2025 HESI Maternity OB Exam Version 3 – 100%
Verified Questions and Correct Answers | 55
Actual Exam Questions | A+ Graded Pass
Question 1: Antepartum Care (NextGen: Education)
A client at 10 weeks gestation asks how to prevent neural tube defects. What should the nurse
recommend?
A. Increase vitamin C intake.
B. Take 400 mcg of folic acid daily.
C. Avoid dairy products.
D. Reduce carbohydrate intake.
Correct Answer: B. Take 400 mcg of folic acid daily.
Rationale: Folic acid (400 mcg daily) is recommended by ACOG to prevent neural tube defects
in early pregnancy. Vitamin C (A) supports immunity, dairy (C) provides calcium, and reducing
carbohydrates (D) is unrelated.
Question 2: Intrapartum Care (NextGen: Intervention)
A client in active labor has a fetal heart rate (FHR) of 85 bpm with variable decelerations. What
is the nurse’s priority action?
A. Administer oxygen at 10 L/min via face mask.
B. Reposition to the left lateral position.
C. Prepare for an emergency cesarean section.
D. Increase IV fluid rate.
Correct Answer: B. Reposition to the left lateral position.
Rationale: Variable decelerations and an FHR of 85 bpm suggest umbilical cord compression.
Repositioning to the left lateral position relieves pressure on the cord, improving FHR. Oxygen
(A) and fluids (D) are secondary, and cesarean (C) requires further assessment.
Question 3: Postpartum Care (NextGen: Assessment)
A client 6 hours postpartum has a boggy uterus displaced to the right. What is the nurse’s first
action?
A. Perform fundal massage.
B. Assist the client to void.
C. Administer oxytocin as prescribed.
D. Notify the healthcare provider.
Correct Answer: B. Assist the client to void.
,Rationale: A boggy, displaced uterus suggests a full bladder, preventing uterine contraction and
increasing bleeding risk. Assisting the client to void is the priority. Fundal massage (A) and
oxytocin (C) follow if needed, and notification (D) is secondary.
Question 4: Newborn Care (NextGen: Intervention)
A newborn under a radiant warmer has an axillary temperature of 96.6°F. What should the nurse
do first?
A. Wrap the newborn in a blanket.
B. Place a temperature probe on the abdomen.
C. Increase the radiant warmer temperature.
D. Dry the scalp and apply a stockinet cap.
Correct Answer: B. Place a temperature probe on the abdomen.
Rationale: A temperature probe ensures accurate monitoring and safe thermoregulation under a
radiant warmer. Blankets (A) interfere with heat transfer, increasing the warmer (C) risks
overheating, and a cap (D) is secondary.
Question 5: Antepartum Care (NextGen: Screening)
When is the glucose challenge test typically performed to screen for gestational diabetes?
A. 12–16 weeks.
B. 20–24 weeks.
C. 24–28 weeks.
D. 32–36 weeks.
Correct Answer: C. 24–28 weeks.
Rationale: The glucose challenge test is performed at 24–28 weeks to screen for gestational
diabetes, per ACOG guidelines. Earlier (A, B) or later (D) testing is not standard unless risk
factors are present.
Question 6: Intrapartum Care (NextGen: Clinical
Judgment)
A client receiving oxytocin for labor induction has contractions every 1 minute lasting 75
seconds. What should the nurse do first?
A. Continue the oxytocin infusion.
B. Stop the oxytocin infusion.
C. Administer oxygen via face mask.
D. Document the contraction pattern.
Correct Answer: B. Stop the oxytocin infusion.
Rationale: Uterine hyperstimulation risks fetal hypoxia. Stopping oxytocin restores normal
contraction patterns. Oxygen (C) and documentation (D) follow, and continuing the infusion (A)
is contraindicated.
Question 7: Postpartum Care (NextGen: Education)
, A breastfeeding client asks how to manage breast engorgement. What should the nurse
recommend?
