2025/2026 HESI MATERNITY OB
EXAM VERSION 1 and VERSION 2New
Update 2025/2026) ||Questions and
Verified Answers 100% Correct| Grade
A||Latest
During an assessment of a multiparous client who
delivered an 8 lb 7 oz infant 4 hours ago, the nurse notes
the client's perineal pad is completely saturated within 15
minutes. What action should the nurse implement next? -
<<answer>>A. Perform fundal massage
The nurse is assessing a full-term newborn's breathing
pattern. Which findings should the nurse assess further?
(Select all that apply) - <<answer>>B. Chest breathing
with nasal flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a
newborn receiving phototherapy? - <<answer>>B. Place
an eyeshield over the eyes
,Which finding indicates to the nurse that a 4 day old infant
is receiving adequate breast milk? - <<answer>>B.
Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid
client who is being released from the hospital after
placement of cerclage. Which instruction is the most
important for the client to understand? - <<answer>>D.
Report uterine cramping or low backache
A client at 28 weeks gestation arrives at the labor and
delivery unit with a complaint of bright red, painless
vaginal bleeding. For which diagnostic procedure should
the nurse prepare the client? - <<answer>>C. Abdominal
ultrasound
The nurse is planning for the care of a 30 year old
primigravida with pre-gestational diabetes. What is the
most important factor affecting this client's pregnancy
outcome? - <<answer>>C. Degree of glycemic control
during pregnancy
A client with asthma who is 8 hours post delivery is
experiencing postpartum hemorrhage. Which prescription
should the nurse administer? - <<answer>>A. Oxytocin
(Pitocin)
The nurse is assisting with the insertion of a pulmonary
artery catheter (PAC) for a client at 32 weeks gestation
who has severe preeclampsia with pulmonary edema.
,What action should the nurse implement? -
<<answer>>C. Monitor for premature ventricular
contractions
A client at 28 weeks gestation experiences blunt
abdominal trauma. Which parameter should the nurse
assess first for signs of internal hemorrhage? -
<<answer>>C. Changes in fetal heart rate patterns
A multigravida client at 40+ weeks gestation is induced
using oxytocin (Pitocin). An intrauterine pressure catheter
(IUPC) is in place when the client's membranes rupture
after 5 hours of active labor. Which finding would require
the nurse to take action? - <<answer>>B. Intensity of
contractions is 130 mmHg
A primigravida at 37 weeks gestation tells the nurse that
her "bag of water" has broken. While inspecting the client's
perineum, the nurse notes the umbilical cord protruding
from the vagina. What action should the nurse implement?
- <<answer>>C. Place the client in the knee-chest
position
The nurse is caring for a client whose labor is being
augmented with oxytocin (Pitocin). Which finding indicates
that the nurse should discontinue the oxytocin infusion? -
<<answer>>D. The fetal heart rate is 180 bpm without
variability
, The nurse on the postpartum unit receives report for 4
clients during change of shift. Which client should the
nurse assess for risk of postpartum hemorrhage? -
<<answer>>C. A multiparous client receiving magnesium
sulfate during induction for severe preeclampsia
What nursing action should be included in the plan of care
for a newborn experiencing symptoms of drug withdrawal?
- <<answer>>D. Swaddle the infant snugly and hold
tightly
The father of a newborn tells the nurse, "My son just died."
how should the nurse respond? - <<answer>>A. "I am
sorry for your loss."
A macrosomic infant is in stable condition after a difficult
forceps-assisted delivery. After obtaining the infant's
weight at 4550 grams (9 pounds, 6 ounces), what is the
priority nursing action? - <<answer>>C. Obtain serum
glucose levels frequently while observing closely for signs
of hypoglycemia
An infant who weighs 3.8 kg is delivered vaginally at 39
weeks gestation with a nuchal cord after a 30 minute
second stage. The nurse identifies petechiae over the face
and upper back of the newborn. What information should
the nurse provide? - <<answer>>D. The pinpoint spots
are benign and disappear within 48 hours
EXAM VERSION 1 and VERSION 2New
Update 2025/2026) ||Questions and
Verified Answers 100% Correct| Grade
A||Latest
During an assessment of a multiparous client who
delivered an 8 lb 7 oz infant 4 hours ago, the nurse notes
the client's perineal pad is completely saturated within 15
minutes. What action should the nurse implement next? -
<<answer>>A. Perform fundal massage
The nurse is assessing a full-term newborn's breathing
pattern. Which findings should the nurse assess further?
