MATERNITY HESI 1 (2026 EDITION) | COMPLETE
TEST BANK V1, V2,
V3, V4, V5 & V6 | VERIFIED QUESTIONS & CORRECT
ANSWERS 2026/2027
1. Which nursing intervention is most helpful in relieving postpartum uterine contractions
or "afterpains?"
Lying prone with a pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with multiparas,
who commonly experience afterpains due to lack of uterine tone.
2. Which maternal behavior is the nurse most lOMloA R cik PSD| 807 6
953 ely to see when a new
mother receives her infant for the first time?
Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate behaviors
described in during the first visit with the newborn, which may be at delivery or
later.
,3. A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms.
Which assessment finding indicates the therapeutic drug level has been achieved?
A decreased in respiratory rate from 24 to 16
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.)
4. Urinary output must be monitored when administering magnesium sulfate and should
be at least 3 0 ml per hour. (The therapeutic level of magnesium sulfate for a PIH
client is 4.8 to 9.6 mg/dl.) What is the therapeutic level of magnesium sulfate?
The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl.
What does it help prevent? helps prevent seizures What indicates toxic levels?
3
Respiratory rate below 12 indicates toxic effects.
Urine output of less than 100 ml/4 hours Absent DTRs
5. Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to 90/60. What action should the nurse take?
Place woman in a lateral position
The nurse should immediately turn the woman to a lateral position, place a pillow
or wedge under the right hip to deflect the uterus, increase the rate of the main
line IV infusion, and administer oxygen by face mask at 10-12 L/min. If the blood
1
, pressure remains low, especially if it further decreases, the
anesthesiologist/healthcare provider should be notified immediately.
6. A client at 28-weeks gestation calls the antepartum clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright red.
She further states that she is not experiencing any uterine contractions or abdominal
pain. What instruction should the nurse
provide?
Come to the clinic today for an ultrasound
oA R cPSD| 80 76953
Third trimester painless bleeding is charact er istic of a placenta previa. Bright
red bleeding may
lOM be intermittent, occur in gushes, or be
continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
7. An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while
her husband is screaming for someone to help his wife. Which intervention has the
highest priority?
Put the newborn to breast
Putting the newborn to breast will help contract the uterus and prevent a
postpartum hemorrhage--this intervention has the highest priority.
2
, 8. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
To help preserve cardiac reserves, the woman may need to restrict her activities
and complete bedrest is often prescribed.
9. The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2
hours after birth to prevent ophthalmic neonatorum, an infection caused by
gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia. The
infant may be exposed to these bacteria when passing through the birth canal.
10. The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates
the occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises
24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary
3
TEST BANK V1, V2,
V3, V4, V5 & V6 | VERIFIED QUESTIONS & CORRECT
ANSWERS 2026/2027
1. Which nursing intervention is most helpful in relieving postpartum uterine contractions
or "afterpains?"
Lying prone with a pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with multiparas,
who commonly experience afterpains due to lack of uterine tone.
2. Which maternal behavior is the nurse most lOMloA R cik PSD| 807 6
953 ely to see when a new
mother receives her infant for the first time?
Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate behaviors
described in during the first visit with the newborn, which may be at delivery or
later.
,3. A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms.
Which assessment finding indicates the therapeutic drug level has been achieved?
A decreased in respiratory rate from 24 to 16
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.)
4. Urinary output must be monitored when administering magnesium sulfate and should
be at least 3 0 ml per hour. (The therapeutic level of magnesium sulfate for a PIH
client is 4.8 to 9.6 mg/dl.) What is the therapeutic level of magnesium sulfate?
The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl.
What does it help prevent? helps prevent seizures What indicates toxic levels?
3
Respiratory rate below 12 indicates toxic effects.
Urine output of less than 100 ml/4 hours Absent DTRs
5. Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to 90/60. What action should the nurse take?
Place woman in a lateral position
The nurse should immediately turn the woman to a lateral position, place a pillow
or wedge under the right hip to deflect the uterus, increase the rate of the main
line IV infusion, and administer oxygen by face mask at 10-12 L/min. If the blood
1
, pressure remains low, especially if it further decreases, the
anesthesiologist/healthcare provider should be notified immediately.
6. A client at 28-weeks gestation calls the antepartum clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright red.
She further states that she is not experiencing any uterine contractions or abdominal
pain. What instruction should the nurse
provide?
Come to the clinic today for an ultrasound
oA R cPSD| 80 76953
Third trimester painless bleeding is charact er istic of a placenta previa. Bright
red bleeding may
lOM be intermittent, occur in gushes, or be
continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
7. An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while
her husband is screaming for someone to help his wife. Which intervention has the
highest priority?
Put the newborn to breast
Putting the newborn to breast will help contract the uterus and prevent a
postpartum hemorrhage--this intervention has the highest priority.
2
, 8. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
To help preserve cardiac reserves, the woman may need to restrict her activities
and complete bedrest is often prescribed.
9. The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2
hours after birth to prevent ophthalmic neonatorum, an infection caused by
gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia. The
infant may be exposed to these bacteria when passing through the birth canal.
10. The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates
the occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises
24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary
3
