HESI OB MATERNITY EXAM LATEST QUESTIONS WITH CORRECT
ANSWERS| 100% VERIFIED ALREADY GRADED A+ NEW UPDATE
2026-2027
A multigravida client at 41-weeks gestation presents in the labor and delivery unit
after a non-stress test indicated that the fetus is experiencing some difficulties in
utero. Which diagnostic test should the nurse prepare the client for additional
information about the fetus?
A. Biophysical profile (BPP)
B. Ultrasound for fetal anomalies
C. Maternal serum alpha-fetoprotein (AF) screening
D. Percutaneous umbilical blood sampling (PUBS) - ANS... -A. Biophysical
profile (BPP)
BPP provides data regarding fetal risk in 5 areas
A multigravida client arrives at the labor and delivery unit and tells the nurse that
her "bag of water" has broken. The nurse identifies the presence of meconium fluid
on the perineum and determines the fetal heart rate is between 140 to 150
beats/minute. What action should the nurse implement next?
A. Complete a sterile vaginal exam
B. Take maternal temperature every 2 hours
C. Prepare for an immediate cesarean birth
D. Obtain sterile suction equipment - ANS... -A. Complete a sterile vaginal exam
B and D can be done after A
While breastfeeding, a new mother strokes the top of her baby's head and asks the
nurse about the baby's swollen scalp. The nurse responds that the swelling is caput
succedaneum. Which additional information should the nurse provide this new
mother?
A. the infant should be positioned to reduce the swelling
B. The swelling is a subperiosteal collection of blood
C. The pediatrician will aspirate the blood if it gets larger
D. the scalp edema will subside in a few days after birth - ANS... -D. the scalp
edema will subside in a few days after birth
,caput succedaneum is caused by pressure on the fetal head against the cervix
during labor
A 40-week gestation primigravida client is being induced with an oxytocin
secondary infusion and complains of pain in her lower back. Which intervention
should the nurse implement?
A. Discontinue the oxytocin infusion
B. Place the client in a semi-Fowler's position
C. Inform the healthcare provider
D. Apply firm pressure to sacral area - ANS... -D. Apply firm pressure to sacral
area
What action should the nurse implement to decrease the client's risk for
hemorrhage after a cesarean section?
A. Monitor urinary output via an indwelling catheter
B. Assess the abdominal dressings for drainage
C. Give the Ringer's Lactated infusion at 125 ml/hr
D. Check the firmness of the uterus every 15 minutes - ANS... -D. Check the
firmness of the uterus every 15 minutes
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
A. Blood glucose level of 45 mg/dl
B. Blood pressure of 82/45 mmHg
C. Non-bulging anterior fontanel
D. Central cyanosis when crying - ANS... -D. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare provider
for determination of a possible underlying cardiovascular problem
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pad are completely
saturated and the client is lying in a 6-inch diameter pool of blood. Which action
should the nurse implement next?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
,D. Inspect the perineum for lacerations - ANS... -C. Palpate the firmness of the
fundus
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - ANS... -C. Place the woman in a lateral
position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - ANS... -C. Check the infant's oxygen
saturation rate
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information.
FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the
nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
, D. Do not allow your baby to nurse any longer than the prescribed number of
minutes - ANS... -C. Feed your baby every 2 to 3 hours or on demand, whichever
comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANS... -C. Onset of uterine contractions
Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each - ANS... -A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate resting
time between contractions, the oxytocin infusion should be discontinued because
placental perfusion is impeded
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
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent
further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
ANSWERS| 100% VERIFIED ALREADY GRADED A+ NEW UPDATE
2026-2027
A multigravida client at 41-weeks gestation presents in the labor and delivery unit
after a non-stress test indicated that the fetus is experiencing some difficulties in
utero. Which diagnostic test should the nurse prepare the client for additional
information about the fetus?
A. Biophysical profile (BPP)
B. Ultrasound for fetal anomalies
C. Maternal serum alpha-fetoprotein (AF) screening
D. Percutaneous umbilical blood sampling (PUBS) - ANS... -A. Biophysical
profile (BPP)
BPP provides data regarding fetal risk in 5 areas
A multigravida client arrives at the labor and delivery unit and tells the nurse that
her "bag of water" has broken. The nurse identifies the presence of meconium fluid
on the perineum and determines the fetal heart rate is between 140 to 150
beats/minute. What action should the nurse implement next?
A. Complete a sterile vaginal exam
B. Take maternal temperature every 2 hours
C. Prepare for an immediate cesarean birth
D. Obtain sterile suction equipment - ANS... -A. Complete a sterile vaginal exam
B and D can be done after A
While breastfeeding, a new mother strokes the top of her baby's head and asks the
nurse about the baby's swollen scalp. The nurse responds that the swelling is caput
succedaneum. Which additional information should the nurse provide this new
mother?
A. the infant should be positioned to reduce the swelling
B. The swelling is a subperiosteal collection of blood
C. The pediatrician will aspirate the blood if it gets larger
D. the scalp edema will subside in a few days after birth - ANS... -D. the scalp
edema will subside in a few days after birth
,caput succedaneum is caused by pressure on the fetal head against the cervix
during labor
A 40-week gestation primigravida client is being induced with an oxytocin
secondary infusion and complains of pain in her lower back. Which intervention
should the nurse implement?
A. Discontinue the oxytocin infusion
B. Place the client in a semi-Fowler's position
C. Inform the healthcare provider
D. Apply firm pressure to sacral area - ANS... -D. Apply firm pressure to sacral
area
What action should the nurse implement to decrease the client's risk for
hemorrhage after a cesarean section?
A. Monitor urinary output via an indwelling catheter
B. Assess the abdominal dressings for drainage
C. Give the Ringer's Lactated infusion at 125 ml/hr
D. Check the firmness of the uterus every 15 minutes - ANS... -D. Check the
firmness of the uterus every 15 minutes
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
A. Blood glucose level of 45 mg/dl
B. Blood pressure of 82/45 mmHg
C. Non-bulging anterior fontanel
D. Central cyanosis when crying - ANS... -D. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying is manifesting poor
adaptation to extrauterine life which should be reported to the healthcare provider
for determination of a possible underlying cardiovascular problem
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pad are completely
saturated and the client is lying in a 6-inch diameter pool of blood. Which action
should the nurse implement next?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
,D. Inspect the perineum for lacerations - ANS... -C. Palpate the firmness of the
fundus
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - ANS... -C. Place the woman in a lateral
position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - ANS... -C. Check the infant's oxygen
saturation rate
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information.
FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the
nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
, D. Do not allow your baby to nurse any longer than the prescribed number of
minutes - ANS... -C. Feed your baby every 2 to 3 hours or on demand, whichever
comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2
to 3 hours or on demand--whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANS... -C. Onset of uterine contractions
Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each - ANS... -A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate resting
time between contractions, the oxytocin infusion should be discontinued because
placental perfusion is impeded
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
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent
further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
