HESI RN Maternity Assignment Exam

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HESI RN Maternity Assignment Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A pregnant client at 32 weeks gestation reports sudden swelling of her face and hands. What is the nurse’s priority action?

• Document the finding and continue routine care

✔✔B. Assess for signs of preeclampsia and notify the provider

• Encourage the client to rest for an hour
• Provide a low-sodium snack

A nurse is caring for a client in labor. The fetal heart rate drops from 140 to 90 bpm during a contraction. What is the first action?

• Increase oxytocin infusion

✔✔B. Reposition the client and administer oxygen

• Prepare for immediate delivery
• Document and continue monitoring

A postpartum client reports soaking 5 pads in 1 hour. What is the nurse’s priority action? 1 / 4

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• Encourage oral fluids
• Continue routine observation

✔✔C. Assess for postpartum hemorrhage

• Notify the dietary department

A nurse is teaching a client about breastfeeding. Which statement indicates correct understanding?

• “Formula should be given first before breastfeeding.”

✔✔B. “Feed my baby whenever it shows signs of hunger.”

• “I should avoid feeding on demand.”
• “Only feed every 4–5 hours.”

A client at 28 weeks gestation reports severe headache and blurred vision. What should the nurse do first?

• Ask the client to rest

✔✔B. Assess blood pressure and notify the provider immediately

• Offer water and a snack
• Document the complaint 2 / 4

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A nurse is assessing a newborn 1 minute after birth. Which finding requires immediate intervention?

• Crying and moving all extremities

✔✔B. Heart rate of 70 bpm

• Pink skin with acrocyanosis
• Strong reflexes

A laboring client receiving epidural anesthesia reports hypotension. What is the nurse’s first action?

• Continue monitoring

✔✔B. Place client in left lateral position and administer IV fluids

• Encourage the client to breathe deeply
• Raise the head of the bed

A client at 36 weeks gestation reports decreased fetal movement. What is the best nursing action?

• Schedule a routine prenatal visit next week

✔✔B. Perform fetal kick count and notify provider if decreased 3 / 4

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• Encourage walking for exercise
• Reassure the client without assessment

A postpartum client asks about pain relief during breastfeeding. Which statement is correct?

• Avoid all medications while breastfeeding
• Only use herbal remedies

✔✔C. Acetaminophen or ibuprofen are safe if prescribed

• Take opioid medications as needed without consultation

A newborn has a temperature of 36.0°C (96.8°F). What is the priority intervention?

• Swaddle the newborn and monitor temperature

✔✔B. Initiate skin-to-skin contact and warm the infant

• Document and recheck in 4 hours
• Delay feeding until temperature normalizes

A client in labor has contractions every 2 minutes and fetal heart rate decelerations. What is the nurse’s priority action?

• Increase IV fluids
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