2025/2026HESI MATERNITY OB VERSION 1,2 AND 3|MATERNITY OB VERSION 3
ACTUAL EXAM EACH EXAM CONTAINS 165 QUESTIONS AND CORRECT
ANSWERS|AGRADE
A multigravida client arrives at the L & D 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 FHR is between 140 -150 BPM. What action should the nurse implement
next? - ANSWER - complete a sterile vaginal exam.
A new mother asks the nurse, "How do I know my daughter is getting enough breast milk?
Which explanation will the nurse provide? - ANSWER - "your milk is sufficient if the baby is
voiding pale straw-colored urine 6-10 times a day.
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? - ANSWER - . There's a
strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the
recovery room. She has a funny looking head". Which response by the nurse is the best? -
ANSWER - . That is normal, the head will return to a round shape within 7-10 days.
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? - ANSWER - Check the infant's oxygen saturation rate.
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS is -
ANSWER - . a persistent cold
, A pregnant client tells the nurse that the first day of her LMP was 8/2/06. Based on Nagele's
rule, what is the estimated date of delivery? - ANSWER - . 5/9/07
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client
asks the nurse. "Why must I stay in bed all the time?" Which response is the best for the
nurse to provide this client? - ANSWER - Complete bedrest decreases oxygen needs and
demands on the heart muscle tissue.
A pregnant women comes to the prenatal clinic for an initial visit. In reviewing her
childbearing Hx, the client indicates that she has delivered premature twins, one full-term
baby, and has had no abortions. What GTPAL should the nurse document in this client's
record? - ANSWER - . 3-1-1-0-3
A primigravida at 40 weeks gestation is receiving oxytocin (Pitocin) to augment labor. What
adverse effect should the nurse monitor for during infusion of Pitocin? - ANSWER -
hyperstimulation
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an
epidural for pain relief. Which assessment finding is most important to the nurse to report
to the healthcare provider? - ANSWER - . A platelet count of 67,000/mm3.
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first? - ANSWER - Bathe the infant with
antimicrobial soap.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What
action should the nurse take? - ANSWER - apply cold compresses to both breasts for
comfort.
ACTUAL EXAM EACH EXAM CONTAINS 165 QUESTIONS AND CORRECT
ANSWERS|AGRADE
A multigravida client arrives at the L & D 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 FHR is between 140 -150 BPM. What action should the nurse implement
next? - ANSWER - complete a sterile vaginal exam.
A new mother asks the nurse, "How do I know my daughter is getting enough breast milk?
Which explanation will the nurse provide? - ANSWER - "your milk is sufficient if the baby is
voiding pale straw-colored urine 6-10 times a day.
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? - ANSWER - . There's a
strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the
recovery room. She has a funny looking head". Which response by the nurse is the best? -
ANSWER - . That is normal, the head will return to a round shape within 7-10 days.
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? - ANSWER - Check the infant's oxygen saturation rate.
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS is -
ANSWER - . a persistent cold
, A pregnant client tells the nurse that the first day of her LMP was 8/2/06. Based on Nagele's
rule, what is the estimated date of delivery? - ANSWER - . 5/9/07
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client
asks the nurse. "Why must I stay in bed all the time?" Which response is the best for the
nurse to provide this client? - ANSWER - Complete bedrest decreases oxygen needs and
demands on the heart muscle tissue.
A pregnant women comes to the prenatal clinic for an initial visit. In reviewing her
childbearing Hx, the client indicates that she has delivered premature twins, one full-term
baby, and has had no abortions. What GTPAL should the nurse document in this client's
record? - ANSWER - . 3-1-1-0-3
A primigravida at 40 weeks gestation is receiving oxytocin (Pitocin) to augment labor. What
adverse effect should the nurse monitor for during infusion of Pitocin? - ANSWER -
hyperstimulation
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an
epidural for pain relief. Which assessment finding is most important to the nurse to report
to the healthcare provider? - ANSWER - . A platelet count of 67,000/mm3.
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first? - ANSWER - Bathe the infant with
antimicrobial soap.
A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the
nurse determines that both breasts are swollen, warm, and tender upon palpation. What
action should the nurse take? - ANSWER - apply cold compresses to both breasts for
comfort.
