Maternity HESI Test Bank
2026 | Questions &
Answers | OB Nursing
Practice Exam
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
,Included
, The nurse is preparing a laboring client for an amniotomy. C. Fetal heart rate (FHR)
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information? Rationale:
The FHR should be assessed before and after the procedure to detect changes
A.Maternal blood pressure that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
B.Maternal temperature condition of the cervix is favorable. The fluid should be assessed for color, odor,
and consistency. Option A should be assessed every 15 to 20 minutes during labor
C.Fetal heart rate (FHR) but is not specific for AROM. Option B is monitored hourly after the membranes
are ruptured to detect the development of amnionitis. Option D should be
D.White blood cell count (WBC) determined for all clients in labor.
A nurse receives a shift change report for a newborn who B. Skin color that is slightly jaundiced
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
finding? bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in newborns;
A.Cyanosis of the hands and feet it occurs because the capillary system is immature. Milia are small white papules
present on the nose and chin that are caused by sebaceous gland blockage and
B.Skin color that is slightly jaundiced disappear in a few weeks. Small red patches on the cheeks and trunk are called
erythema toxicum neonatorum, a common finding in newborns.
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk
A breastfeeding postpartum client is diagnosed with A.Breastfeed the infant, ensuring that both breasts are completely emptied.
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client? Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
A.Breastfeed the infant, ensuring that both breasts are emptying of engorged breasts, eliminating the pressure on the inflamed breast
completely emptied. tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
B.Feed expressed breast milk to avoid the pain of the Option D will not decrease antibiotic effects on the infant.
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
A 38-week primigravida who works as a secretary and sits C.Move about every hour.
at a computer 8 hours each day tells the nurse that her
feet have begun to swell. Which instruction will aid in the Rationale:
prevention of pooling of blood in the lower extremities? Pooling of blood in the lower extremities results from the enlarged uterus
exerting pressure on the pelvic veins. Moving about every hour will relieve
A.Wear support stockings. pressure on the pelvic veins and increase venous return. Option A would increase
venous return from varicose veins in the lower extremities but would be of little
B.Reduce salt in the diet. help with swelling. Option B might be helpful with generalized edema but is not
specific for edematous lower extremities. Option D does not address venous
C.Move about every hour. return, and there is no indication in the question that constrictive clothing is a
problem.
D.Avoid constrictive clothing.
2026 | Questions &
Answers | OB Nursing
Practice Exam
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
,Included
, The nurse is preparing a laboring client for an amniotomy. C. Fetal heart rate (FHR)
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information? Rationale:
The FHR should be assessed before and after the procedure to detect changes
A.Maternal blood pressure that may indicate the presence of cord compression or prolapse. An amniotomy
(artificial rupture of membranes [AROM]) is used to stimulate labor when the
B.Maternal temperature condition of the cervix is favorable. The fluid should be assessed for color, odor,
and consistency. Option A should be assessed every 15 to 20 minutes during labor
C.Fetal heart rate (FHR) but is not specific for AROM. Option B is monitored hourly after the membranes
are ruptured to detect the development of amnionitis. Option D should be
D.White blood cell count (WBC) determined for all clients in labor.
A nurse receives a shift change report for a newborn who B. Skin color that is slightly jaundiced
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
finding? bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in newborns;
A.Cyanosis of the hands and feet it occurs because the capillary system is immature. Milia are small white papules
present on the nose and chin that are caused by sebaceous gland blockage and
B.Skin color that is slightly jaundiced disappear in a few weeks. Small red patches on the cheeks and trunk are called
erythema toxicum neonatorum, a common finding in newborns.
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk
A breastfeeding postpartum client is diagnosed with A.Breastfeed the infant, ensuring that both breasts are completely emptied.
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client? Rationale:Mastitis, caused by plugged milk ducts, is related to breast
engorgement, and breastfeeding during mastitis facilitates the complete
A.Breastfeed the infant, ensuring that both breasts are emptying of engorged breasts, eliminating the pressure on the inflamed breast
completely emptied. tissue. Option B is less painful but does not facilitate complete emptying of the
breast tissue. Option C will not relieve the engorgement on the affected side.
B.Feed expressed breast milk to avoid the pain of the Option D will not decrease antibiotic effects on the infant.
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
A 38-week primigravida who works as a secretary and sits C.Move about every hour.
at a computer 8 hours each day tells the nurse that her
feet have begun to swell. Which instruction will aid in the Rationale:
prevention of pooling of blood in the lower extremities? Pooling of blood in the lower extremities results from the enlarged uterus
exerting pressure on the pelvic veins. Moving about every hour will relieve
A.Wear support stockings. pressure on the pelvic veins and increase venous return. Option A would increase
venous return from varicose veins in the lower extremities but would be of little
B.Reduce salt in the diet. help with swelling. Option B might be helpful with generalized edema but is not
specific for edematous lower extremities. Option D does not address venous
C.Move about every hour. return, and there is no indication in the question that constrictive clothing is a
problem.
D.Avoid constrictive clothing.
