1
MATERNITY (OB) HESI PN BOOK EXAM QUESTIONS
WITH CORRECT ANSWERS 2026 LATEST VERSION
Naloxone HCI (Narcan) nursing implications - CORRECT ANSWER--adult dose 0.1
to 0.2mg IV repeated every 2-3 minutes until adequate response
-monitor respirations closely because drug action is shorter than narcotic (may
need to administer)
-pain returns after administration to mother
-can be administer to newborn after delivery (10mcg/kg, IV, IM, SUBQ) repeated
every 2-3 minutes until respiration is satisfactory to counteract narcotic
depression.
HESI HINT: REGIONAL BLACK ANESTHESIA AND FETAL PRESENTATION - CORRECT
ANSWER--internal oration is harder to achieve when the pelvic floor is relaxed by
anesthesia, resulting in persistent occiput posterior position of fetus.
-monitor fetal position, REMEMBER mother cannot tell you she has back pain,
which is he cardinal signs of persistent posterior fetal position.
-regional blocks, especially epidural and caudal, often result in assisted (forceps or
vacuum) delivery because of the inability to push effectively in second stage, even
with adequate coaching.
HESI HINT: NERVE BLOCK ANESTHESIA - CORRECT ANSWER-nerve block
anesthesia (spinal or epidural) during labor blocks moor as well as nerve fibers.
vasodilation below the level of the block results in blood pooling in the lower
extremities and maternal hypotension.
,2
normal postpartum period (puerperium) - CORRECT ANSWER--period after
pregnancy and delivery (usually 6 weeks) when the body returns to the non
pregnant state.
-care is focused on wellness and family integrity.
-teaching plan must be initiated early to cover the physical self-care needs and
emotional needs of the mother, infant + family
normal postpartum (puerperium) changes: UTERUS - CORRECT ANSWER--
myometrial contractions occur for 12-14 hours post delivery because of high
oxytocin levels (prominent in multiparas, breastfeeding patients and women who
experienced overdistention of the uterus)
-placenta site contracts and heals without scarring.
first day: 1-2cm above umbilicus
7-10 days: decreases to 12-week size, slides back under symphysis pubis
normal postpartum (puerperium) changes: CERVIX - CORRECT ANSWER--becomes
porous with a transverse slit
-heals within 6 weeks
normal postpartum (puerperium) changes: VAGINA - CORRECT ANSWER--rugae
(folds) reappear within 3 weeks
-walls thin and dry
normal postpartum (puerperium) changes: BREASTS - CORRECT ANSWER-**non-
lactating**
-nodules palpable
,3
-engorgement may occur 2-3 days postpartum
*lactating*
-milk sinuses (lumps palpable)
-colostrum (yellowish fluid) expressed firs, then milk (bluish-white)
-may feel warm, firm and tender for 48 hours.
normal postpartum (puerperium) changes: CARDIOVASCULAR AT DELIVERY -
CORRECT ANSWER--maternal vascular bed reduced by 15%
-pulse may decrease to 50 (normal puerperal bradycardia)
-these changes are hypothesized to result in shivering
normal postpartum (puerperium) changes: CARDIOVASCULAR FIRST 72 HOURS -
CORRECT ANSWER--24 to 48 hours postpartum, cardiac output remains elevated
(returns to non pregnant levels in 2-3 weeks)
-plasma loss greater than RBC loss reverses hemodilution of pregnancy (hct rises)
-diaphoresis (especially at night) helps restore plasma volum
diaphroesis - CORRECT ANSWER-excessive sweating
normal postpartum (puerperium) changes: HEMATOLOGIC SYSTEM - CORRECT
ANSWER--hct rises
-wbc count elevated (12,000 to 25,000)
-difficult to use white count for determination of infection
-blood clotting factors elevated; increases risk of thromboembolism
, 4
normal postpartum (puerperium) changes: URINARY SYSTEM - CORRECT
ANSWER--diuresis occurs, excretes up to 3000ml.day of urine.
-bladder distention and incomplete emptying common
-persistent dilation of ureter/renal pelvis increase risk of UTI
-urine glucose, creatinine and BUN levels normal after 7 days
normal postpartum (puerperium) changes: GASTROINTESTINAL SYSTEM -
CORRECT ANSWER--excess analgesia/anesthesia may decrease peristalsis
-no bowel movements expected for 2-3 days
normal postpartum (puerperium) changes: INTEGUMENTARY SYSTEM - CORRECT
ANSWER--chloasma and hyperpigmentation areas (linea nigra, areolae) regress;
some areas may remain permanently darker.
-spider nevi fade, some in legs may remain
normal postpartum (puerperium) changes: MUSCULOSKELETTAL SYSTEM -
CORRECT ANSWER--pelvic muscles regain tone in 3-6 weeks.
-adbominal muscle regain rone in 6 weeks unless diastasis recti (separation of
rectus abdominis muscles) occur
HESI HINT: NORMAL LEUKOCYTOSIS OF PREGNANCY - CORRECT ANSWER--Normal
leukocytosis of pregnancy averages 12,000 two 15,000mm3.
-the first 10-12 days post delivery, values of 25,000m3 are common
-elevated WBC and the normal elevated erythrocyte sedimentation rate may
confuse interpretation of acute pospartal infections.