A. Apply ice packs between feedings.
B. Stop breastfeeding for 24 hours.
C. Use a breast pump to empty breasts completely.
D. Apply warm compresses before feedings.
Correct Answer: D. Apply warm compresses before feedings.
Rationale: Warm compresses before feedings promote milk flow, relieving engorgement. Ice
packs (A) are used after feedings, stopping breastfeeding (B) worsens engorgement, and over-
pumping (C) may increase production.
Question 8: Newborn Care (NextGen: Assessment)
A newborn has a swelling on the head that does not cross the suture line. How should the nurse
document this finding?
A. Caput succedaneum, expected finding.
B. Cephalohematoma requiring monitoring.
C. Hydrocephalus needing evaluation.
D. Subgaleal hemorrhage, urgent.
Correct Answer: B. Cephalohematoma requiring monitoring.
Rationale: Swelling that does not cross suture lines is a cephalohematoma, a collection of blood
requiring monitoring for resolution. Caput succedaneum (A) crosses sutures, hydrocephalus (C)
involves increased head circumference, and subgaleal hemorrhage (D) is rare and critical.
Question 9: Antepartum Care (NextGen: Assessment)
A client at 18 weeks gestation reports no fetal movement. What is the nurse’s priority action?
A. Schedule an ultrasound.
B. Document as a normal finding.
C. Instruct to count kick counts.
D. Notify the provider immediately.
Correct Answer: A. Schedule an ultrasound.
Rationale: Absence of fetal movement at 18 weeks may indicate fetal compromise, requiring an
ultrasound to assess viability. Documentation (B) is premature, kick counts (C) are ineffective
without movement, and notification (D) follows ultrasound.
Question 10: Intrapartum Care (NextGen: Intervention)
A client in labor with a prolapsed umbilical cord is placed in the knee-chest position. What is the
next priority action?
A. Administer oxygen at 10 L/min.
B. Wrap the cord in saline-soaked gauze.
C. Prepare for immediate delivery.
D. Monitor fetal heart rate.
Correct Answer: B. Wrap the cord in saline-soaked gauze.
Verified Questions and Correct Answers | 55
Actual Exam Questions | A+ Graded Pass
Question 1: Antepartum Care (NextGen: Education)
A client at 10 weeks gestation asks how to prevent neural tube defects. What should the nurse
recommend?
A. Increase vitamin C intake.
B. Take 400 mcg of folic acid daily.
C. Avoid dairy products.
D. Reduce carbohydrate intake.
Correct Answer: B. Take 400 mcg of folic acid daily.
Rationale: Folic acid (400 mcg daily) is recommended by ACOG to prevent neural tube defects
in early pregnancy. Vitamin C (A) supports immunity, dairy (C) provides calcium, and reducing
carbohydrates (D) is unrelated.
Question 2: Intrapartum Care (NextGen: Intervention)
A client in active labor has a fetal heart rate (FHR) of 85 bpm with variable decelerations. What
is the nurse’s priority action?
A. Administer oxygen at 10 L/min via face mask.
B. Reposition to the left lateral position.
C. Prepare for an emergency cesarean section.
D. Increase IV fluid rate.
Correct Answer: B. Reposition to the left lateral position.
Rationale: Variable decelerations and an FHR of 85 bpm suggest umbilical cord compression.
Repositioning to the left lateral position relieves pressure on the cord, improving FHR. Oxygen
(A) and fluids (D) are secondary, and cesarean (C) requires further assessment.
Question 3: Postpartum Care (NextGen: Assessment)
A client 6 hours postpartum has a boggy uterus displaced to the right. What is the nurse’s first
action?
A. Perform fundal massage.
B. Assist the client to void.
C. Administer oxytocin as prescribed.
D. Notify the healthcare provider.
Correct Answer: B. Assist the client to void.
,Rationale: A boggy, displaced uterus suggests a full bladder, preventing uterine contraction and
increasing bleeding risk. Assisting the client to void is the priority. Fundal massage (A) and
oxytocin (C) follow if needed, and notification (D) is secondary.
