HESI MatErnIty (OB) & PEdIatrIcS
ExaM tESt Bank (LatESt UPdatE
2026/2027) – cOMPLEtE Q&a
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports
feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - Answer-c. increase the rate of IV fluids
A multigravida client arrives at the L&D unit and tells the nurse that her bag of
water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal HR is between 140 and 150 beats/min. What
action should the nurse implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate cesarean bitrh
D. Obtain sterile suction equipment - Answer-A. complete sterile vag exam
Immediately after birth a newborn infant is suctioned, dried and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses
,an apical HR of 80 beats/minute and respirations of 20 breaths/min. What action
should be performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level - Answer-A. Initiate positive pressure
ventilation
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing hx, the client indicates that she has delivered premature twins, one
full term baby and has had no abortions. Which GTPAL should the nurse
document in this client's record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3 - Answer-D. 3-1-1-0-3
The healthcare provider prescribes terbutaline for a client in preterm labor. Before
initating this prescription, it is most important for the nurse to assess the client for
which of condition.
A. gestational diabetes
B. Elevated BP
C. UTI
D> Swelling in lower extremities - Answer-A. gestational diabetes
,A 4 week old premature infant has been receiving epoetin alfa for the last 3
weeks. WHich assessment finding indicates to the nurse that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl. - Answer-C. changes in
apica HR from the 180 to the 140
The nurse should explain to a 30 year old gravid client that alpha fetoprotein
testing is recommended for which purpose?
A.detect cardiovascular disorders
B.screen for neural tube defects
c .monitor the placental functioning
d. assess for maternal pre-eclampsia - Answer-B.screen for neural tube defects
During labor, the nurse determine that a full term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing
actions. - Answer-1. Reposition the client
2. Provide O2 via face mask
3. Increase IV fluid
4. Call the healthcare provider
A vaginally delivered infant of an HIV positive mother is admitted to the newborn
nursery. What intervention should the nurse perform first? - Answer-A.Bathe the
infant with an antimicrobial soap.
, B.Measure the head and chest circumference.
C. Obtain the infant's footprints.
D. Administer vitamin K (AquaMEPHYTON).
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports
feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next?A. Check the hematocrit results.
B. Administer pain medication.
C.Increase the rate of IV fluids.
D.Monitor client for contractions. - Answer-C.Increase the rate of IV fluids.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours
each day tells the nurse that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing. - Answer-...
Client teaching is an important part of the maternity nurse's role. Which factor has
the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn.
ExaM tESt Bank (LatESt UPdatE
2026/2027) – cOMPLEtE Q&a
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports
feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - Answer-c. increase the rate of IV fluids
A multigravida client arrives at the L&D unit and tells the nurse that her bag of
water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal HR is between 140 and 150 beats/min. What
action should the nurse implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate cesarean bitrh
D. Obtain sterile suction equipment - Answer-A. complete sterile vag exam
Immediately after birth a newborn infant is suctioned, dried and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses
,an apical HR of 80 beats/minute and respirations of 20 breaths/min. What action
should be performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level - Answer-A. Initiate positive pressure
ventilation
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing hx, the client indicates that she has delivered premature twins, one
full term baby and has had no abortions. Which GTPAL should the nurse
document in this client's record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3 - Answer-D. 3-1-1-0-3
The healthcare provider prescribes terbutaline for a client in preterm labor. Before
initating this prescription, it is most important for the nurse to assess the client for
which of condition.
A. gestational diabetes
B. Elevated BP
C. UTI
D> Swelling in lower extremities - Answer-A. gestational diabetes
,A 4 week old premature infant has been receiving epoetin alfa for the last 3
weeks. WHich assessment finding indicates to the nurse that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl. - Answer-C. changes in
apica HR from the 180 to the 140
The nurse should explain to a 30 year old gravid client that alpha fetoprotein
testing is recommended for which purpose?
A.detect cardiovascular disorders
B.screen for neural tube defects
c .monitor the placental functioning
d. assess for maternal pre-eclampsia - Answer-B.screen for neural tube defects
During labor, the nurse determine that a full term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing
actions. - Answer-1. Reposition the client
2. Provide O2 via face mask
3. Increase IV fluid
4. Call the healthcare provider
A vaginally delivered infant of an HIV positive mother is admitted to the newborn
nursery. What intervention should the nurse perform first? - Answer-A.Bathe the
infant with an antimicrobial soap.
, B.Measure the head and chest circumference.
C. Obtain the infant's footprints.
D. Administer vitamin K (AquaMEPHYTON).
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports
feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next?A. Check the hematocrit results.
B. Administer pain medication.
C.Increase the rate of IV fluids.
D.Monitor client for contractions. - Answer-C.Increase the rate of IV fluids.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours
each day tells the nurse that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing. - Answer-...
Client teaching is an important part of the maternity nurse's role. Which factor has
the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn.
