HESI OB MATERNITY FINAL PAPER 2026
ANTENATAL AND POSTPARTUM CARE FULL
ANSWERS AND CLINICAL INSIGHT
◉ An unlicensed assistive personnel (UAP) reports to the charge
nurse that a client who delivers a 7-pound infant 12 hours ago is
reporting a severe headache. The client blood pressure is 110/70
mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm,
and temperature is 98.6F. The client's fundus is firm and one
fingerbreadth above the umbilicus. Which action should the charge
nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery.
Answer: Determine if the client received anesthesia during delivery
◉ The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why
the nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
,D. Help an immature liver.
Answer: Prevent hemorrhagic disorders.
◉ A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include in
this client's nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation
Answer: Keep an airway at the bedside
◉ A pregnant client presents to the antepartum clinic complaining
of brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client
reports that her period was "about 2 and a half months ago". Vital
signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp
190/110 mmHg. Based on these findings, what laboratory value
should the nurse review?
A. HcG values.
B. Hematocrit.
C. Vaginal secretions culture.
D. Glucose in the urine.
, Answer: HcG values
◉ A woman who is 38 weeks gestation is receiving magnesium
sulfate for severe preeclampsia. Which assessment finding warrants
immediate intervention by the nurse?
A. Dizziness when standing.
B. Sinus tachycardia.
C. Absent patellar reflexes.
D. Lower back pain.
Answer: Absent patellar reflexes
◉ The nurse notes on the fetal monitor that a laboring client has a
variable deceleration. Which action should the nurse implement
first?
A. Assess cervical dilation.
B. Administer oxygen via facemask.
C. Change the client's position.
D. Turn off the oxytocin infusion.
Answer: Change the client's position
◉ An ambulatory client at 39-weeks gestation presents to the
emergency center with an obvious injury to her arm that occurred
as the result of a fall. Which concurrent symptom is a priority for the
nurse to assess.
ANTENATAL AND POSTPARTUM CARE FULL
ANSWERS AND CLINICAL INSIGHT
◉ An unlicensed assistive personnel (UAP) reports to the charge
nurse that a client who delivers a 7-pound infant 12 hours ago is
reporting a severe headache. The client blood pressure is 110/70
mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm,
and temperature is 98.6F. The client's fundus is firm and one
fingerbreadth above the umbilicus. Which action should the charge
nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery.
Answer: Determine if the client received anesthesia during delivery
◉ The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why
the nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
,D. Help an immature liver.
Answer: Prevent hemorrhagic disorders.
◉ A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include in
this client's nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation
Answer: Keep an airway at the bedside
◉ A pregnant client presents to the antepartum clinic complaining
of brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client
reports that her period was "about 2 and a half months ago". Vital
signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp
190/110 mmHg. Based on these findings, what laboratory value
should the nurse review?
A. HcG values.
B. Hematocrit.
C. Vaginal secretions culture.
D. Glucose in the urine.
, Answer: HcG values
◉ A woman who is 38 weeks gestation is receiving magnesium
sulfate for severe preeclampsia. Which assessment finding warrants
immediate intervention by the nurse?
A. Dizziness when standing.
B. Sinus tachycardia.
C. Absent patellar reflexes.
D. Lower back pain.
Answer: Absent patellar reflexes
◉ The nurse notes on the fetal monitor that a laboring client has a
variable deceleration. Which action should the nurse implement
first?
A. Assess cervical dilation.
B. Administer oxygen via facemask.
C. Change the client's position.
D. Turn off the oxytocin infusion.
Answer: Change the client's position
◉ An ambulatory client at 39-weeks gestation presents to the
emergency center with an obvious injury to her arm that occurred
as the result of a fall. Which concurrent symptom is a priority for the
nurse to assess.
