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2025/2026 HESI MATERNITY OB EXAM VERSION 2 EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) NEWEST VERSION

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Study smarter for your HESI Maternity OB Exam Version 2 with this verified, A+ graded exam guide, updated for 2025. Includes real exam questions, accurate answers, and rationales based on the latest test format. Ideal for nursing students preparing for HESI OB or maternity specialty exams, this PDF is ready for download and review. Pass your next attempt with confidence! 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The nurse observes red marks on the head with swelling that does not cross the suture line. Which condition should the nurse document in the medical record? a. Caput succedaneum b. Hydrocephalus c. Cephalhematoma d. Microcephaly ️ Correct Answer: C. Cephalhematoma ________________________________________ Question: A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that began one hour ago. The nurse's assessment reveals approximately 30 mL of bright red vaginal bleeding. The fetal heart rate is 130-140 beats per minute, there are no contractions, and the client reports no complaints of pain. What is the most likely cause of this client's bleeding? a. Abruptio Placenta b. Placenta Previa c. Normal bloody show indicating induction of labor d. A ruptured blood vessel in the vaginal vault ️ Correct Answer: B. Placenta Previa ________________________________________ Question: A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours. Concerned, she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. Which assessment warrants immediate intervention by the nurse? a. Fetal heart rate 60 beats per minute b. Ruptured amniotic membrane c. Onset of uterine contractions d. Leaking amniotic fluid ️ Correct Answer: A. Fetal heart rate 60 beats per minute ________________________________________ Question: A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes. The nurse observes several shallow small vesicles on her pubis labia and perineum. The nurse should recognize that the client is presenting symptoms of which condition? a. Genital Warts b. Syphilis c. Herpes Simplex Virus d. German Measles ️ Correct Answer: C. Herpes Simplex Virus ________________________________________ Question: The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor. Which maternity prescription is most important in preventing this fetus from developing respiratory distress syndrome? a. Ampicillin 1 gram IV push q8h b. Betamethasone 12 mg deep IM c. Terbutaline 0.25 mg subcutaneously q 15 minutes x 3 d. Butorphanol tartrate 1mg IV push q2h PRN ️ Correct Answer: B. Betamethasone 12 mg deep IM ________________________________________ Question: A 16-year-old gravida 1 para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? a. Allow liberal family visitation b. Keep an airway at the bedside c. Assess temperature every hour d. Monitor blood pressure, pulse, and respiration every 4 hours ️ Correct Answer: B. Keep an airway at the bedside ________________________________________ Question: At 12 hours after the birth of a healthy infant, the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra lochia. Which action should the nurse take? a. Check the suprapubic area for distention b. Inform the client to take a warm sitz bath c. Inspect the client's perineal and rectal areas d. Apply a fresh pad and check in 1 hour ️ Correct Answer: C. Inspect the client's perineal and rectal areas ________________________________________ Question: If a primigravida at 36 weeks gestation who is Rh-negative experienced abdominal trauma in a motor vehicle collision, which assessment finding is most important for the nurse to report to the healthcare provider? a. Fetal heart rate at 162 beats/minute b. Mild contractions every 10 minutes c. Trace of protein in the urine d. Positive fetal hemoglobin testing ️ Correct Answer: B. Mild contractions every 10 minutes ________________________________________ Question: In the Ballard Gestational Age Assessment Tool, the nurse determines that a 15-month-old infant has a gestational age of 42 weeks. Based on this finding, which intervention is most important for the nurse to implement? a. Provide blow-by oxygen b. Provide a capillary blood glucose c. Draw arterial blood gases d. Apply a pulse oximeter to the foot ️ Correct Answer: B. Provide a capillary blood glucose ________________________________________ ________________________________________ Question: A new mother who is a lacto-ovo vegetarian plans to breastfeed her infant. Which information should the nurse provide prior to discharge? a. Continue prenatal vitamins with B12 while breastfeeding b. Avoid using Lanolin-based nipple cream or ointment c. Offer iron-fortified supplemental formula daily d. Weigh the baby weekly to evaluate the newborn's growth ️ Correct Answer: A. Continue prenatal vitamins with B12 while breastfeeding ________________________________________ Question: What should be the primary focus of nursing care in the transitional phase of labor for a client who anticipates an unmedicated delivery? a. Assessing the strength of uterine contractions b. Re-evaluating the need for medication c. Reminding her to push 3 times with each contraction d. Assessing her to maintain control ️ Correct Answer: A. Assessing the strength of uterine contractions ________________________________________ Question: A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously for clients with preeclampsia. The IV bag contains magnesium sulfate 20 grams. How much in mL/hr should the nurse program the infusion pump? ️ Answer: 100 mL per hour ________________________________________ Question: A client at 38 weeks gestation is admitted to labor and delivery with a complaint of contractions 5 minutes apart. While the client is in the bathroom changing into a hospital gown, the nurse hears the noise of a baby. What should the nurse take first? a. Push the call light for help b. Inspect the client's perineum c. Notify the healthcare provider d. Turn on the infant warmer ️ Correct Answer: A. Push the call light for help ________________________________________ Question: The nurse is caring for a multiparous client who is 8 centimeters dilated, 100% effaced, and the fetal head is at 0 station. The client is shivering and states extreme discomfort with the urge to bear down. Which intervention should the nurse implement? a. Administer IV pain medication b. Perform a vaginal exam c. Reposition to side-lying d. Encourage pushing with each contraction ️ Correct Answer: D. Encourage pushing with each contraction ________________________________________ Question: Following a traumatic delivery, an infant receives an initial Apgar score of 3. Which intervention is most important for the nurse to implement? a. Page the pediatrician STAT b. Continue resuscitative efforts c. Repeat the Apgar assessment in 5 minutes d. Inform the parents of the infant's condition ️ Correct Answer: B. Continue resuscitative efforts ________________________________________ Question: A 3-hour-old male infant's hands and feet are cyanotic, and he has an axillary temperature of 96.5°F (35.8°C), a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute. What nursing action should the nurse implement? a. Administer oxygen by mouth at 2L/min b. Gradually warm the infant under a radiant heat source c. Notify the pediatrician of the infant's vital signs d. Perform a heel-stick to maintain blood glucose level ️ Correct Answer: B. Gradually warm the infant under a radiant heat source ________________________________________

