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

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This document contains HESI OB / Maternity exam questions with verified correct answers and detailed rationales updated for 2026/2027. The material covers key maternal-newborn nursing topics including newborn scalp conditions, prenatal assessment findings, cardiovascular changes during pregnancy, neonatal phototherapy care, and fetal monitoring in late-term labor. The questions are organized in realistic HESI-style exam format with clear explanations designed to help nursing students strengthen clinical reasoning and prepare effectively for maternity, obstetrics, and maternal-newborn nursing exams. This study guide is ideal for practice testing, focused revision, and mastering high-yield concepts commonly tested on HESI OB and maternity exams.

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3/9/26, 8:08
AM
HESI OB/MATERNITY EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
While assessing a newborn the nurse Caput succedaneum.
observes diffuse edema of the soft
tissues of the scalp that cross the
suture lines. How should the
nurse document this finding?
Molding.
Hemangi
oma.
Cephalohemato
ma. Caput
succedaneum.

A client at 35-weeks gestation visits Periodic abdominal pain.
the clinic for a prenatal check-up.
Which complaint by the client
warrants further assessment by
the nurse?
Periodic abdominal
pain. Ankle edema
in the afternoon.
Backache with prolonged
standing. Shortness of breath
when climbing stairs.

Which cardiovascular findings should Decrease in pulse rate.
the nurse assess further in a client
who is at 20-weeks gestation?
Decrease in pulse rate.
Decrease in blood pressure.
Increase in heart sounds (S1, S2).
Increase in red blood cell production.

What action should the nurse Place an eyeshield over the eyes.
implement when caring for a
newborn receiving phototherapy?
Reposition every 6 hours.
Place an eyeshield over
the eyes. Limit the
intake of formula.
Apply an oil-based lotion to the skin.

Which finding for a client in labor at One fetal movement noted in an hour.
41-weeks gestation requires
additional assessment by the
nurse?

https://quizlet.com/743773486/hesi-obmaternity-practice-questions- 1/
flash-cards/ 16

,3/9/26, 8:08
AM
Cervix dilated 2 cm and
50% effaced. Score of 8
on the biophysical
profile. Fetal heart rate of
116 beats per minute. One
fetal movement noted in
an hour.

A multigravida client at 35-weeks Blurred vision.
gestation is
diagnosed with pregnancy-induced
hypertension (PIH). Which symptom
should the nurse instruct the client to
report immediately?
Backache.
Constipation
. Blurred
vision.
Increased urine output.

A client at 28-weeks gestation Changes in fetal heart rate patterns.
experiences blunt
abdominal trauma. Which parameter
should the nurse assess first for
signs of internal hemorrhage?
Vaginal bleeding.
Complaints of abdominal
pain. Changes in fetal
heart rate patterns.
Alteration in maternal
blood pressure.

A nulliparous client telephones the Ask the client to describe why she thinks she is in
labor and delivery unit to report that labor.
she is in labor. What action should
the nurse implement?
Emphasize that food and fluid
intake should stop. Tell the
woman to stay home until her
membranes rupture.
Ask the client to describe why she
thinks she is in labor. Suggest the
client to come to the hospital for
labor evaluation.

A client with asthma who is 8 hours Oxytocin (Pitocin).
post-delivery is experiencing
postpartum hemorrhage. Which
prescription should the nurse
https://quizlet.com/743773486/hesi-obmaternity-practice-questions- 2/
flash-cards/ 16

, 3/9/26, 8:08
AM
administer? Oxytocin (Pitocin).
Ibuprofen
(Motrin). Fentanyl
(Sublimaze).
Hemabate (Carboprost).

A 36-week gestation client with Respiratory rate of 11 breaths/minute.
pregnancy-induced hypertension
(PIH) is receiving an IV infusion of
magnesium sulfate. Which
assessment finding should the
nurse report to the healthcare
provider?
Blood pressure of 100/60 mm Hg.
Fetal heart rate of 120 to 125
beats/minute. Contractions
occurring every 30 minutes.
Respiratory rate of 11
breaths/minute.


What action should the nurse Prepare the family to explore ways to cope with the
implement with the family when an imminent death of the infant.
infant is born with anencephaly?
Ensure that measures to
facilitate the attachment
process are offered.
Prepare the family to explore ways
to cope with the imminent death of
the infant.
Inform the family about multiple
corrective surgical procedures that
will be needed.
Provide emotional support to
facilitate the consideration of fetal
organ donation.

The nurse notes a pattern of the fetal Give 10 liters of oxygen via face mask.
heart rate
decreasing after each contraction.
What action should the nurse
implement?
Give 10 liters of oxygen via face mask.
Prepare for an emergency
cesarean section. Continue to
monitor the fetal heart rate
pattern. Obtain an oral
maternal temperature.

https://quizlet.com/743773486/hesi-obmaternity-practice-questions- 3/
flash-cards/ 16

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