HESI Obstetrics/Maternity Practice
Exam Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A postpartum client experiences dizziness when standing. What should the nurse do first?
A. Document and continue monitoring
✔✔B. Assist the client to sit or lie down and assess blood pressure
C. Administer oxygen by mask
D. Call the healthcare provider immediately
A laboring patient reports intense back pain during contractions. Which intervention is most
appropriate?
A. Place client in supine position
B. Administer an antiemetic
✔✔C. Apply firm counterpressure to the sacral area
D. Restrict all movement until delivery
A newborn is jittery and irritable 2 hours after birth. Which action should the nurse take first?
A. Measure temperature
1
,B. Assess skin turgor
✔✔C. Check blood glucose level
D. Administer an antibiotic
A pregnant patient at 38 weeks has bright red vaginal bleeding but no pain. What condition is
most likely?
A. Placental abruption
✔✔B. Placenta previa
C. Preterm labor
D. Uterine rupture
A nurse prepares to administer Rho(D) immune globulin. Which patient requires it?
A. Rh positive mother, Rh positive infant
✔✔B. Rh negative mother, Rh positive infant
C. Rh negative mother, Rh negative infant
D. Rh positive mother, Rh negative infant
2
,A client in the second stage of labor is exhausted. Which nursing action supports effective
pushing?
A. Encourage holding breath throughout contraction
✔✔B. Encourage open-glottis pushing with rest between efforts
C. Discourage all pushing until crowning
D. Increase IV fluids for energy
A newborn is placed under a radiant warmer. What assessment confirms effectiveness?
A. Skin appears mottled
✔✔B. Axillary temperature remains stable at 36.5°C (97.7°F)
C. Infant continues to cry vigorously
D. Capillary refill exceeds 4 seconds
A pregnant patient reports severe headache, blurred vision, and upper abdominal pain. What
complication is suspected?
A. Gestational diabetes
✔✔B. Severe preeclampsia
C. Preterm labor
3
, D. Hyperemesis gravidarum
A client’s amniotic sac ruptures. What is the nurse’s priority?
A. Assess contraction pattern
B. Measure maternal temperature
✔✔C. Check fetal heart rate
D. Perform a sterile vaginal exam
A nurse is educating a postpartum client about preventing infection. Which instruction is correct?
A. Avoid handwashing before breastfeeding
✔✔B. Change perineal pads frequently
C. Keep catheter in place for comfort
D. Delay showering for 2 weeks
A laboring woman states she feels the urge to push but is only 6 cm dilated. What is the nurse’s
best action?
A. Encourage pushing with contractions
✔✔B. Instruct client to pant or blow through contractions
4
Exam Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A postpartum client experiences dizziness when standing. What should the nurse do first?
A. Document and continue monitoring
✔✔B. Assist the client to sit or lie down and assess blood pressure
C. Administer oxygen by mask
D. Call the healthcare provider immediately
A laboring patient reports intense back pain during contractions. Which intervention is most
appropriate?
A. Place client in supine position
B. Administer an antiemetic
✔✔C. Apply firm counterpressure to the sacral area
D. Restrict all movement until delivery
A newborn is jittery and irritable 2 hours after birth. Which action should the nurse take first?
A. Measure temperature
1
,B. Assess skin turgor
✔✔C. Check blood glucose level
D. Administer an antibiotic
A pregnant patient at 38 weeks has bright red vaginal bleeding but no pain. What condition is
most likely?
A. Placental abruption
✔✔B. Placenta previa
C. Preterm labor
D. Uterine rupture
A nurse prepares to administer Rho(D) immune globulin. Which patient requires it?
A. Rh positive mother, Rh positive infant
✔✔B. Rh negative mother, Rh positive infant
C. Rh negative mother, Rh negative infant
D. Rh positive mother, Rh negative infant
2
,A client in the second stage of labor is exhausted. Which nursing action supports effective
pushing?
A. Encourage holding breath throughout contraction
✔✔B. Encourage open-glottis pushing with rest between efforts
C. Discourage all pushing until crowning
D. Increase IV fluids for energy
A newborn is placed under a radiant warmer. What assessment confirms effectiveness?
A. Skin appears mottled
✔✔B. Axillary temperature remains stable at 36.5°C (97.7°F)
C. Infant continues to cry vigorously
D. Capillary refill exceeds 4 seconds
A pregnant patient reports severe headache, blurred vision, and upper abdominal pain. What
complication is suspected?
A. Gestational diabetes
✔✔B. Severe preeclampsia
C. Preterm labor
3
, D. Hyperemesis gravidarum
A client’s amniotic sac ruptures. What is the nurse’s priority?
A. Assess contraction pattern
B. Measure maternal temperature
✔✔C. Check fetal heart rate
D. Perform a sterile vaginal exam
A nurse is educating a postpartum client about preventing infection. Which instruction is correct?
A. Avoid handwashing before breastfeeding
✔✔B. Change perineal pads frequently
C. Keep catheter in place for comfort
D. Delay showering for 2 weeks
A laboring woman states she feels the urge to push but is only 6 cm dilated. What is the nurse’s
best action?
A. Encourage pushing with contractions
✔✔B. Instruct client to pant or blow through contractions
4
