NU472 HESI Obstetrics
Maternity Practice Exam
2026 | 103 Questions &
Answers
| Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,A primigravida at 40-weeks gestation is receiving o Hyperstimulation.
oxytocin (Pitocin) to augment labor. Which adverse effect · Pitocin causes the uterine myofibril to contract, so unless the infusion is closely
should the nurse monitor for during the infusion of monitored, the client is at risk for hyperstimulation which can lead to tetanic
Pitocin? contractions, uterine rupture, and fetal distress or demise.
o Dehydration.
o Hyperstimulation.
o Galactorrhea.
o Fetal tachycardia.
The nurse is preparing to give an enema to a laboring o A 40-week primigravida who is at 6 cm cervical dilatation and the presenting
client. Which client would require the most caution when part is not engaged.
carrying out this procedure? · When the presenting part is ballottable, it is floating out of the pelvis. In such a
o A gravida 6, para 5 who is 38 years of age and in early situation, the cord can descend before the fetus causing a prolapsed cord, which
labor. is an emergency situation.
o A 37-week primigravida who presents at 100%
effacement, 3 cm cervical dilatation, and a -1 station.
o A gravida 2, para 1 who is at 1 cm cervical dilatation and
a 0 station admitted for induction of labor due to post
dates.
o A 40-week primigravida who is at 6 cm cervical
dilatation and the presenting part is not engaged.
What action should the nurse implement to decrease the o Check the firmness of the uterus every 15 minutes.
client's risk for hemorrhage after a cesarean section? · A client's risk of postpartal hemorrhage is decreased when the uterus is firm after
o Monitor urinary output via an indwelling catheter. delivery of the infant. Assessment of fundus consistency q15 minutes provides
o Assess the abdominal dressings for drainage. frequent intervals to stimulate the fundus to contract and prevent bleeding.
o Give the Ringer's Lactated infusion at 125 ml/hr.
o Check the firmness of the uterus every 15 minutes.
A client at 32-weeks gestation comes to the prenatal o "Do you have a history of rheumatic fever?"
clinic with complaints of pedal edema, dyspnea, fatigue, · Obtaining a client's health history is a priority because clients with a history of
and a moist cough. Which question is most important for rheumatic fever may develop mitral valve prolapse, which increases the risk for
the nurse to ask this client? cardiac decompensation due to the increased blood volume that occurs during
o "Which symptom did you experience first?" pregnancy.
o "Are you eating large amounts of salty foods?"
o "Have you visited a foreign country recently?"
o "Do you have a history of rheumatic fever?"
A client who has an autosomal dominant inherited o Each pregnancy carries a 50% chance of inheriting the disorder.
disorder is exploring family planning options and the risk · According to the laws of inheritance, an autosomal dominant disorder has a 50%
of transmission of the disorder to an infant. The nurse's chance of being transmitted with each pregnancy, and if transmitted, the disorder
response should be based on what information? will appear in the child.
o Males inherit the disorder with a greater frequency than
females.
o Each pregnancy carries a 50% chance of inheriting the
disorder.
o The disorders can occur in 25% of pregnancies.
o All children will be carriers of the disorder.
, A client who gave birth to a healthy 8 pound infant 3 o Meet the mother's physical needs and demonstrate warmth toward the infant.
hours ago is admitted to the postpartum unit. Which · It is most important to meet the mother's requirement for attention to her needs
nursing plan is best in assisting this mother to bond with so that she can begin infant care-taking. Nurse theorist Reva Rubin describes the
her newborn infant? initial postpartal period as the "taking-in phase," which is characterized by
o Encourage the mother to provide total care for her maternal reliance on others to satisfy the needs for comfort, rest, nourishment,
infant. and closeness to families and the newborn.
o Provide privacy so the mother can develop a
relationship with the infant.
o Encourage the father to provide most of the infant's
care during hospitalization.
o Meet the mother's physical needs and demonstrate
warmth toward the infant.
