HESI OB Maternity Test 2025-2026
Edition: 350 Questions with Detailed
Rationales for First-Attempt Success
(Authored by Elsevier HESI)
A woman has a simple vulvectomy. Postop, the nurse instructs
her to take a sitz bath and keep the area clean and dry. The nurse
understands the reason for these measures is
1. to debride the area and prevent wound infection
2. to increase circulation to the area and promote wound healing
3. to prevent selling of the surround lymph nodes
4. to cleans the area and diminish the possibility of postop
bleeding. - 100 correct answer as-to increase circulation to
the area and promote wound healing
A 32 y/o woman is pregnant for the third time. She has one living
child and had one abortion. Which description does the nurse
record?
1. gravida III, para II
2. gravida II, para II
3. gravida III, para I
4. gravida II, para III - 100 correct answer as-gravida III,
para I
Gravida = pregnancies
Para = full term fetus
,The nurse understands that the physician is most likely to
prescribe which of the following drugs to a client diagnosed with
gonorrhea?
1. penicillin vaginal suppositories
2. penicillin G benzthine intramuscularly in divided doses once a
week
3. ceftriazone IM plus doxycycline for seven days, PO
4. ampicillin, PO - 100 correct answer as-ceftriazone IM plus
doxycycline for seven days, PO
During labor induction with oxytocin, the nurse should stop the
infusion if which of the following occurs?
1. contractions are at 3 min intervals and last more than 60 secs
2. contractions are at 2 min intervals and last more than 90 secs
3. contractions are at 2.5 min intervals and last more than 90 secs
4. contractions are at 2 min intervals and last more than 60 secs -
100 correct answer as-contractions are at 2 min intervals
and last more than 90 secs
The nurse instructs a new mother about how to care for her
newborn's umbilical cord. The nurse determines teaching is
effective if the client makes which statement?
1. I am going to bathe my baby in the new tub tomorrow
2. I will keep the cord covered with the diaper
3. I will clean the cord and skin around it with water
4. I will contact my physician if there is a white or yellow discharge
from the cord.
5. I will pull the cord off when it becomes loose
6. I will apply petroleum jelly to the base of the cord - 100
correct answer as-3. I will clean the cord and skin around it
with water
,4. I will contact my physician if there is a white or yellow discharge
from the cord.
A woman comes to the hospital in labor. Her membranes rupture
at 4:10AM. Which of the following actions should the nurse take
FIRST?
1. Identify the amniotic fluid by testing it or alkalinity
2. Contact physician and prepare for immediate delivery.
3. Note the time of rupture
4. Observe for a prolapsed cord or meconium stained fluid. - 100
correct answer as-Observe for a prolapsed cord or
meconium stained fluid.
The nurse assesses a client in the family planning clinic. Which of
the following statements, if made b a client, suggests to the nurse
that the client has been exposed to gonorrhea?
1. My boyfriend has a sore on his penis
2. I have a cheesy, white vaginal discharge
3. My boyfriend has a drip
4. I have a rash - 100 correct answer as-My boyfriend has a
drip
The nurse cares for a woman in labor. The nurse is MOST
concerned the fetus is experiencing distress if which is observed?
1. late decelerations
2. early decelerations
3. irregular heart rate
4. variable decelrations - 100 correct answer as-late
decelerations
, The nurse observes the interactions of mother and infant born
three hours ago. The mother had gestational diabetes and
delivered by cesarean section at 37 weeks gestation. The infant's
Apgar scores were 6 and 8, birth weight 10lbs, heart rate 122
bpm, and respirations 35/min. The mother tells the nurse, "I don't
know why my physician was worried about my baby. She looks so
big and healthy!". Which response by the nurse is BEST?
1. You need to ask your mother if you were also a large baby
2. They baby's large size is due to the amount of sugar the she
received in utero
3. It is great that you are starting to rely on your maternal instinct
already!
4. You must be relieved that the baby looks so healthly - 100
correct answer as-They baby's large size is due to the
amount of sugar the she received in utero
The nurse cares for a client immediately after delivery and
administers oxytocin. The nurse knows that the purpose of the
medication is
1. relieve discomfort and pain
2. anesthetize the area of the episiotomy
3. stimulate firm contraction of the uterus
4. prevent breast engorgement - 100 correct answer as-
stimulate firm contraction of the uterus
The home care nurse makes a home visit to a client diagnosed
with type 1 diabetes at 29 weeks gestation. The client states that
she has been nauseated for 24 hours. It is MOST important for
the nurse to ask which question?
