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HESI Maternity Obstetrics (OB) Exam Version 2 Updated 2026/2027 – Actual Exam Questions with Verified Correct Answers & Detailed Rationales | Instant Download Study Guide

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This document contains HESI Maternity OB Exam Version 2 questions with verified correct answers and detailed explanations updated for 2026/2027. The material focuses on essential maternal-newborn nursing topics including newborn conditions, pregnancy complications, fetal monitoring, vaginal bleeding disorders, obstetric infections, and emergency maternal assessments. It provides exam-style questions with clear rationales to help nursing students master key concepts tested in HESI maternity and obstetrics exams. This resource is ideal for practice testing, quick revision, and strengthening clinical reasoning before the HESI or nursing maternity exam.

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3/9/26, 8:01
AM

HESI MATERNITY OB EXAM VERSION 2 QUESTIONS
WITH CORRECT ANSWERS 2026/2027 UPDATE.
1. The nurse is
providing care for a newborn who was C.
Cephalhematoma delivered vaginally assisted by
forceps.
The nurseobserves red marks on the
head with swelling that does not cross
the suture line.
Which condition should the nurse
documents in the medical record?
A. Caput succedaneum

B. Hydrocephalus

C. Cephalhematoma

D. Microcephaly


2. A client at 34 weeks gestation comes to the
birthing B. Placenta
Previa center complaining of vaginal bleeding
that began one hour ago. The nurse
assessment reveals approximately
30ML of bright red
vaginal bleeding. Fetal rate of 130 - 140
beats per minute, no contractions
and no
complaints of pain what is the most
likely cause of these client's
bleeding.
A Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicting induction of labor
D. A ruptured blood vessel in the vaginal vault.

3. A client at 30 weeks gestation reports that she has A. Fetal
Heart rate 60 beats per minute not felt the baby move in the last 24
hours. Concerned
she arrives in a panic at the obstetric
clinic where she is immediately sent to
the hospital. which assessment
warrants immediate intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
C. onset of uterine contractions
D. leaking amniotic fluid.

4. A client at 37 weeks gestation presents to labor and
C. Herpes
Simplex Virus delivery with contractions every two
minutesthe nurse observes several

https://quizlet.com/946867149/2024-hesi-maternity-ob-exam-version-2- 1/13
flash-cards/

, 3/9/26, 8:01
AM
shallow small vesicles on her pubis
labia and
perineum. the nurse should recognize
the clients is prohibiting symptoms of
which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles

5.The nurse is planning care for a client at 30 weeks B.
Betamethasone 12 mg deep IM gestation who is experiencing
preterm labor which
maternity prescription is most important
in preventing this fetus from
developing respiratory distress
syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D. Butorphanol tartrate 1mg IV push q2h PRN.

6. A 16 year old gravida 1 para 0 client has just been B.
Keep an airway at the bedside admitted to the hospital with a
diagnosis of eclampsia.
She's not presently convulsing. Which intervention
should the nurse plan to include in this
client's nursing care plan?
A Allow liberal family visitation
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and
respiration every 4 hours.

7. At 12 hours after the birth of a healthy infant the C. Inspect
clients perineal and rectal areas mother complains of feeling constant
vaginal pressure.
The nurse determines the fundus is
firm and at midline with moderate
rubra lochia. which action should nurse
take?
A Check the suprapubic area for distention.
B. Inform the client to take a warm sitz bath
C. Inspect clients perineal and rectal areas
D. Apply a fresh pad and check in 1 hour.

8. If primigravida at 36 weeks gestation who is RH B. Mild
contractions every 10 minutes. negative experienced abdominal
trauma ina motor
vehicle collision. Which assessment
https://quizlet.com/946867149/2024-hesi-maternity-ob-exam-version-2- 2/13
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