2024 HESI MATERNITY OB EXAM
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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 Answers ✅b. have
delivery table set up
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 Answers ✅encourage the mother to hold
and spend time with her baby
,2024 HESI MATERNITY OB EXAM
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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 Answers ✅HCG
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
Answers ✅Contact the clinic if the behaviors continue for
more than two weeks or become worse.
Clients who are HIV positive are encouraged to bottle-feed
their infants because - Correct Answers ✅the HIV virus is
transmitted through breastmilk.
When fetal movements or contractions compress the
umbilical cord, variable decelerations can happen - Correct
Answers ✅Maternal repositioning can alleviate cord
compressions
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 Answers ✅Positive fetal
hemoglobin testing
, 2024 HESI MATERNITY OB EXAM
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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
conclude? - Correct Answers ✅Fundal height measurement
may indicate intrauterine growth retardation
The nurse is discussing involution with a postpartum client.
Which statement best indicates that the client understands
the effect of breastfeeding on the resumption of menstrual
cycle? - Correct Answers ✅While i am breastfeeding, my
period may be delayed
A term multigravida who is receiving oxytocin (Pitocin) for
labor augmentation, is requesting pain medication. Review of
the client's record indicates that she was medicated 30
minutes ago with butorphanol (Stadol) 2 mg and
promethazine (Phenergan) 25 mg IV push. Vaginal exam
reveals that the clients cervical dilation is 3 cm, 70% effaced,
and at a 0 station. What action should the nurse implement? -
Correct Answers ✅Instruct the client to use deep breathing
during a contraction
While caring for a laboring client on continuous fetal
monitoring. The nurse notes an FHR pattern that falls and
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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 Answers ✅b. have
delivery table set up
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 Answers ✅encourage the mother to hold
and spend time with her baby
,2024 HESI MATERNITY OB EXAM
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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 Answers ✅HCG
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
Answers ✅Contact the clinic if the behaviors continue for
more than two weeks or become worse.
Clients who are HIV positive are encouraged to bottle-feed
their infants because - Correct Answers ✅the HIV virus is
transmitted through breastmilk.
When fetal movements or contractions compress the
umbilical cord, variable decelerations can happen - Correct
Answers ✅Maternal repositioning can alleviate cord
compressions
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 Answers ✅Positive fetal
hemoglobin testing
, 2024 HESI MATERNITY OB EXAM
VERSION 7 Questions with Complete
Solutions (Latest 2025)
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
conclude? - Correct Answers ✅Fundal height measurement
may indicate intrauterine growth retardation
The nurse is discussing involution with a postpartum client.
Which statement best indicates that the client understands
the effect of breastfeeding on the resumption of menstrual
cycle? - Correct Answers ✅While i am breastfeeding, my
period may be delayed
A term multigravida who is receiving oxytocin (Pitocin) for
labor augmentation, is requesting pain medication. Review of
the client's record indicates that she was medicated 30
minutes ago with butorphanol (Stadol) 2 mg and
promethazine (Phenergan) 25 mg IV push. Vaginal exam
reveals that the clients cervical dilation is 3 cm, 70% effaced,
and at a 0 station. What action should the nurse implement? -
Correct Answers ✅Instruct the client to use deep breathing
during a contraction
While caring for a laboring client on continuous fetal
monitoring. The nurse notes an FHR pattern that falls and
