OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A 30-year-old multiparous woman who has a 3-year-old boy
and a newborn girl tells the nurse, "My son is so jealous of my
daughter, I don't know how I'll ever manage both children
when I get home." How should the nurse respond?
A. "Tell the older child that he is a big boy now and should
love his new sister."
B. "Ask friends and relatives not to bring gifts to the older
sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the first
six weeks to allow him to adjust to the newborn."
D. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time." - Correct
Answers ✅D
A vaginally delivered infant of an HIV positive mother is
admitted to the newborn nursery. What intervention should
the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D. Administer vitamin K - Correct Answers ✅A
,OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A client in active labor is admitted with preeclampsia. Which
assessment finding is most significant in planning this client's
care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute - Correct Answers ✅A
A pregnany client with mitral stenosis Class III is prescribed
complete bedrest. The client asks the nurse, "Why must I stay
in bed all the time?" Which response is best for the nurse to
provide this client?
A. "Complete bedrest decreases oxygen needs and demands
on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only way
we can make sure that will happen."
C. "I know you're upset. Would you like to talk about some
things you could do while in bed?"
D. "Labor is difficult and you need to use this time to rest
before you have to assume all child-caring duties." - Correct
Answers ✅A
The nurse is preparing a client with a term pregnancy who is
in active labor for an amniotomy. What equipment should the
,OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
nurse have available at the client's bedside? (Select all that
apply)
A. Litmus paper
B. Fetal scalp electrode
C. A sterile glove
D. An amnihook
E. Sterile vaginal speculum
F. Lubricant - Correct Answers ✅CDF
The nurse is preparing to give an enema to a laboring client.
Which client requires the most caution when carrying out this
procedure?
A. A gravida 6. para 5 who is 38 years of age and in early
labor
B. A 37-week primigravida who presents at 100% effacement,
3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a
0 station admitted for induction of labor due to post dates
D. A 40-week primigravida who is at 6 cm cervical dilatation
and the presenting part is not engaged - Correct Answers
✅D
, OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A primigravida client who is 5 cm dilated, 90% effaced, and
at 0 station is requesting an epidural for pain relief. Which
assessment finding is most important for the nurse to report
to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B. White blood cell count of 12,000/mm3
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D. A platelet count of 67,000/mm3 - Correct Answers ✅D
The nurse is calculating the estimated date of confinement
(EDC) using Ngele's rule for a client whose last menstrual
period started on December 1. Which date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8 - Correct Answers ✅D
The nurse is performing a gestational age assessment on a
full-term newborn during the first hour of transition using the
Ballard (Dubowitz) scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of
40-weeks. What findings should the nurse identify to
determine if the neonate is small for gestational age (SGA)?
(Select all that apply.)
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A 30-year-old multiparous woman who has a 3-year-old boy
and a newborn girl tells the nurse, "My son is so jealous of my
daughter, I don't know how I'll ever manage both children
when I get home." How should the nurse respond?
A. "Tell the older child that he is a big boy now and should
love his new sister."
B. "Ask friends and relatives not to bring gifts to the older
sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the first
six weeks to allow him to adjust to the newborn."
D. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time." - Correct
Answers ✅D
A vaginally delivered infant of an HIV positive mother is
admitted to the newborn nursery. What intervention should
the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D. Administer vitamin K - Correct Answers ✅A
,OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A client in active labor is admitted with preeclampsia. Which
assessment finding is most significant in planning this client's
care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute - Correct Answers ✅A
A pregnany client with mitral stenosis Class III is prescribed
complete bedrest. The client asks the nurse, "Why must I stay
in bed all the time?" Which response is best for the nurse to
provide this client?
A. "Complete bedrest decreases oxygen needs and demands
on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only way
we can make sure that will happen."
C. "I know you're upset. Would you like to talk about some
things you could do while in bed?"
D. "Labor is difficult and you need to use this time to rest
before you have to assume all child-caring duties." - Correct
Answers ✅A
The nurse is preparing a client with a term pregnancy who is
in active labor for an amniotomy. What equipment should the
,OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
nurse have available at the client's bedside? (Select all that
apply)
A. Litmus paper
B. Fetal scalp electrode
C. A sterile glove
D. An amnihook
E. Sterile vaginal speculum
F. Lubricant - Correct Answers ✅CDF
The nurse is preparing to give an enema to a laboring client.
Which client requires the most caution when carrying out this
procedure?
A. A gravida 6. para 5 who is 38 years of age and in early
labor
B. A 37-week primigravida who presents at 100% effacement,
3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a
0 station admitted for induction of labor due to post dates
D. A 40-week primigravida who is at 6 cm cervical dilatation
and the presenting part is not engaged - Correct Answers
✅D
, OB "HESI" Practice 2024 HESI
MATERNITY OB EXAM VERSION 7
Questions with Complete Solutions
(Latest 2025)
A primigravida client who is 5 cm dilated, 90% effaced, and
at 0 station is requesting an epidural for pain relief. Which
assessment finding is most important for the nurse to report
to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B. White blood cell count of 12,000/mm3
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D. A platelet count of 67,000/mm3 - Correct Answers ✅D
The nurse is calculating the estimated date of confinement
(EDC) using Ngele's rule for a client whose last menstrual
period started on December 1. Which date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8 - Correct Answers ✅D
The nurse is performing a gestational age assessment on a
full-term newborn during the first hour of transition using the
Ballard (Dubowitz) scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of
40-weeks. What findings should the nurse identify to
determine if the neonate is small for gestational age (SGA)?
(Select all that apply.)
