1 | Page
HESI PN MATERNITY EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
A 23-year-old woman arrives at the prenatal clinic because she
thinks that she is pregnant. Her last menstrual period began on
March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of
birth (EDB)?
A. July 8
B. Jan 7
C. Dec 7
D. Dec 24 - correct answer- B. Jan 7
A woman arrives at the prenatal clinic stating that her
pregnancy test is positive. She asks the nurse for information
about an abortion. After verifying that the woman is at 8 weeks'
gestation, the nurse counsels her that having an abortion is
controversial and that many women have long-lasting feelings
of guilt after an abortion. What is the nurse's legal
responsibility?
1- To share her own thoughts on abortion with the client
2- To provide the client with correct, unbiased information
3 -To ask why the client wants information about abortion
4-To notify the health care provider because this is beyond the
scope of nursing practice - correct answer- 2
To provide the client with correct, unbiased information
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Using the five-digit system, determine the obstetric history in
this situation: The client is 38 weeks into her fourth pregnancy.
Her third pregnancy, a twin gestation, ended at 32 weeks with a
live birth, her second pregnancy ended at 38 weeks with a live
birth, and her first pregnancy ended at 18 weeks.
1
G4, T2, P1, A1, L2
2
G4, T1, P2, A1, L1
3
G4, T1, P1, A1, L3
4
G4, T2, P1, A1, L1 - correct answer- 3
G4, T1, P1, A1, L3
A nurse is counseling a pregnant client who is a vegetarian.
What should the nurse plan to do to ensure optimal nutrition
during the pregnancy?
1
Refer the client to a dietitian to help plan her daily menu.
2
Encourage the client to join a group that teaches nutrition.
3
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Explain that she needs to include meat in her diet at least once
a day.
4
Advise the client that it is unhealthy to continue a vegetarian
diet during pregnancy. - correct answer- 1
Refer the client to a dietitian to help plan her daily menu.
A pregnant woman tells a nurse in the prenatal clinic that she
knows that folic acid is very important during pregnancy and
that she is taking a prescribed supplement. She asks the nurse
what foods contain folic acid (folate) so she may add them to
her diet in its natural form. Which foods should the nurse
recommend? Select all that apply.
1
Beef and fish
2
Milk and cheese
3
Chicken and turkey
4
Black and pinto beans
5
Enriched bread and pasta - correct answer- Correct4
Black and pinto beans
Correct5
Enriched bread and pasta
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A woman who is pregnant for the first time is concerned about
regaining her figure after her baby is born and wishes to diet
during pregnancy. What should the nurse advise her?
1
Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to lessen the incidence of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake can cause gestational diabetes mellitus.
- correct answer- Correct1
Inadequate food intake can result in a low-birth-weight infant.
During a client's first visit to the prenatal clinic, a nurse
discusses a pregnancy diet. The client states that her mother
told her that she should restrict her salt intake. What is the
nurse's best response?
1
"Your mother is always correct. You should use less salt to
prevent swelling during pregnancy."
2
"Because you need salt to maintain body water balance, it is
not restricted. Just eat a well-balanced diet."
HESI PN MATERNITY EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
A 23-year-old woman arrives at the prenatal clinic because she
thinks that she is pregnant. Her last menstrual period began on
March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of
birth (EDB)?
A. July 8
B. Jan 7
C. Dec 7
D. Dec 24 - correct answer- B. Jan 7
A woman arrives at the prenatal clinic stating that her
pregnancy test is positive. She asks the nurse for information
about an abortion. After verifying that the woman is at 8 weeks'
gestation, the nurse counsels her that having an abortion is
controversial and that many women have long-lasting feelings
of guilt after an abortion. What is the nurse's legal
responsibility?
1- To share her own thoughts on abortion with the client
2- To provide the client with correct, unbiased information
3 -To ask why the client wants information about abortion
4-To notify the health care provider because this is beyond the
scope of nursing practice - correct answer- 2
To provide the client with correct, unbiased information
,2 | Page
Using the five-digit system, determine the obstetric history in
this situation: The client is 38 weeks into her fourth pregnancy.
Her third pregnancy, a twin gestation, ended at 32 weeks with a
live birth, her second pregnancy ended at 38 weeks with a live
birth, and her first pregnancy ended at 18 weeks.
1
G4, T2, P1, A1, L2
2
G4, T1, P2, A1, L1
3
G4, T1, P1, A1, L3
4
G4, T2, P1, A1, L1 - correct answer- 3
G4, T1, P1, A1, L3
A nurse is counseling a pregnant client who is a vegetarian.
What should the nurse plan to do to ensure optimal nutrition
during the pregnancy?
1
Refer the client to a dietitian to help plan her daily menu.
2
Encourage the client to join a group that teaches nutrition.
3
,3 | Page
Explain that she needs to include meat in her diet at least once
a day.
4
Advise the client that it is unhealthy to continue a vegetarian
diet during pregnancy. - correct answer- 1
Refer the client to a dietitian to help plan her daily menu.
A pregnant woman tells a nurse in the prenatal clinic that she
knows that folic acid is very important during pregnancy and
that she is taking a prescribed supplement. She asks the nurse
what foods contain folic acid (folate) so she may add them to
her diet in its natural form. Which foods should the nurse
recommend? Select all that apply.
1
Beef and fish
2
Milk and cheese
3
Chicken and turkey
4
Black and pinto beans
5
Enriched bread and pasta - correct answer- Correct4
Black and pinto beans
Correct5
Enriched bread and pasta
, 4 | Page
A woman who is pregnant for the first time is concerned about
regaining her figure after her baby is born and wishes to diet
during pregnancy. What should the nurse advise her?
1
Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to lessen the incidence of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake can cause gestational diabetes mellitus.
- correct answer- Correct1
Inadequate food intake can result in a low-birth-weight infant.
During a client's first visit to the prenatal clinic, a nurse
discusses a pregnancy diet. The client states that her mother
told her that she should restrict her salt intake. What is the
nurse's best response?
1
"Your mother is always correct. You should use less salt to
prevent swelling during pregnancy."
2
"Because you need salt to maintain body water balance, it is
not restricted. Just eat a well-balanced diet."
