HESI Maternity Questions
and Answers 2026– OB HESI
Practice 2026 Complete
Guide
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,HESI Maternity Questions And Answers 2025, OB HESI practice 2024 2026-03-05
During stage two of labor, what assessments must the A, B, C, D, E, F
labor nurse perform? (Select all that apply.)
The nurse must assess the fetal heart rate before, during and after the
A. Fetal heart rate before the contraction contractions to determine the fetal response to the contractions. Frequency
B. Fetal heart rate during the contraction may slow during the second stage. Duration will help facilitate decent of the
C. Fetal heart rate after the contraction presenting part. The uterine tone between contractions should be soft to
D. Frequency of contractions facilitate placental filling after the contraction.
E. Duration of contractions
F. Uterine tone between contractions
A 41-week multigravida is receiving oxytocin to D. Increase the rate of the oxytocin infusion.
augment labor. Contractions are firm and occurring
every 5 minutes, with a 30- to 40-second duration. The The goal of labor augmentation is to produce firm contractions that occur
fetal heart rate increases with each contraction and every 2 to 3 minutes, with a duration of 60 to 70 seconds, and without
returns to baseline after the contraction. What is the evidence of fetal stress. FHR accelerations are a normal response to
next nursing action? contractions, so the oxytocin (Pitocin) infusion should be increased per
protocol to stimulate the frequency and intensity of contractions. Options A
A. Place a wedge under the client's left side. and C are indicated for fetal stress. A sterile vaginal examination places the
B. Determine cervical dilation and effacement. client at risk for infection and should be performed when the client exhibits
C. Administer 10 L of oxygen via facemask. signs of progressing labor, which is not indicated at this time.
D. Increase the rate of the oxytocin infusion.
Page 2 HESI Maternity Questions And Answers 2025, OB HESI practice 2024.pdf
,HESI Maternity Questions And Answers 2025, OB HESI practice 2024 2026-03-05
The nurse is teaching a prenatal class about the A, B, C, D
structure of the pelvis and is using a model of a pelvis
in the presentation. Which statements will the nurse A gynecoid shape pelvis is the most favorable for birthing. The remaining
include in the teaching plan? (Select all that apply.) statements are true.
A. "The baby has to pass through the true pelvis."
B. "The pelvis consists of three distinct features."
C. "The true pelvis is below the pelvic brim."
D. "The ischial spines determine how low the baby is
located."
E. "The shape of the pelvis does not impact the labor
process."
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, HESI Maternity Questions And Answers 2025, OB HESI practice 2024 2026-03-05
A 38-week primigravida works as an office assistant C. Move about every hour.
and sits at a computer 8 hours each day. She tells the
nurse that her feet have begun to swell. Which Pooling of blood in the lower extremities results from the enlarged uterus
instruction will aid in the prevention of pooling of exerting pressure on the pelvic veins. Moving about every hour will relieve
blood in the lower extremities? pressure on the pelvic veins and increase venous return. Option A would
increase venous return from varicose veins in the lower extremities but would
A.Wear support stockings. be of little help with swelling. Option B might be helpful with generalized
B. Reduce salt in the diet. edema but is not specific for edematous lower extremities. Option D does not
C. Move about every hour. address venous return, and there is no indication in the question that
D. Avoid constrictive clothing. constrictive clothing is a problem.
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