HESI OBSTETRIC NURSING TEST BANK 2026 NEXT-
GEN NCLEX CASE STUDIES & MATERNITY PRACTICE
QUESTIONS PASS GUARANTEED
This premium exam resource contains actual HESI Maternity OB questions
featuring verified answers and comprehensive clinical rationales. It
covers high-yield obstetric and neonatal care concepts designed to
strengthen your clinical judgment for both classroom exams and the
Next-Generation NCLEX. Master antepartum complications, labor
interventions, and postpartum emergencies with this high-density study
tool that guarantees an A+ grade.
Part 1: Antepartum Care & Complications (Questions
1-15)
Question 1
A client at 8 weeks’ gestation tells the nurse she
experiences severe morning sickness every day.
Which dietary instruction should the nurse provide?
A) Drink 8 ounces of orange juice with every
meal.
B) Eat three large, high-protein meals during
the day.
C) Limit fluid intake entirely until the evening
hours.
D) Eat dry crackers or toast before getting out
of bed.
, Answer: D) Eat dry crackers or toast before
getting out of bed.
Rationale: Carbohydrates like dry crackers or
plain toast raise blood sugar levels gently and
absorb excess stomach acid before movement
triggers nausea. High-fluid volumes or large
meals stretch the stomach and worsen the
vomiting reflex.
Question 2
The nurse calculates the estimated date of birth
(EDB) using Nägele's rule. The client’s last
menstrual period (LMP) began on October 14. What
is the correct EDB?
A) July 7
B) July 21
C) July 14
D) August 21
Answer: B) July 21
Rationale: According to Nägele's rule, the nurse
subtracts 3 months from the first day of the
LMP and adds 7 days (October 14 minus 3
months = July 14; July 14 plus 7 days = July 21).
,Question 3
A client at 28 weeks gestation is diagnosed with
gestational diabetes. Which pathophysiological
change explains this condition?
A) Increased maternal production of insulin
destroying pancreatic beta cells.
B) Placental hormones causing increased
maternal resistance to insulin.
C) Decreased glomerular filtration rate causing
glucose retention.
D) Fetal utilization of all available maternal
insulin stores.
Answer: B) Placental hormones causing
increased maternal resistance to insulin.
Rationale: Placental hormones like human
placental lactogen (hPL), cortisol, and
progesterone act as insulin antagonists. This
creates insulin resistance to ensure an
abundant glucose supply is available for the
growing fetus.
Question 4
, A nurse is assessing a pregnant client at 34 weeks
gestation who presents with sudden, painless,
bright red vaginal bleeding. Which action is strictly
contraindicated?
A) Initiating continuous external fetal
monitoring.
B) Obtaining a blood sample for a type and
crossmatch.
C) Performing a digital vaginal examination.
D) Administering intravenous normal saline
fluids.
Answer: C) Performing a digital vaginal
examination.
Rationale: Painless bright red bleeding indicates
placenta previa. A digital vaginal exam can
puncture or detach the low-lying placenta,
causing catastrophic, life-threatening maternal
and fetal hemorrhage.
Question 5
A client at 32 weeks gestation is admitted with
severe preeclampsia. Which clinical finding requires
immediate intervention by the nurse?
GEN NCLEX CASE STUDIES & MATERNITY PRACTICE
QUESTIONS PASS GUARANTEED
This premium exam resource contains actual HESI Maternity OB questions
featuring verified answers and comprehensive clinical rationales. It
covers high-yield obstetric and neonatal care concepts designed to
strengthen your clinical judgment for both classroom exams and the
Next-Generation NCLEX. Master antepartum complications, labor
interventions, and postpartum emergencies with this high-density study
tool that guarantees an A+ grade.
Part 1: Antepartum Care & Complications (Questions
1-15)
Question 1
A client at 8 weeks’ gestation tells the nurse she
experiences severe morning sickness every day.
Which dietary instruction should the nurse provide?
A) Drink 8 ounces of orange juice with every
meal.
B) Eat three large, high-protein meals during
the day.
C) Limit fluid intake entirely until the evening
hours.
D) Eat dry crackers or toast before getting out
of bed.
, Answer: D) Eat dry crackers or toast before
getting out of bed.
Rationale: Carbohydrates like dry crackers or
plain toast raise blood sugar levels gently and
absorb excess stomach acid before movement
triggers nausea. High-fluid volumes or large
meals stretch the stomach and worsen the
vomiting reflex.
Question 2
The nurse calculates the estimated date of birth
(EDB) using Nägele's rule. The client’s last
menstrual period (LMP) began on October 14. What
is the correct EDB?
A) July 7
B) July 21
C) July 14
D) August 21
Answer: B) July 21
Rationale: According to Nägele's rule, the nurse
subtracts 3 months from the first day of the
LMP and adds 7 days (October 14 minus 3
months = July 14; July 14 plus 7 days = July 21).
,Question 3
A client at 28 weeks gestation is diagnosed with
gestational diabetes. Which pathophysiological
change explains this condition?
A) Increased maternal production of insulin
destroying pancreatic beta cells.
B) Placental hormones causing increased
maternal resistance to insulin.
C) Decreased glomerular filtration rate causing
glucose retention.
D) Fetal utilization of all available maternal
insulin stores.
Answer: B) Placental hormones causing
increased maternal resistance to insulin.
Rationale: Placental hormones like human
placental lactogen (hPL), cortisol, and
progesterone act as insulin antagonists. This
creates insulin resistance to ensure an
abundant glucose supply is available for the
growing fetus.
Question 4
, A nurse is assessing a pregnant client at 34 weeks
gestation who presents with sudden, painless,
bright red vaginal bleeding. Which action is strictly
contraindicated?
A) Initiating continuous external fetal
monitoring.
B) Obtaining a blood sample for a type and
crossmatch.
C) Performing a digital vaginal examination.
D) Administering intravenous normal saline
fluids.
Answer: C) Performing a digital vaginal
examination.
Rationale: Painless bright red bleeding indicates
placenta previa. A digital vaginal exam can
puncture or detach the low-lying placenta,
causing catastrophic, life-threatening maternal
and fetal hemorrhage.
Question 5
A client at 32 weeks gestation is admitted with
severe preeclampsia. Which clinical finding requires
immediate intervention by the nurse?
