HESI Maternity OB Exam Version 1
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A laboring client reports severe back pain during contractions. Which position provides the most
relief?
A. Supine with legs elevated
✔✔B. Hands-and-knees position
C. High Fowler’s position
D. Side-lying with knees flexed
A nurse notes a postpartum client saturates one pad in 15 minutes. What is the priority action?
A. Document the finding and recheck in 1 hour
✔✔B. Massage the uterine fundus firmly
C. Encourage the client to ambulate
D. Apply warm compresses to the abdomen
A pregnant woman in her second trimester reports dizziness when lying flat. What is the cause?
A. Excess amniotic fluid
1
,B. Fetal head pressing on bladder
✔✔C. Supine hypotensive syndrome
D. Maternal dehydration
A nurse prepares to administer Rho(D) immune globulin (RhoGAM). Which client is eligible?
A. Rh-positive mother with an Rh-negative infant
✔✔B. Rh-negative mother with an Rh-positive infant
C. Rh-positive mother with an Rh-positive infant
D. Rh-negative mother with an Rh-negative infant
During labor, a variable deceleration is observed on the fetal monitor. What is the first action?
A. Prepare for immediate delivery
✔✔B. Reposition the client to relieve cord compression
C. Start oxytocin infusion
D. Administer IV analgesics
A nurse provides newborn teaching to parents. Which statement indicates understanding?
A. “We should bathe our baby daily with soap.”
2
, ✔✔B. “We should place the baby on their back to sleep.”
C. “We should always prop the bottle during feeding.”
D. “We should give water between formula feedings.”
A client in active labor suddenly complains of chest pain and shortness of breath. What is
suspected?
A. Preeclampsia
B. Placenta previa
✔✔C. Amniotic fluid embolism
D. Uterine rupture
A nurse prepares to administer magnesium sulfate to a client with preeclampsia. What is the
priority assessment?
A. Bowel sounds
✔✔B. Respiratory rate
C. Skin turgor
D. Pupillary reaction
3
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A laboring client reports severe back pain during contractions. Which position provides the most
relief?
A. Supine with legs elevated
✔✔B. Hands-and-knees position
C. High Fowler’s position
D. Side-lying with knees flexed
A nurse notes a postpartum client saturates one pad in 15 minutes. What is the priority action?
A. Document the finding and recheck in 1 hour
✔✔B. Massage the uterine fundus firmly
C. Encourage the client to ambulate
D. Apply warm compresses to the abdomen
A pregnant woman in her second trimester reports dizziness when lying flat. What is the cause?
A. Excess amniotic fluid
1
,B. Fetal head pressing on bladder
✔✔C. Supine hypotensive syndrome
D. Maternal dehydration
A nurse prepares to administer Rho(D) immune globulin (RhoGAM). Which client is eligible?
A. Rh-positive mother with an Rh-negative infant
✔✔B. Rh-negative mother with an Rh-positive infant
C. Rh-positive mother with an Rh-positive infant
D. Rh-negative mother with an Rh-negative infant
During labor, a variable deceleration is observed on the fetal monitor. What is the first action?
A. Prepare for immediate delivery
✔✔B. Reposition the client to relieve cord compression
C. Start oxytocin infusion
D. Administer IV analgesics
A nurse provides newborn teaching to parents. Which statement indicates understanding?
A. “We should bathe our baby daily with soap.”
2
, ✔✔B. “We should place the baby on their back to sleep.”
C. “We should always prop the bottle during feeding.”
D. “We should give water between formula feedings.”
A client in active labor suddenly complains of chest pain and shortness of breath. What is
suspected?
A. Preeclampsia
B. Placenta previa
✔✔C. Amniotic fluid embolism
D. Uterine rupture
A nurse prepares to administer magnesium sulfate to a client with preeclampsia. What is the
priority assessment?
A. Bowel sounds
✔✔B. Respiratory rate
C. Skin turgor
D. Pupillary reaction
3
