Page 1 of 104
“OBSTETRICS MATERNITY HESI REVIEW PREP PRACTICE
EXAM “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Maternity Practice Exam, Nursing, Evolve Obstetrics/Maternity Practice Exam,
Obstetrics/Maternity Hesi Prep Practice Exam, HESI Review Test-Maternity, hesi
test practice questions, OB HESI Practice, hesi ob/peds 2
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask
wen she could use a home pregnancy test to diagnose pregnancy. Which
response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation
a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for a
pediatric client with AIDS is:
a. shortness of breath
b. joint pain
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c. a persistent cold
d. organmegaly
c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close.
The nurse bases the explanation on knowledge that for the normal newborn,
the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the
first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the
week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of
the second month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
a. patellar reflex 4+
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A 4 week old premature infant has been receiving epoetin alfa for the last three
weeks. Which assessment finding indicates to the nurse that the drug is
effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl
c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period
was August 2, 2006. Based on Nagele's rule, what is the estimated date of
delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of
transition using the Dubowitz scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating of 40 weeks. Which findings
should the nurse identify to determine if the neonate is SGA? (Select all that
apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position
a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains
the following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
a. insert a fetal monitor
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b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
c. monitor for bleeding from IV sites
Immediately after birth a newborn infant is suctioned, dried, and placed under
a radiant warmer. The infant has spontaneous respirations and the nurse
assess an apical heart rate of 80 bpm and respirations 20. What action should
the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
a. initiate positive pressure ventilation
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
cm dilated and 75% effaced. What additional information is most important for
the nurse to obtain?
a. gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
c. date of last normal menstrual period
A mutigravida client at 41 weeks gestation present in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling
a. biophysical profile
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse implement
“OBSTETRICS MATERNITY HESI REVIEW PREP PRACTICE
EXAM “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Maternity Practice Exam, Nursing, Evolve Obstetrics/Maternity Practice Exam,
Obstetrics/Maternity Hesi Prep Practice Exam, HESI Review Test-Maternity, hesi
test practice questions, OB HESI Practice, hesi ob/peds 2
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask
wen she could use a home pregnancy test to diagnose pregnancy. Which
response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation
a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for a
pediatric client with AIDS is:
a. shortness of breath
b. joint pain
, Page 2 of 104
c. a persistent cold
d. organmegaly
c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close.
The nurse bases the explanation on knowledge that for the normal newborn,
the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the
first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the
week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of
the second month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
a. patellar reflex 4+
, Page 3 of 104
A 4 week old premature infant has been receiving epoetin alfa for the last three
weeks. Which assessment finding indicates to the nurse that the drug is
effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl
c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period
was August 2, 2006. Based on Nagele's rule, what is the estimated date of
delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of
transition using the Dubowitz scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating of 40 weeks. Which findings
should the nurse identify to determine if the neonate is SGA? (Select all that
apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position
a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains
the following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
a. insert a fetal monitor
, Page 4 of 104
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
c. monitor for bleeding from IV sites
Immediately after birth a newborn infant is suctioned, dried, and placed under
a radiant warmer. The infant has spontaneous respirations and the nurse
assess an apical heart rate of 80 bpm and respirations 20. What action should
the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
a. initiate positive pressure ventilation
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
cm dilated and 75% effaced. What additional information is most important for
the nurse to obtain?
a. gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
c. date of last normal menstrual period
A mutigravida client at 41 weeks gestation present in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling
a. biophysical profile
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse implement
