HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
HESI PN OBSTETRICS/MATERNITY PRACTICE EXAM, PEDIATRICS
HESI PN REVIEW NEWEST ACTUAL EXAM WITH COMPLETE 400
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client’s weight today is 129
pounds. What action should the practical nurse (PN) implement?
a) Document the finding in the medical record
b) Notify the healthcare provider immediately
c) Advise dietary restrictions
d) Recommend exercise
Correct Answer: a) Document the finding in the medical record
Rationale: Weight gain of 4 pounds in the first trimester is within normal limits.
Documenting the finding ensures ongoing monitoring without unnecessary
interventions.
The practical nurse (PN) is reviewing the informational packets with a client who is
at risk for preeclampsia. Which information is most important for the PN to
reinforce with the client?
a) Notify the clinic if any vision changes are experienced
b) Limit salt intake
c) Increase fluid intake
d) Avoid standing for long periods
Correct Answer: a) Notify the clinic if any vision changes are experienced
Rationale: Visual disturbances are a key warning sign of preeclampsia and
should be reported immediately to prevent complications.
1|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
A primigravida at 33-weeks gestation is admitted after being involved in a motor
vehicle collision (MVC). The client has no complaints of abdominal pain and no
evidence of vaginal bleeding. Which action should the practical nurse (PN)
anticipate implementing for the client?
a) Administer tocolytics
b) Prepare for cesarean delivery
c) Obtain a biophysical profile
d) Discharge home with follow-up
Correct Answer: c) Obtain a biophysical profile
Rationale: A biophysical profile assesses fetal well-being after trauma, even if
there are no initial symptoms, to detect hidden complications such as placental
abruption or fetal compromise.
A primigravida client asks the practical nurse (PN), “How will I know that I will be
going into labor soon?” Which sign should the PN provide that is a common sign?
a) Burst of energy
b) Loss of mucus plug
c) Severe back pain
d) Onset of diarrhea
Correct Answer: a) Burst of energy
Rationale: “Nesting” or a sudden burst of energy often occurs shortly before
labor as a physiologic and hormonal preparation for delivery.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction?
2|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
a) Demonstrate simple relaxation measures
b) Encourage pushing
c) Prepare for cesarean delivery
d) Administer analgesics immediately
Correct Answer: a) Demonstrate simple relaxation measures
Rationale: Relaxation techniques, such as breathing and positioning, help
manage early labor discomfort and promote coping while labor progresses
naturally.
A primiparous client asks the practical nurse (PN) how much her newborn baby
should sleep every day. What information should the PN provide?
a) Wakefulness is more than sleep in the first month
b) Sleep is consistent in 2-hour intervals
c) A newborn sleeps most of the day and gradually will have increasing periods of
wakefulness
d) A newborn sleeps only 4–5 hours daily
Correct Answer: c) A newborn sleeps most of the day and gradually will have
increasing periods of wakefulness
Rationale: Newborns typically sleep 16–20 hours per day, with wakeful periods
gradually increasing as they develop circadian rhythms.
The mother asks the practical nurse (PN) what her infant may need if the
phenylketonuria (PKU) test is positive. What type of treatment should the PN tell
the mother will be required?
a) Lifelong dietary management
b) Short-term dietary supplements
c) Occasional medications
d) No intervention is needed
3|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
Correct Answer: a) Lifelong dietary management
Rationale: PKU is a genetic disorder requiring strict lifelong dietary restrictions
to prevent neurological damage from phenylalanine accumulation.
The practical nurse (PN) is discussing aspects of newborn hygiene with the new
parents as they prepare for discharge. Which information should the PN provide?
a) Create a draft-free environment when bathing the baby
b) Bath the newborn twice daily
c) Avoid diaper changes after feeding
d) Use hot water for the bath
Correct Answer: a) Create a draft-free environment when bathing the baby
Rationale: Newborns are vulnerable to heat loss. A draft-free environment
during bathing helps maintain body temperature and prevents cold stress.
A mother who is preparing for discharge begins asking the practical nurse (PN)
questions about bottle feeding her infant. What information should the PN
reinforce?
a) Burp the newborn periodically during the feeding
b) Feed only once every 6 hours
c) Tilt the bottle horizontally
d) Keep the newborn in a supine position
Correct Answer: a) Burp the newborn periodically during the feeding
Rationale: Burping during feeding prevents swallowing excessive air, reducing
the risk of gas, discomfort, and spitting up.
An infant who weighs 4550 grams is delivered using forceps-assisted vaginal
delivery. What action is most important for the practical nurse (PN) to implement?
