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HESI RN Maternity Assignment Exam 2025-2026 Review GRADED A+ QUESTIONS WIT H
CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. What action should the
nurse implement at this time?
-ask to meed with the client and infant w/o family members present
-do a brief assessment for only the infant while family members are present
-observe interactions of family members with the newborn and each other
-reschedule the visit so mother and infant can be assessed privately
C. Observe interactions of family members with the newborn and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks.
Using GTPAL, what is the most accurate summary of her history?
-3-1-1-1-3
-4-1-2-0-3
-3-0-3-0-3
-4-3-1-0-2
B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will
remain after pregnancy?
-prutitus
-chloasma
-vascular spiders
-striae gravidarum
D. Striae gravidarum
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring
client, who delivers the infant 90 minutes later. What medication should the
nurse anticipate administering to the infant?
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-naloxone (narcan)
-nalbuphine
-fentanyl
-promethazine
A. Naloxone (Narcan)
A client in labor receives an epidural block. What intervention should the
nurse implement first?
-encourage oral fluids
-assess contractions
-monitor bp
-obtain radial pulse
C. Monitor blood pressure
A client is experiencing "back" labor and complains of intense pain in the
lower lumbar-sacral area. What action should the nurse implement?
-perform effleurage on abdomen
-encourage pant blow breathing techniques
-apply counter pressure against the sacrum
-assist the client in guided imagery
C. Apply counter pressure against the sacrum
A nulliparous client telephones the labor and delivery unit to report that she is
in labor. What action should the nurse implement?
-emphasize that food and fluid intake should stop
-tell the woman to stay home until her membranes rupture
-ask the client to describe why she thinks she is in labor
-suggest to client to come to hospital for labor eval
C. Ask the client to describe why she thinks she is in labor
A woman who is bottle-feeding her newborn infant calls the clinic 72 hours
after delivery and tells the nurse that both of her breasts are swollen, warm,
and tender. What instructions should the nurse give?
-apply ice to breasts
-wear loose fitting bra
-run warm water on breasts during shower
-express small amounts of milk from breasts
A. Apply ice to the breasts
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At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi
sampling (CVS) procedure. What assessment finding requires immediate
intervention?
-uterine cramping
-abdominal tenderness
-systolic bp <100 mmHg
-intermittent nausea
A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I
have had to go to the bathroom every five minutes." Which explanation should
the nurse provide to this client?
-the client may have a bladder or kidney infection
-bladder capacity increases during pregnancy
-during pregnancy a woman is especially sensitive to body functions
-the growing uterus is putting pressure on the bladder
D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following
vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a
respiratory rate 48 breaths/minute. Based on these findings, which action
should the nurse take first?
-check the infant's ABGs
-notify the pediatrician of the infants VS
-assess the infant's blood glucose level
-encourage the infant to take the breast or sugar water
C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What
is the priority nursing intervention?
-evaluate the blood pH
-begin humidified oxygen via hood
-stimulate infant crying
-place the infant under a radiant warmer
B. Begin humidified oxygen via hood
HESI RN Maternity Assignment Exam 2025-2026 Review GRADED A+ QUESTIONS WIT H
CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. What action should the
nurse implement at this time?
-ask to meed with the client and infant w/o family members present
-do a brief assessment for only the infant while family members are present
-observe interactions of family members with the newborn and each other
-reschedule the visit so mother and infant can be assessed privately
C. Observe interactions of family members with the newborn and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks.
Using GTPAL, what is the most accurate summary of her history?
-3-1-1-1-3
-4-1-2-0-3
-3-0-3-0-3
-4-3-1-0-2
B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will
remain after pregnancy?
-prutitus
-chloasma
-vascular spiders
-striae gravidarum
D. Striae gravidarum
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring
client, who delivers the infant 90 minutes later. What medication should the
nurse anticipate administering to the infant?
, Page 2 of 26
-naloxone (narcan)
-nalbuphine
-fentanyl
-promethazine
A. Naloxone (Narcan)
A client in labor receives an epidural block. What intervention should the
nurse implement first?
-encourage oral fluids
-assess contractions
-monitor bp
-obtain radial pulse
C. Monitor blood pressure
A client is experiencing "back" labor and complains of intense pain in the
lower lumbar-sacral area. What action should the nurse implement?
-perform effleurage on abdomen
-encourage pant blow breathing techniques
-apply counter pressure against the sacrum
-assist the client in guided imagery
C. Apply counter pressure against the sacrum
A nulliparous client telephones the labor and delivery unit to report that she is
in labor. What action should the nurse implement?
-emphasize that food and fluid intake should stop
-tell the woman to stay home until her membranes rupture
-ask the client to describe why she thinks she is in labor
-suggest to client to come to hospital for labor eval
C. Ask the client to describe why she thinks she is in labor
A woman who is bottle-feeding her newborn infant calls the clinic 72 hours
after delivery and tells the nurse that both of her breasts are swollen, warm,
and tender. What instructions should the nurse give?
-apply ice to breasts
-wear loose fitting bra
-run warm water on breasts during shower
-express small amounts of milk from breasts
A. Apply ice to the breasts
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At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi
sampling (CVS) procedure. What assessment finding requires immediate
intervention?
-uterine cramping
-abdominal tenderness
-systolic bp <100 mmHg
-intermittent nausea
A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I
have had to go to the bathroom every five minutes." Which explanation should
the nurse provide to this client?
-the client may have a bladder or kidney infection
-bladder capacity increases during pregnancy
-during pregnancy a woman is especially sensitive to body functions
-the growing uterus is putting pressure on the bladder
D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following
vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a
respiratory rate 48 breaths/minute. Based on these findings, which action
should the nurse take first?
-check the infant's ABGs
-notify the pediatrician of the infants VS
-assess the infant's blood glucose level
-encourage the infant to take the breast or sugar water
C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What
is the priority nursing intervention?
-evaluate the blood pH
-begin humidified oxygen via hood
-stimulate infant crying
-place the infant under a radiant warmer
B. Begin humidified oxygen via hood
