OB HESI/FINAL, HESI with Rationale 12, HESI
OB/MATERNITY Practice Quiz, HESI questions and answers
2026\2027 A+ Grade
A client who delivered an infant an hour ago tells the nurse the she feels wet underneath her buttock.
The nurse notes that the perineal pad is saturated and the client is lying in a 6-inch diameter pool of
blood. Which action should the nurse implement first?`
- correct answer C. Palpate the firmness of the fundus
A woman who thinks she could be pregnant calls her neighbor, who is a nurse, to ask when she should
use a home pregnancy test. Which response is appropriate?`
- correct answer A. "A home pregnancy test can be used right after your first missed period."
When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the
nurse include in the teaching plan? (Select all that apply)`
- correct answer A. Mood swings
C. Tearfulness
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large
and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2
mg IM x 1. Which action should the nurse take immediately?`
- correct answer D. Call the HP to question the prescription
The nurse should encourage the laboring patient to begin pushing when`
- correct answer C. the cervix is completely dilated
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and
magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the
therapeutic drug level has been achieved?`
- correct answer C. A decrease in RR from 24 to 16
,Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood
between the periosteum and skull which does not cross the suture line is a newborn variation known as`
- correct answer A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
A couple has been trying to conceive for nine months without success. Which information obtained from
the clients is most likely to have an impact on the couple's ability to conceive a child?`
- correct answer D. They use lubricants with each sexual encounter to decrease friction
Which action should the nurse implement when preparing to measure the fundal height of a pregnant
client?`
- correct answer A. Have the client empty the bladder
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is
screaming for someone to help his wife. Which intervention has the highest priority?`
- correct answer D. Put the newborn to breast
A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small
amount of vaginal bleeding which she describes as bright red. She further states that she is not
experiencing any uterine contractions or abdominal pain. Which instruction should the nurse provide?`
- correct answer A. Come to the clinic today for an ultrasound
An expectant father tells the nurse he fears that his wife "is losing her mind." He states she is constantly
rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves
too much. What recommendation should the nurse make to this expectant father?`
- correct answer D. Let him know that these are normal maternal/fetal bonding behaviors which occur
once the mother feels fetal movement
The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark
red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute,
cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the
nurse implement?`
- correct answer D. Perform Leopold's maneuvers
,A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?`
- correct answer B. Extend the leg and dorsiflex the foot
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time?`
- correct answer B. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended
for which purpose?`
- correct answer B. Screen for neural tube defects
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?`
- correct answer D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb their hair"
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she
has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse
correctly calculates that the woman's next fertile period is`
- correct answer C. January 30-31
The nurse caring for a laboring client encourages her to void at least q2h, and records each time the
client empties her bladder. What is the primary reason for implementing this nursing intervention?`
- correct answer B. An over-distended bladder could be traumatized during labor, as well as prolong the
progress of labor
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for the nurse to implement?`
- correct answer A. Describe diet changes that can improve the management of her diabetes
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room.
She sure has a funny looking head." Which response by the nurse is best?`
- correct answer A. This is not an unusual shaped head. espec
, The nurse observes a 4-year-old boy in a day care setting. Which behavior should the nurse consider
normal for this child?`
- correct answer C. Demonstrates aggressiveness by boasting when telling a story
A six month old returns from surgery with elbow restraints. What nursing care should be included when
caring for a child in restraints?`
- correct answer B. Remove restraints one at a time and provide ROM exercises
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently
developed. Which recommendation should the nurse provide?`
- correct answer C. Wash the hair and skin frequently with soap and hot water
What preoperative nursing intervention should be included in the plan of care for an infant w/ pyloric
stenosis?`
- correct answer D. Observe for projectile vomiting
A 2-year-old child with Downs Syndrome is brought to the clinic for his regular physical exam. The nurse
knows which problem is frequently associated with DS`
- correct answer A. Congenital heart disease
Which action by the nurse is most helpful in communicating with a preschool-aged child?`
- correct answer B. Use a doll to play and communicate
The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118, and Resp. 24. The child's pedal
pulses are present w/ a volume of +1, and no edema is observed. What action should the nurse
implement first?`
- correct answer B. Start an IV infusion of normal saline
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress to the
parents the importance of obtaining which diagnostic testing?`
- correct answer B. Eye exams
A child falls on the playground and is brought to the school nurse with a small laceration on the forearm.
