HESI OB MATERNITY VERSION 2
CERTIFICATION EVALUATION 2026 HIGH YIELD
REVIEW
◉ The nurse is counseling a woman who wants to become pregnant.
The woman tells the nurse that she has a 36-day menstrual cycle
and the first day of her menstrual period was January *. The nurse
correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7. Answer: c. January 30-31
This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first
day of the cycle and continues to the first day of the next cycle. Her
next period would, therefore, begin on February 13. Ovulation
occurs 14 days before the first day of the menstrual period.
Therefore, ovulation for this woman would occur January 31 (C).
◉ 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. Answer: c. the cervix is
completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), 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.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription. Answer:
d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood
pressure, so the nurse should contact the healthcare provider and
question the prescription (D).
,◉ A newborn, whose mother is HIV positive, is scheduled for follow-
up assessments. The nurse knows that the most likely presenting
symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly. Answer: c. a persistent cold
Respiratory tract infections commonly occur in the pediatric
population. However, the child iwth AIDS has a decreased ability to
defend the body against these infections and often the presenting
symptom of a child with AIDS is a persistent cold (C).
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate? (Select all that apply)
a. Dark, red vaginal bleeding
b. Lower back pain
c. Premature rupture of membranes
d. Increased uterine irritability
e. Bilateral pitting edema
f. A rigid abdomen. Answer: a. Dark, red vaginal bleeding
, d. Increased uterine irritability
f. A rigid abdomen
The symptoms of abruptio placentae include dark red vaginal
bleeding (A), increased uterine irritability (D), and a rigid abdomen
(F).
◉ The nurse assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus
slightly tense between contractions, BP 110/68, FHR 110
beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse
implement?
a. Insert an internal fetal monitor
b. Assess for cervical changes q1h
c. Monitor bleeding from IV sites
d. Perform Leopold's maneuvers. Answer: c. Monitor bleeding from
IV sites
Monitoring bleeding from peripheral sites (C) is the priority
intervention. This client is presenting with signs of placental
abruption. Disseminated intravascular coagulation (DIC) is a
complication of placental abruption, characterized by abnormal
bleeding.
CERTIFICATION EVALUATION 2026 HIGH YIELD
REVIEW
◉ The nurse is counseling a woman who wants to become pregnant.
The woman tells the nurse that she has a 36-day menstrual cycle
and the first day of her menstrual period was January *. The nurse
correctly calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7. Answer: c. January 30-31
This woman can expect her next period to begin 36 days from the
first day of her last menstrual period - the cycle begins at the first
day of the cycle and continues to the first day of the next cycle. Her
next period would, therefore, begin on February 13. Ovulation
occurs 14 days before the first day of the menstrual period.
Therefore, ovulation for this woman would occur January 31 (C).
◉ 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. Answer: c. the cervix is
completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), 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.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription. Answer:
d. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood
pressure, so the nurse should contact the healthcare provider and
question the prescription (D).
,◉ A newborn, whose mother is HIV positive, is scheduled for follow-
up assessments. The nurse knows that the most likely presenting
symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly. Answer: c. a persistent cold
Respiratory tract infections commonly occur in the pediatric
population. However, the child iwth AIDS has a decreased ability to
defend the body against these infections and often the presenting
symptom of a child with AIDS is a persistent cold (C).
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate? (Select all that apply)
a. Dark, red vaginal bleeding
b. Lower back pain
c. Premature rupture of membranes
d. Increased uterine irritability
e. Bilateral pitting edema
f. A rigid abdomen. Answer: a. Dark, red vaginal bleeding
, d. Increased uterine irritability
f. A rigid abdomen
The symptoms of abruptio placentae include dark red vaginal
bleeding (A), increased uterine irritability (D), and a rigid abdomen
(F).
◉ The nurse assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus
slightly tense between contractions, BP 110/68, FHR 110
beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse
implement?
a. Insert an internal fetal monitor
b. Assess for cervical changes q1h
c. Monitor bleeding from IV sites
d. Perform Leopold's maneuvers. Answer: c. Monitor bleeding from
IV sites
Monitoring bleeding from peripheral sites (C) is the priority
intervention. This client is presenting with signs of placental
abruption. Disseminated intravascular coagulation (DIC) is a
complication of placental abruption, characterized by abnormal
bleeding.