(Select all that apply) - <<answer>>B. Chest breathing
with nasal flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a
newborn receiving phototherapy? - <<answer>>B. Place
an eyeshield over the eyes
,Which finding indicates to the nurse that a 4 day old infant
is receiving adequate breast milk? - <<answer>>B.
Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid
client who is being released from the hospital after
placement of cerclage. Which instruction is the most
important for the client to understand? - <<answer>>D.
Report uterine cramping or low backache
A client at 28 weeks gestation arrives at the labor and
delivery unit with a complaint of bright red, painless
vaginal bleeding. For which diagnostic procedure should
the nurse prepare the client? - <<answer>>C. Abdominal
ultrasound
The nurse is planning for the care of a 30 year old
primigravida with pre-gestational diabetes. What is the
most important factor affecting this client's pregnancy
outcome? - <<answer>>C. Degree of glycemic control
during pregnancy
A client with asthma who is 8 hours post delivery is
experiencing postpartum hemorrhage. Which prescription
should the nurse administer? - <<answer>>A. Oxytocin
(Pitocin)
The nurse is assisting with the insertion of a pulmonary
artery catheter (PAC) for a client at 32 weeks gestation
who has severe preeclampsia with pulmonary edema.
,What action should the nurse implement? -
<<answer>>C. Monitor for premature ventricular
contractions
A client at 28 weeks gestation experiences blunt
abdominal trauma. Which parameter should the nurse
assess first for signs of internal hemorrhage? -
<<answer>>C. Changes in fetal heart rate patterns
A multigravida client at 40+ weeks gestation is induced
using oxytocin (Pitocin). An intrauterine pressure catheter
(IUPC) is in place when the client's membranes rupture
after 5 hours of active labor. Which finding would require
the nurse to take action? - <<answer>>B. Intensity of
contractions is 130 mmHg
A primigravida at 37 weeks gestation tells the nurse that
her "bag of water" has broken. While inspecting the client's
perineum, the nurse notes the umbilical cord protruding
from the vagina. What action should the nurse implement?
- <<answer>>C. Place the client in the knee-chest
position
The nurse is caring for a client whose labor is being
augmented with oxytocin (Pitocin). Which finding indicates
that the nurse should discontinue the oxytocin infusion? -
<<answer>>D. The fetal heart rate is 180 bpm without
variability
, The nurse on the postpartum unit receives report for 4
clients during change of shift. Which client should the
nurse assess for risk of postpartum hemorrhage? -
<<answer>>C. A multiparous client receiving magnesium
sulfate during induction for severe preeclampsia
What nursing action should be included in the plan of care
for a newborn experiencing symptoms of drug withdrawal?
- <<answer>>D. Swaddle the infant snugly and hold
tightly
The father of a newborn tells the nurse, "My son just died."
how should the nurse respond? - <<answer>>A. "I am
sorry for your loss."
A macrosomic infant is in stable condition after a difficult
forceps-assisted delivery. After obtaining the infant's
weight at 4550 grams (9 pounds, 6 ounces), what is the
priority nursing action? - <<answer>>C. Obtain serum
glucose levels frequently while observing closely for signs
of hypoglycemia
An infant who weighs 3.8 kg is delivered vaginally at 39
weeks gestation with a nuchal cord after a 30 minute
second stage. The nurse identifies petechiae over the face
and upper back of the newborn. What information should
the nurse provide? - <<answer>>D. The pinpoint spots
are benign and disappear within 48 hours
