2025/2026 HESI Maternity OB Exam Version 2 |
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 2 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 client at 37 weeks gestation reports sudden swelling in hands and face. What is the
nurse’s first action?
A) Administer diuretics
B) Assess blood pressure
C) Encourage bed rest
D) Monitor fetal heart rate
B) Assess blood pressure
Rationale: Sudden swelling may indicate preeclampsia; blood pressure assessment is
critical.
2. A client in labor has a cervical dilation of 8 cm. What stage of labor is this?
A) Latent phase
B) Active phase
C) Transition phase
D) Second stage
C) Transition phase
Rationale: Cervical dilation of 8–10 cm indicates the transition phase of labor.
3. A postpartum client has a boggy uterus. What is the nurse’s priority action?
A) Administer pain medication
B) Massage the fundus
C) Increase IV fluids
D) Check lochia color
B) Massage the fundus
Rationale: A boggy uterus indicates uterine atony; fundal massage promotes
contraction.
4. A client at 30 weeks gestation reports shortness of breath. What condition is
suspected?
A) Gestational diabetes
B) Preeclampsia
C) Pulmonary embolism
D) Anemia
C) Pulmonary embolism
Rationale: Shortness of breath in pregnancy may indicate a pulmonary embolism.
, 5. What is the normal range for newborn heart rate at rest?
A) 80–100 beats per minute
B) 100–120 beats per minute
C) 120–160 beats per minute
D) 160–200 beats per minute
C) 120–160 beats per minute
Rationale: The normal newborn heart rate at rest is 120–160 beats per minute.
6. A client in labor reports severe back pain during contractions. What should the nurse
suggest?
A) Administer epidural anesthesia
B) Apply counterpressure
C) Increase IV fluids
D) Monitor fetal heart rate
B) Apply counterpressure
Rationale: Counterpressure is a non-pharmacologic method to relieve back pain in
labor.
7. A newborn has a temperature of 97.2°F. What is the nurse’s first action?
A) Administer antibiotics
B) Place the newborn under a warmer
C) Notify the provider
D) Monitor for 10 minutes
B) Place the newborn under a warmer
Rationale: Hypothermia in newborns requires warming to maintain body temperature.
8. A client at 26 weeks gestation reports vaginal spotting. What is the nurse’s first
action?
A) Prepare for delivery
B) Assess fetal heart rate
C) Administer tocolytics
D) Encourage bed rest
B) Assess fetal heart rate
Rationale: Vaginal spotting may indicate complications; fetal heart rate assessment is
priority.
9. What is the purpose of administering erythromycin ointment to a newborn’s eyes?
A) Prevent conjunctivitis
B) Treat jaundice
C) Enhance vision
D) Reduce swelling
A) Prevent conjunctivitis
Rationale: Erythromycin prevents neonatal conjunctivitis from maternal infections.
10. A client in labor has a fetal heart rate of 180 bpm. What is the nurse’s first action?
A) Continue monitoring
B) Reposition the client
C) Notify the provider
D) Administer oxygen
C) Notify the provider
Rationale: A fetal heart rate above 160 bpm indicates tachycardia, requiring
immediate evaluation.
11. A postpartum client reports feeling overwhelmed and tearful. What is the nurse’s
priority action?
A) Administer antidepressants
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 2 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 client at 37 weeks gestation reports sudden swelling in hands and face. What is the
nurse’s first action?
A) Administer diuretics
B) Assess blood pressure
C) Encourage bed rest
D) Monitor fetal heart rate
B) Assess blood pressure
Rationale: Sudden swelling may indicate preeclampsia; blood pressure assessment is
critical.
2. A client in labor has a cervical dilation of 8 cm. What stage of labor is this?
A) Latent phase
B) Active phase
C) Transition phase
D) Second stage
C) Transition phase
Rationale: Cervical dilation of 8–10 cm indicates the transition phase of labor.
3. A postpartum client has a boggy uterus. What is the nurse’s priority action?
A) Administer pain medication
B) Massage the fundus
C) Increase IV fluids
D) Check lochia color
B) Massage the fundus
Rationale: A boggy uterus indicates uterine atony; fundal massage promotes
contraction.
4. A client at 30 weeks gestation reports shortness of breath. What condition is
suspected?
A) Gestational diabetes
B) Preeclampsia
C) Pulmonary embolism
D) Anemia
C) Pulmonary embolism
Rationale: Shortness of breath in pregnancy may indicate a pulmonary embolism.
, 5. What is the normal range for newborn heart rate at rest?
A) 80–100 beats per minute
B) 100–120 beats per minute
C) 120–160 beats per minute
D) 160–200 beats per minute
C) 120–160 beats per minute
Rationale: The normal newborn heart rate at rest is 120–160 beats per minute.
6. A client in labor reports severe back pain during contractions. What should the nurse
suggest?
A) Administer epidural anesthesia
B) Apply counterpressure
C) Increase IV fluids
D) Monitor fetal heart rate
B) Apply counterpressure
Rationale: Counterpressure is a non-pharmacologic method to relieve back pain in
labor.
7. A newborn has a temperature of 97.2°F. What is the nurse’s first action?
A) Administer antibiotics
B) Place the newborn under a warmer
C) Notify the provider
D) Monitor for 10 minutes
B) Place the newborn under a warmer
Rationale: Hypothermia in newborns requires warming to maintain body temperature.
8. A client at 26 weeks gestation reports vaginal spotting. What is the nurse’s first
action?
A) Prepare for delivery
B) Assess fetal heart rate
C) Administer tocolytics
D) Encourage bed rest
B) Assess fetal heart rate
Rationale: Vaginal spotting may indicate complications; fetal heart rate assessment is
priority.
9. What is the purpose of administering erythromycin ointment to a newborn’s eyes?
A) Prevent conjunctivitis
B) Treat jaundice
C) Enhance vision
D) Reduce swelling
A) Prevent conjunctivitis
Rationale: Erythromycin prevents neonatal conjunctivitis from maternal infections.
10. A client in labor has a fetal heart rate of 180 bpm. What is the nurse’s first action?
A) Continue monitoring
B) Reposition the client
C) Notify the provider
D) Administer oxygen
C) Notify the provider
Rationale: A fetal heart rate above 160 bpm indicates tachycardia, requiring
immediate evaluation.
11. A postpartum client reports feeling overwhelmed and tearful. What is the nurse’s
priority action?
A) Administer antidepressants
