HESI OB
Maternity Version 2 (V2) | Latest 2026 Verified
Questions & Answers with Detailed Explanations |
Comprehensive Exam Prep
THIS TEST INCLUDES:
• HESI OB Maternity Version 2 (V2) practice questions
• Verified answers with detailed explanations
• Comprehensive maternity nursing review
• NCLEX-style maternity practice questions
• Printable PDF format
• Latest 2026 updated study material
, HESI OB Maternity Version 2 (V2) | Latest
2026 Verified Questions & Answers with
Detailed Explanations | Comprehensive
Exam Prep
Question 1
The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps. The nurse observes red marks on the head with
swelling that does not cross the suture line. Which condition should the
nurse document in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
Correct Answer: C. Cephalhematoma
Rationale: Cephalhematoma is a subperiosteal hemorrhage that does not
cross suture lines because the bleeding is confined by the periosteum
attachment at the suture lines. Caput succedaneum crosses suture lines and
is caused by pressure against the cervix during labor. Hydrocephalus and
microcephaly are congenital conditions related to head size, not trauma
from delivery.
,Question 2
A client at 34 weeks gestation comes to the birthing center complaining of
vaginal bleeding that began one hour ago. The nurse assessment reveals
approximately 30mL of bright red vaginal bleeding, fetal heart rate of 130-
140 beats per minute, no contractions, and no complaints of pain. What is
the most likely cause of this client's bleeding?
A. Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicating induction of labor
D. A ruptured blood vessel in the vaginal vault
Correct Answer: B. Placenta Previa
Rationale: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. The absence of pain, lack of
contractions, and bright red bleeding are classic signs. Abruptio placenta
typically presents with painful bleeding and uterine contractions. Bloody
show is associated with the onset of labor and is typically small in amount
and mixed with mucus.
Question 3
A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours. Concerned, she arrives in a panic at the obstetric clinic
where she is immediately sent to the hospital. Which assessment warrants
immediate intervention by the nurse?
, A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
C. Onset of uterine contractions
D. Leaking amniotic fluid
Correct Answer: A. Fetal Heart rate 60 beats per minute
Rationale: A normal fetal heart rate is 110-160 beats per minute. A heart
rate of 60 bpm indicates severe bradycardia and potential fetal distress,
requiring immediate intervention. This is a life-threatening emergency that
takes priority over other findings. Ruptured membranes, contractions, and
leaking fluid are concerning but do not indicate immediate fetal
compromise like severe bradycardia does.
Question 4
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
client is exhibiting symptoms of which condition?
A. Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
Correct Answer: C. Herpes Simplex Virus
Maternity Version 2 (V2) | Latest 2026 Verified
Questions & Answers with Detailed Explanations |
Comprehensive Exam Prep
THIS TEST INCLUDES:
• HESI OB Maternity Version 2 (V2) practice questions
• Verified answers with detailed explanations
• Comprehensive maternity nursing review
• NCLEX-style maternity practice questions
• Printable PDF format
• Latest 2026 updated study material
, HESI OB Maternity Version 2 (V2) | Latest
2026 Verified Questions & Answers with
Detailed Explanations | Comprehensive
Exam Prep
Question 1
The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps. The nurse observes red marks on the head with
swelling that does not cross the suture line. Which condition should the
nurse document in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
Correct Answer: C. Cephalhematoma
Rationale: Cephalhematoma is a subperiosteal hemorrhage that does not
cross suture lines because the bleeding is confined by the periosteum
attachment at the suture lines. Caput succedaneum crosses suture lines and
is caused by pressure against the cervix during labor. Hydrocephalus and
microcephaly are congenital conditions related to head size, not trauma
from delivery.
,Question 2
A client at 34 weeks gestation comes to the birthing center complaining of
vaginal bleeding that began one hour ago. The nurse assessment reveals
approximately 30mL of bright red vaginal bleeding, fetal heart rate of 130-
140 beats per minute, no contractions, and no complaints of pain. What is
the most likely cause of this client's bleeding?
A. Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicating induction of labor
D. A ruptured blood vessel in the vaginal vault
Correct Answer: B. Placenta Previa
Rationale: Placenta previa is characterized by painless, bright red vaginal
bleeding in the second or third trimester. The absence of pain, lack of
contractions, and bright red bleeding are classic signs. Abruptio placenta
typically presents with painful bleeding and uterine contractions. Bloody
show is associated with the onset of labor and is typically small in amount
and mixed with mucus.
Question 3
A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours. Concerned, she arrives in a panic at the obstetric clinic
where she is immediately sent to the hospital. Which assessment warrants
immediate intervention by the nurse?
, A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
C. Onset of uterine contractions
D. Leaking amniotic fluid
Correct Answer: A. Fetal Heart rate 60 beats per minute
Rationale: A normal fetal heart rate is 110-160 beats per minute. A heart
rate of 60 bpm indicates severe bradycardia and potential fetal distress,
requiring immediate intervention. This is a life-threatening emergency that
takes priority over other findings. Ruptured membranes, contractions, and
leaking fluid are concerning but do not indicate immediate fetal
compromise like severe bradycardia does.
Question 4
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
client is exhibiting symptoms of which condition?
A. Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
Correct Answer: C. Herpes Simplex Virus
