1
RN HESI MATERNITY EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
2026/2027
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding -
correct-answer - D. Inform her that a decreased need for insulin occurs while
breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid progression of
labor is admitted for induction due to signs and symptoms of pregnancy induced
, 2
hypertension (PIH). One hour after the oxytocin infusion is initiated she complains
of a headache. Her contractions are occurring every 1-2 mins , lasting 60-75
seconds and a vaginal exam reveals that her cervix is 90% and dilated 6 cm.What
intervention is most important for the nurse to implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side - correct-answer - C. Discontinue the Pitocin
infusion
An infant born to a heorin addict mother is admitted to the neonatal care unit. .
What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation - correct-answer - C.
Irritability and high pitched cry
, 3
A multigravida full term , laboring client complains of back labor. Vaginal examine
reveals that the client is 3cm with 50% effacement , and the fetal head is at -1
station. What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions - correct-answer - A. Apply counter -
pressure to the sacral area
A postpartal client complains that she has the urge to urinate every hour but is
only able to void a small amount. What interventions provides the nurse with the
most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern - correct-answer - B. Catheterize
for residual urine after next voiding
, 4
During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - correct-answer - B. Lie on
the left or right side when sleeping or resting
Artifical rupture of the membrane of laboring client reveals meconium stained
fluid. What is the priority?
A. Clean perineal area to prevent infection
B. Assess the mothers blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for development of sepsis
D. Have meconium aspirator available at delivery - correct-answer - D. Have
meconium aspirator available at delivery
RN HESI MATERNITY EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
2026/2027
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding -
correct-answer - D. Inform her that a decreased need for insulin occurs while
breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid progression of
labor is admitted for induction due to signs and symptoms of pregnancy induced
, 2
hypertension (PIH). One hour after the oxytocin infusion is initiated she complains
of a headache. Her contractions are occurring every 1-2 mins , lasting 60-75
seconds and a vaginal exam reveals that her cervix is 90% and dilated 6 cm.What
intervention is most important for the nurse to implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side - correct-answer - C. Discontinue the Pitocin
infusion
An infant born to a heorin addict mother is admitted to the neonatal care unit. .
What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation - correct-answer - C.
Irritability and high pitched cry
, 3
A multigravida full term , laboring client complains of back labor. Vaginal examine
reveals that the client is 3cm with 50% effacement , and the fetal head is at -1
station. What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions - correct-answer - A. Apply counter -
pressure to the sacral area
A postpartal client complains that she has the urge to urinate every hour but is
only able to void a small amount. What interventions provides the nurse with the
most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern - correct-answer - B. Catheterize
for residual urine after next voiding
, 4
During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - correct-answer - B. Lie on
the left or right side when sleeping or resting
Artifical rupture of the membrane of laboring client reveals meconium stained
fluid. What is the priority?
A. Clean perineal area to prevent infection
B. Assess the mothers blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for development of sepsis
D. Have meconium aspirator available at delivery - correct-answer - D. Have
meconium aspirator available at delivery
