HESI OB MATERNITY VERSION 1 (V1) EXAM – QUESTIONS
AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS |
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UPDATE
Core Domains:
- Antepartum Nursing Care
- Intrapartum Nursing Care
- Postpartum Nursing Care
- Newborn Assessment and Care
- High-Risk Pregnancy and Complications
- Reproductive Health and Family Planning
- Pharmacology in Obstetrics
- Legal and Ethical Issues in Maternal-Newborn Nursing
- Psychosocial Support and Patient Education
- Breastfeeding and Newborn Nutrition
Introduction
This comprehensive examination is designed to assess the knowledge, critical thinking, and clinical
decision-making skills essential for safe and effective maternal-newborn nursing practice. The
assessment covers antepartum, intrapartum, postpartum, and neonatal care, with emphasis on high-
risk conditions, pharmacological interventions, patient education, and legal-ethical considerations.
Each question is presented in a multiple-choice format with scenario-based applications to evaluate
the nurse's ability to prioritize care, interpret clinical data, and implement evidence-based
interventions. The examination emphasizes real-world application and clinical judgment necessary for
success in obstetrical nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a client at 38 weeks gestation who reports a sudden gush of clear fluid from
the vagina. Which of the following actions should the nurse take first?
A. Assess the fetal heart rate
B. Check the amniotic fluid for meconium
,C. Obtain a sterile speculum examination
D. Prepare the client for immediate delivery
🟢A
🔴 Explanation: The priority action is to assess fetal heart rate to evaluate fetal well-being after
rupture of membranes. The nurse must first determine if the fetus is tolerating the rupture before
proceeding with other assessments or interventions.
Question 2
A nurse is providing teaching to a primigravida client about fetal movement counting. Which of the
following instructions should the nurse include?
A. Count fetal movements once daily for 30 minutes
B. Count fetal movements twice daily for 2 hours each time
C. Count fetal movements daily for 1 hour and alert the provider if fewer than 3 movements are felt
D. Count fetal movements for 10 minutes three times daily
🟢C
🔴 Explanation: The "count-to-10" method involves counting fetal movements daily for 1 hour; the
client should notify the provider if fewer than 3 movements are felt in that period. This method is
simple, effective, and helps identify decreased fetal activity.
Question 3
A nurse is assessing a client who is 12 hours postpartum following a vaginal delivery. The client's
fundus is firm, midline, and at the level of the umbilicus. The nurse notes a moderate amount of
lochia rubra. Which of the following actions should the nurse take?
A. Massage the fundus vigorously
B. Notify the provider immediately
C. Document the findings as normal
D. Administer prescribed oxytocin
🟢C
🔴 Explanation: A firm fundus at the umbilicus with moderate lochia rubra at 12 hours postpartum
is a normal finding. The nurse should document these assessment findings without intervention.
Question 4
A nurse is caring for a newborn immediately after birth. Which of the following actions should the
nurse prioritize to promote thermoregulation?
,A. Administer vitamin K injection
B. Place the newborn skin-to-skin on the mother's chest
C. Perform the initial newborn assessment
D. Apply erythromycin ophthalmic ointment
🟢B
🔴 Explanation: Skin-to-skin contact with the mother promotes thermoregulation through
maternal body heat, reduces heat loss, and supports bonding. This action should be prioritized
immediately after birth.
Question 5
A nurse is assessing a client at 35 weeks gestation who presents with headache, visual disturbances,
and epigastric pain. Her blood pressure is 160/110 mm Hg. Which of the following conditions
should the nurse suspect?
A. Gestational diabetes
B. Placenta previa
C. Preeclampsia with severe features
D. Preterm labor
🟢C
🔴 Explanation: The presence of severe hypertension (160/110 mm Hg) with headache, visual
disturbances, and epigastric pain indicates preeclampsia with severe features, which requires
immediate intervention to prevent eclampsia and other complications.
Question 6
A nurse is administering Rh(D) immune globulin to a client who is Rh-negative at 28 weeks
gestation. Which of the following statements by the client indicates understanding of the purpose
of this medication?