Question 4: Newborn Care (NextGen: Intervention)
A newborn under a radiant warmer has an axillary temperature of 96.6°F. What should the nurse
do first?
A. Wrap the newborn in a blanket.
B. Place a temperature probe on the abdomen.
C. Increase the radiant warmer temperature.
D. Dry the scalp and apply a stockinet cap.
Correct Answer: B. Place a temperature probe on the abdomen.
Rationale: A temperature probe ensures accurate monitoring and safe thermoregulation under a
radiant warmer. Blankets (A) interfere with heat transfer, increasing the warmer (C) risks
overheating, and a cap (D) is secondary.
Question 5: Antepartum Care (NextGen: Screening)
When is the glucose challenge test typically performed to screen for gestational diabetes?
A. 12–16 weeks.
B. 20–24 weeks.
C. 24–28 weeks.
D. 32–36 weeks.
Correct Answer: C. 24–28 weeks.
Rationale: The glucose challenge test is performed at 24–28 weeks to screen for gestational
diabetes, per ACOG guidelines. Earlier (A, B) or later (D) testing is not standard unless risk
factors are present.
Question 6: Intrapartum Care (NextGen: Clinical
Judgment)
A client receiving oxytocin for labor induction has contractions every 1 minute lasting 75
seconds. What should the nurse do first?
A. Continue the oxytocin infusion.
B. Stop the oxytocin infusion.
C. Administer oxygen via face mask.
D. Document the contraction pattern.
Correct Answer: B. Stop the oxytocin infusion.
Rationale: Uterine hyperstimulation risks fetal hypoxia. Stopping oxytocin restores normal
contraction patterns. Oxygen (C) and documentation (D) follow, and continuing the infusion (A)
is contraindicated.
Question 7: Postpartum Care (NextGen: Education)
, A breastfeeding client asks how to manage breast engorgement. What should the nurse
recommend?
A. Apply ice packs between feedings.
B. Stop breastfeeding for 24 hours.
C. Use a breast pump to empty breasts completely.
D. Apply warm compresses before feedings.
Correct Answer: D. Apply warm compresses before feedings.
Rationale: Warm compresses before feedings promote milk flow, relieving engorgement. Ice
packs (A) are used after feedings, stopping breastfeeding (B) worsens engorgement, and over-
pumping (C) may increase production.
Question 8: Newborn Care (NextGen: Assessment)
A newborn has a swelling on the head that does not cross the suture line. How should the nurse
document this finding?
A. Caput succedaneum, expected finding.
B. Cephalohematoma requiring monitoring.
C. Hydrocephalus needing evaluation.
D. Subgaleal hemorrhage, urgent.
Correct Answer: B. Cephalohematoma requiring monitoring.
Rationale: Swelling that does not cross suture lines is a cephalohematoma, a collection of blood
requiring monitoring for resolution. Caput succedaneum (A) crosses sutures, hydrocephalus (C)
involves increased head circumference, and subgaleal hemorrhage (D) is rare and critical.
Question 9: Antepartum Care (NextGen: Assessment)
A client at 18 weeks gestation reports no fetal movement. What is the nurse’s priority action?
A. Schedule an ultrasound.
B. Document as a normal finding.
C. Instruct to count kick counts.
D. Notify the provider immediately.
Correct Answer: A. Schedule an ultrasound.
Rationale: Absence of fetal movement at 18 weeks may indicate fetal compromise, requiring an
ultrasound to assess viability. Documentation (B) is premature, kick counts (C) are ineffective
without movement, and notification (D) follows ultrasound.
Question 10: Intrapartum Care (NextGen: Intervention)
A client in labor with a prolapsed umbilical cord is placed in the knee-chest position. What is the
next priority action?
A. Administer oxygen at 10 L/min.
B. Wrap the cord in saline-soaked gauze.
C. Prepare for immediate delivery.
D. Monitor fetal heart rate.
Correct Answer: B. Wrap the cord in saline-soaked gauze.
