HESI OB
Exam Maternity Version 3 (V3) | Latest 2026
Verified Questions & Answers with Rationales |
Comprehensive Exam Prep
THIS TEST INCLUDES:
• ✅ HESI Maternity OB Exam Version 3 (V3) practice questions
• ✅ Verified answers with detailed rationales
• ✅ Comprehensive maternity nursing review
• ✅ NCLEX-style maternity practice questions
• ✅ Printable PDF format
• ✅ Latest 2026 updated study material
, HESI Maternity OB Exam Version 3 (V3) | Latest 2026
Verified Questions & Answers with Rationales |
Comprehensive Exam PreP
Question 1
A primipara has delivered a stillborn fetus at 30 -weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.
Answer: a. Provide an opportunity for the parents to hold their infant in
privacy.
Explanation: Creating memories through holding, bathing, and dressing the
stillborn infant is a critical component of the grieving process. This allows
parents to acknowledge the reality of the loss and begin the mourning
process. Privacy is essential to provide a safe space for parents to express
emotions freely. While the other options may be appropriate later, providing
the opportunity to hold the infant is the most immediate and important
intervention to facilitate healthy grieving.
,Question 2
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
Answer: a. Body temperature.
Explanation: Infants with esophageal atresia and TE fistula are at high risk
for aspiration of gastric contents into the lungs due to the abnormal
connection between the trachea and esophagus. Maintaining
thermoregulation is crucial because these infants are often prem ature and
have difficulty maintaining body temperature, which can lead to metabolic
acidosis, hypoglycemia, and increased oxygen consumption. Temperature
instability can also mask signs of respiratory distress, making it a priority
assessment.
Question 3
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40 -weeks
gestation?
, a. Maternal blood pressure.
b. Level of pain sensation.
c. Station of presenting part.
d. Variability of fetal heart rate.
Answer: a. Maternal blood pressure.
Explanation: Epidural anesthesia can cause sympathetic blockade leading to
vasodilation and subsequent maternal hypotension. This can result in
decreased placental perfusion and fetal distress. Blood pressure should be
monitored every 5 -15 minutes following epidural ad ministration. If
hypotension occurs, interventions such as IV fluids, positioning, and
vasopressors may be needed. While pain level, station, and FHR variability
are important assessments, maternal blood pressure is the priority.
Question 4
A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.)
Answer: 75 ml/hr
Explanation: To calculate the infusion rate:
• Total magnesium sulfate = 20 grams in 500 ml
• Concentration = 20g/500ml = 0.04g/ml
Exam Maternity Version 3 (V3) | Latest 2026
Verified Questions & Answers with Rationales |
Comprehensive Exam Prep
THIS TEST INCLUDES:
• ✅ HESI Maternity OB Exam Version 3 (V3) practice questions
• ✅ Verified answers with detailed rationales
• ✅ Comprehensive maternity nursing review
• ✅ NCLEX-style maternity practice questions
• ✅ Printable PDF format
• ✅ Latest 2026 updated study material
, HESI Maternity OB Exam Version 3 (V3) | Latest 2026
Verified Questions & Answers with Rationales |
Comprehensive Exam PreP
Question 1
A primipara has delivered a stillborn fetus at 30 -weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.
Answer: a. Provide an opportunity for the parents to hold their infant in
privacy.
Explanation: Creating memories through holding, bathing, and dressing the
stillborn infant is a critical component of the grieving process. This allows
parents to acknowledge the reality of the loss and begin the mourning
process. Privacy is essential to provide a safe space for parents to express
emotions freely. While the other options may be appropriate later, providing
the opportunity to hold the infant is the most immediate and important
intervention to facilitate healthy grieving.
,Question 2
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
Answer: a. Body temperature.
Explanation: Infants with esophageal atresia and TE fistula are at high risk
for aspiration of gastric contents into the lungs due to the abnormal
connection between the trachea and esophagus. Maintaining
thermoregulation is crucial because these infants are often prem ature and
have difficulty maintaining body temperature, which can lead to metabolic
acidosis, hypoglycemia, and increased oxygen consumption. Temperature
instability can also mask signs of respiratory distress, making it a priority
assessment.
Question 3
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40 -weeks
gestation?
, a. Maternal blood pressure.
b. Level of pain sensation.
c. Station of presenting part.
d. Variability of fetal heart rate.
Answer: a. Maternal blood pressure.
Explanation: Epidural anesthesia can cause sympathetic blockade leading to
vasodilation and subsequent maternal hypotension. This can result in
decreased placental perfusion and fetal distress. Blood pressure should be
monitored every 5 -15 minutes following epidural ad ministration. If
hypotension occurs, interventions such as IV fluids, positioning, and
vasopressors may be needed. While pain level, station, and FHR variability
are important assessments, maternal blood pressure is the priority.
Question 4
A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.)
Answer: 75 ml/hr
Explanation: To calculate the infusion rate:
• Total magnesium sulfate = 20 grams in 500 ml
• Concentration = 20g/500ml = 0.04g/ml
