OB HESI MATERNITY VERSION 2 EXAM
Questions And Answers 2025\2026
1. The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps . The nurse observes red marks on the head with swelling
that does not cross the suture line . Which condition should the nurse docu-
ments in the medical record ?
A Caput succedaneum
B Hydrocephalus
C Cephalhematoma
D Microcephaly
CORRECT ANSWER C Cephalhematoma
2. A client at 34 weeks gestation comes to the birthing center complaining
of vaginal bleeding that began one hour ago . The nurse assessment reveals
approximately 30ML of bright red vaginal bleeding . Fetal rate of 130-140 beats
,per minute , no contractions and no complaints of pain what is the most likely
cause of these client's bleeding .
A Abruptio Placenta
B Placenta Previa
C Normal bloody show indicting induction of labor
D A ruptured blood vessel in the vaginal vault .
CORRECT ANSWER B Placenta Previa
3. A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours . Concerned she arrives in a panic at the obstetric clinic
where she is immediately sent to the hospital . which assessment warrants
immediate intervention by the nurse .
A Fetal Heart rate 60 beats per minute
B Ruptured amniotic membrane
C onset of uterine contractions
CORRECT ANSWER A Fetal Heart rate 60 beats per minute
4. A client at 37 weeks gestation presents to labor and delivery with contrac-
tions every two minutes the nurse observes several shallow small vesicles
on her pubis labia and perineum . the nurse should recognize the clients is
prohibiting symptoms of which condition ?
,A Genital Warts
B Syphilis
C Herpes Simplex Virus
D German Measles
CORRECT ANSWER C Herpes Simplex Virus
5. The nurse is planning care for a client at 30 weeks gestation who is ex-
periencing preterm labor which maternity description is most important in
preventing this fetus from developing respiratory distress syndrome .
A Ampicillin 1 gram IV push q8h
B Betamethasone 12 mg deep IM
CORRECT ANSWER B Betamethasone 12 mg deep IM
6. A 16 year old gravida 1 para o client has just been admitted to the hospital
with a diagnosis of eclampsia . She's not presently convulsing . Which inter-
, vention should the nurse plan to include in this client's nursing plan ?
A Allow liberal family visitation
B Keep an airway at the bedside
C Assess temperature every hour
D Monitor blood pressure , pulse , and respiration every 4 hours .
CORRECT ANSWER B Keep an airway at the bedside
7. At 12 hours after the birth of a healthy infant the mother complains of feeling
constant vaginal pressure . The nurse determines the fundus is firm and at
midline with moderate rubra lochia , which action should nurse take ?
A Check the suprapubic area for distention .
B Inform the client to take a warm sitz bath
C Inspect clients perineal and rectal areas
D Apply a fresh pad and check in 1 hour .
CORRECT ANSWER C Inspect clients perineal and rectal areas
8. If primigravida at 36 weeks gestation who is RH negative experienced
abdominal trauma in a motor vehicle collision . Which assessment finding is
most important for the nurse to report to the health care provider ?
A Fetal heart rate at 162 beats / minute
B Mild contractions every 10 minutes .
Questions And Answers 2025\2026
1. The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps . The nurse observes red marks on the head with swelling
that does not cross the suture line . Which condition should the nurse docu-
ments in the medical record ?
A Caput succedaneum
B Hydrocephalus
C Cephalhematoma
D Microcephaly
CORRECT ANSWER C Cephalhematoma
2. A client at 34 weeks gestation comes to the birthing center complaining
of vaginal bleeding that began one hour ago . The nurse assessment reveals
approximately 30ML of bright red vaginal bleeding . Fetal rate of 130-140 beats
,per minute , no contractions and no complaints of pain what is the most likely
cause of these client's bleeding .
A Abruptio Placenta
B Placenta Previa
C Normal bloody show indicting induction of labor
D A ruptured blood vessel in the vaginal vault .
CORRECT ANSWER B Placenta Previa
3. A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours . Concerned she arrives in a panic at the obstetric clinic
where she is immediately sent to the hospital . which assessment warrants
immediate intervention by the nurse .
A Fetal Heart rate 60 beats per minute
B Ruptured amniotic membrane
C onset of uterine contractions
CORRECT ANSWER A Fetal Heart rate 60 beats per minute
4. A client at 37 weeks gestation presents to labor and delivery with contrac-
tions every two minutes the nurse observes several shallow small vesicles
on her pubis labia and perineum . the nurse should recognize the clients is
prohibiting symptoms of which condition ?
,A Genital Warts
B Syphilis
C Herpes Simplex Virus
D German Measles
CORRECT ANSWER C Herpes Simplex Virus
5. The nurse is planning care for a client at 30 weeks gestation who is ex-
periencing preterm labor which maternity description is most important in
preventing this fetus from developing respiratory distress syndrome .
A Ampicillin 1 gram IV push q8h
B Betamethasone 12 mg deep IM
CORRECT ANSWER B Betamethasone 12 mg deep IM
6. A 16 year old gravida 1 para o client has just been admitted to the hospital
with a diagnosis of eclampsia . She's not presently convulsing . Which inter-
, vention should the nurse plan to include in this client's nursing plan ?
A Allow liberal family visitation
B Keep an airway at the bedside
C Assess temperature every hour
D Monitor blood pressure , pulse , and respiration every 4 hours .
CORRECT ANSWER B Keep an airway at the bedside
7. At 12 hours after the birth of a healthy infant the mother complains of feeling
constant vaginal pressure . The nurse determines the fundus is firm and at
midline with moderate rubra lochia , which action should nurse take ?
A Check the suprapubic area for distention .
B Inform the client to take a warm sitz bath
C Inspect clients perineal and rectal areas
D Apply a fresh pad and check in 1 hour .
CORRECT ANSWER C Inspect clients perineal and rectal areas
8. If primigravida at 36 weeks gestation who is RH negative experienced
abdominal trauma in a motor vehicle collision . Which assessment finding is
most important for the nurse to report to the health care provider ?
A Fetal heart rate at 162 beats / minute
B Mild contractions every 10 minutes .
