HESI MATERNITY OB VERSION 1-3 EXAM
QUESTIONS AND CORRECT ANSWERS (VRIFIED
ANSWERS) Q&A 2026/2027 |INSTANT DOWNLOAD
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1. A nurse is teaching a pregnant client about the importance
of folic acid during pregnancy. Which statement by the client
indicates understanding?
A. “Folic acid prevents gestational diabetes.”
B. “Folic acid helps prevent neural tube defects.”
C. “Folic acid decreases pregnancy discomfort.”
D. “Folic acid prevents postpartum hemorrhage.”
Correct Answer: B
Rationale: Folic acid supplementation before and during early
pregnancy reduces the risk of fetal neural tube defects such as
spina bifida.
2. A pregnant client at 32 weeks’ gestation reports painless
bright-red vaginal bleeding. Which condition should the nurse
suspect?
A. Placental abruption
B. Placenta previa
,C. Preterm labor
D. Ectopic pregnancy
Correct Answer: B
Rationale: Placenta previa occurs when the placenta implants
over or near the cervical opening, causing painless bright-red
bleeding.
3. Which finding in a pregnant client requires immediate
nursing intervention?
A. Mild ankle swelling
B. Increased urinary frequency
C. Blood pressure of 168/110 mmHg
D. Occasional back discomfort
Correct Answer: C
Rationale: Severe hypertension may indicate preeclampsia and
requires urgent evaluation to prevent complications.
4. The nurse is assessing fetal well-being. Which fetal heart
rate is considered normal?
A. 90 beats/min
B. 110–160 beats/min
C. 170–190 beats/min
D. 200 beats/min
,Correct Answer: B
Rationale: A baseline fetal heart rate between 110 and 160
beats/min is considered normal.
5. A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which assessment finding requires immediate
action?
A. Respiratory rate of 10/min
B. Warm flushed skin
C. Mild nausea
D. Increased urine output
Correct Answer: A
Rationale: Magnesium sulfate toxicity can cause respiratory
depression. The nurse should stop the infusion and notify the
provider.
6. Which medication is used to prevent postpartum
hemorrhage caused by uterine atony?
A. Oxytocin
B. Terbutaline
C. Betamethasone
D. Magnesium sulfate
Correct Answer: A
, Rationale: Oxytocin stimulates uterine contractions and helps
the uterus remain firm after delivery.
7. A nurse evaluates a postpartum client and finds a boggy
uterus. What should the nurse do first?
A. Notify the provider
B. Massage the fundus
C. Administer pain medication
D. Encourage ambulation
Correct Answer: B
Rationale: A boggy uterus indicates uterine atony. Fundal
massage stimulates contraction and reduces bleeding.
8. Which vaccine should a pregnant client receive if she is not
immune?
A. MMR vaccine during pregnancy
B. Varicella vaccine during pregnancy
C. Influenza vaccine during pregnancy
D. Live polio vaccine during pregnancy
Correct Answer: C
Rationale: The influenza vaccine is recommended during
pregnancy to protect both mother and fetus.
QUESTIONS AND CORRECT ANSWERS (VRIFIED
ANSWERS) Q&A 2026/2027 |INSTANT DOWNLOAD
1. A nurse is teaching a pregnant client about the importance
of folic acid during pregnancy. Which statement by the client
indicates understanding?
A. “Folic acid prevents gestational diabetes.”
B. “Folic acid helps prevent neural tube defects.”
C. “Folic acid decreases pregnancy discomfort.”
D. “Folic acid prevents postpartum hemorrhage.”
Correct Answer: B
Rationale: Folic acid supplementation before and during early
pregnancy reduces the risk of fetal neural tube defects such as
spina bifida.
2. A pregnant client at 32 weeks’ gestation reports painless
bright-red vaginal bleeding. Which condition should the nurse
suspect?
A. Placental abruption
B. Placenta previa
,C. Preterm labor
D. Ectopic pregnancy
Correct Answer: B
Rationale: Placenta previa occurs when the placenta implants
over or near the cervical opening, causing painless bright-red
bleeding.
3. Which finding in a pregnant client requires immediate
nursing intervention?
A. Mild ankle swelling
B. Increased urinary frequency
C. Blood pressure of 168/110 mmHg
D. Occasional back discomfort
Correct Answer: C
Rationale: Severe hypertension may indicate preeclampsia and
requires urgent evaluation to prevent complications.
4. The nurse is assessing fetal well-being. Which fetal heart
rate is considered normal?
A. 90 beats/min
B. 110–160 beats/min
C. 170–190 beats/min
D. 200 beats/min
,Correct Answer: B
Rationale: A baseline fetal heart rate between 110 and 160
beats/min is considered normal.
5. A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which assessment finding requires immediate
action?
A. Respiratory rate of 10/min
B. Warm flushed skin
C. Mild nausea
D. Increased urine output
Correct Answer: A
Rationale: Magnesium sulfate toxicity can cause respiratory
depression. The nurse should stop the infusion and notify the
provider.
6. Which medication is used to prevent postpartum
hemorrhage caused by uterine atony?
A. Oxytocin
B. Terbutaline
C. Betamethasone
D. Magnesium sulfate
Correct Answer: A
, Rationale: Oxytocin stimulates uterine contractions and helps
the uterus remain firm after delivery.
7. A nurse evaluates a postpartum client and finds a boggy
uterus. What should the nurse do first?
A. Notify the provider
B. Massage the fundus
C. Administer pain medication
D. Encourage ambulation
Correct Answer: B
Rationale: A boggy uterus indicates uterine atony. Fundal
massage stimulates contraction and reduces bleeding.
8. Which vaccine should a pregnant client receive if she is not
immune?
A. MMR vaccine during pregnancy
B. Varicella vaccine during pregnancy
C. Influenza vaccine during pregnancy
D. Live polio vaccine during pregnancy
Correct Answer: C
Rationale: The influenza vaccine is recommended during
pregnancy to protect both mother and fetus.
