HESI MATERNITY OB EXAM VERSION 1 /2025/2026 HESI MATERNITY
OB EXAM PREPARATION/ HESI MATERNITY OB EXAM PRACTICE
EXAM LATEST ALL 110 QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
A multigravida client at 35 weeks' gestation is diagnosed with pregnancy induced
hypertension. Which symptom should the nurse instruct the client to report immediately?
- ......ANSWER........C. Blurred vision
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 multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the
nurse determines the uterus is boggy and is displaced above and to the right of the
umbilicus. Which action should the nurse implement? - ......ANSWER........D. Notify the
healthcare provider
A multiparous client has been in labor for 8 hours when her membranes rupture. What
action should the nurse implement first? - ......ANSWER........B. Assess the fetal heart rate
and pattern
A multiparous client is admitted to the postpartum unit after a rapid labor and birth of an
infant weighing 4000 grams. The client's fundus is boggy, lochia is heavy, and vital signs are
unchanged. After having the client void and massaging the fundus, the fundus remains
difficult to locate and the rubra lochia remains heavy. What action should the nurse
implement next? - ......ANSWER........B. Notify the healthcare provider
, 2 of 15
A multiparous client is bearing down with contractions and crying out, "The baby is
coming!" Which immediate action should the nurse implement? - ......ANSWER........B.
Visualize the perineum for bulging
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action
should the nurse implement next? - ......ANSWER........A. Determine the firmness of the
fundus
A neonate who is receiving an exchange transfusion for hemolytic disease develops
respiratory distress, tachycardia, and a cutaneous rash. What nursing intervention should
be implemented first? - ......ANSWER........B. Stop the transfusion
A newborn infant is jaundiced due to Rh incompatibility. Which finding is most important
for the nurse to report to the healthcare provider? - ......ANSWER........D. Bilirubin
A newborn infant who is 24 hours old is on a 4-hour feeding schedule of formula. To meet
daily caloric need, how many ounces are recommended at each feeding?
- ......ANSWER........D. 3.5 ounces
A nulliparous client telephones the labor and delivery unit to report that she is in labor.
What action should the nurse implement? - ......ANSWER........C. Ask the client to describe
why she thinks she is in labor
A preterm infant with an apnea monitor experiences an apneic episode. Which action
should the nurse implement first? - ......ANSWER........D. Gently rub the infant's feet or
back
A primigravida at 12 weeks gestation tells the nurse that she does not like dairy products.
Which food should the nurse recommend increasing the client's calcium intake?
- ......ANSWER........C. Canned sardines