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Maternity HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A pregnant client at 24 weeks gestation reports sudden swelling of the face and hands. What is the priority nursing assessment?✔✔Check blood pressure and assess for signs of preeclampsia
A postpartum client reports persistent breast pain and redness. What should the nurse do first?✔✔Assess for mastitis and provide guidance on continued breastfeeding
A client in labor has a blood pressure of 160/105 mmHg and complaints of severe headache.What is the priority nursing action?✔✔Notify the healthcare provider immediately and prepare for magnesium sulfate administration
A client at 30 weeks gestation reports decreased fetal movements. What is the best nursing intervention?✔✔Perform a non-stress test or instruct the client to monitor fetal kick counts
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A client’s membranes rupture at 38 weeks gestation. What is the priority nursing action?✔✔Assess fetal heart rate and note the time of rupture
A postpartum client has excessive vaginal bleeding with large clots. What is the most important nursing action?✔✔Massage the uterus and assess for cause of hemorrhage
A client with gestational diabetes asks how to manage blood sugar at home. What should the nurse teach?✔✔Monitor blood glucose regularly, maintain a proper diet, and follow prescribed insulin or medication
A client at 36 weeks gestation presents with severe itching and dark urine. What condition should the nurse suspect?✔✔Intrahepatic cholestasis of pregnancy
A client in labor develops contractions lasting longer than 90 seconds with less than 1-minute intervals. What is the priority nursing action?✔✔Stop oxytocin infusion and notify the provider 2 / 3
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A newborn at 1 minute after birth has a heart rate of 80 bpm and weak cry. What is the priority intervention?✔✔Provide tactile stimulation and supplemental oxygen if necessary
A postpartum client has a temperature of 38.3°C on day 1. What should the nurse assess first?✔✔Monitor for infection and assess maternal vitals and lochia
A client at 32 weeks gestation presents with abdominal pain and vaginal bleeding. What should the nurse suspect?✔✔Placental abruption or placenta previa; assess and notify provider
A breastfeeding client reports engorged breasts. What is the most appropriate nursing intervention?✔✔Encourage frequent breastfeeding or pumping and apply warm compresses before feeding
A client at 28 weeks gestation reports frequent urinary tract infections. What teaching should the nurse provide?✔✔Drink plenty of fluids, urinate after intercourse, and maintain proper perineal hygiene
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