2025/2026 FORTIS PN MATERNITY HESI REAL EXAM
QUESTIONS AND ANSWERS TESTED AND APPROVED
NEWLY MODIFIED WITH RATIONALES
The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria (PKU) test is positive. What type of treatment
should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. --ANSWER--3. Lifelong dietary
management
PKU is a condition related to the infant's inability to utilize the amino
acid, phenylalanine, which must be omitted or strictly minimized in
the diet throughout life (C). (A, B, and D) are not indicated.
A young adult female comes to the health clinic to confirm a positive
home pregnancy test. After determining the client's last menstrual
period (LMP) as August 5, what expected date of birth (EDB) should
the practical nurse (PN)calculate?
1. April 29
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,2. May 12
3. July 1
4. July 12 --ANSWER--2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days
to the first day of the LMP and then subtracting 3 months, so (B) is
the correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
Which client should the practical nurse (PN) closely monitor for
severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
2. A primiparous client who is bottle feeding.
3. A multigravida who is breastfeeding.
4. A primigravida who delivered a 5 pound 3 ounce infant. --
ANSWER--3. A multigravida who is breastfeeding.
After multiple deliveries, the over-distended uterus establishes
tonicity during early involution by periodically relaxing and then
vigorously contracting, which is also stimulated by breastfeeding
which releases oxytocin and causes post-delivery uterine contractions.
A multigravida client who is breastfeeding (C) is mostly likely to
experience severe afterpains. Oligohydramnios (A) (low amount of
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, amniotic fluid) and bottle feeding (B) do not place the client at risk
for experiencing severe afterpains related to multiparity. A low-birth
weight infant (D) does not over-distend the uterus during the
pregnancy.
A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions
every 5 minutes. The healthcare provider determines she is dilated 3
cm and in early labor. What action should the practical nurse (PN)
implement when the client groans with each contraction?
1. Assist the client to the bathroom to void.
2. Give a prescribed narcotic analgesic.
3. Document the maternal vital signs.
4. Demonstrate simple relaxation measures. --ANSWER--4.
Demonstrate simple relaxation measures.
The use of relaxation techniques (D) is a recommended and effective
method of decreasing the perception of uterine contraction intensity in
early labor. Ambulating the client to the bathroom to empty her
bladder (A) should allow labor progression, but does not minimize her
discomfort. (B) is not indicated at this time. Documentation of vital
signs should be made (C), but relaxation techniques provide
distraction in early labor and relief of discomfort.
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QUESTIONS AND ANSWERS TESTED AND APPROVED
NEWLY MODIFIED WITH RATIONALES
The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria (PKU) test is positive. What type of treatment
should the PN tell the mother will be required?
1. Blood transfusions.
2. Iron-enriched formula.
3. Lifelong dietary management.
4. Medications to prevent infection. --ANSWER--3. Lifelong dietary
management
PKU is a condition related to the infant's inability to utilize the amino
acid, phenylalanine, which must be omitted or strictly minimized in
the diet throughout life (C). (A, B, and D) are not indicated.
A young adult female comes to the health clinic to confirm a positive
home pregnancy test. After determining the client's last menstrual
period (LMP) as August 5, what expected date of birth (EDB) should
the practical nurse (PN)calculate?
1. April 29
Page 1 of 23
,2. May 12
3. July 1
4. July 12 --ANSWER--2. May 12
Naegele's rule for calculation of EDB is determined by adding 7 days
to the first day of the LMP and then subtracting 3 months, so (B) is
the correct calculation. (A, C, and D) incorrectly apply Naegele's rule.
Which client should the practical nurse (PN) closely monitor for
severe afterpains?
1. A mother who had oligohydramnios during the pregnancy.
2. A primiparous client who is bottle feeding.
3. A multigravida who is breastfeeding.
4. A primigravida who delivered a 5 pound 3 ounce infant. --
ANSWER--3. A multigravida who is breastfeeding.
After multiple deliveries, the over-distended uterus establishes
tonicity during early involution by periodically relaxing and then
vigorously contracting, which is also stimulated by breastfeeding
which releases oxytocin and causes post-delivery uterine contractions.
A multigravida client who is breastfeeding (C) is mostly likely to
experience severe afterpains. Oligohydramnios (A) (low amount of
Page 2 of 23
, amniotic fluid) and bottle feeding (B) do not place the client at risk
for experiencing severe afterpains related to multiparity. A low-birth
weight infant (D) does not over-distend the uterus during the
pregnancy.
A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions
every 5 minutes. The healthcare provider determines she is dilated 3
cm and in early labor. What action should the practical nurse (PN)
implement when the client groans with each contraction?
1. Assist the client to the bathroom to void.
2. Give a prescribed narcotic analgesic.
3. Document the maternal vital signs.
4. Demonstrate simple relaxation measures. --ANSWER--4.
Demonstrate simple relaxation measures.
The use of relaxation techniques (D) is a recommended and effective
method of decreasing the perception of uterine contraction intensity in
early labor. Ambulating the client to the bathroom to empty her
bladder (A) should allow labor progression, but does not minimize her
discomfort. (B) is not indicated at this time. Documentation of vital
signs should be made (C), but relaxation techniques provide
distraction in early labor and relief of discomfort.
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