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ESI RN Maternity Proctored Exam 2025 – Actual
H
Exam Questions with Verified Answers &
Evidence-Based Rationales | Graded A+
Student Name:_________________________Date:_______________
Time Limit:90 minutesTotal Questions: 70
Instructions
omplete all 70 questions within the 90-minute time limit. Read each question carefully. For
C
Multiple Choice Questions (MCQs), select the single best answer. For Select All That Apply (SATA)
questions, choose all correct options. This exam covers prenatal care, labor and delivery,
postpartum care, hemorrhage, newborn APGAR scores, and breastfeeding. Good luck!
Section 1: Prenatal Care (Questions 1–14)
Question 1 (MCQ)
client at 12 weeks gestation reports nausea and vomiting. What should the nurse recommend?
A
A. Increase fatty food intake.
B.Eat small, frequent meals.
C. Avoid all fluids with meals.
D. Take antacids before eating.
orrect Answer:B. Eat small, frequent meals.
C
Rationale: Small, frequent meals reduce nausea bypreventing an empty stomach and stabilizing gastric
acid. Fatty foods (A) worsen nausea, fluids with meals (C) are not contraindicated, and antacids (D)
require a provider’s order.
Question 2 (SATA)
, hich interventions should the nurse include in a prenatal teaching plan for a client at 16 weeks
W
gestation? (Select all that apply.)
A.Monitor fetal movement daily.
B.Avoid alcohol and tobacco.
C. Perform high-impact exercise daily.
D.Take prenatal vitamins as prescribed.
E.Report vaginal bleeding immediately.
orrect Answers:A, B, D, E
C
Rationale: Monitoring fetal movement (A), avoidingalcohol/tobacco (B), taking vitamins (D), and
reporting bleeding (E) promote fetal health. High-impact exercise (C) may be unsafe without provider
approval.
Question 3 (MCQ)
client at 20 weeks gestation has a fundal height of 18 cm. What is the nurse’s priority action?
A
A. Document the finding as normal.
B.Notify the healthcare provider.
C. Encourage increased fluid intake.
D. Schedule a follow-up in one month.
orrect Answer:B. Notify the healthcare provider.
C
Rationale: Fundal height should approximate gestationalage in centimeters (±2 cm). A height of 18 cm
at 20 weeks suggests growth restriction, requiring provider notification. Documenting as normal (A),
increasing fluids (C), or delaying follow-up (D) is inappropriate.
Question 4 (MCQ)
client at 28 weeks gestation reports swelling in the hands and face. What is the nurse’s priority action?
A
A. Encourage elevation of legs.
B.Assess for preeclampsia and notify the provider.
C. Document the swelling as normal.
D. Administer a diuretic immediately.
orrect Answer:B. Assess for preeclampsia and notifythe provider.
C
Rationale: Swelling in the hands and face suggestspreeclampsia, requiring assessment and provider
notification. Leg elevation (A) is insufficient, swelling is not normal (C), and diuretics (D) require an
order.
, Question 5 (MCQ)
client at 32 weeks gestation is diagnosed with gestational diabetes. Which dietary recommendation
A
should the nurse provide?
A.Follow a consistent carbohydrate diet.
B. Consume unlimited simple sugars.
C. Avoid all carbohydrates.
D. Eat one large meal daily.
orrect Answer:A. Follow a consistent carbohydratediet.
C
Rationale: Consistent carbohydrate intake helps regulateblood glucose in gestational diabetes.
Unlimited sugars (B) cause hyperglycemia, avoiding carbohydrates (C) is unsafe, and one large meal (D)
disrupts glucose control.
Question 6 (SATA)
hich symptoms should a client at 24 weeks gestation report immediately? (Select all that apply.)
W
A.Severe headache
B.Vaginal bleeding
C. Mild leg cramps
D.Decreased fetal movement
E.Epigastric pain
orrect Answers:A, B, D, E
C
Rationale: Severe headache (A), vaginal bleeding(B), decreased fetal movement (D), and epigastric
pain (E) may indicate complications like preeclampsia or placental issues. Mild leg cramps (C) are
common and less urgent.
Question 7 (MCQ)
client at 36 weeks gestation has a positive Group B Streptococcus (GBS) culture. What should the
A
nurse anticipate during labor?
A. No intervention needed.
B.Administer antibiotics during labor.
C. Perform a cesarean section.
D. Monitor fetal heart rate only.
orrect Answer:B. Administer antibiotics during labor.
C
Rationale: GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection. No
intervention (A), cesarean (C), or monitoring alone (D) is insufficient.
