2025/2026 HESI Maternity OB Exam Version 1 |
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 1 of the HESI Maternity/Obstetric
Nursing Exam, containing all 55 verified questions and 100% correct answers, aligned with
the 2025/2026 testing cycle. It covers high-yield maternal health content including
antepartum care, labor and delivery, fetal monitoring, postpartum complications, and
newborn assessment. Graded A+ and structured to mirror the real HESI format, this guide is
designed to help nursing students succeed in obstetric nursing with full exam confidence.
Section 2: Exam Questions and Answers
1. A primigravida at 38 weeks gestation reports decreased fetal movement. What is the
nurse’s first action?
A) Instruct the client to drink water and rest
B) Perform a nonstress test (NST)
C) Prepare for an immediate cesarean section
D) Administer oxygen via nasal cannula
B) Perform a nonstress test (NST)
Rationale: Decreased fetal movement may indicate fetal distress; an NST assesses
fetal well-being.
2. During labor, the nurse observes late decelerations on the fetal monitor. What is the
priority intervention?
A) Continue monitoring the fetal heart rate
B) Reposition the client to the left lateral position
C) Increase the IV fluid rate
D) Administer tocolytics
B) Reposition the client to the left lateral position
Rationale: Late decelerations indicate uteroplacental insufficiency; repositioning
improves blood flow.
3. A postpartum client reports heavy vaginal bleeding. What is the nurse’s first action?
A) Massage the fundus
B) Administer oxytocin
C) Check vital signs
D) Prepare for surgery
A) Massage the fundus
Rationale: Fundal massage addresses uterine atony, the most common cause of
postpartum hemorrhage.
4. A client at 32 weeks gestation has a blood pressure of 160/100 mmHg. What
condition is suspected?
A) Gestational diabetes
B) Preeclampsia
C) Placenta previa
D) Abruptio placentae
, B) Preeclampsia
Rationale: Hypertension after 20 weeks suggests preeclampsia.
5. What is the normal range for fetal heart rate?
A) 80–100 beats per minute
B) 100–120 beats per minute
C) 110–160 beats per minute
D) 160–200 beats per minute
C) 110–160 beats per minute
Rationale: The normal fetal heart rate is 110–160 beats per minute.
6. A client in labor receives epidural anesthesia. What is the priority nursing
assessment?
A) Monitor respiratory rate
B) Check blood pressure
C) Assess pain level
D) Monitor fetal heart rate
B) Check blood pressure
Rationale: Epidurals can cause hypotension; monitoring blood pressure is critical.
7. A newborn has an Apgar score of 6 at 1 minute. What is the nurse’s priority action?
A) Administer oxygen
B) Initiate chest compressions
C) Provide stimulation and warmth
D) Prepare for intubation
C) Provide stimulation and warmth
Rationale: A score of 4–6 indicates moderate distress; stimulation and warmth are
initial steps.
8. A client at 28 weeks gestation reports severe abdominal pain and vaginal bleeding.
What is the suspected condition?
A) Ectopic pregnancy
B) Abruptio placentae
C) Gestational trophoblastic disease
D) Preterm labor
B) Abruptio placentae
Rationale: Pain and bleeding suggest placental abruption.
9. What is the purpose of a nonstress test (NST)?
A) Measure uterine contractions
B) Assess fetal heart rate reactivity
C) Determine gestational age
D) Evaluate amniotic fluid volume
B) Assess fetal heart rate reactivity
Rationale: NST evaluates fetal well-being through heart rate accelerations.
10. A client in the first stage of labor reports a gush of fluid. What is the nurse’s first
action?
A) Check the fetal heart rate
B) Administer pain medication
C) Prepare for delivery
D) Change the client’s position
A) Check the fetal heart rate
Rationale: A gush of fluid indicates ruptured membranes; fetal heart rate assessment
ensures no cord compression.
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 1 of the HESI Maternity/Obstetric
Nursing Exam, containing all 55 verified questions and 100% correct answers, aligned with
the 2025/2026 testing cycle. It covers high-yield maternal health content including
antepartum care, labor and delivery, fetal monitoring, postpartum complications, and
newborn assessment. Graded A+ and structured to mirror the real HESI format, this guide is
designed to help nursing students succeed in obstetric nursing with full exam confidence.
Section 2: Exam Questions and Answers
1. A primigravida at 38 weeks gestation reports decreased fetal movement. What is the
nurse’s first action?
A) Instruct the client to drink water and rest
B) Perform a nonstress test (NST)
C) Prepare for an immediate cesarean section
D) Administer oxygen via nasal cannula
B) Perform a nonstress test (NST)
Rationale: Decreased fetal movement may indicate fetal distress; an NST assesses
fetal well-being.
2. During labor, the nurse observes late decelerations on the fetal monitor. What is the
priority intervention?
A) Continue monitoring the fetal heart rate
B) Reposition the client to the left lateral position
C) Increase the IV fluid rate
D) Administer tocolytics
B) Reposition the client to the left lateral position
Rationale: Late decelerations indicate uteroplacental insufficiency; repositioning
improves blood flow.
3. A postpartum client reports heavy vaginal bleeding. What is the nurse’s first action?
A) Massage the fundus
B) Administer oxytocin
C) Check vital signs
D) Prepare for surgery
A) Massage the fundus
Rationale: Fundal massage addresses uterine atony, the most common cause of
postpartum hemorrhage.
4. A client at 32 weeks gestation has a blood pressure of 160/100 mmHg. What
condition is suspected?
A) Gestational diabetes
B) Preeclampsia
C) Placenta previa
D) Abruptio placentae
, B) Preeclampsia
Rationale: Hypertension after 20 weeks suggests preeclampsia.
5. What is the normal range for fetal heart rate?
A) 80–100 beats per minute
B) 100–120 beats per minute
C) 110–160 beats per minute
D) 160–200 beats per minute
C) 110–160 beats per minute
Rationale: The normal fetal heart rate is 110–160 beats per minute.
6. A client in labor receives epidural anesthesia. What is the priority nursing
assessment?
A) Monitor respiratory rate
B) Check blood pressure
C) Assess pain level
D) Monitor fetal heart rate
B) Check blood pressure
Rationale: Epidurals can cause hypotension; monitoring blood pressure is critical.
7. A newborn has an Apgar score of 6 at 1 minute. What is the nurse’s priority action?
A) Administer oxygen
B) Initiate chest compressions
C) Provide stimulation and warmth
D) Prepare for intubation
C) Provide stimulation and warmth
Rationale: A score of 4–6 indicates moderate distress; stimulation and warmth are
initial steps.
8. A client at 28 weeks gestation reports severe abdominal pain and vaginal bleeding.
What is the suspected condition?
A) Ectopic pregnancy
B) Abruptio placentae
C) Gestational trophoblastic disease
D) Preterm labor
B) Abruptio placentae
Rationale: Pain and bleeding suggest placental abruption.
9. What is the purpose of a nonstress test (NST)?
A) Measure uterine contractions
B) Assess fetal heart rate reactivity
C) Determine gestational age
D) Evaluate amniotic fluid volume
B) Assess fetal heart rate reactivity
Rationale: NST evaluates fetal well-being through heart rate accelerations.
10. A client in the first stage of labor reports a gush of fluid. What is the nurse’s first
action?
A) Check the fetal heart rate
B) Administer pain medication
C) Prepare for delivery
D) Change the client’s position
A) Check the fetal heart rate
Rationale: A gush of fluid indicates ruptured membranes; fetal heart rate assessment
ensures no cord compression.
