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HESI PN Obstetrics (OB) Exam 2026/2027 Updated – Complete Actual Exam Questions with Verified Detailed Answers, Nursing Practice Test & Study Guide for Instant Download

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This document contains the newest HESI PN OB (Obstetrics) exam questions and verified detailed answers for 2026/2027, designed to help nursing students prepare effectively for their HESI PN maternal health exam. It includes real-style exam questions, rationales, and explanations covering key obstetrics topics such as pregnancy physiology, prenatal care, complications of pregnancy, labor and delivery, postpartum care, and newborn assessment. The material is organized for easy revision and exam preparation, making it useful for last-minute study, practice testing, and concept review. It reflects the format and content commonly tested in practical nursing obstetrics exams.

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3/9/26, 7:59
AM
HESI PN OB EXAM NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED

When talking with a pregnant client who is D - Explanation
experiencing aching swollen, leg veins, the nurse would Pressure of the growing uterus on blood vessels
results in an increased risk for explain that this is most probably the result of which of venous stasis in
the lower extremities. Subsequently, edema and varicose vein the following? formation may occur.
Thrombophlebitis is an inflammation of the veins due to
thrombus formation. Pregnancy-induced hypertension is not
associated with

A. thrombophlebitis these symptoms. Gravity plays only a minor role with these
symptoms.

B. pregnancy induced hypertension

C. pressure on blood vessels from the enlarging uterus

D. the force of gravity pulling down on the uterus

Which of the following would cause a false-positive A - Explanation
result on a pregnancy test? A false-positive reaction can occur if the

pregnancy test is performed less than 10 days after an abortion.
Performing the

A. The test was performed less than 10 days after an tests too early or too late in the pregnancy, storing
the urine sample too long abortion at room temperature, or having a spontaneous or missed
abortion impending
B. The test was performed too
early or too late in the can all produce false- negative
results. pregnancy
C. The urine sample was stored too long
at room temperature
D.A spontaneous abortion or a missed
abortion is impending




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During a lecture on reproduction, a student nurse asks B. Explanation
the instructor what determines the sex of a fetus. The sex of the fetus is determined at the point that the
sperm fertilizes the Accurate information in response to this question wouldovum to form the zygote. Sex
is ultimately determined by the chromosome be: contributed by the sperm.


A. "The sex of the fetus is not determined
until the eighth week of gestation."
B. "The fertilization of the zygote is the
point at which sex is determined."
C. "Males have one less pair of
chromosomes than females."
D. "Sex is determined by the chromosomes
contributed by the ovum."

Pediazole is a suspension medication that contains 200 D. Explanation

mg erythromycin and 600 mg sulfisoxazole per 5 mL. 600 mg/
5 mL = x mg/ 4 mL The physician orders Pediazole 4 mL PO every 12
hours.
How many mg of sulfisoxazole is this client
receiving in 2400 =
5x a 24-hour period?
x= 2400/5
A. 160 mg
B. 320 mg x= 480 mg per dose x 2 = 960 mg in 24 hours.

C. 480 mg
D. 960 mg

A primigravida patient who is 12 weeks pregnant
visits a A, C,
E helath promotion program in the community
pertaining
to the pregnancy care. A group of nursing
student is educating the public about
measures to prevent
discomfort of pregnancy. The primigravida
patient asks one of the student about
measures on how to prevent heartburn she is

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experiencing throughout the day.
Select all the necessary measures to prevent
the primigravia patient's complaint.




A. Eating small, frequent meals and avoiding
fatty and spicy food
B. Eating high fiber foods and increase drinking fluids

C. Drinking milk between milk

D.Arranging frequent rest periods throughout the day
E. Sitting upright for 30 minutes after a meal

F. Engaging in regular exercise

The nurse identifies substance abuse behaviors


C. exhibited by a pregnant client during an
initial prenatal
screening. While promoting a therapeutic and Explanation

accepting environment, the care managment by the Use of substances during pregnancy can lead
to severe fetal or neonatal nurse would be MOST appropriate if focused on which abnormalities,
complications, and death. The primary goal of nursing care of the following? should be prevention
or elimination of substance use during pregnancy.


A. Discouraging substance use during pregnancy

B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy

D. Setting boundaries with the client in
regards to substance use



This is a dark streak down the midline of the abdomen
LINEA
NIGRA that may appear as the uterus is enlarging. The
LPN
correctly describes this to the pregnant woman as?

Cervical softening and uterine souffle are classified as C.

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which of the following? Explanation

Cervical softening (Goodell sign) and uterine soufflé are two
probable signs of
A. diagnostic signs pregnancy.Probable signs are objective findings that strongly
suggest

B. presumptive signs pregnancy. Other probable signs include Hegar sign, which is
softening of the

C. probable signs lower uterine segment; Piskacek sign, which is enlargement and
softening of

D. positive signs the uterus; serum laboratory tests; changes in skin pigmentation; and
ultrasonic evidence of a gestational sac. Presumptive signs are
subjective signs and
include amenorrhea; nausea and vomiting; urinary frequency;
breast tenderness and changes; excessive fatigue; uterine
enlargement; and quickening.

A client at 36 weeks' gestation is schedule for
a routine


B. ultrasound prior to an amniocentesis. After
teaching the
client about the purpose for the ultrasound, which of Explanation
the following client statements would indicate to the Before amniocentesis, a routine ultrasound is valuable
in locating the placenta, nurse in charge that the client needs further locating a pool of amniotic fluid,
and showing the physician where to insert the instruction? needle. Color Doppler imaging ultrasonography
identifies blood flow through
the umbilical cord. A routine ultrasound does not accomplish this.

A. The ultrasound will help to locate the placenta

B. The ultrasound identifies blood
flow through the umbilical cord


C. The test will determine where to insert the needle

D.The ultrasound locates a pool of amniotic fluid

A nursing instructor asks a nursing student to list
the A, B,
C, D functions of the amniotic fluid. The student
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