OB HESI Exam Prep 2026 – 70 Practice Questions & Verified Answers | Maternity & Newborn Review

OB Hesi Exam Prep 2026 with a Review of 70
Past Exam Questions and Correct Answers/
HESI OB Exam 2026 Prep – 100% Correctly
Answered Questions/ Obstetrics Hesi Exam
2026 Prep

1. At 10 weeks gestation, a high-
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risk multiparous client with a family history of Down syndrome is a
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dmitted for observation following a chorionic villavilla sampling (C
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VS) procedure. What assessment finding requires immediate interv
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ention?


A. Uterine cramping.
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B. Intermittent nausea.
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C. Systolic blood pressure < 100 mmHg.
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D. Abdominal tenderness. ......ANSWER.....A. Uterine cramping.
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2. A client states, "During the three months I've been pregnant, it se
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ems like I have had to go to the bathroom every five minutes." Whic
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h explanation should the nurse provide to this client?
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A. The client may have a bladder or kidney infection.
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B. Bladder capacity increases during pregnancy.
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,C. During pregnancy a woman is especially sensitive to body functio
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D. The growing uterus is putting pressure on the bladder. ......ANS
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WER.....D. The growing uterus is putting pressure on the bladder.
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3. The nurse assesses a male newborn and determines that he has th
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e following vital signs: axillary temperature 95.1 F, heart rate 136 bea
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ts/minute and a respiratory rate of 48 breaths/minute. Based on the
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se findings, which action should the nurse take first?
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A. Notify the pediatrician of the infant's vital signs.
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B. Encourage the infant to take the breast or sugar water.
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C. Assess the infant's blood glucose level.
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D. Check the infant's arterial blood gases. ......ANSWER.....C. Assess
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the infant's blood glucose level.
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4. An infant in respiratory distress is placed on pulse oximetry. The
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oxygen saturation indicates 85%. What is the priority nursing interv
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ention?


A. Evaluate the blood pH.
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B. Begin humidified oxygen via hood.
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C. Place the infant under a radiant warmer.
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D. Stimulate infant crying. ......ANSWER.....B. Begin humidified oxy
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gen via hood. G G

,5. When assessing a newborn infant's heart rate, which technique is
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most important for the nurse to use?
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A. Count the heart rate for at least one full minute.
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B. Quiet the infant before counting the heart rate.
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C. Palpate the umbilical cord.
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D. Listen at the apex of the heart. ......ANSWER.....A. Count the hear
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t rate for at least one full minute.
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6. The nurse prepares to administer an injection of vitamin K to a ne
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wborn infant. The mother tells the nurse, "Wait! I don't want my ba
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by to have a shot." Which response would be best for the nurse to m
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ake?


A. Inform the mother that the injection was prescribed by the healt
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hcare provider. G




B. Explore the mother's concern about the infant receiving an inject
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ion of vitamin K.
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C. Remind the mother that all babies receive the shot and it is relati
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vely painless. G




D. Explain that vitamin K is required by state law and compliance is
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mandatory. ......ANSWER.....B. Explore the mother's concern about t
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he infant receiving an injection of vitamin K.
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, 7. The nurse is teaching a new mother about diet and breastfeeding.
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Which instruction is most important to include in the teaching pla
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n?


A. Double prenatal milk intake to improve vitamin D transfer to the
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infant.
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B. Increase caloric intake by approximately 500 calories/day.
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C. Avoid spicy foods to prevent infant colic.
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D. Avoid alcohol because it is excreted in breast milk. ......ANSWER.
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....D. Avoid alcohol because it is excreted in breast milk.
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8. Which nursing intervention best enhances maternal-
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infant bonding during the fourth stage of labor?
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A. Brighten the lighting so the mother can view the infant.
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B. Provide positive reinforcement for maternal care of infant.
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C. Complete a newborn assessment as quickly as possible.
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D. Encourage early initiation of breast or formula feeding. ......ANS
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WER.....D. Encourage early initiation of breast or formula feeding.
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9. A client at 8-
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weeks gestation ask the nurse about the risk for congenital heart def
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ect (CHD) in her baby. Which response best explains when a CHD
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may occur? G