Page 1 of 75
HESI Review Test-Maternity, Evolve Obstetrics Questions
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
The nurse observes a new mother avoiding eye contact with her newborn.
Which action should the nurse take?
Observe the mother for other attachment behaviors.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose?
Screen for neural tube defects.
What action should the nurse implement to decrease the client's risk for
hemorrhage after a cesarean section?
Check the firmness of the uterus every 15 minutes.
The nurse attempts to help an unmarried teenager deal with her feelings
following a spontaneous abortion at 8-weeks gestation. What type of
emotional response should the nurse anticipate?
Grief related to her perceptions about the loss of this child.
The nurse is assessing a 3-day old infant with a cephalohematoma in the
newborn nursery. Which assessment finding should the nurse report to the
healthcare provider?
, Page 2 of 75
Yellowish tinge to the skin.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
At 30-weeks gestation is closest to the time parents would be ready for such classes.
Learning is facilitated by an interested pupil! The couple is most interested in
childbirth toward the end of the pregnancy when they are psychologically ready for
the termination of the pregnancy, and the birth of their child is an immediate concern.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
Epigastric pain (C) is indicative of an edematous liver or pancreas which is an early
warning sign of an impending convulsion (eclampsia) and requires immediate
attention.
A client is admitted with the diagnosis of total placenta previa. Which finding
is most important for the nurse to report to the healthcare provider
immediately?
Onset of uterine contractions.
A client who is in the second trimester of pregnancy tells the nurse that she
wants to use herbal therapy. Which response is best for the nurse to provide?
It is important that you want to take part in your care.
A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which postprocedure complaint
indicates that the fallopian tubes are patent?
, Page 3 of 75
If the tubes are patent (open), pain is referred to the shoulder (C) from a
subdiaphragmatic collection of peritoneal dye/gas.
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pads are
completely saturated and the client is lying in a 6-inch diameter pool of blood.
Which action should the nurse implement next?
Palpate the firmness of the fundus.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse
take immediately?
Methergine is contraindicated for clients with elevated blood pressure, so the nurse
should contact the healthcare provider and question the prescription (D).
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client?
Do you have a history of rheumatic fever? Clients with a history of rheumatic fever
(D) may develop mitral valve prolapse, which increases the risk for cardiac
decompensation due to the increased blood volume that occurs during pregnancy,
so obtaining information about this client's health history is a priority.
A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to
augment labor. Which adverse effect should the nurse monitor for during the
infusion of Pitocin?
, Page 4 of 75
Pitocin causes the uterine myofibril to contract, so unless the infusion is closely
monitored, the client is at risk for hyperstimulation (B) which can lead to tetanic
contractions, uterine rupture, and fetal distress or demise.
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data
indicates to the nurse that the client is experiencing magnesium sulfate
toxicity?
Urine output 90 ml/4 hours. Urine outputs of less than 100 ml/4 hours (D), absent
DTRs, and a respiratory rate of less than 12 breaths/minute are cardinal signs of
magnesium sulfate toxicity.
The nurse is planning preconception care for a new female client. Which
information should the nurse provide the client?
Encourage healthy lifestyles for families desiring pregnancy. Planning for pregnancy
begins with healthy lifestyles in the family (D) which is an intervention in
preconception care that targets an overall goal for a client preparing for pregnancy.
A multigravida client at 41-weeks gestation presents in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
Biophysical profile (BPP). BPP (A) provides data regarding fetal risk surveillance by
examining 5 areas: fetal breathing movements, fetal movements, amniotic fluid
volume, and fetal tone and heart rate.
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
HESI Review Test-Maternity, Evolve Obstetrics Questions
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
The nurse observes a new mother avoiding eye contact with her newborn.
Which action should the nurse take?
Observe the mother for other attachment behaviors.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose?
Screen for neural tube defects.
What action should the nurse implement to decrease the client's risk for
hemorrhage after a cesarean section?
Check the firmness of the uterus every 15 minutes.
The nurse attempts to help an unmarried teenager deal with her feelings
following a spontaneous abortion at 8-weeks gestation. What type of
emotional response should the nurse anticipate?
Grief related to her perceptions about the loss of this child.
The nurse is assessing a 3-day old infant with a cephalohematoma in the
newborn nursery. Which assessment finding should the nurse report to the
healthcare provider?
, Page 2 of 75
Yellowish tinge to the skin.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
At 30-weeks gestation is closest to the time parents would be ready for such classes.
Learning is facilitated by an interested pupil! The couple is most interested in
childbirth toward the end of the pregnancy when they are psychologically ready for
the termination of the pregnancy, and the birth of their child is an immediate concern.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
Epigastric pain (C) is indicative of an edematous liver or pancreas which is an early
warning sign of an impending convulsion (eclampsia) and requires immediate
attention.
A client is admitted with the diagnosis of total placenta previa. Which finding
is most important for the nurse to report to the healthcare provider
immediately?
Onset of uterine contractions.
A client who is in the second trimester of pregnancy tells the nurse that she
wants to use herbal therapy. Which response is best for the nurse to provide?
It is important that you want to take part in your care.
A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which postprocedure complaint
indicates that the fallopian tubes are patent?
, Page 3 of 75
If the tubes are patent (open), pain is referred to the shoulder (C) from a
subdiaphragmatic collection of peritoneal dye/gas.
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pads are
completely saturated and the client is lying in a 6-inch diameter pool of blood.
Which action should the nurse implement next?
Palpate the firmness of the fundus.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse
take immediately?
Methergine is contraindicated for clients with elevated blood pressure, so the nurse
should contact the healthcare provider and question the prescription (D).
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client?
Do you have a history of rheumatic fever? Clients with a history of rheumatic fever
(D) may develop mitral valve prolapse, which increases the risk for cardiac
decompensation due to the increased blood volume that occurs during pregnancy,
so obtaining information about this client's health history is a priority.
A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to
augment labor. Which adverse effect should the nurse monitor for during the
infusion of Pitocin?
, Page 4 of 75
Pitocin causes the uterine myofibril to contract, so unless the infusion is closely
monitored, the client is at risk for hyperstimulation (B) which can lead to tetanic
contractions, uterine rupture, and fetal distress or demise.
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data
indicates to the nurse that the client is experiencing magnesium sulfate
toxicity?
Urine output 90 ml/4 hours. Urine outputs of less than 100 ml/4 hours (D), absent
DTRs, and a respiratory rate of less than 12 breaths/minute are cardinal signs of
magnesium sulfate toxicity.
The nurse is planning preconception care for a new female client. Which
information should the nurse provide the client?
Encourage healthy lifestyles for families desiring pregnancy. Planning for pregnancy
begins with healthy lifestyles in the family (D) which is an intervention in
preconception care that targets an overall goal for a client preparing for pregnancy.
A multigravida client at 41-weeks gestation presents in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
Biophysical profile (BPP). BPP (A) provides data regarding fetal risk surveillance by
examining 5 areas: fetal breathing movements, fetal movements, amniotic fluid
volume, and fetal tone and heart rate.
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
