3/9/25, 9:55 AM Maternal and Neonatal
HESI V1 MATERNAL AND NEONATAL CARE EXAM 2025 WITH 150
WELL REVIEWED QUESTIONS
1. An RN and LPN are caring for a client who is about to undergo vacuum
extraction for ineffective pushing. Which of the following nursing actions
should be assigned to the LPN?
Assessing cervical dilatation
Assessing the progression of labor
Initiating IV access
Catheterizing the client before the procedure
2. What specific assessment finding in a term neonate should prompt the nurse
to contact the primary health care provider?
Slightly low birth weight
Mild jaundice
Unequally sized corneas
Normal heart rate
3. Which of the following assessment findings in a term neonate would cause
the nurse to notify the primary healthcare provider?
Red circle on pupils with ophthalmoscopic examination.
Unequally sized corneas.
Absence of tears.
Pupillary constriction to bright light.
1/46
,3/9/25, 9:55 AM Maternal and Neonatal
4. The nurse is preparing to teach a client how to conduct the basal body
temperature method to determine her fertile window. Which instruction
should the nurse prioritize?
Temperature should be taken prior to any activity each morning
You can have unprotected intercourse outside of your ovulation
window
This is the best method to determine ovulation window
This method is less effective than cervical mucus methods
5. Why is it important to burp a bottle-fed infant during feeding?
To release air swallowed during feeding and prevent discomfort.
To ensure the infant consumes more formula.
To help the infant sleep better after feeding.
To encourage the infant to finish the bottle.
6. Which condition would the nurse associate with regurgitation in a newborn
after feeding?
Immature cardiac sphincter
Low levels of pancreatic enzymes
Impaired rooting reflex
Gastrocolic reflex
7. Two hours ago, a neonate at 38 weeks gestation and weighing 3,175 g was
born to a primiparous client who tested positive for beta-hemolytic
Streptococcus. Which finding would alert the nurse to notify the HCP?
Temperature instability
Alkalosis
2/46
,3/9/25, 9:55 AM Maternal and Neonatal
Increased muscle tone
Positive Babinski's Reflex
8. What is one of the key indicators that a client understands their discharge
instructions regarding potential complications?
I have the hospital phone number if I have a question
If I have any breathing problems, chest pain, or pounding fast heart
rate, I will seek medical assistance
I know if I get fever or chills or change in lochia to call the physician
I will continue my prenatal vitamins until my postpartum checkup or
longer
9. A 39-year-old multigravid client at 39 weeks' gestation admitted to the
hospital in active labor has been diagnosed with class II heart disease. Which
measure will the nurse encourage to ensure cardiac emptying and adequate
oxygenation during labor?
Breathe slowly after each contraction.
Avoid the use of analgesics for the labor pain.
Request local anesthesia for vaginal birth.
Remain in a side-lying position with the head elevated.
10. If a premature infant is not responding well to gavage feedings, how might
the use of a pacifier be adjusted to improve the situation?
Use a pacifier only after feedings are completed to avoid distraction.
Limit pacifier use to once a day to prevent dependency.
Increase the frequency of pacifier use during feedings to enhance
oral stimulation and encourage sucking reflex.
3/46
, 3/9/25, 9:55 AM Maternal and Neonatal
Remove the pacifier entirely to avoid overstimulation.
11. The nurse in a women's health clinic is counseling a 34-year-old client who
has requested a prescription for oral contraceptives. What condition would
warrant additional discussion?
Anemia
Dysmenorrhea
Hypertension
Depression
12. After instructing a primigravid client at 38 weeks gestation about how
preeclampsia can affect the client and the growing fetus, the nurse realizes
that the client needs further teaching when she says that preeclampsia can
lead to which problem?
intrauterine growth restriction
poor placental perfusion
abruptio placentae
hydrocephalic infant
13. What is cranial molding in neonates commonly associated with?
Birth process
Infections
Nutritional deficiencies
Genetic disorders
14. What is the significant indicator of preeclampsia mentioned in the provided
scenario?