4|Page
HESI PN OBSTETRICS/MATERNITY PRACTICE EXAM, PEDIATRICS
HESI PN REVIEW NEWEST ACTUAL EXAM WITH COMPLETE 400
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client’s weight today is 129
pounds. What action should the practical nurse (PN) implement?
a) Document the finding in the medical record
b) Notify the healthcare provider immediately
c) Advise dietary restrictions
d) Recommend exercise
Correct Answer: a) Document the finding in the medical record
Rationale: Weight gain of 4 pounds in the first trimester is within normal limits.
Documenting the finding ensures ongoing monitoring without unnecessary
interventions.
The practical nurse (PN) is reviewing the informational packets with a client who is
at risk for preeclampsia. Which information is most important for the PN to
reinforce with the client?
a) Notify the clinic if any vision changes are experienced
b) Limit salt intake
c) Increase fluid intake
d) Avoid standing for long periods
Correct Answer: a) Notify the clinic if any vision changes are experienced
Rationale: Visual disturbances are a key warning sign of preeclampsia and
should be reported immediately to prevent complications.
1|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
A primigravida at 33-weeks gestation is admitted after being involved in a motor
vehicle collision (MVC). The client has no complaints of abdominal pain and no
evidence of vaginal bleeding. Which action should the practical nurse (PN)
anticipate implementing for the client?
a) Administer tocolytics
b) Prepare for cesarean delivery
c) Obtain a biophysical profile
d) Discharge home with follow-up
Correct Answer: c) Obtain a biophysical profile
Rationale: A biophysical profile assesses fetal well-being after trauma, even if
there are no initial symptoms, to detect hidden complications such as placental
abruption or fetal compromise.
A primigravida client asks the practical nurse (PN), “How will I know that I will be
going into labor soon?” Which sign should the PN provide that is a common sign?
a) Burst of energy
b) Loss of mucus plug
c) Severe back pain
d) Onset of diarrhea
Correct Answer: a) Burst of energy
Rationale: “Nesting” or a sudden burst of energy often occurs shortly before
labor as a physiologic and hormonal preparation for delivery.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction?
2|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
a) Demonstrate simple relaxation measures
b) Encourage pushing
c) Prepare for cesarean delivery
d) Administer analgesics immediately
Correct Answer: a) Demonstrate simple relaxation measures
Rationale: Relaxation techniques, such as breathing and positioning, help
manage early labor discomfort and promote coping while labor progresses
naturally.
A primiparous client asks the practical nurse (PN) how much her newborn baby
should sleep every day. What information should the PN provide?
a) Wakefulness is more than sleep in the first month
b) Sleep is consistent in 2-hour intervals
c) A newborn sleeps most of the day and gradually will have increasing periods of
wakefulness
d) A newborn sleeps only 4–5 hours daily
Correct Answer: c) A newborn sleeps most of the day and gradually will have
increasing periods of wakefulness
Rationale: Newborns typically sleep 16–20 hours per day, with wakeful periods
gradually increasing as they develop circadian rhythms.
The mother asks the practical nurse (PN) what her infant may need if the
phenylketonuria (PKU) test is positive. What type of treatment should the PN tell
the mother will be required?
a) Lifelong dietary management
b) Short-term dietary supplements
c) Occasional medications
d) No intervention is needed
3|Page
, HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review
Correct Answer: a) Lifelong dietary management
Rationale: PKU is a genetic disorder requiring strict lifelong dietary restrictions
to prevent neurological damage from phenylalanine accumulation.
The practical nurse (PN) is discussing aspects of newborn hygiene with the new
parents as they prepare for discharge. Which information should the PN provide?
a) Create a draft-free environment when bathing the baby
b) Bath the newborn twice daily
c) Avoid diaper changes after feeding
d) Use hot water for the bath
Correct Answer: a) Create a draft-free environment when bathing the baby
Rationale: Newborns are vulnerable to heat loss. A draft-free environment
during bathing helps maintain body temperature and prevents cold stress.
A mother who is preparing for discharge begins asking the practical nurse (PN)
questions about bottle feeding her infant. What information should the PN
reinforce?
a) Burp the newborn periodically during the feeding
b) Feed only once every 6 hours
c) Tilt the bottle horizontally
d) Keep the newborn in a supine position
Correct Answer: a) Burp the newborn periodically during the feeding
Rationale: Burping during feeding prevents swallowing excessive air, reducing
the risk of gas, discomfort, and spitting up.
An infant who weighs 4550 grams is delivered using forceps-assisted vaginal
delivery. What action is most important for the practical nurse (PN) to implement?
4|Page
