2026 HESI OB MATERNITY ONLINE PRACTICE
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES | ALREADY
GRADED A+ | LATEST 2026 VERSION (NEW)
The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the
newborn. Which infectious organism will this treatment prevent from harming the
infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis - ANSWER-C. Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2
hours after birth to prevent ophthalmica neonatorum, an infection caused by
gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia.The
infant may be exposed to these bacteria when passing through the birth canal.
The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
A. Between the time the temperature falls and rises
B. Between 36 and 48 hours after the temperature rises
C. When the temperature falls and remains low for 36 hours
,D. Within 72 hours before the temperature falls - ANSWER-A. Between the
time the temperature falls and rises
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises
24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary
produces progesterone. Therefore, intercourse between the time of the temperature
fall and rise is the best time for conception. The human ovum can be fertilized 16
to 24 hours after ovulation.
A woman who had a miscarriage 6 months ago becomes pregnant. Which
instruction is most important for the nurse to provide this client?
A. Elevate lower legs while resting
B. Increase caloric intake by 200 to 300 calories per day
C. increase water intake to 8 full glasses per day
D. Take prescribed multivitamin and mineral supplements - ANSWER-D. Take
prescribed multivitamin and mineral supplements
A client who has had a spontaneous abortion or still birth in the last 1½ years
should take multivitamin and mineral supplements and maintain a balanced diet
because the previous pregnancy may have left her nutritionally depleted.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
A. Edema, basilar rales, and an irregular pulse
B. Increased urinary output and tachycardia
C. Shortness of breath, bradycardia, and hypertension
,D. Regular heart rate and hypertension - ANSWER-A. Edema, basilar rales, and
an irregular pulse
Edema, basilar rales, and an irregular pulse indicate cardiac decompensation and
require immediate intervention.
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - ANSWER-C. Place the woman in a lateral
position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
, D. Position the infant on the right side - ANSWER-C. Check the infant's oxygen
saturation rate
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information.
FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the
nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
D. Do not allow your baby to nurse any longer than the prescribed number of
minutes - ANSWER-C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES | ALREADY
GRADED A+ | LATEST 2026 VERSION (NEW)
The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the
newborn. Which infectious organism will this treatment prevent from harming the
infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis - ANSWER-C. Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2
hours after birth to prevent ophthalmica neonatorum, an infection caused by
gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia.The
infant may be exposed to these bacteria when passing through the birth canal.
The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
A. Between the time the temperature falls and rises
B. Between 36 and 48 hours after the temperature rises
C. When the temperature falls and remains low for 36 hours
,D. Within 72 hours before the temperature falls - ANSWER-A. Between the
time the temperature falls and rises
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises
24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary
produces progesterone. Therefore, intercourse between the time of the temperature
fall and rise is the best time for conception. The human ovum can be fertilized 16
to 24 hours after ovulation.
A woman who had a miscarriage 6 months ago becomes pregnant. Which
instruction is most important for the nurse to provide this client?
A. Elevate lower legs while resting
B. Increase caloric intake by 200 to 300 calories per day
C. increase water intake to 8 full glasses per day
D. Take prescribed multivitamin and mineral supplements - ANSWER-D. Take
prescribed multivitamin and mineral supplements
A client who has had a spontaneous abortion or still birth in the last 1½ years
should take multivitamin and mineral supplements and maintain a balanced diet
because the previous pregnancy may have left her nutritionally depleted.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
A. Edema, basilar rales, and an irregular pulse
B. Increased urinary output and tachycardia
C. Shortness of breath, bradycardia, and hypertension
,D. Regular heart rate and hypertension - ANSWER-A. Edema, basilar rales, and
an irregular pulse
Edema, basilar rales, and an irregular pulse indicate cardiac decompensation and
require immediate intervention.
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - ANSWER-C. Place the woman in a lateral
position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
, D. Position the infant on the right side - ANSWER-C. Check the infant's oxygen
saturation rate
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information.
FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the
nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
D. Do not allow your baby to nurse any longer than the prescribed number of
minutes - ANSWER-C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
