2026 Hesi Maternity Ob Exam Version 6 questions
Comprehensive 2026 Questions Exam Latest Version
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The nurse is teaching a client with gestational diabetes about nutrition and
insulin need for pregnancy. Which content should the nurse include in this
client teaching plan?
A) Insulin production is decreased during pregnancy
B) increase daily caloric intake is needed
C) injection requirements remain the same
D) Blood sugars need less monitoring in the first trimester
B) increase daily caloric intake is needed
A 38-week primigravida client who is positive for group A beta streptococcus
receives a prescription for cefazolin 2grams IV to be infused over 30mins. The
medications available in 2 grams/100ml of normal saline. The nurse should
program the infusion pump to deliver how many ml/hours?
1.6ml/hr.
When performing daily head to toe assessment of a 1-day old newborn the
nurse observes yellow tint to the skin on the forehead, sternum and abdomen.
What action should the nurse take?
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A) measure bilirubin levels using transcutaneous bilirubinometer.
B) review maternal medical records for blood type and Rh factor
C) Prepare the newborn for phototherapy
D) Evaluate cord a result
A) measure bilirubin levels using transcutaneous bilirubinometer.
A new mother asks the nurse about an area of swelling on her baby head near
the posterior fontanel that lies across the suture lines. How should the nurse
respond?
A) That's called caput succedaneum. It will absorb and cause no problems.
B) That is called a cephalohematoma. It will cause no problems.
C) That is called a cephalohematoma. It can cause jaundice as it is.
D)That is called caput succedaneum. It will have to be drained
A) That's called caput succedaneum. It will absorb and cause no problems.
A 39-week gestational multigravida is admitted to labor and delivery
spontaneous rupture of membranes and contraction occurring 2 to 3 minutes.
A vaginal exam indicates that the cervix is dilated 6cm, 90% effaced and the
fetus is at a +2 station. During the last 45 minutes the fetal heart rate has
ranged between 170 and 180 beats/minute. What action
should the nurse implement?
A) Obtain a blood specimen for hemoglobin
B) Take an oral maternal temperature
C) Straight Catheterize client
D) Send amniotic fluid for analysis
B) Take an oral maternal temperature
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An obviously pregnant woman walks into the hospital's emergency
department entrance shouting. "Help me! Help me! My baby is coming! I'm so
afraid!" The nurse determines if delivery is indeed imminent, what action is
most important for the nurse to take?
A) Determines the gestational age of fetus
B) Assess the amount and color of the amniotic fluid
C) Obtain peripheral IV access and begin administration of IV fluids
D) Provide clear concise instructions in a calm, deliberate manner
D) Provide clear concise instructions in a calm, deliberate manner
A client who is 3 weeks postpartum tells the nurse. "I am so tired all the time. I
didn't know having a baby would be so hard." What response should the nurse
provide.
a) It is common to feel exhausted for the first 3 months. Try to sleep when the
baby sleeps.
b) It is normal to feel tired for the first couple weeks. Be patient with yourself
and rest more.
c) You should not be doing any housework. Are any of your family members
helping you?
d) Adjusting to a new baby can be difficult. Tell me more about any help you
are receiving.
d) Adjusting to a new baby can be difficult. Tell me more about any help you
are receiving.
The home health nurse visits a client who delivered a full-term baby three days
ago. The mother reports that the infant is waking up every 2 hours to bottle
feed. The nurse notes white, curl-like patches on the newborns oral mucous
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membranes. What action should the nurse implement?
A) Discuss the need for medication to treat curl-like oral patches
B) Suggest switching the infant's formula
C) Assess the baby's blood glucose level
D) Remind mother not put the baby to bed with a propped bottle
A) Discuss the need for medication to treat curl-like oral patches
One hour after delivery the nurse is unable to palpate the uterine fundus of a
client who had an epidural and notes a large amount of lochia on the perineal
pad. The nurse massages at the umbilicus and obtains current vital signs.
Which intervention should the nurse implement next.
A) Document number of pad changes in the last hour
B) Provide bedpans to void if unable to ambulate
C) Palpate the supra pubic area for bladder distention
D) Increases the rate of the oxytocin infusion
C) Palpate the supra pubic area for bladder distention
The father of a 3-day old infant who is breast feeding calls the postpartum help
line to report that his wife is acting strangely. She is irritable, cannot cope with
the baby, and frequently cries for no appeared reason. What information is
most important for the nurse to provide the father?
A) Contact the clinic if the behaviors continue for more than two weeks or
becomes worse
B) Tell the father count the newborns number of soiled diapers over the next
few days.
C) A fluctuation in hormones in the early postpartum period can cause mood
changes.