1. Have you vomited
2. What was your last blood glucose reading
Edition: 350 Questions with Detailed
Rationales for First-Attempt Success
(Authored by Elsevier HESI)
A woman has a simple vulvectomy. Postop, the nurse instructs
her to take a sitz bath and keep the area clean and dry. The nurse
understands the reason for these measures is
1. to debride the area and prevent wound infection
2. to increase circulation to the area and promote wound healing
3. to prevent selling of the surround lymph nodes
4. to cleans the area and diminish the possibility of postop
bleeding. - 100 correct answer as-to increase circulation to
the area and promote wound healing
A 32 y/o woman is pregnant for the third time. She has one living
child and had one abortion. Which description does the nurse
record?
1. gravida III, para II
2. gravida II, para II
3. gravida III, para I
4. gravida II, para III - 100 correct answer as-gravida III,
para I
Gravida = pregnancies
Para = full term fetus
,The nurse understands that the physician is most likely to
prescribe which of the following drugs to a client diagnosed with
gonorrhea?
1. penicillin vaginal suppositories
2. penicillin G benzthine intramuscularly in divided doses once a
week
3. ceftriazone IM plus doxycycline for seven days, PO
4. ampicillin, PO - 100 correct answer as-ceftriazone IM plus
doxycycline for seven days, PO
During labor induction with oxytocin, the nurse should stop the
infusion if which of the following occurs?
1. contractions are at 3 min intervals and last more than 60 secs
2. contractions are at 2 min intervals and last more than 90 secs
3. contractions are at 2.5 min intervals and last more than 90 secs
4. contractions are at 2 min intervals and last more than 60 secs -
100 correct answer as-contractions are at 2 min intervals
and last more than 90 secs
The nurse instructs a new mother about how to care for her
newborn's umbilical cord. The nurse determines teaching is
effective if the client makes which statement?
1. I am going to bathe my baby in the new tub tomorrow
2. I will keep the cord covered with the diaper
3. I will clean the cord and skin around it with water
4. I will contact my physician if there is a white or yellow discharge
from the cord.
5. I will pull the cord off when it becomes loose
6. I will apply petroleum jelly to the base of the cord - 100
correct answer as-3. I will clean the cord and skin around it
with water
,4. I will contact my physician if there is a white or yellow discharge
from the cord.
A woman comes to the hospital in labor. Her membranes rupture
at 4:10AM. Which of the following actions should the nurse take
FIRST?
1. Identify the amniotic fluid by testing it or alkalinity
2. Contact physician and prepare for immediate delivery.
3. Note the time of rupture
4. Observe for a prolapsed cord or meconium stained fluid. - 100
correct answer as-Observe for a prolapsed cord or
meconium stained fluid.
The nurse assesses a client in the family planning clinic. Which of
the following statements, if made b a client, suggests to the nurse
that the client has been exposed to gonorrhea?
1. My boyfriend has a sore on his penis
2. I have a cheesy, white vaginal discharge
3. My boyfriend has a drip
4. I have a rash - 100 correct answer as-My boyfriend has a
drip
The nurse cares for a woman in labor. The nurse is MOST
concerned the fetus is experiencing distress if which is observed?
1. late decelerations
2. early decelerations
3. irregular heart rate
4. variable decelrations - 100 correct answer as-late
decelerations
, The nurse observes the interactions of mother and infant born
three hours ago. The mother had gestational diabetes and
delivered by cesarean section at 37 weeks gestation. The infant's
Apgar scores were 6 and 8, birth weight 10lbs, heart rate 122
bpm, and respirations 35/min. The mother tells the nurse, "I don't
know why my physician was worried about my baby. She looks so
big and healthy!". Which response by the nurse is BEST?
1. You need to ask your mother if you were also a large baby
2. They baby's large size is due to the amount of sugar the she
received in utero
3. It is great that you are starting to rely on your maternal instinct
already!
4. You must be relieved that the baby looks so healthly - 100
correct answer as-They baby's large size is due to the
amount of sugar the she received in utero
The nurse cares for a client immediately after delivery and
administers oxytocin. The nurse knows that the purpose of the
medication is
1. relieve discomfort and pain
2. anesthetize the area of the episiotomy
3. stimulate firm contraction of the uterus
4. prevent breast engorgement - 100 correct answer as-
stimulate firm contraction of the uterus
The home care nurse makes a home visit to a client diagnosed
with type 1 diabetes at 29 weeks gestation. The client states that
she has been nauseated for 24 hours. It is MOST important for
the nurse to ask which question?
1. Have you vomited
2. What was your last blood glucose reading
