NU472 HESI Obstetrics/Maternity
Practice Exam - 103 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A laboring patient reports intense back pain during contractions. What intervention provides the
most relief?
A. Encourage side-lying position
B. Apply warm compresses to the abdomen
✔✔C. Apply counterpressure to the sacral area
D. Offer increased oral fluids
A postpartum client asks why her uterus feels firm and painful when she breastfeeds. What is the
best explanation?
A. It is an infection developing
B. It is a normal response to dehydration
✔✔C. Breastfeeding stimulates oxytocin, causing uterine contractions
D. It means the milk supply is low
A nurse notes lochia rubra persisting 10 days postpartum. What is the priority action?
1
,A. Reassure the client it is normal
✔✔B. Notify the healthcare provider of possible subinvolution
C. Document findings only
D. Increase the client’s oral fluids
A patient with preeclampsia reports severe headache and blurred vision. What should the nurse
do first?
A. Offer acetaminophen
B. Turn on bright lights for assessment
✔✔C. Assess blood pressure and notify provider immediately
D. Encourage ambulation
During the first stage of labor, a client requests nonpharmacological pain relief. Which
intervention is most appropriate?
A. Apply restraints to limit movement
✔✔B. Encourage breathing techniques and position changes
C. Restrict all movement for rest
D. Provide nothing until active pushing begins
2
,A client with placenta previa at 34 weeks reports painless vaginal bleeding. What should the
nurse do first?
✔✔A. Place the client on bed rest and monitor bleeding
B. Perform a vaginal exam to assess dilation
C. Administer oxytocin immediately
D. Prepare for immediate cesarean without assessment
A postpartum mother with mastitis asks how she should feed her infant. What is the correct
response?
A. Stop breastfeeding until healed
✔✔B. Continue breastfeeding on both breasts as tolerated
C. Use only formula until symptoms resolve
D. Pump only the unaffected breast
A nurse assesses a newborn with nasal flaring and intercostal retractions. What is the priority?
A. Place infant in prone position
✔✔B. Notify the provider and provide oxygen as ordered
3
, C. Continue routine monitoring
D. Feed the infant formula
A pregnant client at 30 weeks reports dizziness and lightheadedness when lying flat. What should
the nurse recommend?
A. Stay flat to rest longer
✔✔B. Turn onto her left side to relieve vena cava pressure
C. Increase water intake immediately
D. Walk frequently during rest
A client in active labor expresses fear and anxiety. What is the best nursing response?
A. Ignore the client’s emotions
✔✔B. Provide reassurance and guide her through relaxation techniques
C. Encourage her to remain silent
D. Request immediate cesarean section
A nurse notices a firm uterus but heavy vaginal bleeding in a postpartum patient. What condition
is suspected?
4
Practice Exam - 103 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A laboring patient reports intense back pain during contractions. What intervention provides the
most relief?
A. Encourage side-lying position
B. Apply warm compresses to the abdomen
✔✔C. Apply counterpressure to the sacral area
D. Offer increased oral fluids
A postpartum client asks why her uterus feels firm and painful when she breastfeeds. What is the
best explanation?
A. It is an infection developing
B. It is a normal response to dehydration
✔✔C. Breastfeeding stimulates oxytocin, causing uterine contractions
D. It means the milk supply is low
A nurse notes lochia rubra persisting 10 days postpartum. What is the priority action?
1
,A. Reassure the client it is normal
✔✔B. Notify the healthcare provider of possible subinvolution
C. Document findings only
D. Increase the client’s oral fluids
A patient with preeclampsia reports severe headache and blurred vision. What should the nurse
do first?
A. Offer acetaminophen
B. Turn on bright lights for assessment
✔✔C. Assess blood pressure and notify provider immediately
D. Encourage ambulation
During the first stage of labor, a client requests nonpharmacological pain relief. Which
intervention is most appropriate?
A. Apply restraints to limit movement
✔✔B. Encourage breathing techniques and position changes
C. Restrict all movement for rest
D. Provide nothing until active pushing begins
2
,A client with placenta previa at 34 weeks reports painless vaginal bleeding. What should the
nurse do first?
✔✔A. Place the client on bed rest and monitor bleeding
B. Perform a vaginal exam to assess dilation
C. Administer oxytocin immediately
D. Prepare for immediate cesarean without assessment
A postpartum mother with mastitis asks how she should feed her infant. What is the correct
response?
A. Stop breastfeeding until healed
✔✔B. Continue breastfeeding on both breasts as tolerated
C. Use only formula until symptoms resolve
D. Pump only the unaffected breast
A nurse assesses a newborn with nasal flaring and intercostal retractions. What is the priority?
A. Place infant in prone position
✔✔B. Notify the provider and provide oxygen as ordered
3
, C. Continue routine monitoring
D. Feed the infant formula
A pregnant client at 30 weeks reports dizziness and lightheadedness when lying flat. What should
the nurse recommend?
A. Stay flat to rest longer
✔✔B. Turn onto her left side to relieve vena cava pressure
C. Increase water intake immediately
D. Walk frequently during rest
A client in active labor expresses fear and anxiety. What is the best nursing response?
A. Ignore the client’s emotions
✔✔B. Provide reassurance and guide her through relaxation techniques
C. Encourage her to remain silent
D. Request immediate cesarean section
A nurse notices a firm uterus but heavy vaginal bleeding in a postpartum patient. What condition
is suspected?
4
