HESI RN Maternal
Newborn |
Complete Test
Bank | All
Domains | Latest
2025/2026
,Table of Contents
HESI RN Maternal Newborn | Complete Test Bank | All Domains | Latest 2025/2026 ........... 1
Domain 1: Antepartum (Prenatal Care) ........................................................................................... 2
Domain 1 Key Takeaways.............................................................................................................. 11
Domain 2: Intrapartum (Labor and Delivery) ............................................................................... 12
Domain 2 Key Takeaways.............................................................................................................. 20
Domain 3: Fetal Heart Rate Monitoring .......................................................................................... 21
Domain 3 Key Takeaways.............................................................................................................. 29
Domain 4: Postpartum (Immediate and 4th Trimester) ............................................................. 30
Domain 4 Key Takeaways.............................................................................................................. 38
Domain 5: Newborn Assessment ..................................................................................................... 39
Domain 5 Key Takeaways.............................................................................................................. 48
Domain 6: Newborn Care (Feeding, Thermoregulation, Newborn Procedures) .................... 48
Domain 6 Key Takeaways.............................................................................................................. 57
Domain 7: High-Risk Pregnancy (Gestational Hypertension, Gestational Diabetes, Preterm
Labor, Multiple Gestation) ................................................................................................................ 57
Domain 7 Key Takeaways.............................................................................................................. 66
Domain 8: Labor Complications (Dystocia, Precipitous Labor, Prolapsed Cord, Uterine
Rupture, Amniotic Fluid Embolism) ................................................................................................ 67
Domain 8 Key Takeaways.............................................................................................................. 75
Domain 9: Postpartum Complications (Hemorrhage, Infection, DVT, Preeclampsia,
Thyroiditis, Depression, Psychosis) ................................................................................................ 76
Domain 9 Key Takeaways.............................................................................................................. 84
Domain 10: Neonatal Complications (Respiratory Distress, Hypoglycemia,
Hyperbilirubinemia, Sepsis, NAS) .................................................................................................... 85
Domain 10 Key Takeaways ........................................................................................................... 93
Domain 1: Antepartum (Prenatal Care)
,Question 1
A nurse is assessing a client at 12 weeks gestation. Which finding requires
immediate follow-up?
A) Fundal height at the symphysis pubis
B) Blood pressure 110/70 mmHg
C) Report of nausea and vomiting in the morning
D) Proteinuria 2+ on dipstick
Correct Answer: D
Rationale:
Correct (D): Proteinuria (2+) in early pregnancy may indicate pre-existing
renal disease or early preeclampsia. This requires immediate follow-up and
further assessment.
Incorrect (A): Fundal height at the symphysis pubis at 12 weeks is
expected.
Incorrect (B): BP 110/70 is normal.
Incorrect (C): Morning sickness (nausea/vomiting) is common in first
trimester.
Study Tip: "Proteinuria in pregnancy = abnormal at any gestation. Report
immediately, assess for preeclampsia."
Question 2
A nurse is calculating a client's estimated date of delivery (EDD) using
Naegele's rule. The client's last menstrual period (LMP) was April 10. What is
the EDD?
A) January 3
B) January 17
C) January 24
D) February 3
, Correct Answer: B
Rationale:
Correct (B): Naegele's rule: subtract 3 months and add 7 days to the LMP.
April 10 → subtract 3 months = January 10 → add 7 days = January 17.
Incorrect (A): Incorrect calculation.
Incorrect (C): Incorrect calculation.
Incorrect (D): Incorrect calculation.
Study Tip: "Naegele's rule = LMP minus 3 months plus 7 days. EDD = January
17 for April 10 LMP."
Question 3
A nurse is providing teaching to a client about signs of preterm labor. Which
statement indicates understanding?
A) "I will call my provider if I feel constant backache or pelvic pressure."
B) "Irregular, mild contractions are a sign of preterm labor."
C) "I should wait until my water breaks before calling."
D) "Preterm labor only happens to women having their first baby."
Correct Answer: A
Rationale:
Correct (A): Constant low backache, pelvic pressure, menstrual-like
cramps, and more than 4-6 uterine contractions per hour (before 37 weeks)
are signs of preterm labor.
Incorrect (B): Irregular, mild contractions (Braxton Hicks) are normal;
preterm labor contractions are regular.
Incorrect (C): Do not wait for rupture of membranes; call at first signs.
Incorrect (D): Preterm labor can occur in any pregnancy.