A. "This will prevent me from becoming Rh-positive"
B. "This medication protects my baby from developing jaundice"
C. "This prevents my body from making antibodies against Rh-positive blood"
D. "This ensures my baby will have a negative blood type"
🟢C
🔴 Explanation: Rh(D) immune globulin prevents maternal sensitization by binding to fetal Rh-
positive red blood cells that may enter the maternal circulation, preventing the mother from
developing antibodies against Rh-positive blood.
Question 7
, A nurse is evaluating a client's progress in the first stage of labor. Which of the following findings
indicates a complication requiring immediate intervention?
A. Cervical dilation of 5 cm
B. Contractions every 3 minutes lasting 60 seconds
C. Fetal heart rate decelerations to 90/min following a contraction
D. Maternal heart rate of 90/min
🟢C
🔴 Explanation: Fetal heart rate decelerations to 90/min following a contraction indicate late
decelerations, which suggest uteroplacental insufficiency and require immediate intervention to
improve fetal oxygenation.
Question 8
A nurse is teaching a postpartum client about signs of infection. Which of the following findings
should the nurse instruct the client to report?
A. Temperature of 99.2°F (37.3°C)
B. Uterine cramping during breastfeeding
C. Foul-smelling lochia
D. Moderate lochia rubra
🟢C
🔴 Explanation: Foul-smelling lochia is a sign of infection, specifically endometritis. The client
should report this finding immediately for prompt evaluation and treatment.
Question 9
A nurse is caring for a client with gestational diabetes. Which of the following laboratory values
indicates effective glycemic control?
A. Fasting blood glucose of 95 mg/dL
B. 1-hour postprandial glucose of 140 mg/dL
C. Hemoglobin A1c of 6.0%
D. Random blood glucose of 160 mg/dL
🟢B
🔴 Explanation: For gestational diabetes, recommended targets are fasting glucose ≤95 mg/dL and
1-hour postprandial ≤140 mg/dL. A 1-hour postprandial of 140 mg/dL indicates effective glycemic
control.
Question 10
AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS |
PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
Core Domains:
- Antepartum Nursing Care
- Intrapartum Nursing Care
- Postpartum Nursing Care
- Newborn Assessment and Care
- High-Risk Pregnancy and Complications
- Reproductive Health and Family Planning
- Pharmacology in Obstetrics
- Legal and Ethical Issues in Maternal-Newborn Nursing
- Psychosocial Support and Patient Education
- Breastfeeding and Newborn Nutrition
Introduction
This comprehensive examination is designed to assess the knowledge, critical thinking, and clinical
decision-making skills essential for safe and effective maternal-newborn nursing practice. The
assessment covers antepartum, intrapartum, postpartum, and neonatal care, with emphasis on high-
risk conditions, pharmacological interventions, patient education, and legal-ethical considerations.
Each question is presented in a multiple-choice format with scenario-based applications to evaluate
the nurse's ability to prioritize care, interpret clinical data, and implement evidence-based
interventions. The examination emphasizes real-world application and clinical judgment necessary for
success in obstetrical nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a client at 38 weeks gestation who reports a sudden gush of clear fluid from
the vagina. Which of the following actions should the nurse take first?
A. Assess the fetal heart rate
B. Check the amniotic fluid for meconium
,C. Obtain a sterile speculum examination
D. Prepare the client for immediate delivery
🟢A
🔴 Explanation: The priority action is to assess fetal heart rate to evaluate fetal well-being after
rupture of membranes. The nurse must first determine if the fetus is tolerating the rupture before
proceeding with other assessments or interventions.
Question 2
A nurse is providing teaching to a primigravida client about fetal movement counting. Which of the
following instructions should the nurse include?
A. Count fetal movements once daily for 30 minutes
B. Count fetal movements twice daily for 2 hours each time
C. Count fetal movements daily for 1 hour and alert the provider if fewer than 3 movements are felt
D. Count fetal movements for 10 minutes three times daily
🟢C
🔴 Explanation: The "count-to-10" method involves counting fetal movements daily for 1 hour; the
client should notify the provider if fewer than 3 movements are felt in that period. This method is
simple, effective, and helps identify decreased fetal activity.
