2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS
PEDIAS & OBSTETRIC MATERNAL-NEWBORN STUDY BANK
2026-2027 UPDATED EXAM 100% (VERIFIED ANSWERS) | AGRADE | BRAND NEW!!
Subject: Pediatric and Obstetric Maternal-Newborn Nursing Care
Target Audience: Nursing Candidates preparing for HESI & NCLEX-RN Exams
Exam Blueprint: Antepartum Care, Fetal Monitoring, Labor & Delivery, Postpartum, Neonatal Sepsis, and Pediatric
Development
Core Competencies: Clinical Judgment, Patient Safety, Pharmacotherapy, and Critical Care Prioritization
Gemini Notebook A+ Professional Test Bank Series
Grounded in Authentic Clinical Evidence & Healthcare Education Standards
,2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
HESI EXAM SPECIFICATION & STUDY BLUEPRINT
This comprehensive practice exam and study guide has been fully updated for the 2026-2027 Pediatric & Obstetric Maternal-Newborn Nursing
(PEDS-OB) HESI test blueprints. The exam evaluates entry-to-practice competencies in high-acuity pediatric and maternal patient care, focusing on
clinical assessment, therapeutic communication, developmental milestones, pharmacology, and nursing prioritization of care.
Core Curriculum and Content Weighting
Chapter / Subject Area Major Topics Assessed Weight Target Competencies
1. Antepartum Care &
Prenatal
Genetics
counseling, fundal height, smoking
25%effects, Fetal
MSAFP Development,
screenings,Genetics,
amniocentesis
Assessments
safety, gestati
2. Intrapartum & Fetal
Stages
Monitoring
of labor, oxytocin augmentation, FHR
25% patterns
Fetal
(late/early/variable),
Surveillance, Clinical
cordInterventions
prolapse, shoulder dys
3. Postpartum & Newborn
FundalAdaptation
assessment, boggy uterus, urinary
25%
retention,Maternal-Newborn
postpartum hemorrhage,
Recovery,
RhoGAM
Assessments
indications, M
4. High-Risk Pregnancy Emergencies
Ruptured ectopic pregnancy, severe preeclampsia,
15% magnesium
Emergency sulfate
Prioritization,
toxicity,Fluid
HELLP
Management
syndrome, blun
5. Pediatric Growth &
Developmental
Development milestones (infant to adolescent),
10% spina
Childhood
bifida, meningitis,
Development,Kawasaki
Disease
disease,
Management
Rheumat
Primary Clinical Learning Objectives
• Objective 1: Analyze maternal fetal heart rate patterns (such as late and variable decelerations) and perform immediate intrauterine resuscitation.
• Objective 2: Prioritize clinical assessments and post-procedure safety protocols for high-risk obstetric procedures, including amniocentesis and
liver biopsies.
• Objective 3: Calculate accurate pediatric drug and intravenous fluid dosing based on body surface area (BSA) and weight metrics.
• Objective 4: Evaluate developmental milestones across childhood (infancy through adolescence) and formulate age-appropriate nursing care
plans.
Subject: Pediatric & Obstetric Nursing Care Page 2 of 50 Gemini Notebook A+ Professional Study Guide
,2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
KEY CLINICAL CONCEPTS & TERMINOLOGY
Essential Maternal-Child Terminology
<b>L/S Ratio</b> Lecithin/Sphingomyelin ratio; an amniotic fluid test evaluated at 35+ weeks to determine fetal lung maturi
<b>Uterine Atony</b> Failure of the uterine myometrium to contract firmly after birth; the most common cause of early postpartu
<b>Crepitus</b> A crackling or grating sensation felt upon palpation, indicating a bone fracture (commonly the clavicle in a
<b>Late Deceleration</b>
A symmetrical, gradual decrease in fetal heart rate that begins after the contraction starts and returns to
Common Clinical Procedures Quick Reference
• Post-Liver Biopsy: Immediate right side-lying position with a pillow under the puncture site to compress the liver and prevent hemorrhage.
• Fundal Height Measurement: Instruct the client to empty her bladder completely before measurement to prevent a falsely elevated fundal height.
• Phototherapy Care: Apply opaque eye shields over the newborn's eyes to prevent retinal damage and keep the skin fully exposed (except for a
diaper).
