HESI OBSTETRICS MATERNITY ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
Client teaching is an important part of
the maternity nurse's role. Which factor
A. The client's readiness to learn
has the greatest influence on successful
teaching of the gravid client?
A 38-week primagravida who works as a
secretary and sits at a computer 8 hours
a day tells the nurse that her feet have
C. Move about every hour
begun to swell. Which instruction would
be most effective in preventing pooling of
blood in the lower extremities?
During a prenatal visit, the nurse dis-
cusses with a client the effects of smok-
ing on the fetus. When compared with
B. lower birth weights
nonsmokers, mothers who smoke during
pregnancy tend to produce infants who
have
A 26-year-old, gravida 2, para 1 client
is admitted to the hospital at 28-weeks
gestation in preterm labor. She is given
3 doses of terbutaline sulfate (Brethine) C. Tachycardia and a feeling of nervous-
0.25 mg subcutaneously to stop her ness
labor contractions. The nurse plans to
monitor for which primary side effect of
terbutaline sulfate?
A mother who is breastfeeding her baby
receives instructions from the nurse.
C. correctly place the infant on the breast
Which instruction is most effective to pre-
vent nipple soreness?
A full term infant is transferred to the
nursery from L & D. Which information is
B. Infant's condition at birth and treat-
most important for the nurse to receive
ment received.
when planning immediate care for the
newborn?
In developing a teaching plan for expec-
tant parents, the nurse plans to include
information about when the parents can
expect the infant's fontanels to close.The
, HESI OBSTETRICS MATERNITY ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
D. anterior fontanel closes at 12-18 mos
nurse bases the explanation on knowl-
and the posterior fontanel by the end of
edge that for the normal newborn, the
the second month.
When assessing a client who is
12-weeks gestation, the nurse recom-
mends the she and her husband consid-
er attending childbirth preparation class- D. At 30 weeks gestation.
es.
What is the best time for the couple to
attend these classes?
The nurse should encourage the labor-
C. the cervix is completely dilated
ing client to begin pushing when
The nurse is counseling a couple who
has sought information about conceiv-
ing. For teaching purposes, the nurse A. two weeks before menstruation.
should know that ovulation usually oc-
curs
The nurse instructs a laboring client
to use accelerated-blow breathing. The
C. have the client breath into her cupped
client begins to complain of tingling fin-
hands
gers and dizziness. What action should
the nurse take?
When preparing a newborn care for ex-
pectant parents, what content should the C. Vernix is a white, cheesy substance,
nurse teach concerning the newborn in- predominately located in the skin folds.
fant born at term gestation?
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, A. a cephalhematoma, caused by for-
in the newborn, an accumulation of blood ceps trauma and may last up to 8 weeks.
between the periosteum and skull which
does not cross the suture line is a new-
born variation known as
An expectant father tells the nurse he
fears that his wife "is losing her mind". He
, HESI OBSTETRICS MATERNITY ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
states she is constantly rubbing her ab-
domen and talking to the baby and that D. Let him know that these behaviors
she actually reprimands the baby when it are part of normal maternal/fetal bonding
moves too much. What recommendation which occurs once the mother feels fetal
should the nurse make to the expectant movement.
father?
A new mother asks the nurse, "How do
B. "your milk is sufficient if the baby
I know my daughter is getting enough
is voiding pale straw-colored urine 6-10
breast milk? Which explanation will the
times a day.
nurse provide?
A new mother who has just had her first
baby says to the nurse, "I saw the baby
C. That is normal, the head will return to
in the recovery room. She has a funny
a round shape within 7-10 days.
looking head". Which response by the
nurse is the best?
A client who gave birth to a healthy 8
pound infant 3 hours ago is admitted to
D. Meet the mother's physical needs and
the postpartum unit. Which nursing plan
demonstrate warmth toward the infant.
is best in assisting the mother to bond
with her newborn infant?
A couple, concerned because the
woman has not been able to conceive, is
referred to a healthcare provider for a fer-
tility workup and a hysterosalpingogra- C. shoulder pain
phy is scheduled. Which complaint would
indicate to the nurse that the woman's
fallopian tubes are patent?
Which nursing intervention is most help-
A. Lying prone with a pillow on the ab-
ful in relieving postpartum uterine con-
domen
tractions or "afterpains?"
Which maternal behavior is the nurse B. Her arms and hands receive the infant
most likely to see when a new mother and she ten traces the infant's profile with
receives her infant for the first time? her fingertips.
