HESI PN OBSTETRICS/MATERNITY PRACTICE EXAM,
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION 250+ QUESTIONS AND CORRECT ANSWER.
LATEST REVIEW
A nurse is caring for a client who is in the first stage of labor. The client
reports severe back pain. Which non-pharmacological intervention should the
nurse recommend?
A) Deep breathing exercises.
B) Effleurage.
C) Counterpressure to the sacral area.
D) Applying a cold compress to the back.
E) Listening to music.
Correct Answer: C) Counterpressure to the sacral area.
Rationale: Counterpressure applied to the sacral area is a highly
effective non-pharmacological intervention for relieving back pain
during labor, especially when the pain is caused by the occiput
posterior position of the fetus.
Question 2
A nurse is providing education to a pregnant client about identifying true
labor. Which of the following indicates true labor?
A) Contractions that are irregular and decrease with walking.
B) Contractions that remain irregular but become stronger with ambulation.
C) Contractions that are regular, increase in intensity and frequency with
walking.
D) Pain that is primarily felt in the abdomen and does not radiate.
E) A decrease in cervical dilation over time.
Correct Answer: C) Contractions that are regular, increase in
intensity and frequency with walking.
Rationale: True labor contractions are characterized by regularity,
increasing frequency and intensity, and intensification with activity
,like walking. They also cause progressive cervical effacement and
dilation.
Question 3
A nurse is caring for a postpartum client who is 2 hours post-delivery. The
nurse assesses the client's fundus and finds it boggy and displaced to the
right. What is the nurse's priority action?
A) Encourage the client to ambulate.
B) Administer pain medication.
C) Massage the fundus and assist the client to void.
D) Notify the healthcare provider immediately.
E) Encourage breastfeeding.
Correct Answer: C) Massage the fundus and assist the client to void.
Rationale: A boggy and displaced fundus indicates uterine atony
and a full bladder, both common causes of postpartum hemorrhage.
Massaging the fundus promotes uterine contraction, and assisting
the client to void (or catheterizing) empties the bladder, allowing
the uterus to contract effectively.
Question 4
A nurse is educating a pregnant client about proper nutrition during
pregnancy. Which of the following nutrients is crucial for preventing neural
tube defects?
A) Iron.
B) Calcium.
C) Folic acid.
D) Vitamin D.
E) Vitamin A.
Correct Answer: C) Folic acid.
Rationale: Adequate intake of folic acid (folate) before conception
and during the first trimester of pregnancy is essential for
preventing neural tube defects (e.g., spina bifida, anencephaly).
,Question 5
A nurse is performing a newborn assessment. Which of the following findings
would be considered abnormal and require further investigation?
A) Mongolian spots on the buttocks.
B) Acrocyanosis.
C) Jaundice noted on the first day of life.
D) Milia on the nose.
E) Head circumference 34 cm.
Correct Answer: C) Jaundice noted on the first day of life.
Rationale: Jaundice appearing within the first 24 hours of life is
considered pathological and requires immediate investigation to
determine its cause, as it can indicate serious underlying
conditions. Physiological jaundice typically appears after 24 hours.
Question 6
A nurse is preparing to administer erythromycin ophthalmic ointment to a
newborn. What is the primary purpose of this medication?
A) To prevent ophthalmia neonatorum caused by Neisseria gonorrhoeae and
Chlamydia trachomatis.
B) To reduce eye swelling.
C) To improve the newborn's vision.
D) To treat congenital cataracts.
E) To prevent dry eyes.
Correct Answer: A) To prevent ophthalmia neonatorum caused by
Neisseria gonorrhoeae and Chlamydia trachomatis.
Rationale: Erythromycin ophthalmic ointment is routinely
administered to newborns as prophylaxis against ophthalmia
neonatorum, which can cause blindness and is caused by sexually
transmitted infections passed from the mother.
Question 7
A nurse is caring for a client in active labor who is receiving oxytocin via IV
, infusion. The nurse observes late decelerations on the fetal monitor. What is
the nurse's priority action?
A) Increase the oxytocin infusion rate.
B) Reposition the client to the left lateral side.
C) Administer oxygen via face mask.
D) Turn off the oxytocin infusion.
E) Encourage the client to push.
Correct Answer: D) Turn off the oxytocin infusion.
Rationale: Late decelerations indicate uteroplacental insufficiency.
The priority is to stop the uterine hyperstimulation caused by
oxytocin. Other interventions (repositioning, oxygen) are also
important but turning off oxytocin directly addresses the cause.
Question 8
A nurse is educating a client who is 8 weeks pregnant about common
discomforts of pregnancy. Which of the following is a common discomfort
during the first trimester?
A) Backaches.
B) Heartburn.
C) Urinary frequency.
D) Leg cramps.
E) Shortness of breath.
Correct Answer: C) Urinary frequency.
Rationale: Urinary frequency is a common discomfort in the first
trimester due to hormonal changes (increased hCG causing
increased blood flow to the kidneys) and the growing uterus
pressing on the bladder. Backaches, heartburn, leg cramps, and
shortness of breath are more common in later trimesters.
Question 9
A nurse is caring for a newborn immediately after birth. The nurse calculates
the Apgar score. What does an Apgar score of 8 at 5 minutes indicate?
