WGU RN HESI MATERNITY FINAL SPRING EXAMINATION 2026|
LABOR, POSTPARTUM, AND NEWBORN QUESTIONS WITH
RATIONALES
FACULTY OF HEALTH SCIENCES
HIGH GRADED EXAMINATION TEST LATEST UPDATED
2025\2026
PASS GUARANTEED | GRADE A+
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents in the
grieving process which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
,D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate
500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour
should the nurse program the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the
nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse respond?
(Select all that apply)
A. Explain that newborns get milk from their mothers in this way
,B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be
used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
D. Place the infant in warm room and use a calm approach
The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor.
What maternal prescription is most important in preventing this fetus from developing
respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
A. Betamethasone (Celestone) 12 mg deep IM
, A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a
severe frontal headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment,
the nurse notes the client's temperature to be 101.2F, with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
LABOR, POSTPARTUM, AND NEWBORN QUESTIONS WITH
RATIONALES
FACULTY OF HEALTH SCIENCES
HIGH GRADED EXAMINATION TEST LATEST UPDATED
2025\2026
PASS GUARANTEED | GRADE A+
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents in the
grieving process which intervention is most for the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
,D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate
500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour
should the nurse program the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the
nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse respond?
(Select all that apply)
A. Explain that newborns get milk from their mothers in this way
,B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be
used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
D. Place the infant in warm room and use a calm approach
The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor.
What maternal prescription is most important in preventing this fetus from developing
respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
A. Betamethasone (Celestone) 12 mg deep IM
, A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a
severe frontal headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment,
the nurse notes the client's temperature to be 101.2F, with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
