Page 1 of 40
“NU472 HESI OBSTETRICS MATERNITY PRACTICE EXAM
“ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
NU472 HESI Obstetrics/Maternity Practice Exam - 103 Questions
The nurse is calculating the estimated date of confinement (EDC) using
Nägele’s rule for a client whose last menstrual period started on December 1.
Which date is most accurate?
o August 1.
o August 10.
o September 3.
o September 8.
o September 8.
· Calculation of a client's EDC provides baseline data to monitor fetal gestation.
Nägele’s rule uses the formula: subtract 3 months and add 7 days to the first day of
the last normal menstrual period, so December 1 minus 3 months + 7 days is
September 8.
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
o Blood glucose level of 45 mg/dl.
o Blood pressure of 82/45 mmHg.
o Non-bulging anterior fontanel.
o Central cyanosis when crying.
o Central cyanosis when crying.
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· An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare provider for
determination of a possible underlying cardiovascular problem. The other options are
expected findings in newborn.
A client is admitted with the diagnosis of total placenta previa. Which finding
is most important for the nurse to report to the healthcare provider
immediately?
o Heart rate of 100 beats/minute.
o Variable fetal heart rate.
o Onset of uterine contractions.
o Burning on urination.
o Onset of uterine contractions.
· Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging. The risk of
hemorrhage is the priority.
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pad are completely
saturated and the client is lying in a 6-inch diameter pool of blood. Which
action should the nurse implement next?
o Cleanse the perineum.
o Obtain a blood pressure.
o Palpate the firmness of the fundus.
o Inspect the perineum for lacerations.
o Palpate the firmness of the fundus.
· A firm uterus is needed to control bleeding from the placental site of attachment on
the uterine wall. The nurse should first assess for firmness and massage the fundus
as indicated.
The nurse is assessing a client who is having a non-stress test (NST) at 41-
weeks gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR
accelerations are occurring. What action should the nurse take?
o Check the client for urinary bladder distention.
, Page 3 of 40
o Notify the healthcare provider of the nonreactive results.
o Have the mother stimulate the fetus to move.
o Ask the client if she has felt any fetal movement.
o Ask the client if she has felt any fetal movement.
The client should be asked if she has felt the fetus move. An NST is used to
determine fetal well-being, and is often implemented when postmaturity is
suspected. A "reactive" NST occurs if the FHR accelerates 15 bpm for 15 seconds in
response to the fetus' own movement, and is "nonreactive" if no FHR acceleration
occurs in response to fetal movement.
When assisting a client to relieve postpartum uterine contractions, which
nursing intervention would be most helpful for the nurse to take?
o Lying client prone with a pillow on the abdomen.
o Asking the client to express milk via breast pump.
o Massaging the client's abdomen.
o Giving oxytocic medications.
o Lying client prone with a pillow on the abdomen.
· Lying prone keeps the fundus contracted and is especially useful with multiparas,
who commonly experience afterpains due to lack of uterine tone.
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing
her childbearing history, the client indicates that she has delivered premature
twins, one full-term baby, and has had no abortions. When preparing to
document the client's delivery history, it is important for the nurse to
document in the client's record which GTPAL history?
o 3-1-2-0-3.
o 4-1-2-0-3.
o 2-1-2-1-2.
o 3-1-1-0-3.
o 3-1-1-0-3.
· The correct GTPAL is 3-1-1-0-3. The client has been pregnant 3 times which
includes the current pregnancy (G-3), in addition, she had one full-term infant (T-1)
and also had a preterm (P-1) twin pregnancy (a multifetal gestation is considered
one birth when calculating parity). The client denied history of abortions (A-0), so this
client has a total of 3 living children.
, Page 4 of 40
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
o Gravidity and parity.
o Time and amount of last oral intake.
o Date of last normal menstrual period.
o Frequency and intensity of contractions.
o Date of last normal menstrual period.
Evaluating the gestation of the pregnancy takes priority due to the risks involved
when the fetus is preterm. If preterm labor is imminent and a reassuring fetal heart
pattern is assessed, the healthcare provider may attempt to prolong the pregnancy
by administering corticosteroids to mature the lungs of the fetus.
Which action should the nurse implement when preparing to measure the
fundal height of a pregnant client?
o Have the client empty her bladder.
o Request the client lie on her left side.
o Perform Leopold's maneuvers first.
o Give the client some cold juice to drink.
o Have the client empty her bladder.
· To avoid an elevation of the uterus, the client must empty the bladder prior to
obtaining an accurate fundal height measurement.
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best?
o "This is not an unusual shaped head, especially for a first baby."
o "It may look funny to you, but newborn babies are often born with heads like
your baby's."
o "That is normal; the head will return to a round shape within 7 to 10 days."
o "Your pelvis was too small, so the baby's head had to adjust to the birth
canal."
