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HESI MATERNITY (MATERNAL–NEWBORN) EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GRADED A+ LATEST Question 1: A woman at 36 weeks gestation presents with painless vaginal bleeding. What is the priority nursing action? A. Assess maternal vital signs and fetal heart rate B. Encourage ambulation C. Perform a vaginal exam immediately D. Administer oxytocin Answer: A. Assess maternal vital signs and fetal heart rate Rationale: Painless third-trimester bleeding may indicate placenta previa. Vaginal exams can worsen bleeding; assessment of maternal-fetal status is first priority. Question 2: A postpartum client reports heavy lochia with large clots 2 hours after delivery. What is the priority intervention? A. Assess fundal firmness and massage if boggy B. Encourage ambulation C. Document findings only D. Administer oral iron Answer: A. Assess fundal firmness and massage if boggy Rationale: Postpartum hemorrhage is most commonly caused by uterine atony; fundal massage can help the uterus contract. Question 3: A woman at 28 weeks gestation has a blood pressure of 150/100 mmHg, 2+ proteinuria, and reports headaches. Which complication is suspected? A. Preeclampsia B. Gestational diabetes C. Hyperemesis gravidarum D. Placenta previa Answer: A. Preeclampsia Rationale: Hypertension, proteinuria, and headache indicate preeclampsia; requires close monitoring and potential hospitalization. Question 4: A woman in labor is at 7 cm dilation with regular contractions. Purchase document to see full attachment