OB HESI FINAL EXAM QUESTIONS & ANSWERS 2026-2027 | UPDATE… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
OB HESI Final Exam
Questions & Answers
2026-2027 | Updated
Maternal-Newborn
Review
Verified Answers Exam Ready With Rationales
129 QUESTIONS
DOCUMENT OVERVIEW
This document provides 129 OB HESI exam questions with their correct answers and
explanations, offering a comprehensive review of maternal-newborn nursing. It is suitable
for students preparing for certification exams, reviewing course material, or reinforcing
their understanding of key concepts in obstetric nursing.
CONTENTS
Page 1
, • Labor & Delivery • Pregnancy Assessment &
Complications
• Postpartum Care & Newborn • Reproductive Health & Fertility
• Pediatric Growth & Development • Pediatric Conditions & Management
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 129
A client who delivered an infant an hour ago tells the nurse the she feels wet underneath her
buttock. The nurse notes that the perineal pad is saturated and the client is lying in a 6-inch
diameter pool of blood. Which action should the nurse implement first?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
CORRECT ANSWER
Correct Answer: C
A firm uterus is needed to control bleeding from the placental site of attachment on the uterine
wall. The nurse should FIRST assess for firmness and massage the fundus as indicated.
Q2 QUESTION 2 OF 129
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from
small to large and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D.
prescribe Methergine 0.2 mg IM x 1. Which action should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
D. Call the HP to question the prescription
CORRECT ANSWER
Correct Answer: D
Methergine is contraindicated for clients with elevated BP, so the nurse should contact the HP
and question the prescription.
Page 2
, Q3 QUESTION 3 OF 129
The nurse should encourage the laboring patient to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
C. the cervix is completely dilated
C. the cervix is completely effaced
CORRECT ANSWER
Correct Answer: C
Pushing begins with the second stage of labor (i.e. when the cervix is completely dilated at 10
cm). Pushing before this point could case the cervix to become edematous = operative delivery.
Q4 QUESTION 4 OF 129
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her
husband is screaming for someone to help his wife. Which intervention has the highest
priority?
A. Use a thread to tie off the umbilical cord
B. Provide as much privacy as possible
C. Reassure the husband and try to keep him calm
D. Put the newborn to breast
CORRECT ANSWER
Correct Answer: D
Putting the newborn to breast will help contract the uterus and prevent a postpartum
hemorrhage. Preventing hemorrhage is the highest priority.
Page 3
, Q5 QUESTION 5 OF 129
The nurse caring for a laboring client encourages her to void at least q2h, and records each
time the client empties her bladder. What is the primary reason for implementing this
nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the presenting
fetal part
B. An over-distended bladder could be traumatized during labor, as well as prolong the
progress of labor
C. Urine specimens for glucose and protein must be obtained at certain intervals throughout
labor
D. Frequent voiding minimizes the need for catheterization which increases the chance of
bladder infection
CORRECT ANSWER
Correct Answer: B
A full bladder can impair the efficacy of the uterine contractions and impede descent of the
fetus during labor
Q6 QUESTION 6 OF 129
A nurse is caring for a client in the active stage of labor. The nurse notes that the fetal pattern
shows a late deceleration on the monitor strip. Based on this finding the nurse should
prepare for which appropriate nursing action?
A. Administering oxygen via face mask
B. Placing the mother in a supine position
C. Increasing the rate of the intravenous (IV) oxytocin (Pitocin) infusion
D. Documenting the findings and continuing to monitor the fetal patterns
CORRECT ANSWER
Correct Answer: A
Late decelerations are caused by uteroplacental insufficiency as a result of decreased blood
flow and oxygen to the fetus during the uterine contractions. This causes hypoxemia; therefore
oxygen is necessary. The supine position is avoided because it decreases uterine blood flow to
the fetus. The client should be turned onto her side to displace pressure of the gravid uterus on
the inferior vena cava. An IV oxytocin infusion is discontinued when a late deceleration is noted;
otherwise the oxytocin would cause further hypoxemia because of increased uteroplacental
insufficiency caused by stimulation of contractions caused by the oxytocin. Option 4 would
delay necessary treatment.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
OB HESI Final Exam
Questions & Answers
2026-2027 | Updated
Maternal-Newborn
Review
Verified Answers Exam Ready With Rationales
129 QUESTIONS
DOCUMENT OVERVIEW
This document provides 129 OB HESI exam questions with their correct answers and
explanations, offering a comprehensive review of maternal-newborn nursing. It is suitable
for students preparing for certification exams, reviewing course material, or reinforcing
their understanding of key concepts in obstetric nursing.