Nursing Interventions for Pediatric Airway Management
• Epiglottitis: Do not examine the throat using a tongue depressor to avoid sudden airway spasm and occlusion. Maintain the child in a high-Fowler's
position and prepare emergency intubation equipment.
• Cystic Fibrosis (CF): Administer bronchodilator nebulizers first to open the airways, perform chest physiotherapy (CPT) to mobilize thick
secretions, and then instruct the child to perform huff coughing to expectorate.
Subject: Pediatric & Obstetric Nursing Care Page 3 of 50 Gemini Notebook A+ Professional Study Guide
, 2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
COMMONLY CONFUSED CLINICAL CONCEPTS
1. Placenta Previa vs. Placental Abruption:
• Placenta Previa: Low-lying placenta covering the internal cervical os. Classic signs: painless, bright red vaginal bleeding; soft, non-tender uterus; no
fetal distress initially. Digital vaginal exams are strictly contraindicated.
• Placental Abruption: Premature separation of the placenta. Classic signs: painful, dark red vaginal bleeding; rigid, board-like abdomen; constant
severe pain; early fetal distress. This is a medical emergency requiring immediate delivery.
2. Physiological vs. Pathological Jaundice:
• Physiological Jaundice: Appears after 24 hours of life. Caused by immature newborn liver and breakdown of fetal RBCs. Typically benign and
resolves with frequent feeds and phototherapy.
• Pathological Jaundice: Appears within the first 24 hours of life. Often caused by Rh or ABO incompatibility, leading to rapid hemolysis and rising
bilirubin levels. Risk of kernicterus (brain damage). Requires aggressive treatment.
3. Methergine vs. Pitocin (Oxytocin) in Hemorrhage:
• Pitocin: First-line agent for postpartum hemorrhage. Safe for all clients; acts immediately to contract the uterus. Given IV or IM.
• Methergine: Second-line ergot alkaloid used if Pitocin is ineffective. Strictly contraindicated in clients with pre-existing hypertension or preeclampsia
due to risk of severe hypertensive crisis/stroke. Given IM.
Subject: Pediatric & Obstetric Nursing Care Page 4 of 50 Gemini Notebook A+ Professional Study Guide
PEDIAS & OBSTETRIC MATERNAL-NEWBORN STUDY BANK
2026-2027 UPDATED EXAM 100% (VERIFIED ANSWERS) | AGRADE | BRAND NEW!!
Subject: Pediatric and Obstetric Maternal-Newborn Nursing Care
Target Audience: Nursing Candidates preparing for HESI & NCLEX-RN Exams
Exam Blueprint: Antepartum Care, Fetal Monitoring, Labor & Delivery, Postpartum, Neonatal Sepsis, and Pediatric
Development
Core Competencies: Clinical Judgment, Patient Safety, Pharmacotherapy, and Critical Care Prioritization
Gemini Notebook A+ Professional Test Bank Series
Grounded in Authentic Clinical Evidence & Healthcare Education Standards
,2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
HESI EXAM SPECIFICATION & STUDY BLUEPRINT
This comprehensive practice exam and study guide has been fully updated for the 2026-2027 Pediatric & Obstetric Maternal-Newborn Nursing
(PEDS-OB) HESI test blueprints. The exam evaluates entry-to-practice competencies in high-acuity pediatric and maternal patient care, focusing on
clinical assessment, therapeutic communication, developmental milestones, pharmacology, and nursing prioritization of care.
Core Curriculum and Content Weighting
Chapter / Subject Area Major Topics Assessed Weight Target Competencies
1. Antepartum Care &
Prenatal
Genetics
counseling, fundal height, smoking
25%effects, Fetal
MSAFP Development,
screenings,Genetics,
amniocentesis
Assessments
safety, gestati
2. Intrapartum & Fetal
Stages
Monitoring
of labor, oxytocin augmentation, FHR
25% patterns
Fetal
(late/early/variable),
Surveillance, Clinical
cordInterventions
prolapse, shoulder dys
3. Postpartum & Newborn
FundalAdaptation
assessment, boggy uterus, urinary
25%
retention,Maternal-Newborn
postpartum hemorrhage,
Recovery,
RhoGAM
Assessments
indications, M
4. High-Risk Pregnancy Emergencies
Ruptured ectopic pregnancy, severe preeclampsia,
15% magnesium
Emergency sulfate
Prioritization,
toxicity,Fluid
HELLP
Management
syndrome, blun
5. Pediatric Growth &
Developmental
Development milestones (infant to adolescent),
10% spina
Childhood
bifida, meningitis,
Development,Kawasaki
Disease
disease,
Management
Rheumat
Primary Clinical Learning Objectives
• Objective 1: Analyze maternal fetal heart rate patterns (such as late and variable decelerations) and perform immediate intrauterine resuscitation.
