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Maternity Hesi Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client at 36 weeks gestation reports sudden painless vaginal bleeding. What is the nurse’s priority assessment?✔✔Assess for placenta previa and monitor maternal vital signs
A postpartum client complains of breast tenderness, redness, and warmth. What is the priority nursing action?✔✔Assess for mastitis and encourage continued breastfeeding
A newborn has a temperature of 36°C at 1 hour of life. What is the nurse’s immediate intervention?✔✔Provide skin-to-skin contact and warm blankets to prevent hypothermia
A client in labor reports severe headache, visual disturbances, and swelling of the hands. What is the priority nursing action?✔✔Assess for preeclampsia and notify the healthcare provider immediately
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A client at 32 weeks gestation reports persistent vomiting with weight loss. What condition should the nurse suspect?✔✔Hyperemesis gravidarum and assess hydration and electrolyte status
A postpartum client reports heavy vaginal bleeding with clots 3 hours after delivery. What is the nurse’s first action?✔✔Assess uterine tone and massage the fundus to control hemorrhage
A newborn has a heart rate of 85 bpm and is lethargic at 2 minutes after birth. What is the immediate nursing intervention?✔✔Provide stimulation and administer oxygen as needed
A client at 38 weeks gestation reports decreased fetal movement. What is the priority nursing action?✔✔Assess fetal heart rate and instruct on fetal kick counts
A postpartum client reports dysuria, urgency, and fever on day 3. What should the nurse assess?✔✔Signs of urinary tract infection and notify the provider for treatment
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A client at 40 weeks gestation has contractions every 2 minutes with late decelerations on the fetal monitor. What is the priority nursing intervention?✔✔Stop oxytocin if running, reposition the client, administer oxygen, and notify the provider
A newborn is jittery and has a high-pitched cry at 4 hours old. What is the first nursing assessment?✔✔Check blood glucose for hypoglycemia
A client in labor develops sudden hypotension after epidural anesthesia. What is the immediate nursing action?✔✔Administer IV fluids, reposition to left lateral, and monitor vital signs
A client at 28 weeks gestation reports swelling of face and hands with headache. What condition should the nurse suspect?✔✔Preeclampsia and assess blood pressure, reflexes, and proteinuria
A postpartum client reports sadness and tearfulness on day 5. What is the appropriate nursing action?✔✔Assess for postpartum blues versus depression and provide emotional support 3 / 4
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A newborn has nasal flaring, grunting, and chest retractions immediately after birth. What is the priority nursing intervention?✔✔Provide supplemental oxygen and prepare for neonatal resuscitation
A client at 34 weeks gestation reports severe abdominal pain and decreased fetal movement.What is the priority nursing action?✔✔Assess fetal heart rate and prepare for emergency evaluation
A postpartum client reports severe perineal pain with a firm, swollen area. What is the best nursing intervention?✔✔Assess for a perineal hematoma and notify the provider
A breastfeeding client reports nipple pain and cracks. What is the priority nursing intervention?✔✔Assess latch technique and provide education on proper positioning
A client at 36 weeks gestation presents with pruritus and dark urine. What condition should the nurse suspect?✔✔Intrahepatic cholestasis of pregnancy and notify the provider
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