HESI Maternity and OB Nursing Exam 2026
Test Bank: Complete Study Questions with
Verified Answers
A primigravida arrives at the observation unit of the maternity unit because thinks
is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal heart
rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this time? -
answer-Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy - answer-B. provide a time for the parents
to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
,A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - answer-A. body temperature
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What
nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at
all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - answer-D. remove
restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-month-
old child something besides breast milk, but is concerned that the infant is too
young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
,D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
answer-D. reassure the mother that the infant is old enough to eat iron-fortified
cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes
a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - answer-D. Change the maternal position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies -
answer-D. RhoGam prevents maternal antibody formation for future Rh-positive
babies
A 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
A. Weak cry without any tears
, B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - answer-A. Weak cry without any
tears
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
C. Stimulate the infant to cry
D. Turn the infant onto the right side - answer-C. Stimulate the infant to cry
A client at 40-weeks' gestation presents to the obstetrical floor and indicates that
the amniotic membranes ruptured spontaneously at home. She is in active labor
and feels the need to bear down and push. What information is most important
for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured. - answer-C. color and consistency
of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic.
Which action should the nurse implement first?A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position
Test Bank: Complete Study Questions with
Verified Answers
A primigravida arrives at the observation unit of the maternity unit because thinks
is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal heart
rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this time? -
answer-Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy - answer-B. provide a time for the parents
to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
,A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - answer-A. body temperature
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What
nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at
all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - answer-D. remove
restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-month-
old child something besides breast milk, but is concerned that the infant is too
young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
,D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
answer-D. reassure the mother that the infant is old enough to eat iron-fortified
cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes
a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - answer-D. Change the maternal position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies -
answer-D. RhoGam prevents maternal antibody formation for future Rh-positive
babies
A 6-week-old infant diagnosed with pyloric stenosis has recently developed
projectile vomiting. Which assessment finding indicates to the nurse that the
infant is becoming dehydrated?
A. Weak cry without any tears
, B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - answer-A. Weak cry without any
tears
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. What should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
C. Stimulate the infant to cry
D. Turn the infant onto the right side - answer-C. Stimulate the infant to cry
A client at 40-weeks' gestation presents to the obstetrical floor and indicates that
the amniotic membranes ruptured spontaneously at home. She is in active labor
and feels the need to bear down and push. What information is most important
for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured. - answer-C. color and consistency
of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic.
Which action should the nurse implement first?A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position
