HESI MATERNITY OBSTETRICS NURSING NEW
EXAM LATEST UPDATED 2026 FINAL EXAM WITH
COMPLETE 200 QUESTIONS & CORRECT VERIFIED
ANSWERS WITH RATIONALES [UPDATED VERSION]
NEW BRAND! A+ GRADE [FULL REVISED]
1. Which hormone maintains pregnancy in the first trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B
Rationale: Progesterone maintains the uterine lining.
2. What is the normal duration of a term pregnancy?
A. 36 weeks
B. 38 weeks
C. 40 weeks
D. 42 weeks
Correct Answer: C
Rationale: Term pregnancy is approximately 40 weeks.
,3. Which sign confirms pregnancy?
A. Amenorrhea
B. Positive hCG
C. Fetal heart tones
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones are a positive sign.
4. Which fetal heart rate is normal?
A. 90 bpm
B. 110 bpm
C. 140 bpm
D. 190 bpm
Correct Answer: C
Rationale: Normal fetal HR is 110–160 bpm.
5. Which position best relieves supine hypotensive syndrome?
A. Supine
B. Prone
C. Left lateral
D. Fowler’s
Correct Answer: C
Rationale: Left lateral relieves vena cava compression.
6. Which hormone stimulates uterine contractions?
A. Progesterone
B. Estrogen
,C. Oxytocin
D. hCG
Correct Answer: C
Rationale: Oxytocin causes uterine contractions.
7. Which lab value confirms ovulation?
A. Increased estrogen
B. Increased progesterone
C. Decreased LH
D. Increased prolactin
Correct Answer: B
Rationale: Progesterone rises after ovulation.
8. Which discomfort is common in the first trimester?
A. Back pain
B. Heartburn
C. Nausea
D. Dyspnea
Correct Answer: C
Rationale: Hormonal changes cause nausea.
9. Which structure nourishes the fetus?
A. Amnion
B. Chorion
C. Placenta
D. Umbilical cord
Correct Answer: C
Rationale: Placenta exchanges oxygen and nutrients.
, 10. Which finding suggests ectopic pregnancy?
A. Painless bleeding
B. Unilateral abdominal pain
C. Increased fetal movement
D. Elevated BP
Correct Answer: B
Rationale: Tubal rupture causes unilateral pain.
11. Which priority action for suspected ectopic pregnancy?
A. Pain medication
B. Pelvic exam
C. Prepare for surgery
D. Bed rest
Correct Answer: C
Rationale: Rupture risk makes it life-threatening.
12. Which immunization is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B
Correct Answer: C
Rationale: Live vaccines are contraindicated.
13. Which condition causes painless vaginal bleeding in late
pregnancy?
EXAM LATEST UPDATED 2026 FINAL EXAM WITH
COMPLETE 200 QUESTIONS & CORRECT VERIFIED
ANSWERS WITH RATIONALES [UPDATED VERSION]
NEW BRAND! A+ GRADE [FULL REVISED]
1. Which hormone maintains pregnancy in the first trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct Answer: B
Rationale: Progesterone maintains the uterine lining.
2. What is the normal duration of a term pregnancy?
A. 36 weeks
B. 38 weeks
C. 40 weeks
D. 42 weeks
Correct Answer: C
Rationale: Term pregnancy is approximately 40 weeks.
,3. Which sign confirms pregnancy?
A. Amenorrhea
B. Positive hCG
C. Fetal heart tones
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones are a positive sign.
4. Which fetal heart rate is normal?
A. 90 bpm
B. 110 bpm
C. 140 bpm
D. 190 bpm
Correct Answer: C
Rationale: Normal fetal HR is 110–160 bpm.
5. Which position best relieves supine hypotensive syndrome?
A. Supine
B. Prone
C. Left lateral
D. Fowler’s
Correct Answer: C
Rationale: Left lateral relieves vena cava compression.
6. Which hormone stimulates uterine contractions?
A. Progesterone
B. Estrogen
,C. Oxytocin
D. hCG
Correct Answer: C
Rationale: Oxytocin causes uterine contractions.
7. Which lab value confirms ovulation?
A. Increased estrogen
B. Increased progesterone
C. Decreased LH
D. Increased prolactin
Correct Answer: B
Rationale: Progesterone rises after ovulation.
8. Which discomfort is common in the first trimester?
A. Back pain
B. Heartburn
C. Nausea
D. Dyspnea
Correct Answer: C
Rationale: Hormonal changes cause nausea.
9. Which structure nourishes the fetus?
A. Amnion
B. Chorion
C. Placenta
D. Umbilical cord
Correct Answer: C
Rationale: Placenta exchanges oxygen and nutrients.
, 10. Which finding suggests ectopic pregnancy?
A. Painless bleeding
B. Unilateral abdominal pain
C. Increased fetal movement
D. Elevated BP
Correct Answer: B
Rationale: Tubal rupture causes unilateral pain.
11. Which priority action for suspected ectopic pregnancy?
A. Pain medication
B. Pelvic exam
C. Prepare for surgery
D. Bed rest
Correct Answer: C
Rationale: Rupture risk makes it life-threatening.
12. Which immunization is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B
Correct Answer: C
Rationale: Live vaccines are contraindicated.
13. Which condition causes painless vaginal bleeding in late
pregnancy?
