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2025 HESI Maternity OB Exam Version 3
– 100% Verified Questions and Correct
Answers | 55 Actual Exam Questions | A+
Graded Pass
1. A nurse is assessing a primigravida at 38 weeks gestation who reports decreased
fetal movement. Which action should the nurse take first?
A. Encourage the client to drink orange juice
B. Perform a nonstress test (NST)
C. Instruct the client to rest on her right side
D. Palpate for uterine contractions
Correct Answer: B. Perform a nonstress test (NST)
Rationale: Decreased fetal movement at 38 weeks may indicate fetal distress, requiring
immediate assessment with an NST to evaluate fetal well-being. Orange juice or position
changes are secondary, and contractions are not the primary concern.
2. A postpartum client reports heavy vaginal bleeding 4 days after delivery. Which
finding is most concerning?
A. Lochia rubra with small clots
B. Saturation of a peripad in 1 hour
C. Mild cramping during breastfeeding
D. Firm fundus at the umbilicus
Correct Answer: B. Saturation of a peripad in 1 hour
Rationale: Saturating a peripad in 1 hour indicates postpartum hemorrhage, requiring
urgent intervention. Lochia rubra, cramping, and a firm fundus are normal postpartum
findings.
3. A nurse is teaching a pregnant client about nutrition at 12 weeks gestation. Which
food should the client increase to prevent neural tube defects?
A. Dairy products
B. Leafy green vegetables
C. Lean meats
D. Whole grains
Correct Answer: B. Leafy green vegetables
Rationale: Leafy greens are rich in folate, which prevents neural tube defects in early
pregnancy. Dairy, meats, and grains provide other nutrients but are not specific to this
need.
4. A client at 34 weeks gestation reports sudden onset of severe abdominal pain and
vaginal bleeding. Which condition should the nurse suspect?
, 2
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
Correct Answer: B. Abruptio placentae
Rationale: Sudden severe abdominal pain with vaginal bleeding at 34 weeks is indicative
of abruptio placentae, a medical emergency. Placenta previa typically presents with
painless bleeding, preterm labor with contractions, and uterine rupture is rare.
5. A nurse is caring for a client in active labor. Which finding indicates the transition
phase?
A. Contractions every 10 minutes
B. Cervical dilation of 8–10 cm
C. Mild discomfort with contractions
D. Regular contractions lasting 30 seconds
Correct Answer: B. Cervical dilation of 8–10 cm
Rationale: The transition phase is characterized by cervical dilation of 8–10 cm, intense
contractions, and significant discomfort. Other findings align with earlier labor stages.
6. A newborn is assessed at 1 minute after birth with a heart rate of 110, weak cry,
some flexion, pink body with blue extremities, and grimacing to stimuli. What is the
Apgar score?
A. 5
B. 6
C. 7
D. 8
Correct Answer: C. 7
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), acrocyanosis (1),
grimacing (1) total 7. Apgar assesses newborn vitality at 1 and 5 minutes post-birth.
7. A nurse is teaching a client about RhoGAM administration. When should it be
given to an Rh-negative mother?
A. At delivery of an Rh-positive infant
B. At 12 weeks gestation
C. During active labor
D. Postpartum day 5
Correct Answer: A. At delivery of an Rh-positive infant
Rationale: RhoGAM is given to Rh-negative mothers within 72 hours of delivering an
Rh-positive infant to prevent sensitization. It’s also given at 28 weeks gestation, but
delivery is the priority here.
8. A client at 28 weeks gestation reports swelling in her hands and face. Which
additional finding requires immediate intervention?
A. Blood pressure of 140/90 mmHg
B. Weight gain of 1 lb per week
C. Trace protein in urine
D. Mild ankle edema
Correct Answer: A. Blood pressure of 140/90 mmHg
Rationale: Facial swelling with hypertension suggests preeclampsia, requiring urgent
2025 HESI Maternity OB Exam Version 3
– 100% Verified Questions and Correct
Answers | 55 Actual Exam Questions | A+
Graded Pass
1. A nurse is assessing a primigravida at 38 weeks gestation who reports decreased
fetal movement. Which action should the nurse take first?
A. Encourage the client to drink orange juice
B. Perform a nonstress test (NST)
C. Instruct the client to rest on her right side
D. Palpate for uterine contractions
Correct Answer: B. Perform a nonstress test (NST)
Rationale: Decreased fetal movement at 38 weeks may indicate fetal distress, requiring
immediate assessment with an NST to evaluate fetal well-being. Orange juice or position
changes are secondary, and contractions are not the primary concern.
2. A postpartum client reports heavy vaginal bleeding 4 days after delivery. Which
finding is most concerning?
A. Lochia rubra with small clots
B. Saturation of a peripad in 1 hour
C. Mild cramping during breastfeeding
D. Firm fundus at the umbilicus
Correct Answer: B. Saturation of a peripad in 1 hour
Rationale: Saturating a peripad in 1 hour indicates postpartum hemorrhage, requiring
urgent intervention. Lochia rubra, cramping, and a firm fundus are normal postpartum
findings.
3. A nurse is teaching a pregnant client about nutrition at 12 weeks gestation. Which
food should the client increase to prevent neural tube defects?
A. Dairy products
B. Leafy green vegetables
C. Lean meats
D. Whole grains
Correct Answer: B. Leafy green vegetables
Rationale: Leafy greens are rich in folate, which prevents neural tube defects in early
pregnancy. Dairy, meats, and grains provide other nutrients but are not specific to this
need.
4. A client at 34 weeks gestation reports sudden onset of severe abdominal pain and
vaginal bleeding. Which condition should the nurse suspect?
, 2
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
Correct Answer: B. Abruptio placentae
Rationale: Sudden severe abdominal pain with vaginal bleeding at 34 weeks is indicative
of abruptio placentae, a medical emergency. Placenta previa typically presents with
painless bleeding, preterm labor with contractions, and uterine rupture is rare.
5. A nurse is caring for a client in active labor. Which finding indicates the transition
phase?
A. Contractions every 10 minutes
B. Cervical dilation of 8–10 cm
C. Mild discomfort with contractions
D. Regular contractions lasting 30 seconds
Correct Answer: B. Cervical dilation of 8–10 cm
Rationale: The transition phase is characterized by cervical dilation of 8–10 cm, intense
contractions, and significant discomfort. Other findings align with earlier labor stages.
6. A newborn is assessed at 1 minute after birth with a heart rate of 110, weak cry,
some flexion, pink body with blue extremities, and grimacing to stimuli. What is the
Apgar score?
A. 5
B. 6
C. 7
D. 8
Correct Answer: C. 7
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), acrocyanosis (1),
grimacing (1) total 7. Apgar assesses newborn vitality at 1 and 5 minutes post-birth.
7. A nurse is teaching a client about RhoGAM administration. When should it be
given to an Rh-negative mother?
A. At delivery of an Rh-positive infant
B. At 12 weeks gestation
C. During active labor
D. Postpartum day 5
Correct Answer: A. At delivery of an Rh-positive infant
Rationale: RhoGAM is given to Rh-negative mothers within 72 hours of delivering an
Rh-positive infant to prevent sensitization. It’s also given at 28 weeks gestation, but
delivery is the priority here.
8. A client at 28 weeks gestation reports swelling in her hands and face. Which
additional finding requires immediate intervention?
A. Blood pressure of 140/90 mmHg
B. Weight gain of 1 lb per week
C. Trace protein in urine
D. Mild ankle edema
Correct Answer: A. Blood pressure of 140/90 mmHg
Rationale: Facial swelling with hypertension suggests preeclampsia, requiring urgent