On admission to the prenatal clinic, a
23-year-old woman tells the nurse that
her last menstrual period began on Feb-
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
Client teaching is an important part of
the maternity nurse's role. Which factor
A. The client's readiness to learn
has the greatest influence on successful
teaching of the gravid client?
A 38-week primagravida who works as a
secretary and sits at a computer 8 hours
a day tells the nurse that her feet have
C. Move about every hour
begun to swell. Which instruction would
be most effective in preventing pooling of
blood in the lower extremities?
During a prenatal visit, the nurse dis-
cusses with a client the effects of smok-
ing on the fetus. When compared with
B. lower birth weights
nonsmokers, mothers who smoke during
pregnancy tend to produce infants who
have
A 26-year-old, gravida 2, para 1 client
is admitted to the hospital at 28-weeks
gestation in preterm labor. She is given
3 doses of terbutaline sulfate (Brethine) C. Tachycardia and a feeling of nervous-
0.25 mg subcutaneously to stop her ness
labor contractions. The nurse plans to
monitor for which primary side effect of
terbutaline sulfate?
A mother who is breastfeeding her baby
receives instructions from the nurse.
C. correctly place the infant on the breast
Which instruction is most effective to pre-
vent nipple soreness?
A full term infant is transferred to the
nursery from L & D. Which information is
B. Infant's condition at birth and treat-
most important for the nurse to receive
ment received.
when planning immediate care for the
newborn?
In developing a teaching plan for expec-
tant parents, the nurse plans to include
information about when the parents can
expect the infant's fontanels to close.The
, HESI OBSTETRICS MATERNITY ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
D. anterior fontanel closes at 12-18 mos
nurse bases the explanation on knowl-
and the posterior fontanel by the end of
edge that for the normal newborn, the
the second month.
When assessing a client who is
12-weeks gestation, the nurse recom-
mends the she and her husband consid-
er attending childbirth preparation class- D. At 30 weeks gestation.
es.
What is the best time for the couple to
attend these classes?
The nurse should encourage the labor-
C. the cervix is completely dilated
ing client to begin pushing when
The nurse is counseling a couple who
has sought information about conceiv-
ing. For teaching purposes, the nurse A. two weeks before menstruation.
should know that ovulation usually oc-
curs
The nurse instructs a laboring client
to use accelerated-blow breathing. The
C. have the client breath into her cupped
client begins to complain of tingling fin-
hands
gers and dizziness. What action should
the nurse take?
When preparing a newborn care for ex-
pectant parents, what content should the C. Vernix is a white, cheesy substance,
nurse teach concerning the newborn in- predominately located in the skin folds.
fant born at term gestation?
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, A. a cephalhematoma, caused by for-
in the newborn, an accumulation of blood ceps trauma and may last up to 8 weeks.
between the periosteum and skull which
does not cross the suture line is a new-
born variation known as
An expectant father tells the nurse he
fears that his wife "is losing her mind". He
, HESI OBSTETRICS MATERNITY ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100 % PASS 2025/2026
QUESTIONS ANSWERS
states she is constantly rubbing her ab-
domen and talking to the baby and that D. Let him know that these behaviors
she actually reprimands the baby when it are part of normal maternal/fetal bonding
moves too much. What recommendation which occurs once the mother feels fetal
should the nurse make to the expectant movement.
father?
A new mother asks the nurse, "How do
B. "your milk is sufficient if the baby
I know my daughter is getting enough
is voiding pale straw-colored urine 6-10
breast milk? Which explanation will the
times a day.
nurse provide?
A new mother who has just had her first
baby says to the nurse, "I saw the baby
C. That is normal, the head will return to
in the recovery room. She has a funny
a round shape within 7-10 days.
looking head". Which response by the
nurse is the best?
A client who gave birth to a healthy 8
pound infant 3 hours ago is admitted to
D. Meet the mother's physical needs and
the postpartum unit. Which nursing plan
demonstrate warmth toward the infant.
is best in assisting the mother to bond
with her newborn infant?
A couple, concerned because the
woman has not been able to conceive, is
referred to a healthcare provider for a fer-
tility workup and a hysterosalpingogra- C. shoulder pain
phy is scheduled. Which complaint would
indicate to the nurse that the woman's
fallopian tubes are patent?
Which nursing intervention is most help-
A. Lying prone with a pillow on the ab-
ful in relieving postpartum uterine con-
domen
tractions or "afterpains?"
Which maternal behavior is the nurse B. Her arms and hands receive the infant
most likely to see when a new mother and she ten traces the infant's profile with
receives her infant for the first time? her fingertips.
On admission to the prenatal clinic, a
23-year-old woman tells the nurse that
her last menstrual period began on Feb-
