HESI PN MATERNAL NEWBORN PROCTORED EXAM VERSION 21 2026/2027) (Complete and Verified) (9pages)

1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia.

Which of the following findings should the nurse expect?

a. Reports increased urinary output

b. Diaphoresis

c. Reports blurred vision

d. Shallow respirations

2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the

following actions should the nurse take?

a. Administer penicillin G 2.4 million units IM to the client

b. Instruct the client to schedule an annual pelvic examination

c. Tell the client she will start medication for HIV immediately after delivery

d. Report the client’s condition to the local health department

3. A nurse is providing teaching for a client who has a new prescription for combined oral

contraceptives. Which of the following findings should the nurse include as an adverse effect of

this medication?

a. Depression

b. Polyuria

c. Hypotension

d. Urticaria

4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new

prescription for misoprostol. Which of the following instructions should the nurse include in

the teaching?

a. “I can administer oxytocin 4 hours after the insertion of the medication”

b. “You will need a full bladder prior to the insertion of the medication” - no need to

empty bladder first

c. “Remain in a side-lying position for 15 minutes after the medication is inserted”

d. “An antacid will be given 20 minutes prior to the insertion of the medication”

5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the

following actions should the nurse take?

a. Administer antiviral medication

b. Schedule an ultrasound examination

c. Administer Haemophilus influenza type b vaccine

d. Schedule an indirect Coombs’ test

6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the

following techniques should the nurse use to help minimize the pain of the procedure for the

newborn?

a. Apply a cool back for 10 minutes to the heel prior to the puncture

b. Request a prescription for IM analgesic

c. Use a manual lace blade to pierce the skin

d. Place the newborn skin to skin on the mother’s chest

7. A nurse is performing a vaginal examination on a client who is in labor and observes the

umbilical cord protruding from the vagina. After calling for assistance, which of the following

actionsshould the nurse take?

a. Insert two gloved fingers into the vagina and apply upward pressure to the presenting