HESI Maternity OB Exam 2026: Key Questions &
Answers
1. What is the estimated due date for a pregnant patient whose last
menstrual period began on January 10, 2026?: October 17, 2026
2. At 28 weeks gestation, what should the fundal height measure
approximate-ly?: 28 cm
3. Which device should be used to auscultate the fetal heart rate at
11 weeks gestation?: Doppler ultrasound
4. What is the most appropriate diagnosis for a patient at 32 weeks
gestation with a blood pressure of 148/92 mmHg and no protein in
urine?: Gestational hypertension
5. What finding confirms severe features of preeclampsia in a
patient at 34 weeks gestation?: Blood pressure 1e60/110 mmHg, thrombocytopenia
<100,000, and elevated liver enzymes
6. Which task is most appropriate to delegate to an experienced
LPN on the antepartum unit?: Reinforcing prenatal vitamin teaching and obtaining a fetal
heart rate using Doppler on a stable patient
7. What laboratory screening tests are standard for all pregnant
patients dur-ing the initial prenatal visit?: Complete blood count, blood type with Rh
factor, antibody screen, urinalysis, rubella titer, hepatitis B surface antigen, HIV, and syphilis
screening
8. What is the priority nursing action for a patient at 30 weeks
gestation with sudden, painless, bright red vaginal bleeding?: Monitor
maternal-fetal status, establish IV access, and prepare for possible cesarean birth; do NOT
perform a digital vaginal examination
9. What is the priority action for a patient at 35 weeks gestation
with painful vaginal bleeding and a nonreassuring fetal heart rate?: Prepare
for immediate delivery based on maternal-fetal status
10. How should a fetal heart rate tracing with a baseline of 135
bpm, moderate variability, and no decelerations be classified?:
Category I (Normal)
11. What defines Category I fetal tracings?: Normal baseline (110-160 bpm),
moderate variability, and absence of late or variable decelerations.
12. What type of deceleration begins at the onset of a
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, HESI Maternity OB Exam 2026: Key Questions &
Answers
contraction and returns to baseline by the end?: Early deceleration.
13. What is the priority nursing intervention for a patient with
recurrent late decelerations?: Reposition the patient, administer oxygen, increase IV fluids,
notify the provider, and prepare for possible delivery.
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13
Answers
1. What is the estimated due date for a pregnant patient whose last
menstrual period began on January 10, 2026?: October 17, 2026
2. At 28 weeks gestation, what should the fundal height measure
approximate-ly?: 28 cm
3. Which device should be used to auscultate the fetal heart rate at
11 weeks gestation?: Doppler ultrasound
4. What is the most appropriate diagnosis for a patient at 32 weeks
gestation with a blood pressure of 148/92 mmHg and no protein in
urine?: Gestational hypertension
5. What finding confirms severe features of preeclampsia in a
patient at 34 weeks gestation?: Blood pressure 1e60/110 mmHg, thrombocytopenia
<100,000, and elevated liver enzymes
6. Which task is most appropriate to delegate to an experienced
LPN on the antepartum unit?: Reinforcing prenatal vitamin teaching and obtaining a fetal
heart rate using Doppler on a stable patient
7. What laboratory screening tests are standard for all pregnant
patients dur-ing the initial prenatal visit?: Complete blood count, blood type with Rh
factor, antibody screen, urinalysis, rubella titer, hepatitis B surface antigen, HIV, and syphilis
screening
8. What is the priority nursing action for a patient at 30 weeks
gestation with sudden, painless, bright red vaginal bleeding?: Monitor
maternal-fetal status, establish IV access, and prepare for possible cesarean birth; do NOT
perform a digital vaginal examination
9. What is the priority action for a patient at 35 weeks gestation
with painful vaginal bleeding and a nonreassuring fetal heart rate?: Prepare
for immediate delivery based on maternal-fetal status
10. How should a fetal heart rate tracing with a baseline of 135
bpm, moderate variability, and no decelerations be classified?:
Category I (Normal)
11. What defines Category I fetal tracings?: Normal baseline (110-160 bpm),
moderate variability, and absence of late or variable decelerations.
12. What type of deceleration begins at the onset of a
1/
13
, HESI Maternity OB Exam 2026: Key Questions &
Answers
contraction and returns to baseline by the end?: Early deceleration.
13. What is the priority nursing intervention for a patient with
recurrent late decelerations?: Reposition the patient, administer oxygen, increase IV fluids,
notify the provider, and prepare for possible delivery.
2/
13
