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HESI Obstetrics/Maternity Practice Exam 2025 Review GRADED A+ QUESTIONS WIT H
CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
A 4-week old premature infant has been receiving epoetin alfa for the last 3
weeks. Which assessment finding indicated to the nurse that the drug is
effective?
C. changes in apical heart rate from the 180s to the 140s
The healthcare provider prescribes terbulatine (Brethine) for a client in preterm
labor. Before initiating this prescription, it is most important for the nurse to
assess the client for which condition?
A. gestational diabetes
A client with no prenatal care arrives at the labor unit screaming, "the baby is
coming". The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
C. date of last normal menstrual period.
The nurse assesses a client admitted to the labor and delivery unit and obtains
the following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
C. monitor bleeding from IV sites.
immediately after birth a newborn infant is suctioned, dried, and placed under
a radiant warmer. The infant has spontaneous respirations and the nurse
assesses an apical heart rate of 80 BPM and respirations of 20 BPM. What
action should the nurse perform next?
A. initiate positive pressure ventilation.
The nurse is preparing to give an enema to a laboring client. Which client
would require the most caution when carrying out this procedure?
D. a 40-week primagravida who presents at 100% effacement, 3 cm dilation, and a -
1 station.
The nurse is providing discharge teaching for a client who is 24 hours
postpartum. The nurse explains to the client that her vaginal discharge will
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change from red to pink and then to white. The client asks, "What if I start
having red bleeding after it changes?" What should the nurse instruct the
client to do?
A. Reduce activity level and notify healthcare provider.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse
take immediately?
D. Call the healthcare provider to question the prescription.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
C. epigastric pain
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask the client?
D. Do you have a history of rheumatic fever?
A couple has been trying to conceive for 9 months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive?
D. They use lubricants with each sexual encounter to decrease friction
Client teaching is an important part of the maternity nurse's role. Which factor
has the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8
hours a day tells the nurse that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood in the lower
extremities?
C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
B. lower birth weights
HESI Obstetrics/Maternity Practice Exam 2025 Review GRADED A+ QUESTIONS WIT H
CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
A 4-week old premature infant has been receiving epoetin alfa for the last 3
weeks. Which assessment finding indicated to the nurse that the drug is
effective?
C. changes in apical heart rate from the 180s to the 140s
The healthcare provider prescribes terbulatine (Brethine) for a client in preterm
labor. Before initiating this prescription, it is most important for the nurse to
assess the client for which condition?
A. gestational diabetes
A client with no prenatal care arrives at the labor unit screaming, "the baby is
coming". The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
C. date of last normal menstrual period.
The nurse assesses a client admitted to the labor and delivery unit and obtains
the following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
C. monitor bleeding from IV sites.
immediately after birth a newborn infant is suctioned, dried, and placed under
a radiant warmer. The infant has spontaneous respirations and the nurse
assesses an apical heart rate of 80 BPM and respirations of 20 BPM. What
action should the nurse perform next?
A. initiate positive pressure ventilation.
The nurse is preparing to give an enema to a laboring client. Which client
would require the most caution when carrying out this procedure?
D. a 40-week primagravida who presents at 100% effacement, 3 cm dilation, and a -
1 station.
The nurse is providing discharge teaching for a client who is 24 hours
postpartum. The nurse explains to the client that her vaginal discharge will
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change from red to pink and then to white. The client asks, "What if I start
having red bleeding after it changes?" What should the nurse instruct the
client to do?
A. Reduce activity level and notify healthcare provider.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse
take immediately?
D. Call the healthcare provider to question the prescription.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
C. epigastric pain
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask the client?
D. Do you have a history of rheumatic fever?
A couple has been trying to conceive for 9 months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive?
D. They use lubricants with each sexual encounter to decrease friction
Client teaching is an important part of the maternity nurse's role. Which factor
has the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8
hours a day tells the nurse that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood in the lower
extremities?
C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
B. lower birth weights