An expectant father tells the nurse he fears that his wife o Let him know that these behaviors are part of normal maternal/fetal bonding
"is losing her mind." He states she is constantly rubbing which occur once the mother feels fetal movement.
her abdomen and talking to the baby, and that she · These behaviors are positive signs of maternal/fetal bonding and do not reflect
actually reprimands the baby when it moves too much. ambivalence. No intervention is needed. Quickening, the first perception of fetal
What recommendation should the nurse make to this movement, occurs at 17 to 20 weeks gestation and begins a new phase of prenatal
expectant father? bonding during the second trimester.
o Reassure him that these are normal reactions to
pregnancy and suggest that he discuss his concerns with
the childbirth education nurse.
o Help him to understand that his wife is experiencing
normal symptoms of ambivalence about the pregnancy
and no action is needed.
o Ask him to observe his wife's behavior carefully for the
next few weeks and report any similar behavior to the
nurse at the next prenatal visit.
o Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother
feels fetal movement.
A client who is attending antepartum classes asks the o It is difficult to consume 18 mg of additional iron by diet alone.
nurse why her healthcare provider has prescribed iron Consuming enough iron-containing foods to facilitate adequate fetal storage of
tablets. The nurse's response is based on what iron and to meet the demands of pregnancy is difficult so iron supplements are
knowledge? often recommended.
o Supplementary iron is more efficiently utilized during
pregnancy.
o It is difficult to consume 18 mg of additional iron by diet
alone.
o Iron absorption is decreased in the GI tract during
pregnancy.
o Iron is needed to prevent megaloblastic anemia in the
last trimester.
A newborn infant is brought to the nursery from the o Check the infant's oxygen saturation rate.
birthing suite. The nurse notices that the infant is · When possible, the nurse should first obtain measurable objective data; an
breathing satisfactorily but appears dusky. What action oxygen saturation rate provides such information.
should the nurse take first?
o Notify the pediatrician immediately.
o Suction the infant's nares, then the oral cavity.
o Check the infant's oxygen saturation rate.
o Position the infant on the right side.
Maternity Practice Exam
2026 | 103 Questions &
Answers
| Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,A primigravida at 40-weeks gestation is receiving o Hyperstimulation.
oxytocin (Pitocin) to augment labor. Which adverse effect · Pitocin causes the uterine myofibril to contract, so unless the infusion is closely
should the nurse monitor for during the infusion of monitored, the client is at risk for hyperstimulation which can lead to tetanic
Pitocin? contractions, uterine rupture, and fetal distress or demise.
o Dehydration.
o Hyperstimulation.
o Galactorrhea.
o Fetal tachycardia.
The nurse is preparing to give an enema to a laboring o A 40-week primigravida who is at 6 cm cervical dilatation and the presenting
client. Which client would require the most caution when part is not engaged.
carrying out this procedure? · When the presenting part is ballottable, it is floating out of the pelvis. In such a
o A gravida 6, para 5 who is 38 years of age and in early situation, the cord can descend before the fetus causing a prolapsed cord, which
labor. is an emergency situation.
o A 37-week primigravida who presents at 100%
effacement, 3 cm cervical dilatation, and a -1 station.
o A gravida 2, para 1 who is at 1 cm cervical dilatation and
a 0 station admitted for induction of labor due to post
dates.
o A 40-week primigravida who is at 6 cm cervical
dilatation and the presenting part is not engaged.
What action should the nurse implement to decrease the o Check the firmness of the uterus every 15 minutes.
client's risk for hemorrhage after a cesarean section? · A client's risk of postpartal hemorrhage is decreased when the uterus is firm after
o Monitor urinary output via an indwelling catheter. delivery of the infant. Assessment of fundus consistency q15 minutes provides
o Assess the abdominal dressings for drainage. frequent intervals to stimulate the fundus to contract and prevent bleeding.
o Give the Ringer's Lactated infusion at 125 ml/hr.
o Check the firmness of the uterus every 15 minutes.
