Maternity HESI Questions and

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

A client at 35 weeks gestation reports sudden gush of fluid from the vagina. What is the priority nursing assessment?

• Measure fundal height
• Assess maternal blood pressure

✔✔C. Check fetal heart rate and note time of rupture

• Encourage the client to rest

A postpartum client reports severe perineal pain and swelling. What is the priority nursing intervention?

• Encourage ambulation

✔✔B. Apply cold compress and assess for hematoma

• Provide warm sitz bath
• Document findings only

A client in active labor has contractions every 2 minutes lasting 90 seconds with fetal heart rate showing late decelerations. What should the nurse do first? 1 / 3

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• Administer analgesics

✔✔B. Reposition client, give oxygen, and notify provider

• Encourage deep breathing
• Continue monitoring

A client at 28 weeks gestation reports swelling in face and hands and headaches. What is the priority nursing action?

• Measure fundal height

✔✔B. Assess for preeclampsia and notify provider

• Encourage rest and hydration
• Teach fetal kick counts

A client with gestational diabetes is unsure how to monitor blood sugar at home. What is the priority teaching?

• Check blood sugar once a week
• Skip insulin on low-glucose days

✔✔C. Teach fingerstick technique, target glucose levels, and diet management

• Monitor only if symptomatic 2 / 3

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A newborn at 2 hours of age has a heart rate of 85 bpm and weak cry. What is the immediate nursing intervention?

• Swaddle the newborn

✔✔B. Stimulate and provide supplemental oxygen

• Administer vitamin K
• Place under phototherapy

A client in labor reports severe back pain. What non-pharmacologic intervention can the nurse suggest?

• Apply cold packs to the abdomen
• Administer IV opioids immediately

✔✔C. Encourage ambulation, position changes, and counter-pressure

• Keep the client supine

A client at 36 weeks gestation reports sudden abdominal pain and no fetal movement. What is the priority action?

• Provide pain medication

✔✔B. Assess fetal heart rate and prepare for emergency evaluation

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