Maternity HESI Study Questions and

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

A pregnant client at 37 weeks gestation reports sudden painless vaginal bleeding. What is the priority nursing assessment?

• Check maternal blood pressure

✔✔B. Assess for placenta previa and monitor fetal heart rate

• Encourage rest
• Prepare for vaginal delivery

A postpartum client reports excessive lochia and passage of large clots 3 hours after delivery.What is the priority nursing action?

• Document the findings

✔✔B. Assess uterine tone and massage the fundus

• Encourage ambulation
• Apply a perineal pad only

A client in labor has contractions every 2 minutes lasting 90 seconds with fetal heart rate showing late decelerations. What should the nurse do first? 1 / 4

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• Encourage breathing exercises

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

• Give analgesics
• Continue monitoring

A client at 32 weeks gestation reports generalized swelling, headache, and blurred vision. What condition should the nurse suspect?

• Hyperemesis gravidarum

✔✔B. Preeclampsia

• Gestational diabetes
• Urinary tract infection

A client with gestational diabetes asks how to monitor blood glucose at home. What is the best teaching?

• Check glucose weekly
• Skip insulin on low-glucose days

✔✔C. Teach fingerstick technique, target levels, and dietary management

• Monitor only when feeling symptomatic 2 / 4

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A newborn at 1 hour of age has a heart rate of 90 bpm, weak cry, and decreased muscle tone.What is the immediate nursing intervention?

• Place the baby under phototherapy

✔✔B. Provide stimulation and supplemental oxygen

• Swaddle and monitor
• Administer vitamin K

A client in active labor reports severe back pain. Which non-pharmacologic method is most appropriate?

• Apply cold packs to abdomen
• Limit movement and keep supine

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

• Administer IV opioids immediately

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

• Perform fundal massage

✔✔B. Assess fetal heart rate and prepare for emergency evaluation 3 / 4

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• Encourage hydration
• Provide analgesics

A postpartum client reports perineal pain and observes swelling. What should the nurse do first?

• Apply warm sitz bath

✔✔B. Apply cold compress and assess for hematoma

• Encourage ambulation
• Document findings only

A client at 40 weeks gestation reports regular contractions every 3 minutes. What is the next nursing action?

• Encourage walking
• Prepare for induction

✔✔C. Assess cervical dilation and effacement

• Monitor vitals only

A client receiving oxytocin develops hyperstimulation with contractions lasting 90 seconds every 1–2 minutes. What should the nurse do?

• Increase oxytocin rate
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