Page 1 of 31
“ HESI OB MATERNITY PRACTICE QUIZ “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
HESI OB/MATERNITY Practice Quiz
A 28-year-old client in active labor complains of cramps in her leg. What
intervention should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart.
B. Extend the leg and dorsiflex the foot
When preparing a class on newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with heads like
your baby's.
C. That is normal; the head will return to a round shape within 7 to 10 days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth
canal.
C. That is normal; the head will return to a round shape within 7 to 10 days.
An expectant father tells the nurse he fears that his wife "is losing her mind."
He states she is constantly rubbing her abdomen and talking to the baby, and
that she actually reprimands the baby when it moves too much. What
recommendation should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest
that he discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed.
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C. Ask him to observe his wife's behavior carefully for the next few weeks and
report any similar behavior to the nurse at the next prenatal visit.
D.Let him know that these behaviors are part of normal maternal/fetal bonding
which occur once the mother feels fetal movement.
D.Let him know that these behaviors are part of normal maternal/fetal bonding which
occur once the mother feels fetal movement.
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" Which explanation should the nurse provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10
times a day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still
hungry.
D.If you're concerned, you might consider bottle feeding so that you can
monitor her intake.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day.
After each feeding, a 3-day-old newborn is spitting up large amounts of
Enfamil® Newborn Formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonate's formula to Similac® Soy Isomil®
Formula, a soy protein isolate based infant formula. What information should
the nurse provide to the mother about the newly prescribed formula?
A.The new formula is a coconut milk formula used with babies with impaired
fat absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed with
diarrhea.
C. The new formula is a casein protein source that is low in phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains sucrose.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to
the postpartum unit. Which nursing plan is best in assisting this mother to
bond with her newborn infant?
A. Encourage the mother to provide total care for her infant.
B. Provide privacy so the mother can develop a relationship with the infant.
C. Encourage the father to provide most of the infant's care during
hospitalization.
D.Meet the mother's physical needs and demonstrate warmth toward the
infant.
D.Meet the mother's physical needs and demonstrate warmth toward the infant.
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
A. Lying prone with a pillow on the abdomen.
B. Using a breast pump.
C. Massaging the abdomen.
D. Giving oxytocic medications.
A. Lying prone with a pillow on the abdomen.
hich maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines the
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infant completely.
b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant to her
own body.
She eagerly reaches for the infant and then holds the infant close to her own
body.
b. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) is
a.November 22.
b.November 8.
c.December 22.
d.October 22.
a.November 22.
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. The nurse correctly calculates that the
woman's next fertile period is
a.January 14-15.
b.January 22-23.
c.January 30-31.
d.February 6-7.
c. January 30-31.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding indicates the therapeutic drug level has
been achieved?
A. 4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16.
D. A decreased body temperature.
C.A decrease in respiratory rate from 24 to 16.
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should 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.
C.Place the woman in a lateral position.
A client at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as
bright red. She further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should the nurse provide?
A.Come to the clinic today for an ultrasound.
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B.Go immediately to the emergency room.
C.Lie on your left side for about one hour and see if the bleeding stops.
D.Bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection.
A.Come to the clinic today for an ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority?
A.Use a thread to tie off the umbilical cord.
B.Provide as much privacy as possible for the woman.
C.Reassure the husband and try to keep him calm.
D.Put the newborn to breast
D.Put the newborn to breast
A pregnant client with mitral stenosis Class III is prescribed complete bedrest.
The client asks the nurse, "Why must I stay in bed all the time?" Which
response is best for the nurse to provide this client?
A.Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue.
B.We want your baby to be healthy, and this is the only way we can make sure
that will happen.
C.I know you're upset. Would you like to talk about some things you could do
while in bed?
D.Labor is difficult and you need to use this time to rest before you have to
assume all child-caring duties.
A.Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue.
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.
C.Check the infant's oxygen saturation rate.
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
A.Assess the husband's feelings about his wife's decision to breastfeed their
baby.
B.Ask the client to describe why she was unsuccessful with breastfeeding her
last child.
C.Encourage the client to develop a positive attitude about breastfeeding to
help ensure success.
D.Provide assistance to the mother to begin breastfeeding as soon as possible
after delivery.
D.Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery.
The nurse is assessing the umbilical cord of a newborn. Which finding
constitutes a normal finding?
A.Two vessels: one artery and one vein.