ESI RN Maternity Proctored Exam 2025 – Actual
H
Exam Questions with Verified Answers &
Evidence-Based Rationales | Graded A+
Student Name:_________________________Date:_______________
Time Limit:90 minutesTotal Questions: 70
Instructions
omplete all 70 questions within the 90-minute time limit. Read each question carefully. For
C
Multiple Choice Questions (MCQs), select the single best answer. For Select All That Apply (SATA)
questions, choose all correct options. This exam covers prenatal care, labor and delivery,
postpartum care, hemorrhage, newborn APGAR scores, and breastfeeding. Good luck!
Section 1: Prenatal Care (Questions 1–14)
Question 1 (MCQ)
client at 12 weeks gestation reports nausea and vomiting. What should the nurse recommend?
A
A. Increase fatty food intake.
B.Eat small, frequent meals.
C. Avoid all fluids with meals.
D. Take antacids before eating.
orrect Answer:B. Eat small, frequent meals.
C
Rationale: Small, frequent meals reduce nausea bypreventing an empty stomach and stabilizing gastric
acid. Fatty foods (A) worsen nausea, fluids with meals (C) are not contraindicated, and antacids (D)
require a provider’s order.
Question 2 (SATA)
, hich interventions should the nurse include in a prenatal teaching plan for a client at 16 weeks
W
gestation? (Select all that apply.)
A.Monitor fetal movement daily.
B.Avoid alcohol and tobacco.
C. Perform high-impact exercise daily.
D.Take prenatal vitamins as prescribed.
E.Report vaginal bleeding immediately.
orrect Answers:A, B, D, E
C
Rationale: Monitoring fetal movement (A), avoidingalcohol/tobacco (B), taking vitamins (D), and
reporting bleeding (E) promote fetal health. High-impact exercise (C) may be unsafe without provider
approval.
Question 3 (MCQ)
client at 20 weeks gestation has a fundal height of 18 cm. What is the nurse’s priority action?
A
A. Document the finding as normal.
B.Notify the healthcare provider.
C. Encourage increased fluid intake.
D. Schedule a follow-up in one month.
orrect Answer:B. Notify the healthcare provider.
C
Rationale: Fundal height should approximate gestationalage in centimeters (±2 cm). A height of 18 cm
at 20 weeks suggests growth restriction, requiring provider notification. Documenting as normal (A),
increasing fluids (C), or delaying follow-up (D) is inappropriate.
Question 4 (MCQ)
client at 28 weeks gestation reports swelling in the hands and face. What is the nurse’s priority action?
A
A. Encourage elevation of legs.
B.Assess for preeclampsia and notify the provider.
C. Document the swelling as normal.
D. Administer a diuretic immediately.
orrect Answer:B. Assess for preeclampsia and notifythe provider.
C
Rationale: Swelling in the hands and face suggestspreeclampsia, requiring assessment and provider
notification. Leg elevation (A) is insufficient, swelling is not normal (C), and diuretics (D) require an
order.
, Question 5 (MCQ)
client at 32 weeks gestation is diagnosed with gestational diabetes. Which dietary recommendation
A
should the nurse provide?
A.Follow a consistent carbohydrate diet.
B. Consume unlimited simple sugars.
C. Avoid all carbohydrates.
D. Eat one large meal daily.
orrect Answer:A. Follow a consistent carbohydratediet.
C
Rationale: Consistent carbohydrate intake helps regulateblood glucose in gestational diabetes.
Unlimited sugars (B) cause hyperglycemia, avoiding carbohydrates (C) is unsafe, and one large meal (D)
disrupts glucose control.
Question 6 (SATA)
hich symptoms should a client at 24 weeks gestation report immediately? (Select all that apply.)
W
A.Severe headache
B.Vaginal bleeding
C. Mild leg cramps
D.Decreased fetal movement
E.Epigastric pain
orrect Answers:A, B, D, E
C
Rationale: Severe headache (A), vaginal bleeding(B), decreased fetal movement (D), and epigastric
pain (E) may indicate complications like preeclampsia or placental issues. Mild leg cramps (C) are
common and less urgent.
Question 7 (MCQ)
client at 36 weeks gestation has a positive Group B Streptococcus (GBS) culture. What should the
A
nurse anticipate during labor?
A. No intervention needed.
B.Administer antibiotics during labor.
C. Perform a cesarean section.
D. Monitor fetal heart rate only.
orrect Answer:B. Administer antibiotics during labor.
C
Rationale: GBS-positive clients receive intrapartumantibiotics to prevent neonatal infection. No
intervention (A), cesarean (C), or monitoring alone (D) is insufficient.