A client at 32-weeks gestation comes to the prenatal o "Do you have a history of rheumatic fever?"
clinic with complaints of pedal edema, dyspnea, fatigue, · Obtaining a client's health history is a priority because clients with a history of
and a moist cough. Which question is most important for rheumatic fever may develop mitral valve prolapse, which increases the risk for
the nurse to ask this client? cardiac decompensation due to the increased blood volume that occurs during
o "Which symptom did you experience first?" pregnancy.
o "Are you eating large amounts of salty foods?"
o "Have you visited a foreign country recently?"
o "Do you have a history of rheumatic fever?"
A client who has an autosomal dominant inherited o Each pregnancy carries a 50% chance of inheriting the disorder.
disorder is exploring family planning options and the risk · According to the laws of inheritance, an autosomal dominant disorder has a 50%
of transmission of the disorder to an infant. The nurse's chance of being transmitted with each pregnancy, and if transmitted, the disorder
response should be based on what information? will appear in the child.
o Males inherit the disorder with a greater frequency than
females.
o Each pregnancy carries a 50% chance of inheriting the
disorder.
o The disorders can occur in 25% of pregnancies.
o All children will be carriers of the disorder.
, A client who gave birth to a healthy 8 pound infant 3 o Meet the mother's physical needs and demonstrate warmth toward the infant.
hours ago is admitted to the postpartum unit. Which · It is most important to meet the mother's requirement for attention to her needs
nursing plan is best in assisting this mother to bond with so that she can begin infant care-taking. Nurse theorist Reva Rubin describes the
her newborn infant? initial postpartal period as the "taking-in phase," which is characterized by
o Encourage the mother to provide total care for her maternal reliance on others to satisfy the needs for comfort, rest, nourishment,
infant. and closeness to families and the newborn.
o Provide privacy so the mother can develop a
relationship with the infant.
o Encourage the father to provide most of the infant's
care during hospitalization.
o Meet the mother's physical needs and demonstrate
warmth toward the infant.
An expectant father tells the nurse he fears that his wife o Let him know that these behaviors are part of normal maternal/fetal bonding
"is losing her mind." He states she is constantly rubbing which occur once the mother feels fetal movement.
her abdomen and talking to the baby, and that she · These behaviors are positive signs of maternal/fetal bonding and do not reflect
actually reprimands the baby when it moves too much. ambivalence. No intervention is needed. Quickening, the first perception of fetal
What recommendation should the nurse make to this movement, occurs at 17 to 20 weeks gestation and begins a new phase of prenatal
expectant father? bonding during the second trimester.
o Reassure him that these are normal reactions to
pregnancy and suggest that he discuss his concerns with
the childbirth education nurse.
o Help him to understand that his wife is experiencing
normal symptoms of ambivalence about the pregnancy
and no action is needed.
o Ask him to observe his wife's behavior carefully for the
next few weeks and report any similar behavior to the
nurse at the next prenatal visit.
o Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother
feels fetal movement.
A client who is attending antepartum classes asks the o It is difficult to consume 18 mg of additional iron by diet alone.
nurse why her healthcare provider has prescribed iron Consuming enough iron-containing foods to facilitate adequate fetal storage of
tablets. The nurse's response is based on what iron and to meet the demands of pregnancy is difficult so iron supplements are
knowledge? often recommended.
o Supplementary iron is more efficiently utilized during
pregnancy.
o It is difficult to consume 18 mg of additional iron by diet
alone.
o Iron absorption is decreased in the GI tract during
pregnancy.
o Iron is needed to prevent megaloblastic anemia in the
last trimester.
A newborn infant is brought to the nursery from the o Check the infant's oxygen saturation rate.
birthing suite. The nurse notices that the infant is · When possible, the nurse should first obtain measurable objective data; an
breathing satisfactorily but appears dusky. What action oxygen saturation rate provides such information.
should the nurse take first?
o Notify the pediatrician immediately.
o Suction the infant's nares, then the oral cavity.
o Check the infant's oxygen saturation rate.
o Position the infant on the right side.
