1
2025 HESI Maternity OB Exam Version 2
– Actual Questions with 100% Verified
Correct Answers | Comprehensive A+
Grade Content
1. A nurse is assessing a pregnant client at 36 weeks gestation who reports decreased fetal
movement. Which action should the nurse take first?
A. Encourage the client to drink orange juice
B. Perform a nonstress test (NST)
C. Instruct the client to rest in a supine position
D. Notify the healthcare provider immediately
Correct Answer: B
Rationale: Decreased fetal movement may indicate fetal distress, and a nonstress test is
the initial step to assess fetal well-being by monitoring heart rate and movement. Orange
juice may stimulate movement but is not diagnostic, supine position risks vena cava
compression, and notifying the provider follows assessment.
2. A client in labor is receiving oxytocin (Pitocin). Which finding indicates a need to stop
the infusion?
A. Contractions every 2–3 minutes
B. Fetal heart rate of 140 bpm
C. Uterine hyperstimulation
D. Maternal blood pressure of 120/80 mmHg
Correct Answer: C
Rationale: Uterine hyperstimulation (contractions <2 minutes apart or lasting >90
seconds) can reduce fetal oxygenation, requiring immediate cessation of oxytocin.
Normal contraction frequency, fetal heart rate, and blood pressure do not warrant
stopping.
3. A postpartum client reports heavy vaginal bleeding. Which assessment finding is most
concerning?
A. Lochia rubra on day 2
B. Passing small clots
C. Soaking a pad in 1 hour
D. Mild cramping
Correct Answer: C
Rationale: Soaking a pad in 1 hour indicates potential postpartum hemorrhage, a medical
emergency. Lochia rubra, small clots, and mild cramping are normal in early postpartum.
4. A nurse is teaching a client about breastfeeding. Which position is most effective for a
new mother?
A. Supine position
B. Cradle hold
, 2
C. Side-lying position
D. Prone position
Correct Answer: B
Rationale: The cradle hold supports the infant’s head and body, promoting effective
latch and comfort. Supine and prone positions are unsafe, and side-lying is less ideal for
beginners.
5. A client at 28 weeks gestation reports shortness of breath. Which action should the nurse
take first?
A. Administer oxygen at 2 L/min
B. Assess respiratory status
C. Place the client in a supine position
D. Encourage deep breathing exercises
Correct Answer: B
Rationale: Assessing respiratory status (e.g., oxygen saturation, lung sounds) determines
the cause and severity of shortness of breath. Oxygen, positioning, or exercises follow
assessment.
6. A nurse is caring for a client in the second stage of labor. Which position facilitates
delivery?
A. Supine with legs elevated
B. Lithotomy position
C. Prone position
D. Left lateral position
Correct Answer: B
Rationale: The lithotomy position widens the pelvis and facilitates delivery. Supine risks
vena cava compression, prone is impractical, and lateral is less optimal.
7. A client at 32 weeks gestation is diagnosed with gestational diabetes. Which dietary
instruction is most appropriate?
A. Increase simple carbohydrate intake
B. Consume small, frequent meals
C. Avoid all fruits
D. Eat high-fat meals
Correct Answer: B
Rationale: Small, frequent meals stabilize blood glucose in gestational diabetes. Simple
carbohydrates spike glucose, fruits are allowed in moderation, and high-fat meals are
avoided.
8. A postpartum client is prescribed a sitz bath. What is the primary purpose?
A. Promote uterine involution
B. Reduce perineal discomfort
C. Prevent infection
D. Increase lochia flow
Correct Answer: B
Rationale: Sitz baths reduce perineal discomfort and swelling post-delivery. They do not
directly affect uterine involution, infection, or lochia flow.
9. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
finding indicates toxicity?
A. Blood pressure 140/90 mmHg
2025 HESI Maternity OB Exam Version 2
– Actual Questions with 100% Verified
Correct Answers | Comprehensive A+
Grade Content
1. A nurse is assessing a pregnant client at 36 weeks gestation who reports decreased fetal
movement. Which action should the nurse take first?
A. Encourage the client to drink orange juice
B. Perform a nonstress test (NST)
C. Instruct the client to rest in a supine position
D. Notify the healthcare provider immediately
Correct Answer: B
Rationale: Decreased fetal movement may indicate fetal distress, and a nonstress test is
the initial step to assess fetal well-being by monitoring heart rate and movement. Orange
juice may stimulate movement but is not diagnostic, supine position risks vena cava
compression, and notifying the provider follows assessment.
2. A client in labor is receiving oxytocin (Pitocin). Which finding indicates a need to stop
the infusion?
A. Contractions every 2–3 minutes
B. Fetal heart rate of 140 bpm
C. Uterine hyperstimulation
D. Maternal blood pressure of 120/80 mmHg
Correct Answer: C
Rationale: Uterine hyperstimulation (contractions <2 minutes apart or lasting >90
seconds) can reduce fetal oxygenation, requiring immediate cessation of oxytocin.
Normal contraction frequency, fetal heart rate, and blood pressure do not warrant
stopping.
3. A postpartum client reports heavy vaginal bleeding. Which assessment finding is most
concerning?
A. Lochia rubra on day 2
B. Passing small clots
C. Soaking a pad in 1 hour
D. Mild cramping
Correct Answer: C
Rationale: Soaking a pad in 1 hour indicates potential postpartum hemorrhage, a medical
emergency. Lochia rubra, small clots, and mild cramping are normal in early postpartum.
4. A nurse is teaching a client about breastfeeding. Which position is most effective for a
new mother?
A. Supine position
B. Cradle hold
, 2
C. Side-lying position
D. Prone position
Correct Answer: B
Rationale: The cradle hold supports the infant’s head and body, promoting effective
latch and comfort. Supine and prone positions are unsafe, and side-lying is less ideal for
beginners.
5. A client at 28 weeks gestation reports shortness of breath. Which action should the nurse
take first?
A. Administer oxygen at 2 L/min
B. Assess respiratory status
C. Place the client in a supine position
D. Encourage deep breathing exercises
Correct Answer: B
Rationale: Assessing respiratory status (e.g., oxygen saturation, lung sounds) determines
the cause and severity of shortness of breath. Oxygen, positioning, or exercises follow
assessment.
6. A nurse is caring for a client in the second stage of labor. Which position facilitates
delivery?
A. Supine with legs elevated
B. Lithotomy position
C. Prone position
D. Left lateral position
Correct Answer: B
Rationale: The lithotomy position widens the pelvis and facilitates delivery. Supine risks
vena cava compression, prone is impractical, and lateral is less optimal.
7. A client at 32 weeks gestation is diagnosed with gestational diabetes. Which dietary
instruction is most appropriate?
A. Increase simple carbohydrate intake
B. Consume small, frequent meals
C. Avoid all fruits
D. Eat high-fat meals
Correct Answer: B
Rationale: Small, frequent meals stabilize blood glucose in gestational diabetes. Simple
carbohydrates spike glucose, fruits are allowed in moderation, and high-fat meals are
avoided.
8. A postpartum client is prescribed a sitz bath. What is the primary purpose?
A. Promote uterine involution
B. Reduce perineal discomfort
C. Prevent infection
D. Increase lochia flow
Correct Answer: B
Rationale: Sitz baths reduce perineal discomfort and swelling post-delivery. They do not
directly affect uterine involution, infection, or lochia flow.
9. A nurse is monitoring a client receiving magnesium sulfate for preeclampsia. Which
finding indicates toxicity?
A. Blood pressure 140/90 mmHg
