1
HESI OB MATERNITY EXAM 2026/2027 |
VERSION 2 | 75 VERIFIED Q&A | MULTIPLE-
CHOICE | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM CARE – Questions 1–15
Q1: Prenatal Care – GTPAL Documentation
A client is pregnant for the fourth time. She has two living children, one born at 38 weeks and one
born at 34 weeks. She had one elective abortion at 8 weeks. How should the nurse document her
GTPAL?
A. G4 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P2 A1 L2
D. G3 T1 P1 A1 L2
Correct Answer: A
Rationale: GTPAL: Gravida = total pregnancies (4). Term = births after 37 weeks (1). Preterm = births
20–37 weeks (1). Abortions = miscarriages or elective abortions (1). Living = current living children
(2). So G4 T1 P1 A1 L2. [100% CORRECT]
Q2: Prenatal Nutrition – Iron Supplementation
A pregnant client is prescribed ferrous sulfate. The nurse should teach the client to take the
supplement with:
A. Milk
B. Orange juice
C. Coffee
D. Antacids
Correct Answer: B
Rationale: Vitamin C (orange juice) enhances iron absorption. Milk, coffee, and antacids decrease
absorption. Iron is best taken on an empty stomach, but if GI upset occurs, take with food (avoiding
the inhibitors). [100% CORRECT]
Q3: Prenatal Assessment – Hegar's Sign
A nurse notes softening of the lower uterine segment during pregnancy. This is known as:
,2
A. Chadwick's sign
B. Goodell's sign
C. Hegar's sign
D. Homans' sign
Correct Answer: C
Rationale: Hegar's sign is softening of the lower uterine segment, detectable around 6–8 weeks.
Chadwick's sign is bluish discoloration of the cervix. Goodell's sign is softening of the cervix. [100%
CORRECT]
Q4: Prenatal Testing – Nonstress Test
A client is scheduled for a nonstress test (NST). The nurse should explain that the test evaluates:
A. Fetal heart rate response to contractions
B. Fetal heart rate response to fetal movement
C. Amniotic fluid volume
D. Placental maturity
Correct Answer: B
Rationale: The NST evaluates fetal heart rate accelerations in response to fetal movement. Reactive
(normal) = two accelerations of 15 bpm for 15 seconds in 20 minutes. Nonreactive requires further
testing. [100% CORRECT]
Q5: Prenatal Discomforts – Heartburn
A pregnant client reports heartburn. Which suggestion by the nurse is most appropriate?
A. Eat large meals
B. Lie down after eating
C. Avoid spicy and fatty foods
D. Drink citrus juices
Correct Answer: C
Rationale: Heartburn in pregnancy is due to decreased gastric motility and pressure from the uterus.
Avoid spicy/fatty foods, eat small frequent meals, remain upright after eating, and sleep with head
elevated. [100% CORRECT]
Q6: Prenatal Warning Signs – Preeclampsia
Which finding should the nurse report immediately in a pregnant client?
A. Mild ankle edema
B. Blood pressure 142/92
C. Occasional headache
D. Braxton Hicks contractions
, 3
Correct Answer: B
Rationale: BP ≥140/90 may indicate preeclampsia. Mild ankle edema, occasional headache, and
Braxton Hicks are common. Report hypertension, severe headache, visual changes, or epigastric
pain. [100% CORRECT]
Q7: Prenatal Care – Group B Streptococcus
A client at 36 weeks gestation is screened for group B streptococcus (GBS). The nurse should explain
that GBS:
A. Is a viral infection
B. Can be passed to the newborn during delivery
C. Requires immediate cesarean section
D. Is treated with antivirals
Correct Answer: B
Rationale: GBS is a bacterium that can colonize the vagina and be passed to the newborn during
delivery, causing sepsis, pneumonia, or meningitis. If positive, IV antibiotics are given during labor.
[100% CORRECT]
Q8: Prenatal Education – Signs of Labor
A nurse is teaching a client about signs of labor. Which sign indicates true labor?
A. Bloody show
B. Irregular contractions
C. Feeling of relief
D. Increased fetal movement
Correct Answer: A
Rationale: Bloody show (mucus plug with blood) is a sign of true labor. Irregular contractions are
false labor. Lightening may cause relief but is not a sign of labor. Fetal movement may decrease
before labor. [100% CORRECT]
Q9: Prenatal Nutrition – Weight Gain
A nurse is teaching a client with a normal BMI about recommended weight gain during pregnancy.
