HESI Maternity OB Exam 2026/2027: Key Questions & Answers
Study online at https://quizlet.com/_jq2896
1. What condition is indicated by Preeclampsia with severe features requiring immediate
blood pressure of 162/104 mmHg, hospitalization and magnesium sulfate therapy
3+ proteinuria, severe headache,
and visual disturbances in a
32-week pregnant woman?
2. What is the earliest sign of mag- Absence of deep tendon reflexes (DTRs)
nesium toxicity in a client receiving
magnesium sulfate?
3. What should the nurse do if a client Stop the magnesium infusion immediately, notify the
receiving magnesium sulfate has provider, and prepare calcium gluconate
absent DTRs and a respiratory rate
of 12 breaths per minute?
4. What does the 'LP' in HELLP syn- Low platelets and elevated liver enzymes
drome stand for?
5. What are the target glucose levels Fasting <95 mg/dL and 1-hour postprandial <140
for gestational diabetes? mg/dL
6. What risk is associated with a client Increased risk for shoulder dystocia and possible ce-
measuring 42 cm fundal height sarean delivery
and estimated fetal weight of 4,500
grams?
7. What is the correct administration 300 mcg IM at 28 weeks and within 72 hours postpar-
for RhoGAM in an unsensitized tum if the newborn is Rh-positive
Rh-negative client?
8. What is the purpose of administer- Accelerate fetal lung maturation and reduce respiratory
ing betamethasone to a client at 30 distress syndrome risk
weeks with preterm labor?
1/8
, HESI Maternity OB Exam 2026/2027: Key Questions & Answers
Study online at https://quizlet.com/_jq2896
9. What should be done next if a Perform a biophysical profile (BPP) or proceed to deliv-
non-stress test (NST) shows no ac- ery based on clinical findings
celerations in fetal heart rate over
40 minutes?
10. What should a client with a history Continue the low-molecular-weight heparin throughout
of deep vein thrombosis be taught pregnancy; warfarin is teratogenic
regarding anticoagulant use dur-
ing pregnancy?
11. What condition is suspected in a Placenta previa
20-week pregnant client with pain-
less vaginal bleeding and a soft,
nontender uterus?
12. What is classic for placenta previa? Painless bleeding with a soft, nontender uterus.
13. What is the priority intervention for Maintain bed rest, establish large-bore IV access, type
a client with placenta previa and ac- and crossmatch blood, and prepare for possible deliv-
tive bleeding? ery.
14. What is recommended for a client Progesterone supplementation and serial cervical
with cervical insufficiency and a length monitoring.
cervical length of 18 mm at 18
weeks?
15. What should the nurse focus on for Signs of vaso-occlusive crisis, infection, and fetal growth
a pregnant client with sickle cell dis- restriction.
ease at 24 weeks?
16. What does a fetal heart rate pattern Head compression.
of early decelerations indicate?
2/8
Study online at https://quizlet.com/_jq2896
1. What condition is indicated by Preeclampsia with severe features requiring immediate
blood pressure of 162/104 mmHg, hospitalization and magnesium sulfate therapy
3+ proteinuria, severe headache,
and visual disturbances in a
32-week pregnant woman?
2. What is the earliest sign of mag- Absence of deep tendon reflexes (DTRs)
nesium toxicity in a client receiving
magnesium sulfate?
3. What should the nurse do if a client Stop the magnesium infusion immediately, notify the
receiving magnesium sulfate has provider, and prepare calcium gluconate
absent DTRs and a respiratory rate
of 12 breaths per minute?
4. What does the 'LP' in HELLP syn- Low platelets and elevated liver enzymes
drome stand for?
5. What are the target glucose levels Fasting <95 mg/dL and 1-hour postprandial <140
for gestational diabetes? mg/dL
6. What risk is associated with a client Increased risk for shoulder dystocia and possible ce-
measuring 42 cm fundal height sarean delivery
and estimated fetal weight of 4,500
grams?
7. What is the correct administration 300 mcg IM at 28 weeks and within 72 hours postpar-
for RhoGAM in an unsensitized tum if the newborn is Rh-positive
Rh-negative client?
8. What is the purpose of administer- Accelerate fetal lung maturation and reduce respiratory
ing betamethasone to a client at 30 distress syndrome risk
weeks with preterm labor?
1/8
, HESI Maternity OB Exam 2026/2027: Key Questions & Answers
Study online at https://quizlet.com/_jq2896
9. What should be done next if a Perform a biophysical profile (BPP) or proceed to deliv-
non-stress test (NST) shows no ac- ery based on clinical findings
celerations in fetal heart rate over
40 minutes?
10. What should a client with a history Continue the low-molecular-weight heparin throughout
of deep vein thrombosis be taught pregnancy; warfarin is teratogenic
regarding anticoagulant use dur-
ing pregnancy?
11. What condition is suspected in a Placenta previa
20-week pregnant client with pain-
less vaginal bleeding and a soft,
nontender uterus?
12. What is classic for placenta previa? Painless bleeding with a soft, nontender uterus.
13. What is the priority intervention for Maintain bed rest, establish large-bore IV access, type
a client with placenta previa and ac- and crossmatch blood, and prepare for possible deliv-
tive bleeding? ery.
14. What is recommended for a client Progesterone supplementation and serial cervical
with cervical insufficiency and a length monitoring.
cervical length of 18 mm at 18
weeks?
15. What should the nurse focus on for Signs of vaso-occlusive crisis, infection, and fetal growth
a pregnant client with sickle cell dis- restriction.
ease at 24 weeks?
16. What does a fetal heart rate pattern Head compression.
of early decelerations indicate?
2/8
