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

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This document includes HESI OB exam questions with verified correct answers and detailed rationales updated for 2026/2027 to help nursing students prepare for maternal-newborn and obstetric nursing examinations. The material covers important topics such as prenatal diagnostic procedures, pregnancy physiological changes, newborn assessment, neonatal temperature instability, and priority nursing interventions. The questions are presented in HESI-style exam format with clear explanations designed to strengthen clinical reasoning and help students master high-yield maternity and obstetric nursing concepts commonly tested on nursing exams. This study guide is ideal for practice testing, quick review, and effective exam preparation.

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3/9/26, 8:06
AM


HESI OB COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)/GRADE A+ ASSURED
1. At 10 weeks gestation, a high-risk
multiparous client A. Uterine cramping. with a
family history of Down syndrome is admitted for
observation following a chorionic
villavilla sampling (CVS)
procedure. What assessment
finding requires immediate
intervention?

A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D.Abdominal tenderness.

2. A client states, "During the three
months I've been D. The growing uterus is putting
pressure on the bladder. pregnant, it seems like I have had to go to the
bathroom every five minutes."
Which explanation should the
nurse provide to this client?

A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. Duringpregnancy a woman is
especially sensitive to body
functions.
D.The growing uterus is putting

pressure on the bladder.

3. The nurse assesses a male newborn and determines C.
Assess the infant's blood glucose level. that he has the following
vital signs: axillary temperature
95.1 F, heart rate 136 beats/minute
and a respiratory rate of 48
breaths/minute. Based on these
findings, which action should the
nurse take first?

A. Notify the pediatrician of the infant's vital signs.
B. Encourage the infant to take
the breast or sugar water.
C. Assess the infant's blood glucose level.

D. Check the infant's arterial blood gases.
https://quizlet.com/565737136/hesi-ob-practice-exam- 1/24
flash-cards/

,3/9/26, 8:06
AM

4. Aninfant in respiratory distress is placed on pulse B.
Begin humidified oxygen via hood. oximetry. The oxygen
saturation indicates 85%. What is
the priority nursing intervention?


A. Evaluate the blood pH.
B. Begin humidified oxygen via hood.
C. Place the infant under a radiant warmer.
D. Stimulate infant crying.

5. When assessing a newborn infant's heart rate, which A. Count
the heart rate for at least one full minute. technique is most important
for the nurse to use?

A. Count the heart rate for at least one full minute.
B. Quiet the infant before counting the heart rate.
C. Palpate the umbilical cord.
D. Listen at the apex of the heart.

6. Thenurse prepares to administer an injection of B. Explore the mother's
concern about the infant receiving an injection of vitamin K to a newborn infant. The
mother tells the vitamin K.
nurse, "Wait! I don't want my baby
to have a shot." Which response
would be best for the nurse to
make?

A. Inform the mother that the
injection was prescribed by the
healthcare provider.
B. Explore the mother's concern

about the infant receiving an
injection of vitamin K.
C. Remind the mother that all

babies receive the shot and it is
relatively painless.
D. Explain that vitamin K is required

by state law and compliance is
mandatory.

7.The nurse is teaching a new mother about diet andD. Avoid alcohol
because it is excreted in breast milk. breastfeeding. Which instruction is
most important to
include in the teaching plan?


A. Double prenatal milk intake to

https://quizlet.com/565737136/hesi-ob-practice-exam- 2/24
flash-cards/

, 3/9/26, 8:06
AM
improve vitamin D transfer to
the infant.
B. Increase caloric intake by

approximately 500
calories/day.
C. Avoid spicy foods to prevent infant colic.

D.Avoid alcohol because it is excreted in breast milk.

8. Which nursing intervention best enhances maternal- D. Encourage
early initiation of breast or formula feeding. infant bonding during the
fourth stage of labor?

A. Brighten the lighting so the
mother can view the infant.
B. Provide positive reinforcement for

maternal care of infant.
C. Complete a newborn

assessment as quickly as
possible.
D. Encourage early initiation of

breast or formula feeding.


9. A
client at 8-weeks gestation ask the nurse about the B. The heart
develops in the third to fifth weeks after conception. risk for congenital heart
defect (CHD) in her baby.
Which response best explains when a CHD may occur?


A. They usually occur in the first trimester pregnancy.
B. The heart develops in the
third to fifth weeks after
conception.
C. It depends on what the

causative factors are for a CHD.
D. We don't really know what or when CHDs occur.


10 A client at 8-months gestation tells the nurse that she C. The fetus in utero is
capable of hearing and does respond to the mother's knows her baby listens to her,
but her husband thinks voice.
she is imagining things. What
information should the nurse
provide?

A. The
interaction between the
mother's voice and the fetus's
response ensures bonding.
B. The healthcare provider should
address her concerns about her
https://quizlet.com/565737136/hesi-ob-practice-exam- 3/24
flash-cards/

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