Which action should the nurse implement first?`
- correct answer C. Wash the wound gently with mild soap and water
OB/MATERNITY Practice Quiz, HESI questions and answers
2026\2027 A+ Grade
A client who delivered an infant an hour ago tells the nurse the she feels wet underneath her buttock.
The nurse notes that the perineal pad is saturated and the client is lying in a 6-inch diameter pool of
blood. Which action should the nurse implement first?`
- correct answer C. Palpate the firmness of the fundus
A woman who thinks she could be pregnant calls her neighbor, who is a nurse, to ask when she should
use a home pregnancy test. Which response is appropriate?`
- correct answer A. "A home pregnancy test can be used right after your first missed period."
When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the
nurse include in the teaching plan? (Select all that apply)`
- correct answer A. Mood swings
C. Tearfulness
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large
and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2
mg IM x 1. Which action should the nurse take immediately?`
- correct answer D. Call the HP to question the prescription
The nurse should encourage the laboring patient to begin pushing when`
- correct answer C. the cervix is completely dilated
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and
magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the
therapeutic drug level has been achieved?`
- correct answer C. A decrease in RR from 24 to 16
,Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood
between the periosteum and skull which does not cross the suture line is a newborn variation known as`
- correct answer A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
A couple has been trying to conceive for nine months without success. Which information obtained from
the clients is most likely to have an impact on the couple's ability to conceive a child?`
- correct answer D. They use lubricants with each sexual encounter to decrease friction
Which action should the nurse implement when preparing to measure the fundal height of a pregnant
client?`
- correct answer A. Have the client empty the bladder
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is
screaming for someone to help his wife. Which intervention has the highest priority?`
- correct answer D. Put the newborn to breast
A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small
amount of vaginal bleeding which she describes as bright red. She further states that she is not
experiencing any uterine contractions or abdominal pain. Which instruction should the nurse provide?`
- correct answer A. Come to the clinic today for an ultrasound
An expectant father tells the nurse he fears that his wife "is losing her mind." He states she is constantly
rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves
too much. What recommendation should the nurse make to this expectant father?`
- correct answer D. Let him know that these are normal maternal/fetal bonding behaviors which occur
once the mother feels fetal movement
The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark
red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute,
cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the
nurse implement?`
- correct answer D. Perform Leopold's maneuvers
,A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?`
- correct answer B. Extend the leg and dorsiflex the foot
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time?`
- correct answer B. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended
for which purpose?`
- correct answer B. Screen for neural tube defects
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?`
- correct answer D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb their hair"
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she
has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse
correctly calculates that the woman's next fertile period is`
- correct answer C. January 30-31
The nurse caring for a laboring client encourages her to void at least q2h, and records each time the
client empties her bladder. What is the primary reason for implementing this nursing intervention?`
- correct answer B. An over-distended bladder could be traumatized during labor, as well as prolong the
progress of labor
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for the nurse to implement?`
- correct answer A. Describe diet changes that can improve the management of her diabetes
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room.
She sure has a funny looking head." Which response by the nurse is best?`
- correct answer A. This is not an unusual shaped head. espec
, The nurse observes a 4-year-old boy in a day care setting. Which behavior should the nurse consider
normal for this child?`
- correct answer C. Demonstrates aggressiveness by boasting when telling a story
A six month old returns from surgery with elbow restraints. What nursing care should be included when
caring for a child in restraints?`
- correct answer B. Remove restraints one at a time and provide ROM exercises
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently
developed. Which recommendation should the nurse provide?`
- correct answer C. Wash the hair and skin frequently with soap and hot water
What preoperative nursing intervention should be included in the plan of care for an infant w/ pyloric
stenosis?`
- correct answer D. Observe for projectile vomiting
A 2-year-old child with Downs Syndrome is brought to the clinic for his regular physical exam. The nurse
knows which problem is frequently associated with DS`
- correct answer A. Congenital heart disease
Which action by the nurse is most helpful in communicating with a preschool-aged child?`
- correct answer B. Use a doll to play and communicate
The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118, and Resp. 24. The child's pedal
pulses are present w/ a volume of +1, and no edema is observed. What action should the nurse
implement first?`
- correct answer B. Start an IV infusion of normal saline
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress to the
parents the importance of obtaining which diagnostic testing?`
- correct answer B. Eye exams
A child falls on the playground and is brought to the school nurse with a small laceration on the forearm.
Which action should the nurse implement first?`
- correct answer C. Wash the wound gently with mild soap and water