MATERNITY (OB) HESI PN BOOK EXAM QUESTIONS
WITH CORRECT ANSWERS 2026 LATEST VERSION
Naloxone HCI (Narcan) nursing implications - CORRECT ANSWER--adult dose 0.1
to 0.2mg IV repeated every 2-3 minutes until adequate response
-monitor respirations closely because drug action is shorter than narcotic (may
need to administer)
-pain returns after administration to mother
-can be administer to newborn after delivery (10mcg/kg, IV, IM, SUBQ) repeated
every 2-3 minutes until respiration is satisfactory to counteract narcotic
depression.
HESI HINT: REGIONAL BLACK ANESTHESIA AND FETAL PRESENTATION - CORRECT
ANSWER--internal oration is harder to achieve when the pelvic floor is relaxed by
anesthesia, resulting in persistent occiput posterior position of fetus.
-monitor fetal position, REMEMBER mother cannot tell you she has back pain,
which is he cardinal signs of persistent posterior fetal position.
-regional blocks, especially epidural and caudal, often result in assisted (forceps or
vacuum) delivery because of the inability to push effectively in second stage, even
with adequate coaching.
HESI HINT: NERVE BLOCK ANESTHESIA - CORRECT ANSWER-nerve block
anesthesia (spinal or epidural) during labor blocks moor as well as nerve fibers.
vasodilation below the level of the block results in blood pooling in the lower
extremities and maternal hypotension.
,2
normal postpartum period (puerperium) - CORRECT ANSWER--period after
pregnancy and delivery (usually 6 weeks) when the body returns to the non
pregnant state.
-care is focused on wellness and family integrity.
-teaching plan must be initiated early to cover the physical self-care needs and
emotional needs of the mother, infant + family
normal postpartum (puerperium) changes: UTERUS - CORRECT ANSWER--
myometrial contractions occur for 12-14 hours post delivery because of high
oxytocin levels (prominent in multiparas, breastfeeding patients and women who
experienced overdistention of the uterus)
-placenta site contracts and heals without scarring.
first day: 1-2cm above umbilicus
7-10 days: decreases to 12-week size, slides back under symphysis pubis
normal postpartum (puerperium) changes: CERVIX - CORRECT ANSWER--becomes
porous with a transverse slit
-heals within 6 weeks
normal postpartum (puerperium) changes: VAGINA - CORRECT ANSWER--rugae
(folds) reappear within 3 weeks
-walls thin and dry
normal postpartum (puerperium) changes: BREASTS - CORRECT ANSWER-**non-
lactating**
-nodules palpable
,3
-engorgement may occur 2-3 days postpartum
*lactating*
-milk sinuses (lumps palpable)
-colostrum (yellowish fluid) expressed firs, then milk (bluish-white)
-may feel warm, firm and tender for 48 hours.
normal postpartum (puerperium) changes: CARDIOVASCULAR AT DELIVERY -
CORRECT ANSWER--maternal vascular bed reduced by 15%
-pulse may decrease to 50 (normal puerperal bradycardia)
-these changes are hypothesized to result in shivering
normal postpartum (puerperium) changes: CARDIOVASCULAR FIRST 72 HOURS -
CORRECT ANSWER--24 to 48 hours postpartum, cardiac output remains elevated
(returns to non pregnant levels in 2-3 weeks)
-plasma loss greater than RBC loss reverses hemodilution of pregnancy (hct rises)
-diaphoresis (especially at night) helps restore plasma volum
diaphroesis - CORRECT ANSWER-excessive sweating
normal postpartum (puerperium) changes: HEMATOLOGIC SYSTEM - CORRECT
ANSWER--hct rises
-wbc count elevated (12,000 to 25,000)
-difficult to use white count for determination of infection
-blood clotting factors elevated; increases risk of thromboembolism
, 4
normal postpartum (puerperium) changes: URINARY SYSTEM - CORRECT
ANSWER--diuresis occurs, excretes up to 3000ml.day of urine.
-bladder distention and incomplete emptying common
-persistent dilation of ureter/renal pelvis increase risk of UTI
-urine glucose, creatinine and BUN levels normal after 7 days
normal postpartum (puerperium) changes: GASTROINTESTINAL SYSTEM -
CORRECT ANSWER--excess analgesia/anesthesia may decrease peristalsis
-no bowel movements expected for 2-3 days
normal postpartum (puerperium) changes: INTEGUMENTARY SYSTEM - CORRECT
ANSWER--chloasma and hyperpigmentation areas (linea nigra, areolae) regress;
some areas may remain permanently darker.
-spider nevi fade, some in legs may remain
normal postpartum (puerperium) changes: MUSCULOSKELETTAL SYSTEM -
CORRECT ANSWER--pelvic muscles regain tone in 3-6 weeks.
-adbominal muscle regain rone in 6 weeks unless diastasis recti (separation of
rectus abdominis muscles) occur
HESI HINT: NORMAL LEUKOCYTOSIS OF PREGNANCY - CORRECT ANSWER--Normal
leukocytosis of pregnancy averages 12,000 two 15,000mm3.
-the first 10-12 days post delivery, values of 25,000m3 are common
-elevated WBC and the normal elevated erythrocyte sedimentation rate may
confuse interpretation of acute pospartal infections.
