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Maternity HESI Exam 150 Questions – Labor, Newborn Care, Pregnancy, Postpartum Guide | Nursing HESI

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This document contains approximately 150 exam-style questions with verified answers for the Maternity HESI Exam, covering essential nursing concepts in maternal and newborn care. It includes key topics such as labor and delivery management, fetal heart rate monitoring, postpartum care, breastfeeding, newborn assessment, and pregnancy complications, as demonstrated across pages 1–151 of the document. The material provides a comprehensive and in-depth review of maternity nursing principles aligned with HESI and NCLEX-style testing. It explores critical clinical concepts such as maternal-fetal bonding (e.g., behaviors described on page 2), interpretation of fetal heart rate patterns (early vs variable decelerations), and emergency interventions during labor such as positioning for hypotension or cord compression. The document also emphasizes postpartum care topics including mastitis management, lochia changes, postpartum blues, and uterine involution. Additionally, the guide covers newborn care in detail, including common conditions like jaundice, cephalhematoma, hypoglycemia, and respiratory distress scoring (e.g., Silverman-Anderson index discussed around page 60). It also includes practical nursing interventions such as umbilical cord care, circumcision care, breastfeeding techniques, and recognizing normal vs abnormal newborn findings. Pregnancy-related complications such as preeclampsia, placenta previa, abruptio placentae, and preterm labor are also thoroughly addressed, along with appropriate nursing responses and prioritization of care. The document further integrates pharmacological knowledge (e.g., terbutaline side effects), patient education strategies, and clinical decision-making scenarios, helping students develop both theoretical understanding and application skills. The structured Q&A format closely mirrors real HESI and NCLEX exams, making it a highly effective study and revision resource. This study guide is closely aligned with standard maternity nursing textbooks such as Maternal & Child Health Nursing and Maternity and Pediatric Nursing, which are widely used in nursing programs and HESI preparation courses. This document is highly relevant for students and professionals enrolled in: Nursing programs (ADN, BSN, accelerated BSN) HESI maternity exam preparation courses NCLEX-RN and NCLEX-PN preparation Maternal and child health nursing courses Obstetrics and neonatal care training It is especially useful for nursing students, maternity nurses, and healthcare trainees preparing for HESI exams or aiming to strengthen their knowledge of pregnancy, labor, postpartum care, and newborn nursing management. Keywords: maternity HESI exam, nursing exam questions, labor and delivery, fetal heart rate, postpartum care, breastfeeding, newborn assessment, pregnancy complications, preeclampsia, placenta previa, abruptio placentae, hypoglycemia newborn, cephalhematoma, Silverman Anderson score, NCLEX prep

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Maternity HESI Test bank EXAM
(updated 2026) Questions &
Answers | With 100% Correct
Answers Graded A+ Guaranteed
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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. - 🧠

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) - 🧠 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.


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, 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

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