“ HESI OB MATERNITY PRACTICE QUIZ “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
HESI OB/MATERNITY Practice Quiz
A 28-year-old client in active labor complains of cramps in her leg. What
intervention should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart.
B. Extend the leg and dorsiflex the foot
When preparing a class on newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with heads like
your baby's.
C. That is normal; the head will return to a round shape within 7 to 10 days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth
canal.
C. That is normal; the head will return to a round shape within 7 to 10 days.
An expectant father tells the nurse he fears that his wife "is losing her mind."
He states she is constantly rubbing her abdomen and talking to the baby, and
that she actually reprimands the baby when it moves too much. What
recommendation should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest
that he discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed.
, Page 2 of 31
C. Ask him to observe his wife's behavior carefully for the next few weeks and
report any similar behavior to the nurse at the next prenatal visit.
D.Let him know that these behaviors are part of normal maternal/fetal bonding
which occur once the mother feels fetal movement.
D.Let him know that these behaviors are part of normal maternal/fetal bonding which
occur once the mother feels fetal movement.
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" Which explanation should the nurse provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10
times a day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still
hungry.
D.If you're concerned, you might consider bottle feeding so that you can
monitor her intake.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day.
After each feeding, a 3-day-old newborn is spitting up large amounts of
Enfamil® Newborn Formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonate's formula to Similac® Soy Isomil®
Formula, a soy protein isolate based infant formula. What information should
the nurse provide to the mother about the newly prescribed formula?
A.The new formula is a coconut milk formula used with babies with impaired
fat absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed with
diarrhea.
C. The new formula is a casein protein source that is low in phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains sucrose.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to
the postpartum unit. Which nursing plan is best in assisting this mother to
bond with her newborn infant?
A. Encourage the mother to provide total care for her infant.
B. Provide privacy so the mother can develop a relationship with the infant.
C. Encourage the father to provide most of the infant's care during
hospitalization.
D.Meet the mother's physical needs and demonstrate warmth toward the
infant.
D.Meet the mother's physical needs and demonstrate warmth toward the infant.
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
A. Lying prone with a pillow on the abdomen.
B. Using a breast pump.
C. Massaging the abdomen.
D. Giving oxytocic medications.
A. Lying prone with a pillow on the abdomen.
hich maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines the
, Page 3 of 31
infant completely.
b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant to her
own body.
She eagerly reaches for the infant and then holds the infant close to her own
body.
b. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) is
a.November 22.
b.November 8.
c.December 22.
d.October 22.
a.November 22.
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. The nurse correctly calculates that the
woman's next fertile period is
a.January 14-15.
b.January 22-23.
c.January 30-31.
d.February 6-7.
c. January 30-31.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding indicates the therapeutic drug level has
been achieved?
A. 4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16.
D. A decreased body temperature.
C.A decrease in respiratory rate from 24 to 16.
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should 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.
C.Place the woman in a lateral position.
A client at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as
bright red. She further states that she is not experiencing any uterine
contractions or abdominal pain. What instruction should the nurse provide?
A.Come to the clinic today for an ultrasound.
, Page 4 of 31
B.Go immediately to the emergency room.
C.Lie on your left side for about one hour and see if the bleeding stops.
D.Bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection.
A.Come to the clinic today for an ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority?
A.Use a thread to tie off the umbilical cord.
B.Provide as much privacy as possible for the woman.
C.Reassure the husband and try to keep him calm.
D.Put the newborn to breast
D.Put the newborn to breast
A pregnant client with mitral stenosis Class III is prescribed complete bedrest.
The client asks the nurse, "Why must I stay in bed all the time?" Which
response is best for the nurse to provide this client?
A.Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue.
B.We want your baby to be healthy, and this is the only way we can make sure
that will happen.
C.I know you're upset. Would you like to talk about some things you could do
while in bed?
D.Labor is difficult and you need to use this time to rest before you have to
assume all child-caring duties.
A.Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue.
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.
C.Check the infant's oxygen saturation rate.
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
A.Assess the husband's feelings about his wife's decision to breastfeed their
baby.
B.Ask the client to describe why she was unsuccessful with breastfeeding her
last child.
C.Encourage the client to develop a positive attitude about breastfeeding to
help ensure success.
D.Provide assistance to the mother to begin breastfeeding as soon as possible
after delivery.
D.Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery.
The nurse is assessing the umbilical cord of a newborn. Which finding
constitutes a normal finding?
A.Two vessels: one artery and one vein.
