HESI PN Maternity Exit Exam
100 High-Accuracy Questions | 2025/2026 Real Exam Format | Professionally Verified |
A+ Quality
EXAM OVERVIEW
The HESI PN Maternity Exit Exam provides a comprehensive and authentic 2025/2026 exam
experience, meticulously crafted to simulate the actual test-taking environment and ensure
students' mastery of essential concepts. Featuring 100 carefully constructed questions, this
exam delivers professional-level accuracy and verified answers, fostering critical reasoning
and confidence.
EXAM FEATURES
• 100 exam-accurate questions aligned with 2025/2026 standards
• Comprehensive coverage of 7 domains for complete HESI PN Maternity Exit Exam preparation
• High-yield content for efficient study and focused review
• Verified accuracy and detailed explanations for confident learning
• Realistic practice questions to build confidence and simulate exam experience
CORE TESTING AREAS
→ High-risk Pregnancy & Delivery (13 Questions)
→ Labor & Delivery (13 Questions)
→ Newborn Care (12 Questions)
→ Pharmacology In Maternity (25 Questions)
→ Postpartum Care (12 Questions)
→ Prenatal Care (14 Questions)
→ Safety, Education & Legal Considerations (11 Questions)
Page 1
,Prenatal Care (14 Questions)
Question 1
A 28-year-old primigravida at 10 weeks gestation presents for her first prenatal visit. According
to current HESI PN standards, which laboratory test should be performed at this visit to assess
for potential hemoglobinopathies in a patient of Mediterranean descent?
A. Serum ferritin level
B. Hemoglobin electrophoresis
C. Thyroid-stimulating hormone (TSH) assay
D. Urine protein/creatinine ratio
Correct Answer
Hemoglobin electrophoresis
Rationale:
Hemoglobin electrophoresis screens for sickle cell disease and thalassemia, which are more prevalent in
Mediterranean populations and should be ordered early in prenatal care.
Question 2
During the 24-28 week prenatal visit, the nurse must perform a glucose challenge test. Which
of the following criteria indicates a positive screening result requiring a diagnostic oral glucose
tolerance test?
A. 1‑hour plasma glucose ≥130 mg/dL after 50‑g glucose load
B. Fasting plasma glucose ≥95 mg/dL
C. 2‑hour plasma glucose ≥140 mg/dL after 75‑g glucose load
D. Random plasma glucose ≥180 mg/dL
Correct Answer
1‑hour plasma glucose ≥130 mg/dL after 50‑g glucose load
Rationale:
The standard 1‑hour 50‑g glucose challenge test uses a cutoff of ≥130 mg/dL to identify women who need a 3‑hour
100‑g oral glucose tolerance test for gestational diabetes diagnosis.
Page 2
,Question 3
A client at 32 weeks gestation reports occasional painless vaginal bleeding. Which prenatal
evaluation is the most appropriate initial step to differentiate placenta previa from other causes
of bleeding?
A. Transabdominal ultrasound
B. Speculum examination
C. Digital cervical exam
D. Non‑stress test
Correct Answer
Transabdominal ultrasound
Rationale:
Transabdominal ultrasound safely visualizes placental location without risking further bleeding; a speculum or
digital exam could exacerbate hemorrhage in suspected placenta previa.
Question 4
In prenatal care, the recommended daily allowance (RDA) of folic acid for a woman with a prior
pregnancy affected by neural tube defects is:
A. 400 µg
B. 600 µg
C. 1,000 µg
D. 4,000 µg
Correct Answer
1,000 µg
Rationale:
Women with a history of a neural tube defect-affected pregnancy should take a high‑dose folic acid supplement of
4 mg (1,000 µg) daily beginning at least one month preconception and continuing through the first trimester.
Page 3
, Question 5
A 35‑year‑old gravida 2, para 1 client at 14 weeks gestation is diagnosed with chronic
hypertension. Which prenatal care principle is the priority for minimizing maternal and fetal
complications?
A. Initiate low‑dose aspirin therapy
B. Schedule weekly non‑stress tests
C. Begin antihypertensive medication adjustment to maintain BP <140/90 mmHg
D. Recommend bed rest for the remainder of pregnancy
Correct Answer
Begin antihypertensive medication adjustment to maintain BP <140/90 mmHg
Rationale:
Tight blood pressure control (<140/90 mmHg) reduces the risk of preeclampsia, placental insufficiency, and fetal
growth restriction; low‑dose aspirin is adjunctive, and weekly NSTs are not indicated until later gestation or if
complications arise.
Question 6
During the 20‑week anatomy scan, the sonographer notes a single umbilical artery. Which
prenatal care application should the nurse implement next?
A. Order a detailed level‑II ultrasound
B. Schedule delivery at 37 weeks
C. Administer corticosteroids for fetal lung maturity
D. Begin weekly maternal serum alpha‑fetoprotein (AFP) testing
Correct Answer
Order a detailed level‑II ultrasound
Rationale:
A single umbilical artery is associated with congenital anomalies; a level‑II (targeted) ultrasound evaluates fetal
anatomy more thoroughly.
