RN HESI MATERNITY COMPREHENSIVE
REVIEW QUESTIONS AND CORRECT
ANSWERS 2026
▶ Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having the
desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema Answer: D. Reduction of edema
▶ The nurse is conducting postpartum teaching with a mother who is
breastfeeding here infant. When discussing birth control, which method
should the nurse recommend to this client as beneficial for her to use in
preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. Answer: B.
Condoms and contraceptive foam or gel
▶ One day after a vaginal delivery of a full-term baby, a postpartum client's
white blood cell count is 15,000/mm2. What action should the nurse take
first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma.
Answer: A. Check he differential, since the WBC is normal for this client.
▶ The parents of a newborn tell the nurse that their baby is already trying
to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
,D. Explain the newborn's normal stepping reflex. Answer: D. Explain the
newborn's normal stepping reflex.
▶ A breastfeeding infant, screened for congenital hypothyroidism, is found
to have low levels of thyroxine (t4) and high levels of thyroid stimulating
hormone (TSH)/ What is the best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for
several weeks after birth
D. The TSH is high because of the low production of T4 by the thyroid.
Answer: D. The TSH is high because of the low production of T4 by the
thyroid.
▶ The nurse is assessing a 2-hour-old infant born by cesarean delivery at
39-weeks gestation. Which assessment finding should receive the highest
priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl Answer: C. Respiratory rate 76 breaths/min
▶ At 20-weeks gestation, a client who has gained 20 pounds during this
pregnancy tells the nurse that she is feeling fetal movement. Fundal height
measurement is 20 cm, and the clients only complaint is that her breasts
are leaking clear fluid. Which assessment finding warrants further
evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts Answer: B. Gestational weight gain
▶ The nurse is planning discharge teaching for a client who had an
evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to
include in this client's teaching plan? Answer: Oral contraceptive use for at
least one year.
, ▶ A pregnant woman in the first trimester of pregnancy has a hemoglobin
of 8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse
encourage this client to include in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese Answer: B. Chicken
▶ The newborn nursery admission protocol includes a prescption for
phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon
admission. The ampoule provides 2 mg/ml. How
many ml should the nurse administer? Answer: 0.3
▶ The nurse places one hand above the symphysis while massaging the
fundus of a multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information
should the nurse provide the client about this finding? Answer: Both the
lower uterine segment and the fundus must be massaged.
▶ The nurse is preparing to administer methylergonovine maleate
(Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign Answer: C. Blood pressure 149/90
▶ At 6-weeks gestation, the rubella titer of a client indicates she is non-
immune. When is the best time
to administer a rubella vaccine to this client? Answer: Early postpartum,
within 72 hours of delivery.
▶ A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion
rate
is increased?
A. Pain level
B. Blood pressure
REVIEW QUESTIONS AND CORRECT
ANSWERS 2026
▶ Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having the
desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema Answer: D. Reduction of edema
▶ The nurse is conducting postpartum teaching with a mother who is
breastfeeding here infant. When discussing birth control, which method
should the nurse recommend to this client as beneficial for her to use in
preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. Answer: B.
Condoms and contraceptive foam or gel
▶ One day after a vaginal delivery of a full-term baby, a postpartum client's
white blood cell count is 15,000/mm2. What action should the nurse take
first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma.
Answer: A. Check he differential, since the WBC is normal for this client.
▶ The parents of a newborn tell the nurse that their baby is already trying
to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
,D. Explain the newborn's normal stepping reflex. Answer: D. Explain the
newborn's normal stepping reflex.
▶ A breastfeeding infant, screened for congenital hypothyroidism, is found
to have low levels of thyroxine (t4) and high levels of thyroid stimulating
hormone (TSH)/ What is the best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for
several weeks after birth
D. The TSH is high because of the low production of T4 by the thyroid.
Answer: D. The TSH is high because of the low production of T4 by the
thyroid.
▶ The nurse is assessing a 2-hour-old infant born by cesarean delivery at
39-weeks gestation. Which assessment finding should receive the highest
priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl Answer: C. Respiratory rate 76 breaths/min
▶ At 20-weeks gestation, a client who has gained 20 pounds during this
pregnancy tells the nurse that she is feeling fetal movement. Fundal height
measurement is 20 cm, and the clients only complaint is that her breasts
are leaking clear fluid. Which assessment finding warrants further
evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts Answer: B. Gestational weight gain
▶ The nurse is planning discharge teaching for a client who had an
evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to
include in this client's teaching plan? Answer: Oral contraceptive use for at
least one year.
, ▶ A pregnant woman in the first trimester of pregnancy has a hemoglobin
of 8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse
encourage this client to include in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese Answer: B. Chicken
▶ The newborn nursery admission protocol includes a prescption for
phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon
admission. The ampoule provides 2 mg/ml. How
many ml should the nurse administer? Answer: 0.3
▶ The nurse places one hand above the symphysis while massaging the
fundus of a multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information
should the nurse provide the client about this finding? Answer: Both the
lower uterine segment and the fundus must be massaged.
▶ The nurse is preparing to administer methylergonovine maleate
(Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign Answer: C. Blood pressure 149/90
▶ At 6-weeks gestation, the rubella titer of a client indicates she is non-
immune. When is the best time
to administer a rubella vaccine to this client? Answer: Early postpartum,
within 72 hours of delivery.
▶ A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion
rate
is increased?
A. Pain level
B. Blood pressure
