MATERNITY HESI TEST BANK COMBINED RED HESI AND
OTHER SOURCES MATERNITY and PEDIATRIC NURSING
CLINICAL EXAM REVIEW 2026/2027 || MULTIPLE
QUESTIONS WITH 100% CORRECT ANSWERS || EXPERT-
VERIFIED & GRADED A+ || BLUEPRINT FOR GUARANTEED
SUCCESS!!!
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. - CORRECT
ANSWER -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
C.Fetal heart rate (FHR)
, D.White blood cell count (WBC) - CORRECT ANSWER -C. Fetal heart rate
(FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes
that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
condition of the cervix is favorable. The fluid should be assessed for color,
odor, and consistency. Option A should be assessed every 15 to 20 minutes
during labor but is not specific for AROM. Option B is monitored hourly after
the membranes are ruptured to detect the development of amnionitis. Option D
should be determined for all clients in labor.
A nurse receives a shift change report for a newborn who is 12 hours post-
vaginal delivery. In developing a plan of care, the nurse should give the highest
priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - CORRECT ANSWER -B. Skin
color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in
newborns; it occurs because the capillary system is immature. Milia are small
white papules present on the nose and chin that are caused by sebaceous gland
,blockage and disappear in a few weeks. Small red patches on the cheeks and
trunk are called erythema toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the
infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect
on the infant. - CORRECT ANSWER -A.Breastfeed the infant, ensuring that
both breasts are completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
emptying of engorged breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
Option D will not decrease antibiotic effects on the infant.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
, B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - CORRECT ANSWER -C.Move about every
hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus
exerting pressure on the pelvic veins. Moving about every hour will relieve
pressure on the pelvic veins and increase venous return. Option A would
increase venous return from varicose veins in the lower extremities but would
be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not
address venous return, and there is no indication in the question that constrictive
clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized swelling on the right side of his head. In a newborn,
what is the most likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - CORRECT
ANSWER -A.Cephalhematoma, which is caused by forceps trauma
OTHER SOURCES MATERNITY and PEDIATRIC NURSING
CLINICAL EXAM REVIEW 2026/2027 || MULTIPLE
QUESTIONS WITH 100% CORRECT ANSWERS || EXPERT-
VERIFIED & GRADED A+ || BLUEPRINT FOR GUARANTEED
SUCCESS!!!
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. - CORRECT
ANSWER -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
C.Fetal heart rate (FHR)
, D.White blood cell count (WBC) - CORRECT ANSWER -C. Fetal heart rate
(FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes
that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
condition of the cervix is favorable. The fluid should be assessed for color,
odor, and consistency. Option A should be assessed every 15 to 20 minutes
during labor but is not specific for AROM. Option B is monitored hourly after
the membranes are ruptured to detect the development of amnionitis. Option D
should be determined for all clients in labor.
A nurse receives a shift change report for a newborn who is 12 hours post-
vaginal delivery. In developing a plan of care, the nurse should give the highest
priority to which finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - CORRECT ANSWER -B. Skin
color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in
newborns; it occurs because the capillary system is immature. Milia are small
white papules present on the nose and chin that are caused by sebaceous gland
,blockage and disappear in a few weeks. Small red patches on the cheeks and
trunk are called erythema toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the
infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect
on the infant. - CORRECT ANSWER -A.Breastfeed the infant, ensuring that
both breasts are completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
emptying of engorged breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
Option D will not decrease antibiotic effects on the infant.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
instruction will aid in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
, B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - CORRECT ANSWER -C.Move about every
hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus
exerting pressure on the pelvic veins. Moving about every hour will relieve
pressure on the pelvic veins and increase venous return. Option A would
increase venous return from varicose veins in the lower extremities but would
be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not
address venous return, and there is no indication in the question that constrictive
clothing is a problem.
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized swelling on the right side of his head. In a newborn,
what is the most likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - CORRECT
ANSWER -A.Cephalhematoma, which is caused by forceps trauma
