NEW UPDATED EXAM SOLUTION QUESTIONS AND
ANSWER EXAMS FOR HESI PA 1 and 2 MATERNITY
PRACTICE QUESTIONS (2021-2022)
1. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT ANSWER 2.
HESI textbook ref pg: 689
2. A gravid client develops maternal hypotension following regional anesthesia. What
intervention(s) should the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position
3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT ANSWER 1, 3, 4, 5,
HESI textbook ref pg: 348
3. When assessing the integument of a 24 hour old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back and abdomen. What action
should the nurse implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
P a g e 1 | 30
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States indicates she
has not received any immunizations. Which immunization(s) should the nurse administer
at this time? Select all that apply.
1 H titi B
, P a g e 1 | 30
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States indicates she
has not received any immunizations. Which immunization(s) should the nurse administer
at this time? Select all that apply.
1. Hepatitis B
2. Chickenpox
3. Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4, 5,
HESI textbook ref pg:
5. Which client finding should the nurse document as a positive sign of pregnancy?
1. Last menstrual cycle occurred 2 months ago
2. Fetal heart tones heard with a doppler
3. Presence of braxton hicks contractions
4. A urine sample with a positive pregnancy test. - CORRECT ANSWER 2,
HESI textbook ref pg: 262
6. The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
Select all that apply.
1. Sterile vaginal spectrum
2. Lubricant
3. Litmus paper
4. An amnihook
5. A sterile glove
6. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5,
P a g e 2 | 30
HESI textbook ref pg: 702
7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment
the nurse determines the uterus is boggy and is displaced above and to the right of the
umbilicus. Which action should the nurse implement next?
1 Ob t l it l i
, P a g e 2 | 30
HESI textbook ref pg: 702
7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment
the nurse determines the uterus is boggy and is displaced above and to the right of the
umbilicus. Which action should the nurse implement next?
1. Observe maternal vital signs
2. Document the color of the lochia
3. Assist the client to the bathroom
4. Notify the healthcare provider - CORRECT ANSWER 3,
HESI textbook ref pg: 422
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical history
includes 3 live births at 39 weeks, 34 weeks and 35 weeks gestation. Using the GTPAL
system which designation is the most accurate summary of this client's obstetrical
history?
1. 4-1-2-0-3
2. 3-0-3-0-3
3. 4-3-1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER 1,
HESI textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the lower lumbar-
sacral area. What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques
3. Apply counter pressure against the sacrum
4. Assist the client in guided imagery - CORRECT ANSWER 3,
HESI textbook ref pg: 339
Davis textbook ref pg:
P a g e 3 | 30
10. A newborn infant is jaundiced due to Rh incompatibility. Which finding is most important
for the nurse to report to the healthcare provider?
1. Bilirubin
2. Hemoglobin
ANSWER EXAMS FOR HESI PA 1 and 2 MATERNITY
PRACTICE QUESTIONS (2021-2022)
1. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT ANSWER 2.
HESI textbook ref pg: 689
2. A gravid client develops maternal hypotension following regional anesthesia. What
intervention(s) should the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position
3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT ANSWER 1, 3, 4, 5,
HESI textbook ref pg: 348
3. When assessing the integument of a 24 hour old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back and abdomen. What action
should the nurse implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
P a g e 1 | 30
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States indicates she
has not received any immunizations. Which immunization(s) should the nurse administer
at this time? Select all that apply.
1 H titi B
, P a g e 1 | 30
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States indicates she
has not received any immunizations. Which immunization(s) should the nurse administer
at this time? Select all that apply.
1. Hepatitis B
2. Chickenpox
3. Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4, 5,
HESI textbook ref pg:
5. Which client finding should the nurse document as a positive sign of pregnancy?
1. Last menstrual cycle occurred 2 months ago
2. Fetal heart tones heard with a doppler
3. Presence of braxton hicks contractions
4. A urine sample with a positive pregnancy test. - CORRECT ANSWER 2,
HESI textbook ref pg: 262
6. The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
Select all that apply.
1. Sterile vaginal spectrum
2. Lubricant
3. Litmus paper
4. An amnihook
5. A sterile glove
6. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5,
P a g e 2 | 30
HESI textbook ref pg: 702
7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment
the nurse determines the uterus is boggy and is displaced above and to the right of the
umbilicus. Which action should the nurse implement next?
1 Ob t l it l i
, P a g e 2 | 30
HESI textbook ref pg: 702
7. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment
the nurse determines the uterus is boggy and is displaced above and to the right of the
umbilicus. Which action should the nurse implement next?
1. Observe maternal vital signs
2. Document the color of the lochia
3. Assist the client to the bathroom
4. Notify the healthcare provider - CORRECT ANSWER 3,
HESI textbook ref pg: 422
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical history
includes 3 live births at 39 weeks, 34 weeks and 35 weeks gestation. Using the GTPAL
system which designation is the most accurate summary of this client's obstetrical
history?
1. 4-1-2-0-3
2. 3-0-3-0-3
3. 4-3-1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER 1,
HESI textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the lower lumbar-
sacral area. What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques
3. Apply counter pressure against the sacrum
4. Assist the client in guided imagery - CORRECT ANSWER 3,
HESI textbook ref pg: 339
Davis textbook ref pg:
P a g e 3 | 30
10. A newborn infant is jaundiced due to Rh incompatibility. Which finding is most important
for the nurse to report to the healthcare provider?
1. Bilirubin
2. Hemoglobin
