Page 1 of 53
“HESI PN OBSTETRICS MATERNITY PRACTICE EXAM “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
HESI OB/Maternity Practice Exam
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
A. Assess the husband's feelings about his wife's decision to breastfeed their
baby
B. Ask the client to describe why she was unsuccessful with breastfeeding her
last child
C. Encourage the client to develop a positive attitude about breastfeeding to
help ensure success
D. Provide assistance to the mother to begin breastfeeding as soon as
possible after delivery
D. Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery
Infants respond to breastfeeding best when feeding is initiated in the active phase
soon after delivery.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
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instruction would be most effective in preventing pooling of blood in the lower
extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing
C. Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
veins and increase venous return.
During a prenatal visit, the nurse discusses with a client the effects of smoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
A. lower Apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies
B. lower birth weights
lower birth weights
Smoking is associated with low-birth-weight infants (B). Mothers are encouraged not
to smoke during pregnancy. To date, significant relationships have NOT been found
between smoking and lower Apgar scores, respiratory distress, a higher rate of
congenital anomalies.
A mother who is breast feeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness?
A. Wear a cotton bra
B. Increase nursing time gradually
C. Correctly place the infant on the breast
D. Manually express a small amount of milk before nursing
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C. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close.
The nurse bases the explanation on knowledge that for the normal newborn,
the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the
first week
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the
second week
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the first month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of
the second month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month
This should be memorized for NCLEX
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16-weeks gestation
B. At 20-weeks gestation
C. At 24-weeks gestation
D. At 30-weeks gestation
D. At 30-weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would be ready
for such classes. Learning is facilitated by an interested pupil! The couple is most
interested in childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and the birth of their child
is an immediate concern.
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The nurse should encourage the laboring client to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a bowel movement
C. the cervix is completely dilated
D. the cervix is completely effaced
C. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is completely
dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the
cervix can become edematous and may never completely dilate, necessitating an
operative delivery. Many primigravidas begin active labor 100% effaced and then
proceed to dilate.
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs
A. two weeks before menstruation
B. immediately after menstruation
C. immediately before menstruation
D. three weeks before menstruation
A. two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period
The nurse instructs a laboring client to use accelerated-blow breathing. The
client begins to complain of tingling fingers and dizziness. What action should
the nurse take?
A. Administer oxygen by face mask
B. Notify the healthcare provider of the client's symptoms
C. Have the client breathe into her cupped hands
D. Check the clients blood pressure and fetal heart rate
C. Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much
“HESI PN OBSTETRICS MATERNITY PRACTICE EXAM “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
HESI OB/Maternity Practice Exam
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
A. Assess the husband's feelings about his wife's decision to breastfeed their
baby
B. Ask the client to describe why she was unsuccessful with breastfeeding her
last child
C. Encourage the client to develop a positive attitude about breastfeeding to
help ensure success
D. Provide assistance to the mother to begin breastfeeding as soon as
possible after delivery
D. Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery
Infants respond to breastfeeding best when feeding is initiated in the active phase
soon after delivery.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
, Page 2 of 53
instruction would be most effective in preventing pooling of blood in the lower
extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing
C. Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
veins and increase venous return.
During a prenatal visit, the nurse discusses with a client the effects of smoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
A. lower Apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies
B. lower birth weights
lower birth weights
Smoking is associated with low-birth-weight infants (B). Mothers are encouraged not
to smoke during pregnancy. To date, significant relationships have NOT been found
between smoking and lower Apgar scores, respiratory distress, a higher rate of
congenital anomalies.
A mother who is breast feeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness?
A. Wear a cotton bra
B. Increase nursing time gradually
C. Correctly place the infant on the breast
D. Manually express a small amount of milk before nursing
, Page 3 of 53
C. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close.
The nurse bases the explanation on knowledge that for the normal newborn,
the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the
first week
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the
second week
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the first month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of
the second month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month
This should be memorized for NCLEX
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16-weeks gestation
B. At 20-weeks gestation
C. At 24-weeks gestation
D. At 30-weeks gestation
D. At 30-weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would be ready
for such classes. Learning is facilitated by an interested pupil! The couple is most
interested in childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and the birth of their child
is an immediate concern.
, Page 4 of 53
The nurse should encourage the laboring client to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a bowel movement
C. the cervix is completely dilated
D. the cervix is completely effaced
C. the cervix is completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is completely
dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the
cervix can become edematous and may never completely dilate, necessitating an
operative delivery. Many primigravidas begin active labor 100% effaced and then
proceed to dilate.
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs
A. two weeks before menstruation
B. immediately after menstruation
C. immediately before menstruation
D. three weeks before menstruation
A. two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period
The nurse instructs a laboring client to use accelerated-blow breathing. The
client begins to complain of tingling fingers and dizziness. What action should
the nurse take?
A. Administer oxygen by face mask
B. Notify the healthcare provider of the client's symptoms
C. Have the client breathe into her cupped hands
D. Check the clients blood pressure and fetal heart rate
C. Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much