No proteinuria
4/46
HESI V1 MATERNAL AND NEONATAL CARE EXAM 2025 WITH 150
WELL REVIEWED QUESTIONS
1. An RN and LPN are caring for a client who is about to undergo vacuum
extraction for ineffective pushing. Which of the following nursing actions
should be assigned to the LPN?
Assessing cervical dilatation
Assessing the progression of labor
Initiating IV access
Catheterizing the client before the procedure
2. What specific assessment finding in a term neonate should prompt the nurse
to contact the primary health care provider?
Slightly low birth weight
Mild jaundice
Unequally sized corneas
Normal heart rate
3. Which of the following assessment findings in a term neonate would cause
the nurse to notify the primary healthcare provider?
Red circle on pupils with ophthalmoscopic examination.
Unequally sized corneas.
Absence of tears.
Pupillary constriction to bright light.
1/46
,3/9/25, 9:55 AM Maternal and Neonatal
4. The nurse is preparing to teach a client how to conduct the basal body
temperature method to determine her fertile window. Which instruction
should the nurse prioritize?
Temperature should be taken prior to any activity each morning
You can have unprotected intercourse outside of your ovulation
window
This is the best method to determine ovulation window
This method is less effective than cervical mucus methods
5. Why is it important to burp a bottle-fed infant during feeding?
To release air swallowed during feeding and prevent discomfort.
To ensure the infant consumes more formula.
To help the infant sleep better after feeding.
To encourage the infant to finish the bottle.
6. Which condition would the nurse associate with regurgitation in a newborn
after feeding?
Immature cardiac sphincter
Low levels of pancreatic enzymes
Impaired rooting reflex
Gastrocolic reflex
7. Two hours ago, a neonate at 38 weeks gestation and weighing 3,175 g was
born to a primiparous client who tested positive for beta-hemolytic
Streptococcus. Which finding would alert the nurse to notify the HCP?
Temperature instability
Alkalosis
2/46
,3/9/25, 9:55 AM Maternal and Neonatal
Increased muscle tone
Positive Babinski's Reflex
8. What is one of the key indicators that a client understands their discharge
instructions regarding potential complications?
I have the hospital phone number if I have a question
If I have any breathing problems, chest pain, or pounding fast heart
rate, I will seek medical assistance
I know if I get fever or chills or change in lochia to call the physician
I will continue my prenatal vitamins until my postpartum checkup or
longer
9. A 39-year-old multigravid client at 39 weeks' gestation admitted to the
hospital in active labor has been diagnosed with class II heart disease. Which
measure will the nurse encourage to ensure cardiac emptying and adequate
oxygenation during labor?
Breathe slowly after each contraction.
Avoid the use of analgesics for the labor pain.
Request local anesthesia for vaginal birth.
Remain in a side-lying position with the head elevated.
10. If a premature infant is not responding well to gavage feedings, how might
the use of a pacifier be adjusted to improve the situation?
Use a pacifier only after feedings are completed to avoid distraction.
Limit pacifier use to once a day to prevent dependency.
Increase the frequency of pacifier use during feedings to enhance
oral stimulation and encourage sucking reflex.
3/46
, 3/9/25, 9:55 AM Maternal and Neonatal
Remove the pacifier entirely to avoid overstimulation.
11. The nurse in a women's health clinic is counseling a 34-year-old client who
has requested a prescription for oral contraceptives. What condition would
warrant additional discussion?
Anemia
Dysmenorrhea
Hypertension
Depression
12. After instructing a primigravid client at 38 weeks gestation about how
preeclampsia can affect the client and the growing fetus, the nurse realizes
that the client needs further teaching when she says that preeclampsia can
lead to which problem?
intrauterine growth restriction
poor placental perfusion
abruptio placentae
hydrocephalic infant
13. What is cranial molding in neonates commonly associated with?
Birth process
Infections
Nutritional deficiencies
Genetic disorders
14. What is the significant indicator of preeclampsia mentioned in the provided
scenario?
No proteinuria
4/46
