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HESI PN OB Exam Latest 2026/2027 Updated – Complete Actual Questions with Verified Correct Answers & Detailed Rationales | Instant Download Study Guide

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This document includes HESI PN OB exam questions with verified correct answers and detailed rationales updated for 2026/2027 to help practical nursing students prepare effectively for maternal-newborn and obstetrics nursing exams. The material covers essential OB topics such as pregnancy assessment, prenatal care, maternal physiological changes, pregnancy testing interpretation, labor monitoring, and common pregnancy complications. The questions are organized in HESI-style exam format with clear explanations designed to strengthen clinical reasoning and reinforce high-yield concepts frequently tested in PN maternity and obstetrics nursing exams. This resource is ideal for practice testing, focused revision, and last-minute exam preparation.

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HESI PN OB EXAM LATEST 2026/27 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT, 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 would ovum 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
experiencing throughout the day.
Select all the necessary measures
to prevent the primigravia
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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 theUse 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.
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
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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




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