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NSG 222 Family Nursing HESI Comprehensive Practice Exam Questions and
Answers with detailed Rationales | Updates | 100% Correct
120+ Questions with Detailed Rationales
Course: NSG 222 Family Nursing
Institution: Herzing University
Format: HESI-Style Multiple Choice
Content Areas:
• Maternity/Antepartum: Questions 1–25
• Labor & Delivery/Intrapartum: Questions 26–50
• Postpartum: Questions 51–65
• Newborn Assessment & Care: Questions 66–85
• Women's Health: Questions 86–100
• Pediatric Nursing: Questions 101–120
• Priority-Setting/Delegation: Questions 121–130
SECTION 1: MATERNITY & ANTEPARTUM (Questions 1–25)
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Question 1
A nurse is teaching a client about presumptive signs of pregnancy. Which sign
should the client identify as presumptive?
A. Positive pregnancy test
B. Fetal heartbeat heard by Doppler
C. Breast tenderness and fatigue
D. Palpation of fetal movement by the provider
Answer: C
Rationale: Presumptive signs are subjective changes experienced by the client,
such as breast tenderness, fatigue, amenorrhea, and nausea. Positive pregnancy
tests, fetal heartbeat, and provider palpation are objective or diagnostic signs.
Question 2
A client asks the nurse how to calculate her due date. Her last menstrual period
(LMP) was March 10, 2025. Using Naegele's rule, what is the estimated date of
delivery (EDD)?
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A. December 3, 2025
B. December 17, 2025
C. January 3, 2026
D. January 17, 2026
Answer: B
Rationale: Naegele's rule: LMP + 7 days – 3 months + 1 year.
March 10 + 7 days = March 17; March 17 – 3 months = December 17; December
17 + 1 year = December 17, 2025.
Question 3
A nurse is assessing a client at 16 weeks gestation. Which finding is a positive sign
of pregnancy?
A. Chadwick's sign
B. Fetal movement felt by the client
C. Auscultation of fetal heart tones
D. Enlarged abdomen
Answer: C
Rationale: Positive signs of pregnancy are those directly attributable to the fetus,
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such as auscultation of fetal heart tones, visualization of the fetus on ultrasound,
and fetal movement palpated by an examiner. Chadwick's sign and enlarged
abdomen are probable signs.
Question 4
A client at 24 weeks gestation has a fundal height of 28 cm. The nurse should
interpret this finding as:
A. Normal for gestational age
B. Indicative of intrauterine growth restriction
C. Suggestive of multiple gestation or incorrect dates
D. A sign of oligohydramnios
Answer: C
Rationale: Fundal height in centimeters should approximate gestational age in
weeks between 20–32 weeks (24 weeks = 24 cm ± 2 cm). A 4 cm discrepancy
suggests multiple gestation, polyhydramnios, or incorrect dates and requires
further evaluation.
NSG 222 Family Nursing HESI Comprehensive Practice Exam Questions and
Answers with detailed Rationales | Updates | 100% Correct
120+ Questions with Detailed Rationales
Course: NSG 222 Family Nursing
Institution: Herzing University
Format: HESI-Style Multiple Choice
Content Areas:
• Maternity/Antepartum: Questions 1–25
• Labor & Delivery/Intrapartum: Questions 26–50
• Postpartum: Questions 51–65
• Newborn Assessment & Care: Questions 66–85
• Women's Health: Questions 86–100
• Pediatric Nursing: Questions 101–120
• Priority-Setting/Delegation: Questions 121–130
SECTION 1: MATERNITY & ANTEPARTUM (Questions 1–25)
, Page |2
Question 1
A nurse is teaching a client about presumptive signs of pregnancy. Which sign
should the client identify as presumptive?
A. Positive pregnancy test
B. Fetal heartbeat heard by Doppler
C. Breast tenderness and fatigue
D. Palpation of fetal movement by the provider
Answer: C
Rationale: Presumptive signs are subjective changes experienced by the client,
such as breast tenderness, fatigue, amenorrhea, and nausea. Positive pregnancy
tests, fetal heartbeat, and provider palpation are objective or diagnostic signs.
Question 2
A client asks the nurse how to calculate her due date. Her last menstrual period
(LMP) was March 10, 2025. Using Naegele's rule, what is the estimated date of
delivery (EDD)?
, Page |3
A. December 3, 2025
B. December 17, 2025
C. January 3, 2026
D. January 17, 2026
Answer: B
Rationale: Naegele's rule: LMP + 7 days – 3 months + 1 year.
March 10 + 7 days = March 17; March 17 – 3 months = December 17; December
17 + 1 year = December 17, 2025.
Question 3
A nurse is assessing a client at 16 weeks gestation. Which finding is a positive sign
of pregnancy?
A. Chadwick's sign
B. Fetal movement felt by the client
C. Auscultation of fetal heart tones
D. Enlarged abdomen
Answer: C
Rationale: Positive signs of pregnancy are those directly attributable to the fetus,
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such as auscultation of fetal heart tones, visualization of the fetus on ultrasound,
and fetal movement palpated by an examiner. Chadwick's sign and enlarged
abdomen are probable signs.
Question 4
A client at 24 weeks gestation has a fundal height of 28 cm. The nurse should
interpret this finding as:
A. Normal for gestational age
B. Indicative of intrauterine growth restriction
C. Suggestive of multiple gestation or incorrect dates
D. A sign of oligohydramnios
Answer: C
Rationale: Fundal height in centimeters should approximate gestational age in
weeks between 20–32 weeks (24 weeks = 24 cm ± 2 cm). A 4 cm discrepancy
suggests multiple gestation, polyhydramnios, or incorrect dates and requires
further evaluation.
