OB HESI MATERNITY VERSION 7 EXAM
Questions And Answers 2025\2026
This Test Consists Of 55 Questions And Answers
1. A primigravida at 40 weeks gestation is contracting q2 minutes and her
cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The
client is screaming, and her husband is alarmed. Which intervention should
the nurse implement?
a. notify the rapid response team
b. have delivery table set up
c. ask the husband to step out
d. administer a PRN narcotic
CORRECT ANSWER b. have delivery table set up
2. The nurse is caring for a client whose fetus died in utero at 32 weeks
gestation. After the fetus is delivered vaginally, the nurse implements routine
demise protocol and identification procedures. What action is most important
,for the nurse to take?
a. Explain reasons consent for an infant autopsy is needed
b. create a memory box of a baby's footprints and photographs
c. determine if the mother desires a visit from the clergy
d. encourage the mother to hold and spend time with her baby
CORRECT ANSWER encourage the mother to hold and spend time with her baby
3. One week after missing her menstrual period, a woman performs an OTC
pregnancy test and it is positive. Which hormone is responsible for producing
the positive result
CORRECT ANSWER HCG
4. The father of a 3-day old infant who is breast feeding calls the postpartum
help line to report that his wife is acting strangely. She is irritable, cannot cope
with the baby, and frequently cries for no apparent reason. What information
is most important for the nurse to provide this father?
CORRECT ANSWER Contact the clinic if the behaviors continue for more than
two weeks or become worse.
5. Clients who are HIV positive are encouraged to bottle-feed their infants
because
CORRECT ANSWER the HIV virus is transmitted through breastmilk.
, 6. When fetal movements or contractions compress the umbilical cord, vari-
able decelerations can happen
CORRECT ANSWER Maternal repositioning can alleviate cord com- pressions
7. A primigravida at 36 weeks gestation, who is Rh negative, experienced
abdominal trauma in a motor vehicle collision. Which assessment finding is
more important for the nurse to report to the HCP?
CORRECT ANSWER Positive fetal hemoglobin testing
8. Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation.
She is moderately obese and carrying twins and the nurse measures her
fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height
measured at 28 cm. Based on these findings, what should the nurse con-
clude?
CORRECT ANSWER Fundal height measurement may indicate intrauterine
growth retardation
Questions And Answers 2025\2026
This Test Consists Of 55 Questions And Answers
1. A primigravida at 40 weeks gestation is contracting q2 minutes and her
cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The
client is screaming, and her husband is alarmed. Which intervention should
the nurse implement?
a. notify the rapid response team
b. have delivery table set up
c. ask the husband to step out
d. administer a PRN narcotic
CORRECT ANSWER b. have delivery table set up
2. The nurse is caring for a client whose fetus died in utero at 32 weeks
gestation. After the fetus is delivered vaginally, the nurse implements routine
demise protocol and identification procedures. What action is most important
,for the nurse to take?
a. Explain reasons consent for an infant autopsy is needed
b. create a memory box of a baby's footprints and photographs
c. determine if the mother desires a visit from the clergy
d. encourage the mother to hold and spend time with her baby
CORRECT ANSWER encourage the mother to hold and spend time with her baby
3. One week after missing her menstrual period, a woman performs an OTC
pregnancy test and it is positive. Which hormone is responsible for producing
the positive result
CORRECT ANSWER HCG
4. The father of a 3-day old infant who is breast feeding calls the postpartum
help line to report that his wife is acting strangely. She is irritable, cannot cope
with the baby, and frequently cries for no apparent reason. What information
is most important for the nurse to provide this father?
CORRECT ANSWER Contact the clinic if the behaviors continue for more than
two weeks or become worse.
5. Clients who are HIV positive are encouraged to bottle-feed their infants
because
CORRECT ANSWER the HIV virus is transmitted through breastmilk.
, 6. When fetal movements or contractions compress the umbilical cord, vari-
able decelerations can happen
CORRECT ANSWER Maternal repositioning can alleviate cord com- pressions
7. A primigravida at 36 weeks gestation, who is Rh negative, experienced
abdominal trauma in a motor vehicle collision. Which assessment finding is
more important for the nurse to report to the HCP?
CORRECT ANSWER Positive fetal hemoglobin testing
8. Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation.
She is moderately obese and carrying twins and the nurse measures her
fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height
measured at 28 cm. Based on these findings, what should the nurse con-
clude?
CORRECT ANSWER Fundal height measurement may indicate intrauterine
growth retardation
