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HESI-Focus on Maternity Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A pregnant client at 28 weeks gestation reports swelling in her hands and face. What should the nurse assess for?✔✔Signs of preeclampsia
A postpartum client is breastfeeding and reports nipple pain. What is the most appropriate nursing intervention?✔✔Assess latch technique and provide education on proper positioning
A client in labor has a blood pressure of 150/100 mmHg and reports headache and visual changes. What is the priority nursing action?✔✔Notify the healthcare provider immediately and prepare for possible magnesium sulfate therapy
A client at 32 weeks gestation reports decreased fetal movement. What should the nurse do first?✔✔Perform a non-stress test or instruct the client on fetal kick counts
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A client presents in early labor with rupture of membranes. What is the first nursing priority?✔✔Assess fetal heart rate and note time of rupture
A postpartum client reports heavy vaginal bleeding with passage of large clots. What is the priority nursing action?✔✔Assess uterine tone and massage the fundus
A pregnant client complains of frequent urinary tract infections. What teaching should the nurse provide?✔✔Encourage proper hydration, urinate after intercourse, and wipe front to back
A client at 40 weeks gestation reports regular contractions every 3 minutes lasting 60 seconds.What is the next nursing action?✔✔Assess cervical dilation and effacement
A client is receiving oxytocin for induction of labor and develops contractions lasting 90 seconds every 1–2 minutes. What is the priority nursing action?✔✔Stop the oxytocin infusion and notify the provider
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A newborn is assessed 1 minute after birth with a heart rate of 90 bpm and weak cry. What is the appropriate intervention?✔✔Provide stimulation and supplemental oxygen if needed
A postpartum client has a temperature of 38.5°C on the first day after birth. What is the most likely cause?✔✔Normal postpartum physiological response or mild infection; assess and monitor
A client in labor at 36 weeks gestation reports abdominal pain and vaginal bleeding. What should the nurse suspect?✔✔Placenta previa or placental abruption; assess and prepare for immediate evaluation
A breastfeeding client reports engorged breasts. What is the best nursing intervention?✔✔Encourage frequent breastfeeding or pumping and apply warm compresses before feeding
A client with gestational diabetes is unsure about how to monitor blood sugar at home. What teaching should the nurse provide?✔✔Teach fingerstick technique, target glucose levels, and importance of diet and insulin management
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