HESI OB MATERNITY 2026 ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client at 37 weeks gestation presents to labor and delivery with contractions
every two minutes the nurse observes several shallow small vesicles on her pubis
labia and perineum. the nurse should recognize the clients is prohibiting
symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - Correct Answer-herpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant
tells the nurse that she is currently using the same diaphragm that she used
before becoming pregnant. Which information should the nurse provide this
client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe
to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. -
Correct Answer-Use an alternate form of contraceptive until a new diaphragm is
obtained.
1
,A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour
labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - Correct Answer-Observe for signs
of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - Correct Answer-Inform the anesthesia care
provider
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist arrival on the unit, which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - Correct Answer-Place procedure
equipment at bedside
2
,The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - Correct Answer-Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute
with nasal flaring, grunting, and retractions. The nurse should recognize these
findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - Correct Answer-Transient tachypnea of the
newborn
A primipara client at 42 weeks gestation is admitted for induction. within one
hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occurring every 1 minute with a 75 second duration.
when nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine
rest, the contractions are occurring every 5 minutes with 20 second duration.
Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
3
, D. Restart oxytocin infusion rate per protocol. - Correct Answer-Restart oxytocin
infusion rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she
thinks she is in labor. The nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140 beats/minute and contractions are
occurring irregularly every 10-15 minutes. Which assessment finding confirms to
the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - Correct Answer-Contractions decrease with walking
A primigravida client with gestational hypertension and a Bishop score of 3 is
scheduled for induction of labor. The nurse administers misoprostol at 0700, then
observes regular contractions with cervical changes at 0900. Which action should
the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - Correct Answer-Begin oxytocin
4hrs after misoprostol is given
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation.
After the fetus is delivered vaginally, the nurse implements routine fetal demise
protocol and identification procedures. Which action is important for the nurse to
take?
A. Explain reasons consent for an infant autopsy is needed.
4
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client at 37 weeks gestation presents to labor and delivery with contractions
every two minutes the nurse observes several shallow small vesicles on her pubis
labia and perineum. the nurse should recognize the clients is prohibiting
symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - Correct Answer-herpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant
tells the nurse that she is currently using the same diaphragm that she used
before becoming pregnant. Which information should the nurse provide this
client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe
to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. -
Correct Answer-Use an alternate form of contraceptive until a new diaphragm is
obtained.
1
,A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour
labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - Correct Answer-Observe for signs
of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - Correct Answer-Inform the anesthesia care
provider
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist arrival on the unit, which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - Correct Answer-Place procedure
equipment at bedside
2
,The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - Correct Answer-Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute
with nasal flaring, grunting, and retractions. The nurse should recognize these
findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - Correct Answer-Transient tachypnea of the
newborn
A primipara client at 42 weeks gestation is admitted for induction. within one
hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occurring every 1 minute with a 75 second duration.
when nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine
rest, the contractions are occurring every 5 minutes with 20 second duration.
Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
3
, D. Restart oxytocin infusion rate per protocol. - Correct Answer-Restart oxytocin
infusion rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she
thinks she is in labor. The nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140 beats/minute and contractions are
occurring irregularly every 10-15 minutes. Which assessment finding confirms to
the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - Correct Answer-Contractions decrease with walking
A primigravida client with gestational hypertension and a Bishop score of 3 is
scheduled for induction of labor. The nurse administers misoprostol at 0700, then
observes regular contractions with cervical changes at 0900. Which action should
the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - Correct Answer-Begin oxytocin
4hrs after misoprostol is given
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation.
After the fetus is delivered vaginally, the nurse implements routine fetal demise
protocol and identification procedures. Which action is important for the nurse to
take?
A. Explain reasons consent for an infant autopsy is needed.
4
