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NSG 3160 Family Nursing HESI Comprehensive Practice Exam – Third Edition Questions, Answers &
Rationales Questions and Answers with detailed Rationales | Updates | 100% Correct
130 Questions with Detailed Rationales
Course: NSG 3160 Family Nursing
Institution: Herzing University
Format: HESI-Style Multiple Choice / Select All That Apply /
Dosage Calculation
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/Medication Safety: Questions
121–130
SECTION 1: MATERNITY & ANTEPARTUM (Questions 1–25)
Question 1
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A nurse is teaching a newly pregnant client about the difference
between presumptive and probable signs of pregnancy. Which
sign should the nurse classify as probable?
A. Quickening
B. Hegar's sign
C. Fetal heartbeat by ultrasound
D. Nausea and vomiting
Answer: B
Rationale: Hegar's sign (softening of the lower uterine segment)
is a probable sign observed by the examiner. Quickening and
nausea are presumptive; fetal heartbeat by ultrasound is a
positive sign.
Question 2
A client's last menstrual period was August 5, 2025. Using
Naegele's rule, what is the estimated date of delivery?
A. May 12, 2026
B. May 5, 2026
C. June 12, 2026
D. April 28, 2026
Answer: A
Rationale: August 5 + 7 days = August 12; minus 3 months =
May 12; plus 1 year = May 12, 2026.
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Question 3
A nurse is assessing a client at 16 weeks gestation and notes a
bluish-purple discoloration of the vagina. This finding is
documented as:
A. Hegar's sign
B. Chadwick's sign
C. Goodell's sign
D. Ballottement
Answer: B
Rationale: Chadwick's sign is a bluish-purple discoloration of
the vagina, cervix, and vulva due to increased vascularity.
Hegar's sign is softening of the lower uterine segment;
Goodell's sign is softening of the cervix.
Question 4
A client at 22 weeks gestation has a fundal height of 22 cm. The
nurse should interpret this as:
A. Intrauterine growth restriction
B. Polyhydramnios
C. Normal for gestational age
D. Multiple gestation
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Answer: C
Rationale: Between 20–32 weeks, fundal height in centimeters
should approximate gestational age in weeks (±2 cm). A
measurement of 22 cm at 22 weeks is normal.
Question 5
A nurse is counseling a client with a history of preterm labor
about the use of 17-alpha-hydroxyprogesterone caproate (17P).
The nurse should explain that 17P is given to:
A. Stop preterm labor once contractions begin
B. Reduce the risk of recurrent preterm birth in women with a
history of spontaneous preterm delivery
C. Promote fetal lung maturity
D. Prevent gestational diabetes
Answer: B
Rationale: 17P is a progestin given weekly starting at 16–20
weeks to reduce the risk of recurrent preterm birth in women
with a prior spontaneous preterm delivery. It does not stop
acute preterm labor or promote lung maturity.
Question 6
NSG 3160 Family Nursing HESI Comprehensive Practice Exam – Third Edition Questions, Answers &
Rationales Questions and Answers with detailed Rationales | Updates | 100% Correct
130 Questions with Detailed Rationales
Course: NSG 3160 Family Nursing
Institution: Herzing University
Format: HESI-Style Multiple Choice / Select All That Apply /
Dosage Calculation
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/Medication Safety: Questions
121–130
SECTION 1: MATERNITY & ANTEPARTUM (Questions 1–25)
Question 1
, Page |2
A nurse is teaching a newly pregnant client about the difference
between presumptive and probable signs of pregnancy. Which
sign should the nurse classify as probable?
A. Quickening
B. Hegar's sign
C. Fetal heartbeat by ultrasound
D. Nausea and vomiting
Answer: B
Rationale: Hegar's sign (softening of the lower uterine segment)
is a probable sign observed by the examiner. Quickening and
nausea are presumptive; fetal heartbeat by ultrasound is a
positive sign.
Question 2
A client's last menstrual period was August 5, 2025. Using
Naegele's rule, what is the estimated date of delivery?
A. May 12, 2026
B. May 5, 2026
C. June 12, 2026
D. April 28, 2026
Answer: A
Rationale: August 5 + 7 days = August 12; minus 3 months =
May 12; plus 1 year = May 12, 2026.
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Question 3
A nurse is assessing a client at 16 weeks gestation and notes a
bluish-purple discoloration of the vagina. This finding is
documented as:
A. Hegar's sign
B. Chadwick's sign
C. Goodell's sign
D. Ballottement
Answer: B
Rationale: Chadwick's sign is a bluish-purple discoloration of
the vagina, cervix, and vulva due to increased vascularity.
Hegar's sign is softening of the lower uterine segment;
Goodell's sign is softening of the cervix.
Question 4
A client at 22 weeks gestation has a fundal height of 22 cm. The
nurse should interpret this as:
A. Intrauterine growth restriction
B. Polyhydramnios
C. Normal for gestational age
D. Multiple gestation
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Answer: C
Rationale: Between 20–32 weeks, fundal height in centimeters
should approximate gestational age in weeks (±2 cm). A
measurement of 22 cm at 22 weeks is normal.
Question 5
A nurse is counseling a client with a history of preterm labor
about the use of 17-alpha-hydroxyprogesterone caproate (17P).
The nurse should explain that 17P is given to:
A. Stop preterm labor once contractions begin
B. Reduce the risk of recurrent preterm birth in women with a
history of spontaneous preterm delivery
C. Promote fetal lung maturity
D. Prevent gestational diabetes
Answer: B
Rationale: 17P is a progestin given weekly starting at 16–20
weeks to reduce the risk of recurrent preterm birth in women
with a prior spontaneous preterm delivery. It does not stop
acute preterm labor or promote lung maturity.
Question 6