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION 250+ QUESTIONS AND CORRECT ANSWER.
LATEST REVIEW
A nurse is caring for a client who is in the first stage of labor. The client
reports severe back pain. Which non-pharmacological intervention should the
nurse recommend?
A) Deep breathing exercises.
B) Effleurage.
C) Counterpressure to the sacral area.
D) Applying a cold compress to the back.
E) Listening to music.
Correct Answer: C) Counterpressure to the sacral area.
Rationale: Counterpressure applied to the sacral area is a highly
effective non-pharmacological intervention for relieving back pain
during labor, especially when the pain is caused by the occiput
posterior position of the fetus.
Question 2
A nurse is providing education to a pregnant client about identifying true
labor. Which of the following indicates true labor?
A) Contractions that are irregular and decrease with walking.
B) Contractions that remain irregular but become stronger with ambulation.
C) Contractions that are regular, increase in intensity and frequency with
walking.
D) Pain that is primarily felt in the abdomen and does not radiate.
E) A decrease in cervical dilation over time.
Correct Answer: C) Contractions that are regular, increase in
intensity and frequency with walking.
Rationale: True labor contractions are characterized by regularity,
increasing frequency and intensity, and intensification with activity
,like walking. They also cause progressive cervical effacement and
dilation.
Question 3
A nurse is caring for a postpartum client who is 2 hours post-delivery. The
nurse assesses the client's fundus and finds it boggy and displaced to the
right. What is the nurse's priority action?
A) Encourage the client to ambulate.
B) Administer pain medication.
C) Massage the fundus and assist the client to void.
D) Notify the healthcare provider immediately.
E) Encourage breastfeeding.
Correct Answer: C) Massage the fundus and assist the client to void.
Rationale: A boggy and displaced fundus indicates uterine atony
and a full bladder, both common causes of postpartum hemorrhage.
Massaging the fundus promotes uterine contraction, and assisting
the client to void (or catheterizing) empties the bladder, allowing
the uterus to contract effectively.
Question 4
A nurse is educating a pregnant client about proper nutrition during
pregnancy. Which of the following nutrients is crucial for preventing neural
tube defects?
A) Iron.
B) Calcium.
C) Folic acid.
D) Vitamin D.
E) Vitamin A.
Correct Answer: C) Folic acid.
Rationale: Adequate intake of folic acid (folate) before conception
and during the first trimester of pregnancy is essential for
preventing neural tube defects (e.g., spina bifida, anencephaly).
,Question 5
A nurse is performing a newborn assessment. Which of the following findings
would be considered abnormal and require further investigation?
A) Mongolian spots on the buttocks.
B) Acrocyanosis.
C) Jaundice noted on the first day of life.
D) Milia on the nose.
E) Head circumference 34 cm.
Correct Answer: C) Jaundice noted on the first day of life.
Rationale: Jaundice appearing within the first 24 hours of life is
considered pathological and requires immediate investigation to
determine its cause, as it can indicate serious underlying
conditions. Physiological jaundice typically appears after 24 hours.
Question 6
A nurse is preparing to administer erythromycin ophthalmic ointment to a
newborn. What is the primary purpose of this medication?
A) To prevent ophthalmia neonatorum caused by Neisseria gonorrhoeae and
Chlamydia trachomatis.
B) To reduce eye swelling.
C) To improve the newborn's vision.
D) To treat congenital cataracts.
E) To prevent dry eyes.
Correct Answer: A) To prevent ophthalmia neonatorum caused by
Neisseria gonorrhoeae and Chlamydia trachomatis.
Rationale: Erythromycin ophthalmic ointment is routinely
administered to newborns as prophylaxis against ophthalmia
neonatorum, which can cause blindness and is caused by sexually
transmitted infections passed from the mother.
Question 7
A nurse is caring for a client in active labor who is receiving oxytocin via IV
, infusion. The nurse observes late decelerations on the fetal monitor. What is
the nurse's priority action?
A) Increase the oxytocin infusion rate.
B) Reposition the client to the left lateral side.
C) Administer oxygen via face mask.
D) Turn off the oxytocin infusion.
E) Encourage the client to push.
Correct Answer: D) Turn off the oxytocin infusion.
Rationale: Late decelerations indicate uteroplacental insufficiency.
The priority is to stop the uterine hyperstimulation caused by
oxytocin. Other interventions (repositioning, oxygen) are also
important but turning off oxytocin directly addresses the cause.
Question 8
A nurse is educating a client who is 8 weeks pregnant about common
discomforts of pregnancy. Which of the following is a common discomfort
during the first trimester?
A) Backaches.
B) Heartburn.
C) Urinary frequency.
D) Leg cramps.
E) Shortness of breath.
Correct Answer: C) Urinary frequency.
Rationale: Urinary frequency is a common discomfort in the first
trimester due to hormonal changes (increased hCG causing
increased blood flow to the kidneys) and the growing uterus
pressing on the bladder. Backaches, heartburn, leg cramps, and
shortness of breath are more common in later trimesters.
Question 9
A nurse is caring for a newborn immediately after birth. The nurse calculates
the Apgar score. What does an Apgar score of 8 at 5 minutes indicate?
