Rh-positive baby.
,RhoGam is a human immune globulin that prevents the formation of
anti-Rh antibodies in an Rh-negative mother who has given birth to an
Rh-positive infant (D). (A, B, or C) are not candidates for RhoGam.
◉ A client who took iron supplements during pregnancy delivers an
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color. Which
action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. Answer: 3. Record color
and consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-
black color in stool, which should be documented (C) as an expected
finding. (A, B, and D) are not indicated at this time.
◉ 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?
1. Blood transfusions.
2. Iron-enriched formula.
, 3. Lifelong dietary management.
4. Medications to prevent infection. Answer: 3. Lifelong dietary
management
PKU is a condition related to the infant's inability to utilize the amino
acid, phenylalanine, which must be omitted or strictly minimized in the
diet throughout life (C). (A, B, and D) are not indicated.
◉ A young adult female comes to the health clinic to confirm a positive
home pregnancy test. After determining the client's last menstrual period
(LMP) as August 5, what expected date of birth (EDB) should the
practical nurse (PN)calculate?
1. April 29
2. May 12
3. July 1
4. July 12. Answer: 2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days to
the first day of the LMP and then subtracting 3 months, so (B) is the
correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
◉ Which client should the practical nurse (PN) closely monitor for
severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Which intervention should the practical nurse (PN) provide a neonate
during hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. Answer: 2.
Offer the neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral
stimulation using a pacifier (B). (A , C and D) are not indicated for a
neonate.
◉ Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. Answer: 4.
The Rh-negative mother who delivers a Rh-positive baby.
,RhoGam is a human immune globulin that prevents the formation of
anti-Rh antibodies in an Rh-negative mother who has given birth to an
Rh-positive infant (D). (A, B, or C) are not candidates for RhoGam.
◉ A client who took iron supplements during pregnancy delivers an
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color. Which
action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. Answer: 3. Record color
and consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-
black color in stool, which should be documented (C) as an expected
finding. (A, B, and D) are not indicated at this time.
◉ 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?
1. Blood transfusions.
2. Iron-enriched formula.
, 3. Lifelong dietary management.
4. Medications to prevent infection. Answer: 3. Lifelong dietary
management
PKU is a condition related to the infant's inability to utilize the amino
acid, phenylalanine, which must be omitted or strictly minimized in the
diet throughout life (C). (A, B, and D) are not indicated.
◉ A young adult female comes to the health clinic to confirm a positive
home pregnancy test. After determining the client's last menstrual period
(LMP) as August 5, what expected date of birth (EDB) should the
practical nurse (PN)calculate?
1. April 29
2. May 12
3. July 1
4. July 12. Answer: 2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days to
the first day of the LMP and then subtracting 3 months, so (B) is the
correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
◉ Which client should the practical nurse (PN) closely monitor for
severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