Newborn |
Complete Test
Bank | All
Domains | Latest
2025/2026
,Table of Contents
HESI RN Maternal Newborn | Complete Test Bank | All Domains | Latest 2025/2026 ........... 1
Domain 1: Antepartum (Prenatal Care) ........................................................................................... 2
Domain 1 Key Takeaways.............................................................................................................. 11
Domain 2: Intrapartum (Labor and Delivery) ............................................................................... 12
Domain 2 Key Takeaways.............................................................................................................. 20
Domain 3: Fetal Heart Rate Monitoring .......................................................................................... 21
Domain 3 Key Takeaways.............................................................................................................. 29
Domain 4: Postpartum (Immediate and 4th Trimester) ............................................................. 30
Domain 4 Key Takeaways.............................................................................................................. 38
Domain 5: Newborn Assessment ..................................................................................................... 39
Domain 5 Key Takeaways.............................................................................................................. 48
Domain 6: Newborn Care (Feeding, Thermoregulation, Newborn Procedures) .................... 48
Domain 6 Key Takeaways.............................................................................................................. 57
Domain 7: High-Risk Pregnancy (Gestational Hypertension, Gestational Diabetes, Preterm
Labor, Multiple Gestation) ................................................................................................................ 57
Domain 7 Key Takeaways.............................................................................................................. 66
Domain 8: Labor Complications (Dystocia, Precipitous Labor, Prolapsed Cord, Uterine
Rupture, Amniotic Fluid Embolism) ................................................................................................ 67
Domain 8 Key Takeaways.............................................................................................................. 75
Domain 9: Postpartum Complications (Hemorrhage, Infection, DVT, Preeclampsia,
Thyroiditis, Depression, Psychosis) ................................................................................................ 76
Domain 9 Key Takeaways.............................................................................................................. 84
Domain 10: Neonatal Complications (Respiratory Distress, Hypoglycemia,
Hyperbilirubinemia, Sepsis, NAS) .................................................................................................... 85
Domain 10 Key Takeaways ........................................................................................................... 93
Domain 1: Antepartum (Prenatal Care)
,Question 1
A nurse is assessing a client at 12 weeks gestation. Which finding requires
immediate follow-up?
A) Fundal height at the symphysis pubis
B) Blood pressure 110/70 mmHg
C) Report of nausea and vomiting in the morning
D) Proteinuria 2+ on dipstick
Correct Answer: D
Rationale:
Correct (D): Proteinuria (2+) in early pregnancy may indicate pre-existing
renal disease or early preeclampsia. This requires immediate follow-up and
further assessment.
Incorrect (A): Fundal height at the symphysis pubis at 12 weeks is
expected.
Incorrect (B): BP 110/70 is normal.
Incorrect (C): Morning sickness (nausea/vomiting) is common in first
trimester.
Study Tip: "Proteinuria in pregnancy = abnormal at any gestation. Report
immediately, assess for preeclampsia."
Question 2
A nurse is calculating a client's estimated date of delivery (EDD) using
Naegele's rule. The client's last menstrual period (LMP) was April 10. What is
the EDD?
A) January 3
B) January 17
C) January 24
D) February 3
, Correct Answer: B
Rationale:
Correct (B): Naegele's rule: subtract 3 months and add 7 days to the LMP.
April 10 → subtract 3 months = January 10 → add 7 days = January 17.
Incorrect (A): Incorrect calculation.
Incorrect (C): Incorrect calculation.
Incorrect (D): Incorrect calculation.
Study Tip: "Naegele's rule = LMP minus 3 months plus 7 days. EDD = January
17 for April 10 LMP."
Question 3
A nurse is providing teaching to a client about signs of preterm labor. Which
statement indicates understanding?
A) "I will call my provider if I feel constant backache or pelvic pressure."
B) "Irregular, mild contractions are a sign of preterm labor."
C) "I should wait until my water breaks before calling."
D) "Preterm labor only happens to women having their first baby."
Correct Answer: A
Rationale:
Correct (A): Constant low backache, pelvic pressure, menstrual-like
cramps, and more than 4-6 uterine contractions per hour (before 37 weeks)
are signs of preterm labor.
Incorrect (B): Irregular, mild contractions (Braxton Hicks) are normal;
preterm labor contractions are regular.
Incorrect (C): Do not wait for rupture of membranes; call at first signs.
Incorrect (D): Preterm labor can occur in any pregnancy.
