FORTIS PN MATERNITY HESI ACTUAL EXAM 2025/2026 COMPLETE ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED SOLUTIONS) CURRENTLY
UPDATED VERSION
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN)
explain to a client in the first trimester? (Select all that apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - Correct Answer ✔✔1. Displacement of the colon.
5. Decrease in peristalsis.
During pregnancy, the enlarging uterus compresses and displaces the colon (A), which leads to a
decrease in peristalsis (E), which contribute to constipation during pregnancy. (B, C, D, and F) do
not cause constipation in pregnancy.
Which intervention should the practical nurse (PN) provide a neonate during hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. - Correct Answer ✔✔2. Offer the
neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral stimulation using a pacifier
(B). (A , C and D) are not indicated for a neonate.
Which client is a candidate for the administration of human immune globulin (RhoGam) after
delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
, 3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. - Correct Answer ✔✔4. The Rh-
negative mother who delivers a Rh-positive baby.
RhoGam is a human immune globulin that prevents the formation of anti-Rh antibodies in an
Rh-negative mother who has given birth to an Rh-positive infant (D). (A, B, or C) are not
candidates for RhoGam.
A client who took iron supplements during pregnancy delivers an infant by cesarean section. On
the second postpartum day, the client reports having a constipated stool that is greenish-black
in color. Which action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. - Correct Answer ✔✔3. Record color and
consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-black color in stool,
which should be documented (C) as an expected finding. (A, B, and D) are not indicated at this
time.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria (PKU)
test is positive. What type of treatment should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. - Correct Answer ✔✔3. Lifelong dietary management
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED SOLUTIONS) CURRENTLY
UPDATED VERSION
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN)
explain to a client in the first trimester? (Select all that apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - Correct Answer ✔✔1. Displacement of the colon.
5. Decrease in peristalsis.
During pregnancy, the enlarging uterus compresses and displaces the colon (A), which leads to a
decrease in peristalsis (E), which contribute to constipation during pregnancy. (B, C, D, and F) do
not cause constipation in pregnancy.
Which intervention should the practical nurse (PN) provide a neonate during hospitalization?
1. Provide play activities in the hospital room.
2. Offer the neonate a pacifier between feedings.
3. Assign the neonate to a room with other neonates.
4. Request that parents bring security object from home. - Correct Answer ✔✔2. Offer the
neonate to a room with other neonates.
The neonate needs opportunities for nonnutritive sucking and oral stimulation using a pacifier
(B). (A , C and D) are not indicated for a neonate.
Which client is a candidate for the administration of human immune globulin (RhoGam) after
delivery?
1. The Rh-positive mother who delivers a Rh-positive baby.
2. The Rh-negative mother who delivers a Rh-negative baby.
, 3. The Rh-positive mother who delivers a Rh-negative baby.
4. The Rh-negative mother who delivers a Rh-positive baby. - Correct Answer ✔✔4. The Rh-
negative mother who delivers a Rh-positive baby.
RhoGam is a human immune globulin that prevents the formation of anti-Rh antibodies in an
Rh-negative mother who has given birth to an Rh-positive infant (D). (A, B, or C) are not
candidates for RhoGam.
A client who took iron supplements during pregnancy delivers an infant by cesarean section. On
the second postpartum day, the client reports having a constipated stool that is greenish-black
in color. Which action should the practical nurse (PN) implement?
1. Collect a stool sample for guaiac testing.
2. Administer a prescribed rectal suppository.
3. Record color and consistency of the stool.
4. Report the complaints to the charge nurse.
4. Report the complaints to the charge nurse. - Correct Answer ✔✔3. Record color and
consistency of the stool.
Iron supplements cause constipation and contribute to the dark green-black color in stool,
which should be documented (C) as an expected finding. (A, B, and D) are not indicated at this
time.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria (PKU)
test is positive. What type of treatment should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. - Correct Answer ✔✔3. Lifelong dietary management
