2025/2026 HESI MATERNITY OB EXAM VERSION 1 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) ||ALREADY GRADED A+||NEWEST VERSION

Be fully prepared for the HESI Maternity OB Exam Version 1 (2025/2026) with this verified exam study guide. Includes actual HESI questions, detailed correct answers, and A+ graded rationales. Perfect for nursing students focusing on obstetrics and maternity nursing, this guide follows the latest HESI exam blueprint. Printable, easy-to-review, and formatted for exam success. 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The nurse should recognize the client is exhibiting symptoms of which condition? a. German measles b. Herpes simplex virus c. Syphilis d. Genital warts ️ Correct Answer: B. Herpes simplex virus ________________________________________ Question: A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client? a. The diaphragm is still effective because it hasn't changed since pregnancy. b. Use alternative form of birth control until a new diaphragm can be obtained. c. The diaphragm should no longer be used since it is no longer a reliable form of contraception. d. The diaphragm can be used, but it should be checked for proper fit after pregnancy. ️ Correct Answer: B. Use alternative form of birth control until a new diaphragm can be obtained. ________________________________________ Question: A 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-hour labor. What is the priority nursing action for this client? a. Massage the fundus Q 4 hours b. Assess for signs of hemorrhage and massage the fundus if necessary c. Administer IV fluids d. Encourage the client to rest and drink fluids ️ Correct Answer: B. Assess for signs of hemorrhage and massage the fundus if necessary. ________________________________________ Question: At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? a. Inform the anesthesia care provider b. Notify the physician c. Withhold any preoperative medications d. Delay the surgery until further assessment ️ Correct Answer: A. Inform the anesthesia care provider. ________________________________________ Question: The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist's arrival on the unit, which action should the nurse perform? a. Place procedure equipment at bedside b. Offer the client pain relief medications c. Increase oral fluid intake d. Prepare for an epidural blood patch ️ Correct Answer: A. Place procedure equipment at bedside. ________________________________________ Question: The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority? a. Hypoglycemia b. Hypothermia c. Jaundice d. Respiratory distress ️ Correct Answer: A. Hypoglycemia. ________________________________________ Question: The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse observes the infant’s respiratory rate is 72 breaths per minute with nasal flaring, grunting, and retractions. The nurse should recognize these findings indicate which complication? a. Transient tachypnea of the newborn b. Respiratory distress syndrome c. Pneumonia d. Meconium aspiration syndrome ️ Correct Answer: A. Transient tachypnea of the newborn. ________________________________________ Question: A primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1 minute with a 75-second duration. When the nurse stops the oxytocin and starts oxygen, after 30 minutes of uterine rest, the contractions are occurring every 5 minutes with a 20-second duration. Which intervention should the nurse implement? a. Restart the oxytocin per oxytocin protocol b. Continue to monitor and assess fetal heart rate c. Administer pain relief medications d. Begin to prepare for cesarean section ️ Correct Answer: A. Restart the oxytocin per oxytocin protocol. ________________________________________ Question: A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. The nurse applies the external fetal heart monitor and determines she is not in labor. What makes the nurse realize she is not in labor? a. Contractions stop when the client is walking b. The cervix is 2 cm dilated c. The client feels increased pressure in the lower abdomen d. The fetal heart rate is elevated ️ Correct Answer: A. Contractions stop when the client is walking. ________________________________________ Question: A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for induction of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical changes at 0900. Which action should the nurse take? a. Administer oxytocin 4 hours later b. Continue monitoring the client for further contractions c. Administer a second dose of misoprostol d. Notify the physician for further instructions ️ Correct Answer: A. Administer oxytocin 4 hours later. ________________________________________ ________________________________________ Question: A multigravida client in labor is receiving oxytocin (Pitocin) 4mu/minute to help promote an effective contraction pattern. The available solution is Lactated Ringer’s 1,000 mL with Pitocin 20 units. The nurse should program the infusion pump to deliver how many mL/hr? a. 10 mL/hr b. 12 mL/hr c. 15 mL/hr d. 20 mL/hr ️ Correct Answer: B. 12 mL/hr ________________________________________ Question: The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. What action is most important for the nurse to take? a. Encourage the mother to hold and spend time with her baby b. Ensure the baby is transported to the morgue immediately c. Offer the mother counseling and emotional support d. Obtain identification information from the mother ️ Correct Answer: A. Encourage the mother to hold and spend time with her baby ________________________________________ Question: Following a minor vehicle collision, a client 36 weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mm Hg and heart rate is 130 beats per minute. What action should the nurse implement first? a. Administer IV fluids b. Turn the board sideways to displace the uterus laterally c. Perform fetal monitoring d. Obtain a full set of vital signs every 15 minutes ️ Correct Answer: B. Turn the board sideways to displace the uterus laterally ________________________________________