MATERNITY HESI TEST II LEARNING
WORKBOOK 2026 PREGNANCY LABOR
DELIVERY AND POSTPARTUM CARE
◉ A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
Answer: Infant's condition at birth and treatment received.
◉ A client at 32-weeks gestation is diagnosed with preeclampsia.
Which assessment finding is most indicative of an impending
convulsion?
Answer: Epigastric pain
◉ convulsion
Answer: any sudden and violent contraction of one or more
voluntary muscles
◉ A female client with insulin-dependent diabetes arrives at the
clinic seeking a plan to get pregnant in approximately 6 months. She
tells the nurse that she wants to have an uncomplicated pregnancy
and a healthy baby. What information should the nurse share with
the client?
,Answer: "Maintain blood sugar levels in a constant range within
normal limits during pregnancy."
◉ A client at 30-weeks gestation, complaining of pressure over the
pubic area, is admitted for observation. She is contracting irregularly
and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based
on these data, which intervention should the nurse implement first?
Answer: Obtain a specimen for urine analysis.
◉ The nurse is caring for a woman with a previously diagnosed
heart disease who is in the second stage of labor. Which assessment
findings are of greatest concern?
Answer: Edema, basilar rales, and an irregular pulse
◉ The nurse is planning preconception care for a new female client.
Which information should the nurse provide the client?
Answer: Encourage healthy lifestyles for families desiring pregnancy.
◉ The nurse is assessing the umbilical cord of a newborn. Which
finding constitutes a normal finding?
Answer: three vessels 2 arteries one vein
, ◉ The nurse caring for a laboring client encourages her to void at
least q2h, and records each time the client empties her bladder.
What is the primary reason for implementing this nursing
intervention?
Answer: An over-distended bladder could be traumatized during
labor, as well as prolong the progress of labor.
◉ 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?
Answer: hyperstimulation
◉ A multigravida client arrives at the labor and delivery unit and tell
the nurse that her "bag of water" has broken. The nurse identifies
the presence of meconium fluid on the perineum and determines the
fetal heart rate is between 140 to 150 beats/minute. What action
should the nurse implement next?
Answer: complete sterile vaginal exam
◉ 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 pad are completely saturated and the client is lying in a 6-
inch diameter pool of blood. Which action should the nurse
implement next?
Answer: Palpate the firmness of the fundus.
WORKBOOK 2026 PREGNANCY LABOR
DELIVERY AND POSTPARTUM CARE
◉ A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
Answer: Infant's condition at birth and treatment received.
◉ A client at 32-weeks gestation is diagnosed with preeclampsia.
Which assessment finding is most indicative of an impending
convulsion?
Answer: Epigastric pain
◉ convulsion
Answer: any sudden and violent contraction of one or more
voluntary muscles
◉ A female client with insulin-dependent diabetes arrives at the
clinic seeking a plan to get pregnant in approximately 6 months. She
tells the nurse that she wants to have an uncomplicated pregnancy
and a healthy baby. What information should the nurse share with
the client?
,Answer: "Maintain blood sugar levels in a constant range within
normal limits during pregnancy."
◉ A client at 30-weeks gestation, complaining of pressure over the
pubic area, is admitted for observation. She is contracting irregularly
and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based
on these data, which intervention should the nurse implement first?
Answer: Obtain a specimen for urine analysis.
◉ The nurse is caring for a woman with a previously diagnosed
heart disease who is in the second stage of labor. Which assessment
findings are of greatest concern?
Answer: Edema, basilar rales, and an irregular pulse
◉ The nurse is planning preconception care for a new female client.
Which information should the nurse provide the client?
Answer: Encourage healthy lifestyles for families desiring pregnancy.
◉ The nurse is assessing the umbilical cord of a newborn. Which
finding constitutes a normal finding?
Answer: three vessels 2 arteries one vein
, ◉ The nurse caring for a laboring client encourages her to void at
least q2h, and records each time the client empties her bladder.
What is the primary reason for implementing this nursing
intervention?
Answer: An over-distended bladder could be traumatized during
labor, as well as prolong the progress of labor.
◉ 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?
Answer: hyperstimulation
◉ A multigravida client arrives at the labor and delivery unit and tell
the nurse that her "bag of water" has broken. The nurse identifies
the presence of meconium fluid on the perineum and determines the
fetal heart rate is between 140 to 150 beats/minute. What action
should the nurse implement next?
Answer: complete sterile vaginal exam
◉ 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 pad are completely saturated and the client is lying in a 6-
inch diameter pool of blood. Which action should the nurse
implement next?
Answer: Palpate the firmness of the fundus.