The nurse should instruct that the recommended total weight gain is:
A. 10–15 lbs
B. 15–25 lbs
C. 25–35 lbs
D. 35–45 lbs
Correct Answer: C
HESI OB MATERNITY EXAM 2026/2027 |
VERSION 2 | 75 VERIFIED Q&A | MULTIPLE-
CHOICE | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: ANTEPARTUM CARE – Questions 1–15
Q1: Prenatal Care – GTPAL Documentation
A client is pregnant for the fourth time. She has two living children, one born at 38 weeks and one
born at 34 weeks. She had one elective abortion at 8 weeks. How should the nurse document her
GTPAL?
A. G4 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P2 A1 L2
D. G3 T1 P1 A1 L2
Correct Answer: A
Rationale: GTPAL: Gravida = total pregnancies (4). Term = births after 37 weeks (1). Preterm = births
20–37 weeks (1). Abortions = miscarriages or elective abortions (1). Living = current living children
(2). So G4 T1 P1 A1 L2. [100% CORRECT]
Q2: Prenatal Nutrition – Iron Supplementation
A pregnant client is prescribed ferrous sulfate. The nurse should teach the client to take the
supplement with:
A. Milk
B. Orange juice
C. Coffee
D. Antacids
Correct Answer: B
Rationale: Vitamin C (orange juice) enhances iron absorption. Milk, coffee, and antacids decrease
absorption. Iron is best taken on an empty stomach, but if GI upset occurs, take with food (avoiding
the inhibitors). [100% CORRECT]
Q3: Prenatal Assessment – Hegar's Sign
A nurse notes softening of the lower uterine segment during pregnancy. This is known as:
,2
A. Chadwick's sign
B. Goodell's sign
C. Hegar's sign
D. Homans' sign
Correct Answer: C
Rationale: Hegar's sign is softening of the lower uterine segment, detectable around 6–8 weeks.
Chadwick's sign is bluish discoloration of the cervix. Goodell's sign is softening of the cervix. [100%
CORRECT]
Q4: Prenatal Testing – Nonstress Test
A client is scheduled for a nonstress test (NST). The nurse should explain that the test evaluates:
A. Fetal heart rate response to contractions
B. Fetal heart rate response to fetal movement
C. Amniotic fluid volume
D. Placental maturity
Correct Answer: B
Rationale: The NST evaluates fetal heart rate accelerations in response to fetal movement. Reactive
(normal) = two accelerations of 15 bpm for 15 seconds in 20 minutes. Nonreactive requires further
testing. [100% CORRECT]
Q5: Prenatal Discomforts – Heartburn
A pregnant client reports heartburn. Which suggestion by the nurse is most appropriate?
A. Eat large meals
B. Lie down after eating
C. Avoid spicy and fatty foods
D. Drink citrus juices
Correct Answer: C
Rationale: Heartburn in pregnancy is due to decreased gastric motility and pressure from the uterus.
Avoid spicy/fatty foods, eat small frequent meals, remain upright after eating, and sleep with head
elevated. [100% CORRECT]
Q6: Prenatal Warning Signs – Preeclampsia
Which finding should the nurse report immediately in a pregnant client?
A. Mild ankle edema
B. Blood pressure 142/92
C. Occasional headache
D. Braxton Hicks contractions
, 3
Correct Answer: B
Rationale: BP ≥140/90 may indicate preeclampsia. Mild ankle edema, occasional headache, and
Braxton Hicks are common. Report hypertension, severe headache, visual changes, or epigastric
pain. [100% CORRECT]
Q7: Prenatal Care – Group B Streptococcus
A client at 36 weeks gestation is screened for group B streptococcus (GBS). The nurse should explain
that GBS:
A. Is a viral infection
B. Can be passed to the newborn during delivery
C. Requires immediate cesarean section
D. Is treated with antivirals
Correct Answer: B
Rationale: GBS is a bacterium that can colonize the vagina and be passed to the newborn during
delivery, causing sepsis, pneumonia, or meningitis. If positive, IV antibiotics are given during labor.
[100% CORRECT]
Q8: Prenatal Education – Signs of Labor
A nurse is teaching a client about signs of labor. Which sign indicates true labor?
A. Bloody show
B. Irregular contractions
C. Feeling of relief
D. Increased fetal movement
Correct Answer: A
Rationale: Bloody show (mucus plug with blood) is a sign of true labor. Irregular contractions are
false labor. Lightening may cause relief but is not a sign of labor. Fetal movement may decrease
before labor. [100% CORRECT]
Q9: Prenatal Nutrition – Weight Gain
A nurse is teaching a client with a normal BMI about recommended weight gain during pregnancy.
The nurse should instruct that the recommended total weight gain is:
A. 10–15 lbs
B. 15–25 lbs
C. 25–35 lbs
D. 35–45 lbs
Correct Answer: C