“NU472 HESI OBSTETRICS MATERNITY PRACTICE EXAM
“ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
NU472 HESI Obstetrics/Maternity Practice Exam - 103 Questions
The nurse is calculating the estimated date of confinement (EDC) using
Nägele’s rule for a client whose last menstrual period started on December 1.
Which date is most accurate?
o August 1.
o August 10.
o September 3.
o September 8.
o September 8.
· Calculation of a client's EDC provides baseline data to monitor fetal gestation.
Nägele’s rule uses the formula: subtract 3 months and add 7 days to the first day of
the last normal menstrual period, so December 1 minus 3 months + 7 days is
September 8.
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
o Blood glucose level of 45 mg/dl.
o Blood pressure of 82/45 mmHg.
o Non-bulging anterior fontanel.
o Central cyanosis when crying.
o Central cyanosis when crying.
, Page 2 of 40
· An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare provider for
determination of a possible underlying cardiovascular problem. The other options are
expected findings in newborn.
A client is admitted with the diagnosis of total placenta previa. Which finding
is most important for the nurse to report to the healthcare provider
immediately?
o Heart rate of 100 beats/minute.
o Variable fetal heart rate.
o Onset of uterine contractions.
o Burning on urination.
o Onset of uterine contractions.
· Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging. The risk of
hemorrhage is the priority.
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pad are completely
saturated and the client is lying in a 6-inch diameter pool of blood. Which
action should the nurse implement next?
o Cleanse the perineum.
o Obtain a blood pressure.
o Palpate the firmness of the fundus.
o Inspect the perineum for lacerations.
o Palpate the firmness of the fundus.
· A firm uterus is needed to control bleeding from the placental site of attachment on
the uterine wall. The nurse should first assess for firmness and massage the fundus
as indicated.
The nurse is assessing a client who is having a non-stress test (NST) at 41-
weeks gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR
accelerations are occurring. What action should the nurse take?
o Check the client for urinary bladder distention.
, Page 3 of 40
o Notify the healthcare provider of the nonreactive results.
o Have the mother stimulate the fetus to move.
o Ask the client if she has felt any fetal movement.
o Ask the client if she has felt any fetal movement.
The client should be asked if she has felt the fetus move. An NST is used to
determine fetal well-being, and is often implemented when postmaturity is
suspected. A "reactive" NST occurs if the FHR accelerates 15 bpm for 15 seconds in
response to the fetus' own movement, and is "nonreactive" if no FHR acceleration
occurs in response to fetal movement.
When assisting a client to relieve postpartum uterine contractions, which
nursing intervention would be most helpful for the nurse to take?
o Lying client prone with a pillow on the abdomen.
o Asking the client to express milk via breast pump.
o Massaging the client's abdomen.
o Giving oxytocic medications.
o Lying client prone with a pillow on the abdomen.
· Lying prone keeps the fundus contracted and is especially useful with multiparas,
who commonly experience afterpains due to lack of uterine tone.
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing
her childbearing history, the client indicates that she has delivered premature
twins, one full-term baby, and has had no abortions. When preparing to
document the client's delivery history, it is important for the nurse to
document in the client's record which GTPAL history?
o 3-1-2-0-3.
o 4-1-2-0-3.
o 2-1-2-1-2.
o 3-1-1-0-3.
o 3-1-1-0-3.
· The correct GTPAL is 3-1-1-0-3. The client has been pregnant 3 times which
includes the current pregnancy (G-3), in addition, she had one full-term infant (T-1)
and also had a preterm (P-1) twin pregnancy (a multifetal gestation is considered
one birth when calculating parity). The client denied history of abortions (A-0), so this
client has a total of 3 living children.
, Page 4 of 40
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
o Gravidity and parity.
o Time and amount of last oral intake.
o Date of last normal menstrual period.
o Frequency and intensity of contractions.
o Date of last normal menstrual period.
Evaluating the gestation of the pregnancy takes priority due to the risks involved
when the fetus is preterm. If preterm labor is imminent and a reassuring fetal heart
pattern is assessed, the healthcare provider may attempt to prolong the pregnancy
by administering corticosteroids to mature the lungs of the fetus.
Which action should the nurse implement when preparing to measure the
fundal height of a pregnant client?
o Have the client empty her bladder.
o Request the client lie on her left side.
o Perform Leopold's maneuvers first.
o Give the client some cold juice to drink.
o Have the client empty her bladder.
· To avoid an elevation of the uterus, the client must empty the bladder prior to
obtaining an accurate fundal height measurement.
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best?
o "This is not an unusual shaped head, especially for a first baby."
o "It may look funny to you, but newborn babies are often born with heads like
your baby's."
o "That is normal; the head will return to a round shape within 7 to 10 days."
o "Your pelvis was too small, so the baby's head had to adjust to the birth
canal."
