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Rn Hesi Maternity Exam 2026 |
Comprehensive Q&A For Certification
Success
A new mother calls the nurse stating that she wants to start feeding her 6-month-
old child something besides breast milk, but is concerned that the infant is too
young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
correct-answer -D. reassure the mother that the infant is old enough to eat iron-
fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes
a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
,2
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - correct-answer -D. Change the maternal
position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies -
correct-answer -D. RhoGam prevents maternal antibody formation for future Rh-
positive babies
A 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
A. Weak cry without any tears
B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - correct-answer -A. Weak cry
without any tears
,3
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
C. Stimulate the infant to cry
D. Turn the infant onto the right side - correct-answer -C. Stimulate the infant to
cry
A client at 40-weeks' gestation presents to the obstetrical floor and indicates that
the amniotic membranes ruptured spontaneously at home. She is in active labor
and feels the need to bear down and push. What information is most important
for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured. - correct-answer -C. color and
consistency of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic.
Which action should the nurse implement first?A. Administer morphine sulphate.
B. Start IV fluids.
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C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask. - correct-answer -C. Place the infant in a
knee-chest position
A one-day-old neonate develops a cephalohematoma. The nurse should closely
assess this neonate for which common complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia - correct-answer -A. jaundice
The nurse is reviewing the serum laboratory finding for a 5-day-old infant with
congenital adrenal hyperplasia. Which laboratory results should be reported to
the healthcare provider immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L - correct-answer -D. Sodium of 119 mEq/L
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal
heart rate (FHR) has remained nonreactive during the 30 minutes of evaluation.
Based on this finding, which action should the nurse implement?
Rn Hesi Maternity Exam 2026 |
Comprehensive Q&A For Certification
Success
A new mother calls the nurse stating that she wants to start feeding her 6-month-
old child something besides breast milk, but is concerned that the infant is too
young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
correct-answer -D. reassure the mother that the infant is old enough to eat iron-
fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes
a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
,2
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - correct-answer -D. Change the maternal
position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies -
correct-answer -D. RhoGam prevents maternal antibody formation for future Rh-
positive babies
A 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
A. Weak cry without any tears
B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - correct-answer -A. Weak cry
without any tears
,3
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
C. Stimulate the infant to cry
D. Turn the infant onto the right side - correct-answer -C. Stimulate the infant to
cry
A client at 40-weeks' gestation presents to the obstetrical floor and indicates that
the amniotic membranes ruptured spontaneously at home. She is in active labor
and feels the need to bear down and push. What information is most important
for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured. - correct-answer -C. color and
consistency of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic.
Which action should the nurse implement first?A. Administer morphine sulphate.
B. Start IV fluids.
, 4
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask. - correct-answer -C. Place the infant in a
knee-chest position
A one-day-old neonate develops a cephalohematoma. The nurse should closely
assess this neonate for which common complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia - correct-answer -A. jaundice
The nurse is reviewing the serum laboratory finding for a 5-day-old infant with
congenital adrenal hyperplasia. Which laboratory results should be reported to
the healthcare provider immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L - correct-answer -D. Sodium of 119 mEq/L
At 39-weeks gestation, a multigravida is having a non-stress test (NST). The fetal
heart rate (FHR) has remained nonreactive during the 30 minutes of evaluation.
Based on this finding, which action should the nurse implement?
