RN HESI Maternity Actual Exam 2026-2027 \| Most Recent Exam
Actual Complete Questions And Correct Answers (Verified Answers)
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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
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
,2/27/26, 8:56 PM RN HESI Maternity
During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet
B. Lie on the left or right side when sleeping or resting
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
2/44
, 2/27/26, 8:56 PM RN HESI Maternity
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
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
3/44
Actual Complete Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest Exam | Just
Released!!
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
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
,2/27/26, 8:56 PM RN HESI Maternity
During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet
B. Lie on the left or right side when sleeping or resting
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
2/44
, 2/27/26, 8:56 PM RN HESI Maternity
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
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
3/44
