2025/2026 HESI Maternity OB Exam Version 3 |
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 3 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 36 weeks gestation reports sudden weight gain and edema. What is the
nurse’s first action?
A) Encourage low-sodium diet
B) Assess blood pressure
C) Monitor fetal movement
D) Administer diuretics
B) Assess blood pressure
Rationale: Weight gain and edema may indicate preeclampsia; blood pressure
assessment is critical.
2. A client in labor has a cervical dilation of 4 cm. What phase of labor is this?
A) Latent phase
B) Active phase
C) Transition phase
D) Second stage
B) Active phase
Rationale: Cervical dilation of 4–7 cm indicates the active phase of labor.
3. A postpartum client reports severe perineal pain. What is the nurse’s first action?
A) Administer analgesics
B) Assess for hematoma
C) Apply ice packs
D) Monitor lochia
B) Assess for hematoma
Rationale: Severe perineal pain may indicate a hematoma, requiring assessment.
4. A client at 31 weeks gestation reports persistent vomiting. What condition is
suspected?
A) Hyperemesis gravidarum
B) Preeclampsia
C) Gestational diabetes
D) Preterm labor
A) Hyperemesis gravidarum
Rationale: Persistent vomiting beyond the first trimester suggests hyperemesis
gravidarum.
, 5. What is the normal range for maternal hemoglobin during pregnancy?
A) 8–10 g/dL
B) 10–14 g/dL
C) 14–16 g/dL
D) 16–18 g/dL
B) 10–14 g/dL
Rationale: Normal hemoglobin in pregnancy is 10–14 g/dL due to hemodilution.
6. A client in labor receives oxytocin. What is the nurse’s priority assessment?
A) Fetal heart rate
B) Maternal temperature
C) Contraction duration
D) Pain level
A) Fetal heart rate
Rationale: Oxytocin can cause hyperstimulation, affecting fetal heart rate.
7. A newborn has an Apgar score of 3 at 1 minute. What is the nurse’s first action?
A) Provide stimulation
B) Initiate resuscitation
C) Monitor for 5 minutes
D) Administer oxygen
B) Initiate resuscitation
Rationale: A score of 0–3 indicates severe distress, requiring immediate resuscitation.
8. A client at 25 weeks gestation reports preterm contractions. What is the nurse’s first
action?
A) Administer tocolytics
B) Assess cervical changes
C) Encourage hydration
D) Monitor fetal heart rate
B) Assess cervical changes
Rationale: Cervical assessment confirms preterm labor.
9. What is the purpose of a triple screen test?
A) Detect fetal lung maturity
B) Screen for chromosomal abnormalities
C) Assess maternal diabetes
D) Measure amniotic fluid volume
B) Screen for chromosomal abnormalities
Rationale: The triple screen tests for neural tube defects and chromosomal issues.
10. A client in labor has a sudden drop in fetal heart rate. What is the nurse’s first action?
A) Increase IV fluids
B) Reposition the client
C) Administer oxygen
D) Notify the provider
B) Reposition the client
Rationale: Repositioning may relieve pressure causing the drop in fetal heart rate.
11. A postpartum client reports anxiety and insomnia. What is the nurse’s priority action?
A) Administer sedatives
B) Assess for postpartum depression
C) Encourage rest
D) Monitor vital signs
B) Assess for postpartum depression
Rationale: Anxiety and insomnia may indicate postpartum depression.
Latest All 55 Questions and Correct Answers |
Already Graded A+
Section 1: Introduction
This document features the complete and updated Version 3 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 36 weeks gestation reports sudden weight gain and edema. What is the
nurse’s first action?
A) Encourage low-sodium diet
B) Assess blood pressure
C) Monitor fetal movement
D) Administer diuretics
B) Assess blood pressure
Rationale: Weight gain and edema may indicate preeclampsia; blood pressure
assessment is critical.
2. A client in labor has a cervical dilation of 4 cm. What phase of labor is this?
A) Latent phase
B) Active phase
C) Transition phase
D) Second stage
B) Active phase
Rationale: Cervical dilation of 4–7 cm indicates the active phase of labor.
3. A postpartum client reports severe perineal pain. What is the nurse’s first action?
A) Administer analgesics
B) Assess for hematoma
C) Apply ice packs
D) Monitor lochia
B) Assess for hematoma
Rationale: Severe perineal pain may indicate a hematoma, requiring assessment.
4. A client at 31 weeks gestation reports persistent vomiting. What condition is
suspected?
A) Hyperemesis gravidarum
B) Preeclampsia
C) Gestational diabetes
D) Preterm labor
A) Hyperemesis gravidarum
Rationale: Persistent vomiting beyond the first trimester suggests hyperemesis
gravidarum.
, 5. What is the normal range for maternal hemoglobin during pregnancy?
A) 8–10 g/dL
B) 10–14 g/dL
C) 14–16 g/dL
D) 16–18 g/dL
B) 10–14 g/dL
Rationale: Normal hemoglobin in pregnancy is 10–14 g/dL due to hemodilution.
6. A client in labor receives oxytocin. What is the nurse’s priority assessment?
A) Fetal heart rate
B) Maternal temperature
C) Contraction duration
D) Pain level
A) Fetal heart rate
Rationale: Oxytocin can cause hyperstimulation, affecting fetal heart rate.
7. A newborn has an Apgar score of 3 at 1 minute. What is the nurse’s first action?
A) Provide stimulation
B) Initiate resuscitation
C) Monitor for 5 minutes
D) Administer oxygen
B) Initiate resuscitation
Rationale: A score of 0–3 indicates severe distress, requiring immediate resuscitation.
8. A client at 25 weeks gestation reports preterm contractions. What is the nurse’s first
action?
A) Administer tocolytics
B) Assess cervical changes
C) Encourage hydration
D) Monitor fetal heart rate
B) Assess cervical changes
Rationale: Cervical assessment confirms preterm labor.
9. What is the purpose of a triple screen test?
A) Detect fetal lung maturity
B) Screen for chromosomal abnormalities
C) Assess maternal diabetes
D) Measure amniotic fluid volume
B) Screen for chromosomal abnormalities
Rationale: The triple screen tests for neural tube defects and chromosomal issues.
10. A client in labor has a sudden drop in fetal heart rate. What is the nurse’s first action?
A) Increase IV fluids
B) Reposition the client
C) Administer oxygen
D) Notify the provider
B) Reposition the client
Rationale: Repositioning may relieve pressure causing the drop in fetal heart rate.
11. A postpartum client reports anxiety and insomnia. What is the nurse’s priority action?
A) Administer sedatives
B) Assess for postpartum depression
C) Encourage rest
D) Monitor vital signs
B) Assess for postpartum depression
Rationale: Anxiety and insomnia may indicate postpartum depression.