• Objective 2: Prioritize clinical assessments and post-procedure safety protocols for high-risk obstetric procedures, including amniocentesis and
liver biopsies.
• Objective 3: Calculate accurate pediatric drug and intravenous fluid dosing based on body surface area (BSA) and weight metrics.
• Objective 4: Evaluate developmental milestones across childhood (infancy through adolescence) and formulate age-appropriate nursing care
plans.
Subject: Pediatric & Obstetric Nursing Care Page 2 of 50 Gemini Notebook A+ Professional Study Guide
,2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
KEY CLINICAL CONCEPTS & TERMINOLOGY
Essential Maternal-Child Terminology
<b>L/S Ratio</b> Lecithin/Sphingomyelin ratio; an amniotic fluid test evaluated at 35+ weeks to determine fetal lung maturi
<b>Uterine Atony</b> Failure of the uterine myometrium to contract firmly after birth; the most common cause of early postpartu
<b>Crepitus</b> A crackling or grating sensation felt upon palpation, indicating a bone fracture (commonly the clavicle in a
<b>Late Deceleration</b>
A symmetrical, gradual decrease in fetal heart rate that begins after the contraction starts and returns to
Common Clinical Procedures Quick Reference
• Post-Liver Biopsy: Immediate right side-lying position with a pillow under the puncture site to compress the liver and prevent hemorrhage.
• Fundal Height Measurement: Instruct the client to empty her bladder completely before measurement to prevent a falsely elevated fundal height.
• Phototherapy Care: Apply opaque eye shields over the newborn's eyes to prevent retinal damage and keep the skin fully exposed (except for a
diaper).
Nursing Interventions for Pediatric Airway Management
• Epiglottitis: Do not examine the throat using a tongue depressor to avoid sudden airway spasm and occlusion. Maintain the child in a high-Fowler's
position and prepare emergency intubation equipment.
• Cystic Fibrosis (CF): Administer bronchodilator nebulizers first to open the airways, perform chest physiotherapy (CPT) to mobilize thick
secretions, and then instruct the child to perform huff coughing to expectorate.
Subject: Pediatric & Obstetric Nursing Care Page 3 of 50 Gemini Notebook A+ Professional Study Guide
, 2024 PEDS-OB HESI PRACTICE QUESTIONS AND ANSWERS 2026-2027 UPDATE EXAM
COMMONLY CONFUSED CLINICAL CONCEPTS
1. Placenta Previa vs. Placental Abruption:
• Placenta Previa: Low-lying placenta covering the internal cervical os. Classic signs: painless, bright red vaginal bleeding; soft, non-tender uterus; no
fetal distress initially. Digital vaginal exams are strictly contraindicated.
• Placental Abruption: Premature separation of the placenta. Classic signs: painful, dark red vaginal bleeding; rigid, board-like abdomen; constant
severe pain; early fetal distress. This is a medical emergency requiring immediate delivery.
2. Physiological vs. Pathological Jaundice:
• Physiological Jaundice: Appears after 24 hours of life. Caused by immature newborn liver and breakdown of fetal RBCs. Typically benign and
resolves with frequent feeds and phototherapy.
• Pathological Jaundice: Appears within the first 24 hours of life. Often caused by Rh or ABO incompatibility, leading to rapid hemolysis and rising
bilirubin levels. Risk of kernicterus (brain damage). Requires aggressive treatment.
3. Methergine vs. Pitocin (Oxytocin) in Hemorrhage:
• Pitocin: First-line agent for postpartum hemorrhage. Safe for all clients; acts immediately to contract the uterus. Given IV or IM.
• Methergine: Second-line ergot alkaloid used if Pitocin is ineffective. Strictly contraindicated in clients with pre-existing hypertension or preeclampsia
due to risk of severe hypertensive crisis/stroke. Given IM.
Subject: Pediatric & Obstetric Nursing Care Page 4 of 50 Gemini Notebook A+ Professional Study Guide
