2025 HESI OB Maternity Exam New Latest Exam
Updated 2024-2025 with All Questions and 100%
Correct Answers
During labor, the nurse determines that a full-term client is demonstrating late decelerations. In
which sequence should the nurse implement these nursing actions? (Place in order to be done)
A. Increase IV fluid
B. Call the healthcare provider
C. Provide oxygen via face mask
D. Reposition the client ----------- Correct Answer ----------- D. Reposition the client
A. Increase IV fluid
C. Provide oxygen via face mask
B. Call the healthcare provider
To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal blood
supply, the laboring client should be repositioned (1) to displace the gravid uterus and improve
fetal perfusion. Secondly, to optimize oxygenation of the circulatory blood volume, oxygen via
face mask (2) should be applied to the mother. Next, the IV fluids should be increased (3) to
expand the maternal circulating blood volume. Then, the primary healthcare provider should be
notified (4) for additional interventions to resolve the fetal stress.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding AFTER it changes?" What should the nurse
instruct the client to do?
A. Reduce activity level and notify the healthcare provider
B. Go to bed and assume a knee-chest position
C. Massage the uterus and go to the emergency room
D. Do not worry as this is a normal occurance ----------- Correct Answer ----------- A. Reduce
activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to serosa (pinkish) to alba (whitish), and not
return to red. The return to rubra usually indicates subinvolution or infection. If such a sign
occurs, the mother should notify the clinic/healthcare provider and reduce her activity to
conserve energy
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the
nurse implement?
a) Maintain NPO status.
b) Monitor temperature.
c) Apply skin lotion as prescribed.
d) Change T-shirt every 3 hours. ------------ Correct Answer ----------- b) Monitor temperature.
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink papular rash
,with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next?
a) Notify the healthcare provider immediately.
b) Move the newborn to an isolation nursery.
c) Document the finding as erythema toxicum.
d) Obtain a culture from one of the vesicles. ------------ Correct Answer ----------- c) Document
the finding as erythema toxicum.
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who delivers
the infant 90 minutes later. What medication should the nurse anticipate administering to the
infant?
a) Naloxone (Narcan).
b) Nalbuphine (Nubain).
c) Fentanyl (Sublimaze).
d) Promethazine (Phenergan). ------------ Correct Answer ----------- a) Naloxone (Narcan).
A multiparous client has been in labor for 8 hours when her membranes rupture. What action
should the nurse implement first?
a) Prepare the client for imminent birth.
b) Assess the fetal heart rate and pattern.
c) Document the characteristics of the fluid.
d) Notify the client's primary healthcare provider. ------------ Correct Answer ----------- b) Assess
the fetal heart rate and pattern.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small
to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What action
should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage the fundus
D. Call the healthcare provider to question the prescription ----------- Correct Answer -----------
D. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most
indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. Periorbital edema
C. Epigastric pain
D. Decreased urine output ----------- Correct Answer ----------- C. Epigastric pain
Epigastric pain is indicative of an edematour liver or pancreas which is an early warning sign of
an impending convulsion (eclampsia) and requires immediate attention
,A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this
client?
A. "Which symptom did you experience first?"
B. "Are you eating large amounts of salty foods?"
C. "Have you visited a foreign country recently?"
D. "Do you have a history of rheumatic fever?" ----------- Correct Answer ----------- D. "Do you
have a history of rheumatic fever?"
Clients with a history of rheumatic fever may develop mitral valve prolapse, which increases the
risk for cardiac decompensation due to the increased blood volume that occurs during pregnancy,
so obtaining information about this client's health history is a priority.
A couple has been trying to conceive for nine months without success. Which information
obtained from the clients is most likely to have an impact on the couple's ability to conceive a
child?
A. Exercise regimen of both partners includes running four miles each morning
B. History of having sexual intercourse 2 to 3 times per week
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to decrease friction ----------- Correct Answer
----------- D. They use lubricants with each sexual encounter to decrease friction
The use of lubricants has the potential to affect fertility because some lubricants interfere with
sperm motility
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child,
but I would like to try with this baby." Which intervention is best for the nurse to implement
first?
A. Assess the husband's feelings about his wife's decision to breastfeed their baby
B. Ask the client to describe why she was unsuccessful with breastfeeding her last child
C. Encourage the client to develop a positive attitude about breastfeeding to help ensure success
D. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery ------
----- Correct Answer ----------- D. Provide assistance to the mother to begin breastfeeding as soon
as possible after delivery
Infants respond to breastfeeding best when feeding is initiated in the active phase soon after
delivery.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction would be most effective in
preventing pooling of blood in the lower extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
, D. Avoid constrictive clothing ----------- Correct Answer ----------- C. Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase
venous return.
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants
who have
A. lower Apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies ----------- Correct Answer ----------- B. lower birth
weights
lower birth weights
Smoking is associated with low-birth-weight infants (B). Mothers are encouraged not to smoke
during pregnancy. To date, significant relationships have NOT been found between smoking and
lower Apgar scores, respiratory distress, a higher rate of congenital anomalies.
A mother who is breast feeding her baby receives instructions from the nurse. Which instruction
is most effective to prevent nipple soreness?
A. Wear a cotton bra
B. Increase nursing time gradually
C. Correctly place the infant on the breast
D. Manually express a small amount of milk before nursing ----------- Correct Answer -----------
C. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
In developing a teaching plan for expectant parents, the nurse plans to include information about
when the parents can expect the infant's fontanels to close. The nurse bases the explanation on
knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month --
--------- Correct Answer ----------- D. anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month
This should be memorized for NCLEX
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple to
attend these classes?
