Fortis-PN-Maternity Hesi
Fortis-PN-Maternity Hesi Practice Exam
2025
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - Correct Ans-1. Displacement of the colon.
5. Decrease in peristalsis.
During pregnancy, the enlarging uterus compresses and displaces the colon (A), which
leads to a decrease in peristalsis (E), which contribute to constipation during pregnancy.
(B, C, D, and F) do not cause constipation in pregnancy.
Which intervention should the practical nurse (PN) provide a neonate during
hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. - Correct Ans-2. Offer the
neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral stimulation using a
pacifier (B). (A , C and D) are not indicated for a neonate.
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, Fortis-PN-Maternity Hesi
Which client is a candidate for the administration of human immune globulin (RhoGam)
after delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. - Correct Ans-4. The Rh-
negative mother who delivers a Rh-positive baby.
RhoGam is a human immune globulin that prevents the formation of anti-Rh antibodies
in an Rh-negative mother who has given birth to an Rh-positive infant (D). (A, B, or C) are
not candidates for RhoGam.
A client who took iron supplements during pregnancy delivers an infant by cesarean
section. On the second postpartum day, the client reports having a constipated stool
that is greenish-black in color. Which action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. - Correct Ans-3. Record color and
consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-black color in
stool, which should be documented (C) as an expected finding. (A, B, and D) are not
indicated at this time.
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Fortis-PN-Maternity Hesi Practice Exam
2025
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - Correct Ans-1. Displacement of the colon.
5. Decrease in peristalsis.
During pregnancy, the enlarging uterus compresses and displaces the colon (A), which
leads to a decrease in peristalsis (E), which contribute to constipation during pregnancy.
(B, C, D, and F) do not cause constipation in pregnancy.
Which intervention should the practical nurse (PN) provide a neonate during
hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. - Correct Ans-2. Offer the
neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral stimulation using a
pacifier (B). (A , C and D) are not indicated for a neonate.
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, Fortis-PN-Maternity Hesi
Which client is a candidate for the administration of human immune globulin (RhoGam)
after delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. - Correct Ans-4. The Rh-
negative mother who delivers a Rh-positive baby.
RhoGam is a human immune globulin that prevents the formation of anti-Rh antibodies
in an Rh-negative mother who has given birth to an Rh-positive infant (D). (A, B, or C) are
not candidates for RhoGam.
A client who took iron supplements during pregnancy delivers an infant by cesarean
section. On the second postpartum day, the client reports having a constipated stool
that is greenish-black in color. Which action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. - Correct Ans-3. Record color and
consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-black color in
stool, which should be documented (C) as an expected finding. (A, B, and D) are not
indicated at this time.
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