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HESI Maternity OB Exam Version 3 Updated 2026/2027 – Complete Questions with Verified Correct Answers & Detailed Rationales | Instant Download Study Guide

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This document includes HESI Maternity OB Exam Version 3 questions with verified correct answers and detailed rationales updated for 2026/2027 to help nursing students prepare effectively for maternal-newborn and obstetrics nursing exams. The material covers key topics such as pregnancy complications, epidural anesthesia monitoring, newborn congenital conditions, maternal assessment, medication dosage calculations, postpartum care, and pediatric considerations. The questions are organized in realistic HESI-style exam format with clear explanations designed to strengthen clinical reasoning and reinforce high-yield concepts frequently tested on maternity and OB nursing exams. This resource is ideal for practice testing, quick revision, and last-minute exam preparation.

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3/9/26, 8:05
AM


HESI MATERNITY OB EXAM VERSION 3 QUESTIONS WITH CORRECT ANSWERS 2026 UPDATE.

1. A primipara has delivered a a. Provide an opportunity for the parents to hold their
stillborn fetus at 30-weeks infant in privacy.
gestation. To assist the parents
with the grieving process, which
intervention is most important for
the nurse to implement?
a. Provide an opportunity for the

parents to hold their infant in
privacy.
b. Assist the couple in

completing a request for
autopsy.
c. Encourage the couple to seek

family counseling within the
next few weeks.
d. Explain the possible causes of fetal

demise.

2.What is the priority nursing a. Body temperature.
assessment immediately following
the birth of an infant with
esophageal atresia and a
tracheoesophageal (TE) fistula?
a. Body temperature.

b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.

3. Whatis the most important a. Maternal blood pressure.
assessment for the nurse to
conduct following the
administration of
epidural anesthesia to a client who is
at 40-weeks gestation?
a. Maternal blood pressure.

b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate

4. A 34-week primigravida woman 75ml/hr
with preeclampsia is receiving
Lactated Ringer's 500ml with
magnesium sulfate 20 grams at the
rate of 3g/hr. How many ml/hr
should the nurse program the
infusion pump? (Enter numeric
https://quizlet.com/949736740/2024-hesi-maternity-ob-exam-version-3- 1/21
flash-cards/

,3/9/26, 8:05
AM

value only.

5. A 6-year-old with heart failure (HF) c. Assess bilateral lung sounds.
gained 2 pounds in the last 24
hours. Which intervention is more
important for the nurse to
implement?
a. Graph the daily weight for the past

week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.

6. Amother of a 3-year-old boy has a. Explainthat newborns get milk from their mothers in
just given birth to a new baby girl. this way.
The little boy asks the b. Reassure the older brother that is does not hurt his
nurse, <Why is my baby sister eating mother.
my mommy's breast?= How should
c. Remind him that his mother breastfed him too.
the nurse respond?
(Select all that apply.)
a. Explain that newborns get milk
from their mothers in this way.
b. Reassure the older brother that is

does not hurt his mother.
c. Remind him that his mother breastfed

him too.
d. Suggestthat the baby can also drink
from a bottle.
e. Clarify
the breastfeeding is his
mother's choice.

7.The nurse is examining an d. Place the infant in a warm room and use a calm
infant for possible approach.
cryptorchidism. Which exam
technique should be used?
a. Place the infant in side-lying

position to facilitate the exam.
b. Hold the penis and retract the

foreskin gently.
c. Cleansethe penis with an antiseptic-
soaked pad.
d. Place
the infant in a warm
room and use a calm approach.

8.The nurse is planning care for a a. Betamethasone (Celestone) 12mg deep IM
client at 30-weeks gestation who
is experiencing preterm labor.

https://quizlet.com/949736740/2024-hesi-maternity-ob-exam-version-3- 2/21
flash-cards/

, 3/9/26, 8:05
AM
What maternal prescription is
most important in preventing
this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg

deep IM.
b. Butorphanol 1mg IV push q2h PRN
pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline
(Brethine) 0.25mg
subcutaneously q15 minutes x3.

9. Insulin
therapy is initiated for a 12- a. Monitorserum glucose for adjustment in
year-old child who is admitted with infusion rate of regular insulin (Novolin R).
diabetic ketoacidosis
(DKA). Which action is most important
for the nurse it include in the child's
plan of care?
a. Monitor serum glucose for

adjustment in infusion rate of
regular insulin (Novolin R).
b. Determine the child's

compliance schedule for
subcutaneous NPH insulin
(Humulin N).
c. Demonstrate to parents how to

program an insulin pen for daily
glucose regulation.
d. Consult with healthcare provider

about use of insulin detemir
10. A 3-month-old with b. Change to latex-free gloves when handling infant
myelomeningocele and atonic
bladder is catheterized every
4hrs to prevent
urinary retention. The home health
nurse notes that the child has
developed episodes of sneezing,
urticarial, watery eyes, and a rash
in the diaper area. What action is
most important
for the nurse to take?
a. Auscultate
the lungs for respiratory
pneumonia.
b. Change to latex-free gloves when
handling infant.
c. Draw blood to analyze for
streptococcal infection.
d. Apply zinc oxide to perineum
https://quizlet.com/949736740/2024-hesi-maternity-ob-exam-version-3- 3/21
flash-cards/

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