Page 1 of 75
Maternity HESI Test bank (combined red hesi and other sources) (2025) EXAM 2025
PRACTICE GRADED A+ QUESTIONS WITH CORRECT ANSWERS 2025-2026 VERIFIED
On admission to the prenatal clinic, a 23-year old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) would be
A. November 22
B. November 8
C. December 22
D. October 22
A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. The nurse correctly calculates that the
woman's next fertile period will be
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7
B. January 30-31. This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first day of the cycle
and continues to the first day of the next cycle. Her next period would, therefore,
began on February 13. Ovulation occurs 14 days before the first day of the
menstrual period. Therefore, ovulation for this woman would occur January 31.
A client at 32 weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control symptoms.
Which assessment finding would indicate that therapeutic drug level has been
achieved?
A. 4+ reflexes
B. urinary output of 50 mL per hour
C. a decrease in respiratory rate from 24 to 16
D. a decreased body temperature
, Page 2 of 75
C. a decrease in respiratory rate from 24 to 16
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action will
the nurse take?
A. notify the healthcare provider or anesthesiologist immediately.
B. continue to assess the blood pressure q5 minutes
C. place the woman in a lateral position
D. turn off the continuous epidural
C. place the woman in a lateral position. The nurse should immediately turn the
woman to a lateral position, place a pillow or wedge under the right hip to deflect the
uterus, increase the rate of the main line IV infusion, and administer oxygen by face
mask at 10-12 L/min. If the blood pressure remains low, especially if it further
decreases ,the anesthesiologist/healthcare provider should be notified immediately.
Turning off the continuous epidural may also be warranted, but such action is based
on hospital protocol.
A client at 28 weeks gestation calls the antepartal clinical and states that she
is experiencing a small amount of vaginal bleeding which she describes as
bright red. She further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should the nurse provide?
A. come to the clinic today for an ultrasound
B. go immediately to the emergency room
C. lie on your left side for about one hour and see if the bleeding stops
D. bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection
A. come to the clinic today for an ultrasound. Third trimester painless bleeding is
characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivery an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority?
A. use a thread to tie off the umbilical cord.
B. provide as much privacy as possible for the woman.
, Page 3 of 75
C. reassure the husband and try to keep him calm
D. put the newborn to breast.
D. put the newborn to breast. Putting the newborn to breast will help contract the
uterus and prevent a postpartum hemorrhage - this intervention has the highest
priority.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest.
The client asks the nurse, "Why must I stay in bed all the time?" Which
response is best for the nurse to provide the client?
A. "Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can make
sure that will happen."
C. "I know you're upset. Would you like to talk about some things you could do
while in bed."
D. "Labor is difficult and you need to use this time to rest before you have to
assume all child-caring duties."
A. "Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The nurse is teaching care of the newborn to a group of prospective parents
and describes the need for administering antibiotic ointment into the eyes of
the newborn. Which infectious organism will this treatment prevent from
harming the infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis
C. Gonorrhea. Erythromycin ointment is instilled into the lower conjunctiva of each
eye within 2 hours after birth to prevent ophthalmica neonatorum, and infection
caused by gonorrhea, and including conjunctivitis,, an infection caused by
chlamydia. The infant may be exposed to these bacteria when passing through the
birth canal.
A newborn infant is brought to the nursery from the bathing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
, Page 4 of 75
A. notify the pediatrician
B. suction the infant's nares, then the oral cavity
C. check the infant's oxygen saturation rate
D. position the infant on the right side.
C. check the infant's oxygen saturation rate
An expectant father tells the nurse he fears that his wife is "losing her mind."
He states that she is constantly rubbing her abdomen and talking to the baby
and that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her
symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring.
D) Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect
ambivalence. No intervention is needed. Quickening, the first perception of fetal
movement, occurs at 17 to 20 weeks of gestation and begins a new phase of
prenatal bonding during the second trimester. Options A and C are not necessary
because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after
the procedure is completed, it is most important for the nurse to obtain which
information?
