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HESI MATERNITY OB EXAM VERSION 1,2 & 3/ HESI
MATERNITY OB EXAM PREPARATION/ HESI MATERNITY
OB EXAM PRACTICE LATEST EACH VERSION CONTAINS
150+ QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+ (SCORE 1292)
Question 1
A nurse is caring for a client at 32 weeks’ gestation with preeclampsia. Which
finding requires immediate intervention?
A. Blood pressure 168/110 mm Hg
B. Mild ankle edema
C. Weight gain of 1 lb in one week
D. Fetal heart rate 140/min
Answer: A
Rationale: Severe hypertension increases risk for stroke and seizures.
Question 2
Which assessment finding indicates placental abruption?
A. Painless bright red bleeding
B. Sudden severe abdominal pain with dark bleeding
C. Fetal heart rate 140/min
D. Soft, non-tender uterus
Answer: B
Rationale: Placental abruption often presents with painful dark bleeding and
uterine rigidity.
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Question 3
A postpartum client has a boggy uterus. What is the nurse’s first action?
A. Increase IV fluids
B. Notify the provider
C. Massage the fundus
D. Administer pain medication
Answer: C
Rationale: Fundal massage helps stimulate uterine contraction and reduce
bleeding.
Question 4
Which finding is expected during the first stage of labor?
A. Delivery of the placenta
B. Cervical dilation and effacement
C. Crowning of the fetus
D. Expulsion of the fetus
Answer: B
Rationale: The first stage involves cervical changes preparing for delivery.
Question 5
A nurse is teaching a pregnant client about iron supplementation. Which
statement indicates understanding?
A. “I should take iron with milk.”
B. “I will take iron with orange juice.”
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C. “I should stop iron if stools darken.”
D. “Iron works best on a full stomach with dairy.”
Answer: B
Rationale: Vitamin C enhances iron absorption.
Question 6
Which maternal finding is most concerning during magnesium sulfate therapy?
A. Respiratory rate 10/min
B. Flushing
C. Drowsiness
D. Warm skin
Answer: A
Rationale: Respiratory depression indicates magnesium toxicity.
Question 7
A nurse is assessing a newborn immediately after birth. Which action has the
highest priority?
A. Apply identification bands
B. Obtain footprints
C. Maintain airway patency
D. Administer vitamin K
Answer: C
Rationale: Airway and breathing are the priority after delivery.
Question 8
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Which finding suggests uterine atony in a postpartum client?
A. Firm uterus at midline
B. Saturated perineal pad within 15 minutes
C. Scant lochia rubra
D. Temperature 37°C (98.6°F)
Answer: B
Rationale: Excessive bleeding may indicate uterine atony.
Question 9
A client in labor reports urge to push. Which action should the nurse take first?
A. Check cervical dilation
B. Administer analgesics
C. Encourage ambulation
D. Obtain urine specimen
Answer: A
Rationale: The nurse must confirm full dilation before pushing.
Question 10
Which hormone is responsible for uterine contractions during labor?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C
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HESI MATERNITY OB EXAM VERSION 1,2 & 3/ HESI
MATERNITY OB EXAM PREPARATION/ HESI MATERNITY
OB EXAM PRACTICE LATEST EACH VERSION CONTAINS
150+ QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+ (SCORE 1292)
Question 1
A nurse is caring for a client at 32 weeks’ gestation with preeclampsia. Which
finding requires immediate intervention?
A. Blood pressure 168/110 mm Hg
B. Mild ankle edema
C. Weight gain of 1 lb in one week
D. Fetal heart rate 140/min
Answer: A
Rationale: Severe hypertension increases risk for stroke and seizures.
Question 2
Which assessment finding indicates placental abruption?
A. Painless bright red bleeding
B. Sudden severe abdominal pain with dark bleeding
C. Fetal heart rate 140/min
D. Soft, non-tender uterus
Answer: B
Rationale: Placental abruption often presents with painful dark bleeding and
uterine rigidity.
pg. 1
,2|Page
Question 3
A postpartum client has a boggy uterus. What is the nurse’s first action?
A. Increase IV fluids
B. Notify the provider
C. Massage the fundus
D. Administer pain medication
Answer: C
Rationale: Fundal massage helps stimulate uterine contraction and reduce
bleeding.
Question 4
Which finding is expected during the first stage of labor?
A. Delivery of the placenta
B. Cervical dilation and effacement
C. Crowning of the fetus
D. Expulsion of the fetus
Answer: B
Rationale: The first stage involves cervical changes preparing for delivery.
Question 5
A nurse is teaching a pregnant client about iron supplementation. Which
statement indicates understanding?
A. “I should take iron with milk.”
B. “I will take iron with orange juice.”
pg. 2
,3|Page
C. “I should stop iron if stools darken.”
D. “Iron works best on a full stomach with dairy.”
Answer: B
Rationale: Vitamin C enhances iron absorption.
Question 6
Which maternal finding is most concerning during magnesium sulfate therapy?
A. Respiratory rate 10/min
B. Flushing
C. Drowsiness
D. Warm skin
Answer: A
Rationale: Respiratory depression indicates magnesium toxicity.
Question 7
A nurse is assessing a newborn immediately after birth. Which action has the
highest priority?
A. Apply identification bands
B. Obtain footprints
C. Maintain airway patency
D. Administer vitamin K
Answer: C
Rationale: Airway and breathing are the priority after delivery.
Question 8
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Which finding suggests uterine atony in a postpartum client?
A. Firm uterus at midline
B. Saturated perineal pad within 15 minutes
C. Scant lochia rubra
D. Temperature 37°C (98.6°F)
Answer: B
Rationale: Excessive bleeding may indicate uterine atony.
Question 9
A client in labor reports urge to push. Which action should the nurse take first?
A. Check cervical dilation
B. Administer analgesics
C. Encourage ambulation
D. Obtain urine specimen
Answer: A
Rationale: The nurse must confirm full dilation before pushing.
Question 10
Which hormone is responsible for uterine contractions during labor?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C
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