CONTENTS
Page 1
, • Labor & Delivery • Pregnancy Assessment &
Complications
• Postpartum Care & Newborn • Reproductive Health & Fertility
• Pediatric Growth & Development • Pediatric Conditions & Management
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 129
A client who delivered an infant an hour ago tells the nurse the she feels wet underneath her
buttock. The nurse notes that the perineal pad is saturated and the client is lying in a 6-inch
diameter pool of blood. Which action should the nurse implement first?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
CORRECT ANSWER
Correct Answer: C
A firm uterus is needed to control bleeding from the placental site of attachment on the uterine
wall. The nurse should FIRST assess for firmness and massage the fundus as indicated.
Q2 QUESTION 2 OF 129
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from
small to large and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D.
prescribe Methergine 0.2 mg IM x 1. Which action should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
D. Call the HP to question the prescription
CORRECT ANSWER
Correct Answer: D
Methergine is contraindicated for clients with elevated BP, so the nurse should contact the HP
and question the prescription.
Page 2
, Q3 QUESTION 3 OF 129
The nurse should encourage the laboring patient to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
C. the cervix is completely dilated
C. the cervix is completely effaced
CORRECT ANSWER
Correct Answer: C
Pushing begins with the second stage of labor (i.e. when the cervix is completely dilated at 10
cm). Pushing before this point could case the cervix to become edematous = operative delivery.
Q4 QUESTION 4 OF 129
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her
husband is screaming for someone to help his wife. Which intervention has the highest
priority?
A. Use a thread to tie off the umbilical cord
B. Provide as much privacy as possible
C. Reassure the husband and try to keep him calm
D. Put the newborn to breast
CORRECT ANSWER
Correct Answer: D
Putting the newborn to breast will help contract the uterus and prevent a postpartum
hemorrhage. Preventing hemorrhage is the highest priority.
Page 3
, Q5 QUESTION 5 OF 129
The nurse caring for a laboring client encourages her to void at least q2h, and records each
time the client empties her bladder. What is the primary reason for implementing this
nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the presenting
fetal part
B. An over-distended bladder could be traumatized during labor, as well as prolong the
progress of labor
C. Urine specimens for glucose and protein must be obtained at certain intervals throughout
labor
D. Frequent voiding minimizes the need for catheterization which increases the chance of
bladder infection
CORRECT ANSWER
Correct Answer: B
A full bladder can impair the efficacy of the uterine contractions and impede descent of the
fetus during labor
Q6 QUESTION 6 OF 129
A nurse is caring for a client in the active stage of labor. The nurse notes that the fetal pattern
shows a late deceleration on the monitor strip. Based on this finding the nurse should
prepare for which appropriate nursing action?
A. Administering oxygen via face mask
B. Placing the mother in a supine position
C. Increasing the rate of the intravenous (IV) oxytocin (Pitocin) infusion
D. Documenting the findings and continuing to monitor the fetal patterns
CORRECT ANSWER
Correct Answer: A
Late decelerations are caused by uteroplacental insufficiency as a result of decreased blood
flow and oxygen to the fetus during the uterine contractions. This causes hypoxemia; therefore
oxygen is necessary. The supine position is avoided because it decreases uterine blood flow to
the fetus. The client should be turned onto her side to displace pressure of the gravid uterus on
the inferior vena cava. An IV oxytocin infusion is discontinued when a late deceleration is noted;
otherwise the oxytocin would cause further hypoxemia because of increased uteroplacental
insufficiency caused by stimulation of contractions caused by the oxytocin. Option 4 would
delay necessary treatment.
Page 4