A.Maternal blood pressure
B.Maternal temperature
Maternity HESI Test bank (combined red hesi and other sources) (2025) EXAM 2025
PRACTICE GRADED A+ QUESTIONS WITH CORRECT ANSWERS 2025-2026 VERIFIED
On admission to the prenatal clinic, a 23-year old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) would be
A. November 22
B. November 8
C. December 22
D. October 22
A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. The nurse correctly calculates that the
woman's next fertile period will be
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7
B. January 30-31. This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first day of the cycle
and continues to the first day of the next cycle. Her next period would, therefore,
began on February 13. Ovulation occurs 14 days before the first day of the
menstrual period. Therefore, ovulation for this woman would occur January 31.
A client at 32 weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control symptoms.
Which assessment finding would indicate that therapeutic drug level has been
achieved?
A. 4+ reflexes
B. urinary output of 50 mL per hour
C. a decrease in respiratory rate from 24 to 16
D. a decreased body temperature
, Page 2 of 75
C. a decrease in respiratory rate from 24 to 16
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action will
the nurse take?
A. notify the healthcare provider or anesthesiologist immediately.
B. continue to assess the blood pressure q5 minutes
C. place the woman in a lateral position
D. turn off the continuous epidural
C. place the woman in a lateral position. The nurse should immediately turn the
woman to a lateral position, place a pillow or wedge under the right hip to deflect the
uterus, increase the rate of the main line IV infusion, and administer oxygen by face
mask at 10-12 L/min. If the blood pressure remains low, especially if it further
decreases ,the anesthesiologist/healthcare provider should be notified immediately.
Turning off the continuous epidural may also be warranted, but such action is based
on hospital protocol.
A client at 28 weeks gestation calls the antepartal clinical and states that she
is experiencing a small amount of vaginal bleeding which she describes as
bright red. She further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should the nurse provide?
A. come to the clinic today for an ultrasound
B. go immediately to the emergency room
C. lie on your left side for about one hour and see if the bleeding stops
D. bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection
A. come to the clinic today for an ultrasound. Third trimester painless bleeding is
characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivery an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority?
A. use a thread to tie off the umbilical cord.
B. provide as much privacy as possible for the woman.
, Page 3 of 75
C. reassure the husband and try to keep him calm
D. put the newborn to breast.
D. put the newborn to breast. Putting the newborn to breast will help contract the
uterus and prevent a postpartum hemorrhage - this intervention has the highest
priority.
A pregnant client with mitral stenosis Class III is prescribed complete bedrest.
The client asks the nurse, "Why must I stay in bed all the time?" Which
response is best for the nurse to provide the client?
A. "Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can make
sure that will happen."
C. "I know you're upset. Would you like to talk about some things you could do
while in bed."
D. "Labor is difficult and you need to use this time to rest before you have to
assume all child-caring duties."
A. "Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The nurse is teaching care of the newborn to a group of prospective parents
and describes the need for administering antibiotic ointment into the eyes of
the newborn. Which infectious organism will this treatment prevent from
harming the infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis
C. Gonorrhea. Erythromycin ointment is instilled into the lower conjunctiva of each
eye within 2 hours after birth to prevent ophthalmica neonatorum, and infection
caused by gonorrhea, and including conjunctivitis,, an infection caused by
chlamydia. The infant may be exposed to these bacteria when passing through the
birth canal.
A newborn infant is brought to the nursery from the bathing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
, Page 4 of 75
A. notify the pediatrician
B. suction the infant's nares, then the oral cavity
C. check the infant's oxygen saturation rate
D. position the infant on the right side.
C. check the infant's oxygen saturation rate
An expectant father tells the nurse he fears that his wife is "losing her mind."
He states that she is constantly rubbing her abdomen and talking to the baby
and that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her
symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring.
D) Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect
ambivalence. No intervention is needed. Quickening, the first perception of fetal
movement, occurs at 17 to 20 weeks of gestation and begins a new phase of
prenatal bonding during the second trimester. Options A and C are not necessary
because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after
the procedure is completed, it is most important for the nurse to obtain which
information?
A.Maternal blood pressure
B.Maternal temperature
