HESI MATERNITY EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of
gestation in preterm labor. She is given three doses of terbutaline sulfate
(Brethine), 0.25 mg subcutaneously, to stop her labor contractions. What are the
primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - Correct Answer-C.Tachycardia and a
feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergic receptors in the uterine muscle to stop contractions.
The beta-adrenergic agonist properties of the drug may cause tachycardia,
increased cardiac output, restlessness, headache, and a feeling of nervousness.
Option A is not a side effect. Options B and D are side effects of magnesium
sulfate.
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, HESI Maternity Exam Prep Test bank
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - Correct Answer-
C.Ensure that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of
the infant on the breast for latching on. The baby's body is in alignment with the
ears, shoulders, and hips in a straight line, with the nose, cheeks, and chin
touching the breast. Option A helps prevent chafing, and nonbinding support aids
in prevention of discomfort from the stretching of the Cooper ligament. Option B is
important but is not necessary for all women. Option D helps soften an engorged
breast and encourages correct infant latching on but is not the best answer.
A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting enough to
eat."
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, HESI Maternity Exam Prep Test bank
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten
times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems
hungry."
D."If you're concerned, you might consider bottle feeding so that you can monitor
intake." - Correct Answer-B."Your milk is sufficient if the baby is voiding pale,
straw-colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6 to 10
times/day), if the infant is adequately hydrated. Although a weight gain of 30
g/day is indicative of adequate nutrition, most home scales do not measure this
accurately, and the suggestion will likely make the mother anxious. Option C
causes nipple confusion and diminishes the mother's milk production. Option D
does not address the client's question.
An expectant father tells the nurse he fears that his wife is "losing her mind." He
states that she is constantly rubbing her abdomen and talking to the baby and
that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
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, HESI Maternity Exam Prep Test bank
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - Correct Answer-
D) Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect
ambivalence. No intervention is needed. Quickening, the first perception of fetal
movement, occurs at 17 to 20 weeks of gestation and begins a new phase of
prenatal bonding during the second trimester. Options A and C are not necessary
because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which
information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - Correct Answer-C. Fetal heart rate (FHR)
Rationale:
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