A. At 16-weeks gestation
Updated 2024-2025 with All Questions and 100%
Correct Answers
During labor, the nurse determines that a full-term client is demonstrating late decelerations. In
which sequence should the nurse implement these nursing actions? (Place in order to be done)
A. Increase IV fluid
B. Call the healthcare provider
C. Provide oxygen via face mask
D. Reposition the client ----------- Correct Answer ----------- D. Reposition the client
A. Increase IV fluid
C. Provide oxygen via face mask
B. Call the healthcare provider
To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal blood
supply, the laboring client should be repositioned (1) to displace the gravid uterus and improve
fetal perfusion. Secondly, to optimize oxygenation of the circulatory blood volume, oxygen via
face mask (2) should be applied to the mother. Next, the IV fluids should be increased (3) to
expand the maternal circulating blood volume. Then, the primary healthcare provider should be
notified (4) for additional interventions to resolve the fetal stress.
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse
explains to the client that her vaginal discharge will change from red to pink and then to white.
The client asks, "What if I start having red bleeding AFTER it changes?" What should the nurse
instruct the client to do?
A. Reduce activity level and notify the healthcare provider
B. Go to bed and assume a knee-chest position
C. Massage the uterus and go to the emergency room
D. Do not worry as this is a normal occurance ----------- Correct Answer ----------- A. Reduce
activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to serosa (pinkish) to alba (whitish), and not
return to red. The return to rubra usually indicates subinvolution or infection. If such a sign
occurs, the mother should notify the clinic/healthcare provider and reduce her activity to
conserve energy
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the
nurse implement?
a) Maintain NPO status.
b) Monitor temperature.
c) Apply skin lotion as prescribed.
d) Change T-shirt every 3 hours. ------------ Correct Answer ----------- b) Monitor temperature.
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink papular rash
,with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next?
a) Notify the healthcare provider immediately.
b) Move the newborn to an isolation nursery.
c) Document the finding as erythema toxicum.
d) Obtain a culture from one of the vesicles. ------------ Correct Answer ----------- c) Document
the finding as erythema toxicum.
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who delivers
the infant 90 minutes later. What medication should the nurse anticipate administering to the
infant?
a) Naloxone (Narcan).
b) Nalbuphine (Nubain).
c) Fentanyl (Sublimaze).
d) Promethazine (Phenergan). ------------ Correct Answer ----------- a) Naloxone (Narcan).
A multiparous client has been in labor for 8 hours when her membranes rupture. What action
should the nurse implement first?
a) Prepare the client for imminent birth.
b) Assess the fetal heart rate and pattern.
c) Document the characteristics of the fluid.
d) Notify the client's primary healthcare provider. ------------ Correct Answer ----------- b) Assess
the fetal heart rate and pattern.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small
to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What action
should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage the fundus
D. Call the healthcare provider to question the prescription ----------- Correct Answer -----------
D. Call the healthcare provider to question the prescription
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most
indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. Periorbital edema
C. Epigastric pain
D. Decreased urine output ----------- Correct Answer ----------- C. Epigastric pain
Epigastric pain is indicative of an edematour liver or pancreas which is an early warning sign of
an impending convulsion (eclampsia) and requires immediate attention
,A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this
client?
A. "Which symptom did you experience first?"
B. "Are you eating large amounts of salty foods?"
C. "Have you visited a foreign country recently?"
D. "Do you have a history of rheumatic fever?" ----------- Correct Answer ----------- D. "Do you
have a history of rheumatic fever?"
Clients with a history of rheumatic fever may develop mitral valve prolapse, which increases the
risk for cardiac decompensation due to the increased blood volume that occurs during pregnancy,
so obtaining information about this client's health history is a priority.
A couple has been trying to conceive for nine months without success. Which information
obtained from the clients is most likely to have an impact on the couple's ability to conceive a
child?
A. Exercise regimen of both partners includes running four miles each morning
B. History of having sexual intercourse 2 to 3 times per week
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to decrease friction ----------- Correct Answer
----------- D. They use lubricants with each sexual encounter to decrease friction
The use of lubricants has the potential to affect fertility because some lubricants interfere with
sperm motility
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child,
but I would like to try with this baby." Which intervention is best for the nurse to implement
first?
A. Assess the husband's feelings about his wife's decision to breastfeed their baby
B. Ask the client to describe why she was unsuccessful with breastfeeding her last child
C. Encourage the client to develop a positive attitude about breastfeeding to help ensure success
D. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery ------
----- Correct Answer ----------- D. Provide assistance to the mother to begin breastfeeding as soon
as possible after delivery
Infants respond to breastfeeding best when feeding is initiated in the active phase soon after
delivery.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction would be most effective in
preventing pooling of blood in the lower extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
, D. Avoid constrictive clothing ----------- Correct Answer ----------- C. Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase
venous return.
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants
who have
A. lower Apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies ----------- Correct Answer ----------- B. lower birth
weights
lower birth weights
Smoking is associated with low-birth-weight infants (B). Mothers are encouraged not to smoke
during pregnancy. To date, significant relationships have NOT been found between smoking and
lower Apgar scores, respiratory distress, a higher rate of congenital anomalies.
A mother who is breast feeding her baby receives instructions from the nurse. Which instruction
is most effective to prevent nipple soreness?
A. Wear a cotton bra
B. Increase nursing time gradually
C. Correctly place the infant on the breast
D. Manually express a small amount of milk before nursing ----------- Correct Answer -----------
C. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning
In developing a teaching plan for expectant parents, the nurse plans to include information about
when the parents can expect the infant's fontanels to close. The nurse bases the explanation on
knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month --
--------- Correct Answer ----------- D. anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month
This should be memorized for NCLEX
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple to
attend these classes?
A. At 16-weeks gestation
