Page 1 of 32
RN HESI Maternity Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding
D. Inform her that a decreased need for insulin occurs while breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid
progression of labor is admitted for induction due to signs and symptoms of
pregnancy induced hypertension (PIH). One hour after the oxytocin infusion is
initiated she complains of a headache. Her contractions are occurring every 1-
2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to
implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side
C. Discontinue the Pitocin infusion
An infant born to a heorin addict mother is admitted to the neonatal care unit. .
What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation
C. Irritability and high pitched cry
A multigravida full term , laboring client complains of back labor. Vaginal
examine reveals that the client is 3cm with 50% effacement , and the fetal head
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is at -1 station. What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions
A. Apply counter - pressure to the sacral area
A postpartal client complains that she has the urge to urinate every hour but is
only able to void a small amount. What interventions provides the nurse with
the most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern
B. Catheterize for residual urine after next voiding
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time?
Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
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A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate
of 3 grams/hour. How many ml/hour should the nurse program the infusion
pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How
should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
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A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
D. Place the infant in warm room and use a calm approach
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes that
the child has developed episodes of sneezing, urticaria, watery eyes, and a
rash in the diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be 101.2F,
with severe abdominal or uterine tenderness on palpation. The nurse knows
RN HESI Maternity Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding
D. Inform her that a decreased need for insulin occurs while breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid
progression of labor is admitted for induction due to signs and symptoms of
pregnancy induced hypertension (PIH). One hour after the oxytocin infusion is
initiated she complains of a headache. Her contractions are occurring every 1-
2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to
implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side
C. Discontinue the Pitocin infusion
An infant born to a heorin addict mother is admitted to the neonatal care unit. .
What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation
C. Irritability and high pitched cry
A multigravida full term , laboring client complains of back labor. Vaginal
examine reveals that the client is 3cm with 50% effacement , and the fetal head
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is at -1 station. What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions
A. Apply counter - pressure to the sacral area
A postpartal client complains that she has the urge to urinate every hour but is
only able to void a small amount. What interventions provides the nurse with
the most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern
B. Catheterize for residual urine after next voiding
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time?
Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
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A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate
of 3 grams/hour. How many ml/hour should the nurse program the infusion
pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How
should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
, Page 4 of 32
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
D. Place the infant in warm room and use a calm approach
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?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes that
the child has developed episodes of sneezing, urticaria, watery eyes, and a
rash in the diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be 101.2F,
with severe abdominal or uterine tenderness on palpation. The nurse knows
