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RN HESI Maternity Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client at 32 weeks gestation reports sudden swelling of her face and hands. What is the nurse’s priority action?
- Encourage rest and fluids
- Schedule routine prenatal visit
- Advise low-sodium diet
✔✔B. Assess blood pressure and check for proteinuria
A postpartum client reports heavy vaginal bleeding and dizziness. What is the nurse’s first action?
- Monitor vital signs every 30 minutes
- Assist client to ambulate
- Notify the provider after 1 hour
✔✔C. Assess fundal tone and massage if boggy
A client in labor is experiencing late decelerations on the fetal monitor. What should the nurse do first? 1 / 4
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✔✔A. Reposition the client on her left side
- Increase oxytocin infusion
- Encourage the client to push
- Prepare for immediate delivery
A newborn has a temperature of 35.8°C (96.4°F). What is the nurse’s priority intervention?
- Bathe the newborn
- Place the newborn near the window
- Measure the temperature again in 4 hours
✔✔C. Provide skin-to-skin contact and warm blankets
A client with preeclampsia is receiving magnesium sulfate. Which finding requires immediate intervention?
- Mild nausea and flushing
- Mild headache
- Slight edema in hands and feet
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✔✔C. Respiratory rate 8/min
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A client reports bright red vaginal bleeding at 24 weeks gestation. Which complication should the nurse suspect?
- Placenta previa ✔✔
- Gestational diabetes
- Preterm labor
- Ectopic pregnancy
A nurse is teaching a client about newborn car seat safety. Which statement indicates understanding?
- “I can place the car seat in the front seat if the airbag is off.”
- “I should place a blanket under the baby for comfort.”
- “The harness straps can be loose for easier adjustment.”
✔✔B. “The car seat should face the rear of the car and be secured in the back seat.”
A client is in the latent phase of labor. Which nursing intervention is most appropriate?✔✔A. Encourage ambulation and position changes
- Prepare for immediate cesarean delivery
- Administer IV oxytocin 3 / 4
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- Monitor for signs of postpartum hemorrhage
A newborn has a heart rate of 85 bpm immediately after birth. What is the nurse’s priority action?
- Apply a diaper and monitor
- Begin skin-to-skin contact
- Administer vitamin K
✔✔C. Start resuscitation with positive pressure ventilation
A client is 28 weeks pregnant and reports frequent, painless contractions. What should the nurse assess first?
- Fetal heart rate
- Maternal temperature
- Fundal height
✔✔B. Signs of preterm labor
A client is receiving oxytocin for labor induction. Which finding indicates the nurse should stop the infusion?
- Maternal mild nausea
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