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Uploaded on
April 24, 2025
Number of pages
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Written in
2024/2025
Type
Exam (elaborations)
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2025/2026 HESI MATERNITY OB
EXAM VERSION 2 EXAM
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
NEWEST VERSION



WHAT TO FIND IN THIS EXAM
➢CASE STUDIES NGN STYLE QUESTIONS
➢BUTTERFLY QUESTION WITH ANSWERS
➢VERIFIED EXPLANATIONS AND ANSWERS
➢ NEWEST UPDATED VERSION GRADE A+
➢ QUESTIONS WITH MULTI CHOICES

,Question:
The nurse is providing care for a newborn who was delivered vaginally assisted by
forceps. The nurse observes red marks on the head with swelling that does not
cross the suture line. Which condition should the nurse document in the medical
record?
a. Caput succedaneum
b. Hydrocephalus
c. Cephalhematoma
d. Microcephaly

Correct Answer: C. Cephalhematoma




Question:
A client at 34 weeks gestation comes to the birthing center complaining of vaginal
bleeding that began one hour ago. The nurse's assessment reveals approximately
30 mL of bright red vaginal bleeding. The fetal heart rate is 130-140 beats per
minute, there are no contractions, and the client reports no complaints of pain.
What is the most likely cause of this client's bleeding?
a. Abruptio Placenta
b. Placenta Previa
c. Normal bloody show indicating induction of labor
d. A ruptured blood vessel in the vaginal vault

Correct Answer: B. Placenta Previa

, Question:
A client at 30 weeks gestation reports that she has not felt the baby move in the
last 24 hours. Concerned, she arrives in a panic at the obstetric clinic where she is
immediately sent to the hospital. Which assessment warrants immediate
intervention by the nurse?
a. Fetal heart rate 60 beats per minute
b. Ruptured amniotic membrane
c. Onset of uterine contractions
d. Leaking amniotic fluid

Correct Answer: A. Fetal heart rate 60 beats per minute


Question:
A client at 37 weeks gestation presents to labor and delivery with contractions
every two minutes. The nurse observes several shallow small vesicles on her pubis
labia and perineum. The nurse should recognize that the client is presenting
symptoms of which condition?
a. Genital Warts
b. Syphilis
c. Herpes Simplex Virus
d. German Measles

Correct Answer: C. Herpes Simplex Virus


Question:
The nurse is planning care for a client at 30 weeks gestation who is experiencing
preterm labor. Which maternity prescription is most important in preventing this
fetus from developing respiratory distress syndrome?

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