HESI Maternal Newborn Nursing
Exam Prep 2026
Questions And Answers | Comprehensive Review
| Detailed Rationales | Latest 2026 Instant Pdf
Download | Graded A+
This Exam contains 100 Questions And Answers With
Verified Rationales. Nclex - exam style | Complete Test
Bank | Exam Prep Latest 2026/2027 Update
,Section 1: Antepartum Care (Questions 1–30)
1. A nurse is teaching a client at 8 weeks gestation about
expected discomforts. Which finding should the client
report to the provider?
A. Nausea in the morning
B. Breast tenderness
C. Urinary frequency
D. Sharp unilateral pelvic pain
Correct Answer: D
Rationale: Sharp unilateral pelvic pain may indicate ectopic
pregnancy, especially if accompanied by bleeding. Nausea,
breast tenderness, and urinary frequency are normal first-
trimester discomforts.
2. A client at 36 weeks gestation presents with a blood
pressure of 150/92 mm Hg, 1+ proteinuria, and +2 edema
of the lower extremities. The nurse should anticipate which
order?
A. Discharge home with bed rest
B. Initiation of magnesium sulfate
C. Administration of betamethasone
D. Oral labetalol daily
,Correct Answer: B
Rationale: The client has preeclampsia with severe features (BP
≥140/90 with proteinuria). Magnesium sulfate is indicated for
seizure prophylaxis. Betamethasone (C) is for fetal lung maturity
before 34 weeks.
3. A nurse is assessing a client with gestational diabetes at
32 weeks. Which finding indicates adequate glucose
control?
A. Fasting blood glucose 105 mg/dL
B. 2-hour postprandial glucose 115 mg/dL
C. HbA1c 7.5%
D. Glucose in urine dipstick
Correct Answer: B
Rationale: Target glucose in pregnancy: fasting <95, 1-hour
postprandial <140, 2-hour <120. HbA1c should be <6-6.5% (C
is elevated). Glucose in urine (D) is not reliable for monitoring.
4. A client at 12 weeks gestation reports spotting and mild
cramping. Transvaginal ultrasound reveals a gestational sac
but no fetal pole. The nurse suspects:
A. Ectopic pregnancy
B. Molar pregnancy
, C. Missed abortion
D. Normal early pregnancy
Correct Answer: C
Rationale: A gestational sac without a fetal pole at 12 weeks
indicates a missed abortion (early pregnancy failure). Ectopic (A)
would show sac outside uterus. Molar (B) shows cystic pattern.
5. A nurse is calculating a client's estimated due date using
Naegele's rule. The client's last menstrual period (LMP) was
May 10, 2025. What is the EDD?
A. February 3, 2026
B. February 17, 2026
C. February 24, 2026
D. March 3, 2026
Correct Answer: B
Rationale: Naegele's rule: LMP (May 10) subtract 3 months =
February 10, add 7 days = February 17, 2026.
6. A client at 39 weeks with preeclampsia is receiving IV
magnesium sulfate. Which finding indicates magnesium
toxicity?
A. Deep tendon reflexes 2+
Exam Prep 2026
Questions And Answers | Comprehensive Review
| Detailed Rationales | Latest 2026 Instant Pdf
Download | Graded A+
This Exam contains 100 Questions And Answers With
Verified Rationales. Nclex - exam style | Complete Test
Bank | Exam Prep Latest 2026/2027 Update
,Section 1: Antepartum Care (Questions 1–30)
1. A nurse is teaching a client at 8 weeks gestation about
expected discomforts. Which finding should the client
report to the provider?
A. Nausea in the morning
B. Breast tenderness
C. Urinary frequency
D. Sharp unilateral pelvic pain
Correct Answer: D
Rationale: Sharp unilateral pelvic pain may indicate ectopic
pregnancy, especially if accompanied by bleeding. Nausea,
breast tenderness, and urinary frequency are normal first-
trimester discomforts.
2. A client at 36 weeks gestation presents with a blood
pressure of 150/92 mm Hg, 1+ proteinuria, and +2 edema
of the lower extremities. The nurse should anticipate which
order?
A. Discharge home with bed rest
B. Initiation of magnesium sulfate
C. Administration of betamethasone
D. Oral labetalol daily
,Correct Answer: B
Rationale: The client has preeclampsia with severe features (BP
≥140/90 with proteinuria). Magnesium sulfate is indicated for
seizure prophylaxis. Betamethasone (C) is for fetal lung maturity
before 34 weeks.
3. A nurse is assessing a client with gestational diabetes at
32 weeks. Which finding indicates adequate glucose
control?
A. Fasting blood glucose 105 mg/dL
B. 2-hour postprandial glucose 115 mg/dL
C. HbA1c 7.5%
D. Glucose in urine dipstick
Correct Answer: B
Rationale: Target glucose in pregnancy: fasting <95, 1-hour
postprandial <140, 2-hour <120. HbA1c should be <6-6.5% (C
is elevated). Glucose in urine (D) is not reliable for monitoring.
4. A client at 12 weeks gestation reports spotting and mild
cramping. Transvaginal ultrasound reveals a gestational sac
but no fetal pole. The nurse suspects:
A. Ectopic pregnancy
B. Molar pregnancy
, C. Missed abortion
D. Normal early pregnancy
Correct Answer: C
Rationale: A gestational sac without a fetal pole at 12 weeks
indicates a missed abortion (early pregnancy failure). Ectopic (A)
would show sac outside uterus. Molar (B) shows cystic pattern.
5. A nurse is calculating a client's estimated due date using
Naegele's rule. The client's last menstrual period (LMP) was
May 10, 2025. What is the EDD?
A. February 3, 2026
B. February 17, 2026
C. February 24, 2026
D. March 3, 2026
Correct Answer: B
Rationale: Naegele's rule: LMP (May 10) subtract 3 months =
February 10, add 7 days = February 17, 2026.
6. A client at 39 weeks with preeclampsia is receiving IV
magnesium sulfate. Which finding indicates magnesium
toxicity?
A. Deep tendon reflexes 2+