Page 4
100 High-Accuracy Questions | 2025/2026 Real Exam Format | Professionally Verified |
A+ Quality
EXAM OVERVIEW
The HESI PN Maternity Exit Exam provides a comprehensive and authentic 2025/2026 exam
experience, meticulously crafted to simulate the actual test-taking environment and ensure
students' mastery of essential concepts. Featuring 100 carefully constructed questions, this
exam delivers professional-level accuracy and verified answers, fostering critical reasoning
and confidence.
EXAM FEATURES
• 100 exam-accurate questions aligned with 2025/2026 standards
• Comprehensive coverage of 7 domains for complete HESI PN Maternity Exit Exam preparation
• High-yield content for efficient study and focused review
• Verified accuracy and detailed explanations for confident learning
• Realistic practice questions to build confidence and simulate exam experience
CORE TESTING AREAS
→ High-risk Pregnancy & Delivery (13 Questions)
→ Labor & Delivery (13 Questions)
→ Newborn Care (12 Questions)
→ Pharmacology In Maternity (25 Questions)
→ Postpartum Care (12 Questions)
→ Prenatal Care (14 Questions)
→ Safety, Education & Legal Considerations (11 Questions)
Page 1
,Prenatal Care (14 Questions)
Question 1
A 28-year-old primigravida at 10 weeks gestation presents for her first prenatal visit. According
to current HESI PN standards, which laboratory test should be performed at this visit to assess
for potential hemoglobinopathies in a patient of Mediterranean descent?
A. Serum ferritin level
B. Hemoglobin electrophoresis
C. Thyroid-stimulating hormone (TSH) assay
D. Urine protein/creatinine ratio
Correct Answer
Hemoglobin electrophoresis
Rationale:
Hemoglobin electrophoresis screens for sickle cell disease and thalassemia, which are more prevalent in
Mediterranean populations and should be ordered early in prenatal care.
Question 2
During the 24-28 week prenatal visit, the nurse must perform a glucose challenge test. Which
of the following criteria indicates a positive screening result requiring a diagnostic oral glucose
tolerance test?
A. 1‑hour plasma glucose ≥130 mg/dL after 50‑g glucose load
B. Fasting plasma glucose ≥95 mg/dL
C. 2‑hour plasma glucose ≥140 mg/dL after 75‑g glucose load
D. Random plasma glucose ≥180 mg/dL
Correct Answer
1‑hour plasma glucose ≥130 mg/dL after 50‑g glucose load
Rationale:
The standard 1‑hour 50‑g glucose challenge test uses a cutoff of ≥130 mg/dL to identify women who need a 3‑hour
100‑g oral glucose tolerance test for gestational diabetes diagnosis.
Page 2
,Question 3
A client at 32 weeks gestation reports occasional painless vaginal bleeding. Which prenatal
evaluation is the most appropriate initial step to differentiate placenta previa from other causes
of bleeding?
A. Transabdominal ultrasound
B. Speculum examination
C. Digital cervical exam
D. Non‑stress test
Correct Answer
Transabdominal ultrasound
Rationale:
Transabdominal ultrasound safely visualizes placental location without risking further bleeding; a speculum or
digital exam could exacerbate hemorrhage in suspected placenta previa.
Question 4
In prenatal care, the recommended daily allowance (RDA) of folic acid for a woman with a prior
pregnancy affected by neural tube defects is:
A. 400 µg
B. 600 µg
C. 1,000 µg
D. 4,000 µg
Correct Answer
1,000 µg
Rationale:
Women with a history of a neural tube defect-affected pregnancy should take a high‑dose folic acid supplement of
4 mg (1,000 µg) daily beginning at least one month preconception and continuing through the first trimester.
Page 3
, Question 5
A 35‑year‑old gravida 2, para 1 client at 14 weeks gestation is diagnosed with chronic
hypertension. Which prenatal care principle is the priority for minimizing maternal and fetal
complications?
A. Initiate low‑dose aspirin therapy
B. Schedule weekly non‑stress tests
C. Begin antihypertensive medication adjustment to maintain BP <140/90 mmHg
D. Recommend bed rest for the remainder of pregnancy
Correct Answer
Begin antihypertensive medication adjustment to maintain BP <140/90 mmHg
Rationale:
Tight blood pressure control (<140/90 mmHg) reduces the risk of preeclampsia, placental insufficiency, and fetal
growth restriction; low‑dose aspirin is adjunctive, and weekly NSTs are not indicated until later gestation or if
complications arise.
Question 6
During the 20‑week anatomy scan, the sonographer notes a single umbilical artery. Which
prenatal care application should the nurse implement next?
A. Order a detailed level‑II ultrasound
B. Schedule delivery at 37 weeks
C. Administer corticosteroids for fetal lung maturity
D. Begin weekly maternal serum alpha‑fetoprotein (AFP) testing
Correct Answer
Order a detailed level‑II ultrasound
Rationale:
A single umbilical artery is associated with congenital anomalies; a level‑II (targeted) ultrasound evaluates fetal
anatomy more thoroughly.
Page 4
