2026/2027 HESI MATERNITY OB
EXAM VERSION 1 ACTUAL
EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) ||ALREADY GRADED
A+||NEWEST VERSION
WHAT TO FIND IN THIS EXAM
CASE STUDIES NGN STYLE QUESTIONS
BUTTERFLY QUESTION WITH ANSWERS
VERIFIED EXPLANATIONS AND ANSWERS
NEWEST UPDATED VERSION GRADE A+
QUESTIONS WITH MULTI CHOICES
Question:
A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes. The nurse observes several shallow small
vesicles on her pubis, labia, and perineum. The nurse should recognize the
client is exhibiting symptoms of which condition?
,a. German measles
b. Herpes simplex virus
c. Syphilis
d. Genital warts
✔️ Correct Answer: B
Rationale:
Herpes simplex virus (HSV) presents as shallow, painful vesicles on the
genital area. This is a critical finding because active genital herpes at term
requires a cesarean delivery to prevent neonatal transmission during vaginal
birth. German measles (Option A) presents with a maculopapular rash.
Syphilis (Option C) presents with a painless chancre. Genital warts (Option D)
are caused by HPV and appear as fleshy, cauliflower-like growths.
A client who had her first baby three months ago and is breastfeeding her
infant tells the nurse that she is currently using the same diaphragm that she
used before becoming pregnant. Which information should the nurse
provide this client?
a. The diaphragm is still effective because it hasn't changed since pregnancy.
b. Use alternative form of birth control until a new diaphragm can be
obtained.
c. The diaphragm should no longer be used since it is no longer a reliable
form of contraception.
d. The diaphragm can be used, but it should be checked for proper fit after
pregnancy.
✔️ Correct Answer: B
Rationale:
, A diaphragm must be refitted after pregnancy and childbirth because the
cervix and vaginal walls change shape and size. Using the same diaphragm
without refitting may result in ineffective contraception. The client should
use an alternative form of birth control until she can be fitted for a new
diaphragm (Option B). Options A, C, and D are incorrect because the
diaphragm is not necessarily ineffective permanently, but it does need to be
refitted.
A 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-
hour labor. What is the priority nursing action for this client?
a. Massage the fundus Q 4 hours
b. Assess for signs of hemorrhage and massage the fundus if necessary
c. Administer IV fluids
d. Encourage the client to rest and drink fluids
✔️ Correct Answer: B
Rationale:
This client is at high risk for postpartum hemorrhage due to macrosomia (9-
pound infant) and prolonged labor (30 hours), which can lead to uterine
atony. The priority is to assess for signs of hemorrhage and massage the
fundus if necessary (Option B). Massaging the fundus Q 4 hours (Option A)
is not specific enough; assessment and intervention should be based on
clinical findings. Administering IV fluids (Option C) and encouraging rest
(Option D) are important but not the priority over hemorrhage assessment.
EXAM VERSION 1 ACTUAL
EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) ||ALREADY GRADED
A+||NEWEST VERSION
WHAT TO FIND IN THIS EXAM
CASE STUDIES NGN STYLE QUESTIONS
BUTTERFLY QUESTION WITH ANSWERS
VERIFIED EXPLANATIONS AND ANSWERS
NEWEST UPDATED VERSION GRADE A+
QUESTIONS WITH MULTI CHOICES
Question:
A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes. The nurse observes several shallow small
vesicles on her pubis, labia, and perineum. The nurse should recognize the
client is exhibiting symptoms of which condition?
,a. German measles
b. Herpes simplex virus
c. Syphilis
d. Genital warts
✔️ Correct Answer: B
Rationale:
Herpes simplex virus (HSV) presents as shallow, painful vesicles on the
genital area. This is a critical finding because active genital herpes at term
requires a cesarean delivery to prevent neonatal transmission during vaginal
birth. German measles (Option A) presents with a maculopapular rash.
Syphilis (Option C) presents with a painless chancre. Genital warts (Option D)
are caused by HPV and appear as fleshy, cauliflower-like growths.
A client who had her first baby three months ago and is breastfeeding her
infant tells the nurse that she is currently using the same diaphragm that she
used before becoming pregnant. Which information should the nurse
provide this client?
a. The diaphragm is still effective because it hasn't changed since pregnancy.
b. Use alternative form of birth control until a new diaphragm can be
obtained.
c. The diaphragm should no longer be used since it is no longer a reliable
form of contraception.
d. The diaphragm can be used, but it should be checked for proper fit after
pregnancy.
✔️ Correct Answer: B
Rationale:
, A diaphragm must be refitted after pregnancy and childbirth because the
cervix and vaginal walls change shape and size. Using the same diaphragm
without refitting may result in ineffective contraception. The client should
use an alternative form of birth control until she can be fitted for a new
diaphragm (Option B). Options A, C, and D are incorrect because the
diaphragm is not necessarily ineffective permanently, but it does need to be
refitted.
A 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-
hour labor. What is the priority nursing action for this client?
a. Massage the fundus Q 4 hours
b. Assess for signs of hemorrhage and massage the fundus if necessary
c. Administer IV fluids
d. Encourage the client to rest and drink fluids
✔️ Correct Answer: B
Rationale:
This client is at high risk for postpartum hemorrhage due to macrosomia (9-
pound infant) and prolonged labor (30 hours), which can lead to uterine
atony. The priority is to assess for signs of hemorrhage and massage the
fundus if necessary (Option B). Massaging the fundus Q 4 hours (Option A)
is not specific enough; assessment and intervention should be based on
clinical findings. Administering IV fluids (Option C) and encouraging rest
(Option D) are important but not the priority over hemorrhage assessment.
