HESI Maternal Newborn (OB) Practice
Exam Questions and correct Answers
latest 2025
1. A nurse is caring for a postpartum client who is experiencing uterine atony.
Which medication should the nurse expect to administer?
A. Magnesium sulfate
B. Oxytocin
C. Terbutaline
D. Rho(D) immune globulin
2. A newborn has a heart rate of 90 bpm, weak cry, some flexion, grimace with
suction, and blue extremities. What is the APGAR score?
A. 6
B. 5
C. 7
D. 4
3. Which sign is a positive indication of pregnancy?
A. Chadwick’s sign
B. Goodell’s sign
C. Linea nigra
D. Fetal heart tones heard via Doppler
,4. A mother with Rh-negative blood gives birth to an Rh-positive infant. What
should the nurse administer?
A. Vitamin K
B. Rho(D) immune globulin (RhoGAM)
C. Oxytocin
D. Betamethasone
5. A nurse is teaching a pregnant client about iron supplements. What should
the nurse include?
A. Take with calcium for better absorption
B. Take with orange juice to enhance absorption
C. Take on a full stomach to avoid nausea
D. Take only before bedtime
6. Which of the following is a danger sign during pregnancy that must be
reported immediately?
A. Breast tenderness
B. Constipation
C. Vaginal bleeding
D. Fatigue
7. A client is at 30 weeks' gestation with symptoms of preeclampsia. Which
finding supports this diagnosis?
A. Glucose in urine
B. Proteinuria and hypertension
C. Hyperactivity
D. Decreased deep tendon reflexes
8. Which newborn reflex is elicited by stroking the infant’s cheek?
A. Moro reflex
B. Babinski reflex
, C. Rooting reflex
D. Palmar grasp
9. A nurse is preparing to administer erythromycin ointment to a newborn’s
eyes. What is the purpose of this medication?
A. To improve vision
B. To prevent ophthalmia neonatorum
C. To lubricate the eye
D. To prevent cataracts
10. What is the priority action for a nurse immediately after a newborn is
delivered?
A. Administer Vitamin K
B. Dry and stimulate the newborn
C. Perform a heel stick
D. Weigh the newborn
11. What is the primary reason betamethasone is given to a mother in preterm
labor?
A. Prevent infection
B. Delay labor
C. Promote fetal lung maturity
D. Reduce maternal hypertension
12. Which position is best to relieve a prolapsed umbilical cord?
A. Supine with pillow under knees
B. High Fowler’s
C. Knee-chest position
D. Left lateral
Exam Questions and correct Answers
latest 2025
1. A nurse is caring for a postpartum client who is experiencing uterine atony.
Which medication should the nurse expect to administer?
A. Magnesium sulfate
B. Oxytocin
C. Terbutaline
D. Rho(D) immune globulin
2. A newborn has a heart rate of 90 bpm, weak cry, some flexion, grimace with
suction, and blue extremities. What is the APGAR score?
A. 6
B. 5
C. 7
D. 4
3. Which sign is a positive indication of pregnancy?
A. Chadwick’s sign
B. Goodell’s sign
C. Linea nigra
D. Fetal heart tones heard via Doppler
,4. A mother with Rh-negative blood gives birth to an Rh-positive infant. What
should the nurse administer?
A. Vitamin K
B. Rho(D) immune globulin (RhoGAM)
C. Oxytocin
D. Betamethasone
5. A nurse is teaching a pregnant client about iron supplements. What should
the nurse include?
A. Take with calcium for better absorption
B. Take with orange juice to enhance absorption
C. Take on a full stomach to avoid nausea
D. Take only before bedtime
6. Which of the following is a danger sign during pregnancy that must be
reported immediately?
A. Breast tenderness
B. Constipation
C. Vaginal bleeding
D. Fatigue
7. A client is at 30 weeks' gestation with symptoms of preeclampsia. Which
finding supports this diagnosis?
A. Glucose in urine
B. Proteinuria and hypertension
C. Hyperactivity
D. Decreased deep tendon reflexes
8. Which newborn reflex is elicited by stroking the infant’s cheek?
A. Moro reflex
B. Babinski reflex
, C. Rooting reflex
D. Palmar grasp
9. A nurse is preparing to administer erythromycin ointment to a newborn’s
eyes. What is the purpose of this medication?
A. To improve vision
B. To prevent ophthalmia neonatorum
C. To lubricate the eye
D. To prevent cataracts
10. What is the priority action for a nurse immediately after a newborn is
delivered?
A. Administer Vitamin K
B. Dry and stimulate the newborn
C. Perform a heel stick
D. Weigh the newborn
11. What is the primary reason betamethasone is given to a mother in preterm
labor?
A. Prevent infection
B. Delay labor
C. Promote fetal lung maturity
D. Reduce maternal hypertension
12. Which position is best to relieve a prolapsed umbilical cord?
A. Supine with pillow under knees
B. High Fowler’s
C. Knee-chest position
D. Left lateral
