HESI Maternal Child 2026 Practice Questions +
Detailed Answers (High-Yield Exam Prep)
Which piece of equipment does the nurse use to assess the
fetal heartbeat?
- CORRECT ANSWER
-Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of
appetite, weight loss, and fatigue, and tuberculosis is suspected. A
sputum culture reveals Mycobacterium tuberculosis. The nurse,
providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that:
- CORRECT ANSWER
-The mother may need to take isoniazid (INH), pyrazinamide, and
rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester
into lithotomy position on the examining table in the
obstetrician's office. The client suddenly becomes dizzy,
lightheaded, nauseated, and pale. The nurse immediately:
- CORRECT ANSWER
-Positions the client on her side
,A nurse is monitoring a client who was given an epidural opioid
for a cesarean birth. The nurse notes that the client's oxygen
saturation on pulse oximetry is 92%. The nurse first:
- CORRECT ANSWER
-Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to
determine whether labor has begun. For which sign of true labor does
the nurse assess the client?
- CORRECT ANSWER
-Contractions that begin in the lower abdomen and back and radiate
over the entire abdomen
Placental abruption is suspected in a client who is experiencing
vaginal bleeding. On assessment, which of the following findings
would the nurse expect to note?
- CORRECT ANSWER
-Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive
pregnant woman during the 32nd week of gestation. Which
finding requires further follow-up?
- CORRECT ANSWER
-Increased shortness of breath and bilateral crackles in the lungs
,A nurse is changing the diaper of a 1-day-old full-term female
newborn. The nurse notes that the labia are edematous and darker
than the surrounding skin and that a white mucous vaginal
discharge is present. On the basis of these findings, the nurse
determines that the appropriate action is:
- CORRECT ANSWER
-Documenting the findings (normal findings)
A nurse assessing a pregnant woman in labor notes the presence of
early decelerations on the fetal monitor tracing. Which of the
following situations would the nurse suspect in light of this
observation?
-CORRECT ANSWER
-Pressure on the fetal head during a contraction
A rubella antibody screen is performed in a pregnant client, and
the results indicate that the client is not immune to rubella. The
nurse tells the client that:
- CORRECT ANSWER
-A rubella vaccine must be administered after childbirth
A nurse is told that a newborn with myelomeningocele will be
admitted to the newborn nursery. In which position does the nurse
plan to place the infant?
, - CORRECT ANSWER
-Prone (to prevent pressure on the sac until surgical repair can be
performed)
Normal respiratory rate for a newborn infant
- CORRECT ANSWER
-30 to 60 breaths/min
A nurse is caring for a client experiencing a partial placental
abruption. The client is uncooperative, refusing any interventions
until her husband arrives at the hospital. The nurse analyzes the
client's behavior as most likely the result of:
- CORRECT ANSWER
-Anxiety and the need for support
Detailed Answers (High-Yield Exam Prep)
Which piece of equipment does the nurse use to assess the
fetal heartbeat?
- CORRECT ANSWER
-Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of
appetite, weight loss, and fatigue, and tuberculosis is suspected. A
sputum culture reveals Mycobacterium tuberculosis. The nurse,
providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that:
- CORRECT ANSWER
-The mother may need to take isoniazid (INH), pyrazinamide, and
rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester
into lithotomy position on the examining table in the
obstetrician's office. The client suddenly becomes dizzy,
lightheaded, nauseated, and pale. The nurse immediately:
- CORRECT ANSWER
-Positions the client on her side
,A nurse is monitoring a client who was given an epidural opioid
for a cesarean birth. The nurse notes that the client's oxygen
saturation on pulse oximetry is 92%. The nurse first:
- CORRECT ANSWER
-Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to
determine whether labor has begun. For which sign of true labor does
the nurse assess the client?
- CORRECT ANSWER
-Contractions that begin in the lower abdomen and back and radiate
over the entire abdomen
Placental abruption is suspected in a client who is experiencing
vaginal bleeding. On assessment, which of the following findings
would the nurse expect to note?
- CORRECT ANSWER
-Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive
pregnant woman during the 32nd week of gestation. Which
finding requires further follow-up?
- CORRECT ANSWER
-Increased shortness of breath and bilateral crackles in the lungs
,A nurse is changing the diaper of a 1-day-old full-term female
newborn. The nurse notes that the labia are edematous and darker
than the surrounding skin and that a white mucous vaginal
discharge is present. On the basis of these findings, the nurse
determines that the appropriate action is:
- CORRECT ANSWER
-Documenting the findings (normal findings)
A nurse assessing a pregnant woman in labor notes the presence of
early decelerations on the fetal monitor tracing. Which of the
following situations would the nurse suspect in light of this
observation?
-CORRECT ANSWER
-Pressure on the fetal head during a contraction
A rubella antibody screen is performed in a pregnant client, and
the results indicate that the client is not immune to rubella. The
nurse tells the client that:
- CORRECT ANSWER
-A rubella vaccine must be administered after childbirth
A nurse is told that a newborn with myelomeningocele will be
admitted to the newborn nursery. In which position does the nurse
plan to place the infant?
, - CORRECT ANSWER
-Prone (to prevent pressure on the sac until surgical repair can be
performed)
Normal respiratory rate for a newborn infant
- CORRECT ANSWER
-30 to 60 breaths/min
A nurse is caring for a client experiencing a partial placental
abruption. The client is uncooperative, refusing any interventions
until her husband arrives at the hospital. The nurse analyzes the
client's behavior as most likely the result of:
- CORRECT ANSWER
-Anxiety and the need for support
