HESI RN Maternity Exam V1 2026/2027:
Complete Questions & Verified 100%
Correct Answers
SECTION 1: ANTEPARTUM CARE (Questions 1-12)
Q1: A nurse is providing prenatal teaching to a client who is 12 weeks pregnant. Which
of the following client statements indicates an understanding of nutritional needs
during pregnancy?
A. "I need to increase my calcium intake to 600 mg daily"
B. "I should take 400-800 mcg of folic acid daily to prevent neural tube defects"
C. "I can continue drinking 4 cups of coffee daily"
D. "I need to double my protein intake to 120 grams per day"
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: B
Rationale: Folic acid 400-800 mcg daily is recommended before conception and during
early pregnancy to prevent neural tube defects. Calcium needs increase to 1,000-1,300
mg daily (A). Caffeine should be limited to <200 mg/day (about 1-2 cups coffee).
Protein needs increase to approximately 60 g/day, not double (D).
,HESI Domain: Antepartum Care
Cognitive Level: Level 1 – Recall
Source: ACOG Nutrition During Pregnancy
</details>
Q2: A client at 28 weeks gestation reports experiencing heartburn after meals. Which of
the following instructions should the nurse provide?
A. "Lie down immediately after eating to rest"
B. "Eat three large meals rather than small frequent meals"
C. "Avoid drinking fluids with meals"
D. "Wait 1 hour after eating before lying down"
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: D
Rationale: To manage heartburn during pregnancy, clients should wait at least 1 hour
after eating before lying down. Small frequent meals are recommended, not large meals
(B). Fluids may be taken between meals (C is not a standard recommendation). Lying
down after eating (A) worsens reflux.
HESI Domain: Antepartum Care
Cognitive Level: Level 1 – Recall
Source: ACOG Pregnancy Discomforts
,</details>
Q3: A nurse is reviewing prenatal laboratory results for a client at 16 weeks gestation.
Which of the following findings should the nurse report to the provider?
A. Hemoglobin 11.2 g/dL
B. Rubella titer non-immune
C. Blood type O positive
D. Urine glucose negative
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: B
Rationale: Non-immune rubella status requires reporting because vaccination (MMR) is
contraindicated during pregnancy but should be given postpartum. Hemoglobin 11.2 is
within normal range for pregnancy (mild anemia common). O positive is a normal blood
type. Negative urine glucose is normal.
HESI Domain: Antepartum Care
Cognitive Level: Level 2 – Application
Source: ACOG Prenatal Testing
</details>
, Q4: A client at 32 weeks gestation calls the clinic with complaints of persistent
headache, blurred vision, and right upper quadrant pain. Which of the following actions
should the nurse take FIRST?
A. Instruct the client to rest and take acetaminophen
B. Schedule a non-stress test for later that day
C. Advise the client to come to the clinic immediately for evaluation
D. Ask the client to monitor her blood pressure at home and call back
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: C
Rationale: Headache, blurred vision, and RUQ pain are warning signs of severe
preeclampsia, which requires immediate evaluation. Delaying care (A, B, D) could lead to
eclampsia or other complications. The client should come in immediately for BP
assessment and further evaluation.
HESI Domain: Antepartum Care – Complications
Cognitive Level: Level 3 – Analysis
Source: ACOG Preeclampsia Guidelines
</details>
Q5: A nurse is calculating the estimated date of delivery (EDD) using Naegele's rule for a
client whose last menstrual period (LMP) was May 10, 2026. Which of the following
dates is correct?
Complete Questions & Verified 100%
Correct Answers
SECTION 1: ANTEPARTUM CARE (Questions 1-12)
Q1: A nurse is providing prenatal teaching to a client who is 12 weeks pregnant. Which
of the following client statements indicates an understanding of nutritional needs
during pregnancy?
A. "I need to increase my calcium intake to 600 mg daily"
B. "I should take 400-800 mcg of folic acid daily to prevent neural tube defects"
C. "I can continue drinking 4 cups of coffee daily"
D. "I need to double my protein intake to 120 grams per day"
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: B
Rationale: Folic acid 400-800 mcg daily is recommended before conception and during
early pregnancy to prevent neural tube defects. Calcium needs increase to 1,000-1,300
mg daily (A). Caffeine should be limited to <200 mg/day (about 1-2 cups coffee).
Protein needs increase to approximately 60 g/day, not double (D).
,HESI Domain: Antepartum Care
Cognitive Level: Level 1 – Recall
Source: ACOG Nutrition During Pregnancy
</details>
Q2: A client at 28 weeks gestation reports experiencing heartburn after meals. Which of
the following instructions should the nurse provide?
A. "Lie down immediately after eating to rest"
B. "Eat three large meals rather than small frequent meals"
C. "Avoid drinking fluids with meals"
D. "Wait 1 hour after eating before lying down"
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: D
Rationale: To manage heartburn during pregnancy, clients should wait at least 1 hour
after eating before lying down. Small frequent meals are recommended, not large meals
(B). Fluids may be taken between meals (C is not a standard recommendation). Lying
down after eating (A) worsens reflux.
HESI Domain: Antepartum Care
Cognitive Level: Level 1 – Recall
Source: ACOG Pregnancy Discomforts
,</details>
Q3: A nurse is reviewing prenatal laboratory results for a client at 16 weeks gestation.
Which of the following findings should the nurse report to the provider?
A. Hemoglobin 11.2 g/dL
B. Rubella titer non-immune
C. Blood type O positive
D. Urine glucose negative
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: B
Rationale: Non-immune rubella status requires reporting because vaccination (MMR) is
contraindicated during pregnancy but should be given postpartum. Hemoglobin 11.2 is
within normal range for pregnancy (mild anemia common). O positive is a normal blood
type. Negative urine glucose is normal.
HESI Domain: Antepartum Care
Cognitive Level: Level 2 – Application
Source: ACOG Prenatal Testing
</details>
, Q4: A client at 32 weeks gestation calls the clinic with complaints of persistent
headache, blurred vision, and right upper quadrant pain. Which of the following actions
should the nurse take FIRST?
A. Instruct the client to rest and take acetaminophen
B. Schedule a non-stress test for later that day
C. Advise the client to come to the clinic immediately for evaluation
D. Ask the client to monitor her blood pressure at home and call back
<details>
<summary>Correct Answer & Rationale</summary>
Correct Answer: C
Rationale: Headache, blurred vision, and RUQ pain are warning signs of severe
preeclampsia, which requires immediate evaluation. Delaying care (A, B, D) could lead to
eclampsia or other complications. The client should come in immediately for BP
assessment and further evaluation.
HESI Domain: Antepartum Care – Complications
Cognitive Level: Level 3 – Analysis
Source: ACOG Preeclampsia Guidelines
</details>
Q5: A nurse is calculating the estimated date of delivery (EDD) using Naegele's rule for a
client whose last menstrual period (LMP) was May 10, 2026. Which of the following
dates is correct?