Question 3
A nurse is assessing a client who is 12 hours postpartum following a vaginal delivery. The client's
fundus is firm, midline, and at the level of the umbilicus. The nurse notes a moderate amount of
lochia rubra. Which of the following actions should the nurse take?
A. Massage the fundus vigorously
B. Notify the provider immediately
C. Document the findings as normal
D. Administer prescribed oxytocin
🟢C
🔴 Explanation: A firm fundus at the umbilicus with moderate lochia rubra at 12 hours postpartum
is a normal finding. The nurse should document these assessment findings without intervention.
Question 4
A nurse is caring for a newborn immediately after birth. Which of the following actions should the
nurse prioritize to promote thermoregulation?
,A. Administer vitamin K injection
B. Place the newborn skin-to-skin on the mother's chest
C. Perform the initial newborn assessment
D. Apply erythromycin ophthalmic ointment
🟢B
🔴 Explanation: Skin-to-skin contact with the mother promotes thermoregulation through
maternal body heat, reduces heat loss, and supports bonding. This action should be prioritized
immediately after birth.
Question 5
A nurse is assessing a client at 35 weeks gestation who presents with headache, visual disturbances,
and epigastric pain. Her blood pressure is 160/110 mm Hg. Which of the following conditions
should the nurse suspect?
A. Gestational diabetes
B. Placenta previa
C. Preeclampsia with severe features
D. Preterm labor
🟢C
🔴 Explanation: The presence of severe hypertension (160/110 mm Hg) with headache, visual
disturbances, and epigastric pain indicates preeclampsia with severe features, which requires
immediate intervention to prevent eclampsia and other complications.
Question 6
A nurse is administering Rh(D) immune globulin to a client who is Rh-negative at 28 weeks
gestation. Which of the following statements by the client indicates understanding of the purpose
of this medication?
A. "This will prevent me from becoming Rh-positive"
B. "This medication protects my baby from developing jaundice"
C. "This prevents my body from making antibodies against Rh-positive blood"
D. "This ensures my baby will have a negative blood type"
🟢C
🔴 Explanation: Rh(D) immune globulin prevents maternal sensitization by binding to fetal Rh-
positive red blood cells that may enter the maternal circulation, preventing the mother from
developing antibodies against Rh-positive blood.
Question 7
, A nurse is evaluating a client's progress in the first stage of labor. Which of the following findings
indicates a complication requiring immediate intervention?
A. Cervical dilation of 5 cm
B. Contractions every 3 minutes lasting 60 seconds
C. Fetal heart rate decelerations to 90/min following a contraction
D. Maternal heart rate of 90/min
🟢C
🔴 Explanation: Fetal heart rate decelerations to 90/min following a contraction indicate late
decelerations, which suggest uteroplacental insufficiency and require immediate intervention to
improve fetal oxygenation.
Question 8
A nurse is teaching a postpartum client about signs of infection. Which of the following findings
should the nurse instruct the client to report?
A. Temperature of 99.2°F (37.3°C)
B. Uterine cramping during breastfeeding
C. Foul-smelling lochia
D. Moderate lochia rubra
🟢C
🔴 Explanation: Foul-smelling lochia is a sign of infection, specifically endometritis. The client
should report this finding immediately for prompt evaluation and treatment.
Question 9
A nurse is caring for a client with gestational diabetes. Which of the following laboratory values
indicates effective glycemic control?
A. Fasting blood glucose of 95 mg/dL
B. 1-hour postprandial glucose of 140 mg/dL
C. Hemoglobin A1c of 6.0%
D. Random blood glucose of 160 mg/dL
🟢B
🔴 Explanation: For gestational diabetes, recommended targets are fasting glucose ≤95 mg/dL and
1-hour postprandial ≤140 mg/dL. A 1-hour postprandial of 140 mg/dL indicates effective glycemic
control.
Question 10
