2025-2026 HESI MATERNITY OB VERSION 1,2 AND
3|MATERNITY OB VERSION 3 ACTUAL EXAM EACH
EXAM CONTAINS 55 QUESTIONS AND CORRECT
VERIFIED ANSWERS
1.Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby."
Which intervention is best for the nurse to implement first?
a) Assess the husband's feelings about his wife's decision to breastfeed
their baby.
b) Ask the client to describe why she was unsuccessful with
breastfeeding her last child.
c) Encourage the client to develop a positive attitude about
breastfeeding to help ensure success.
d) Provide assistance to the mother to begin breastfeeding as soon as
possible after delivery. ..ANSWER..d) Provide assistance to the mother
to begin breastfeeding as soon as possible after delivery.
2.A mother who is breastfeeding her baby receives instructions from
the nurse. Which instruction is most effective to prevent nipple
soreness?
a) Wear a cotton bra.
b) Increase nursing time gradually.
c) Correctly place the infant on the breast.
d) Manually express a small amount of milk before nursing.
..ANSWER..c) Correctly place the infant on the breast.
1|Page
,3.The nurse identifies crepitus when examining the chest of a newborn
who was delivered vaginally. Which further assessment should the
nurse perform?
a) Elicit a positive scarf sign on the affected side.
b) Observe for an asymmetrical Moro (startle) reflex.
c) Watch for swelling of fingers on the affected side.
d) Note paralysis of affected extremity and muscles. ..ANSWER..b)
Observe for an asymmetrical Moro (startle) reflex.
4.what is the most common cause of nipple soreness
..ANSWER..incorrect positioning of the infant on the breast, e. g.,
grasping too little of the areola or grasping only the nipple
5.A 24-hour-old newborn has a pink papular rash with vesicles
superimposed on the thorax, back, and abdomen. What action should
the nurse implement?
a) Notify the healthcare provider.
b) Move the newborn to an isolation nursery.
c) Document the finding in the infant's record.
d) Obtain a culture of the vesicles. ..ANSWER..c) Document the finding
in the infant's record.
6.Erythema toxicum ..ANSWER..is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in
the infant's record, and requires no further action.
2|Page
,7.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. ..ANSWER..c) Place the woman in a
lateral position.
8.BP drop in an epidural ..ANSWER..-immediately turn the woman to a
lateral position, place a pillow or wedge under the right hip to deflect
the uterus
-increase the IV fluid
-administer oxygen by face mask
-if it decreases further or remains lo then notify the healthcare provider
9.A client at 30-weeks gestation, complaining of pressure over the
pubic area, is admitted for observation. She is contracting irregularly
and demonstrates underlying uterine irritability. Vaginal examination
reveals that her cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
a) Provide oral hydration.
b) Have a complete blood count (CBC) drawn.
c) Obtain a specimen for urine analysis.
3|Page
, d) Place the client on strict bedrest. ..ANSWER..c) Obtain a specimen for
urine analysis.
10.preterm clients with uterine irritability and contractions
..ANSWER..often suffer from a UTI so that should be either diagnosed
or ruled out with a urine analysis
11.A client with no prenatal care arrives at the labor unit screaming,
"The baby is coming!" The nurse performs a vaginal examination that
reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
a) Gravidity and parity.
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions. ..ANSWER..c) Date of last
normal menstrual period.
12.used to mature lungs in a preterm ..ANSWER..corticosteroids
13.The nurse caring for a laboring client encourages her to void at least
q2h, and records each time the client empties her bladder. What is the
primary reason for implementing this nursing intervention?
a) Emptying the bladder during delivery is difficult because of the
position of the presenting fetal part.
4|Page
3|MATERNITY OB VERSION 3 ACTUAL EXAM EACH
EXAM CONTAINS 55 QUESTIONS AND CORRECT
VERIFIED ANSWERS
1.Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby."
Which intervention is best for the nurse to implement first?
a) Assess the husband's feelings about his wife's decision to breastfeed
their baby.
b) Ask the client to describe why she was unsuccessful with
breastfeeding her last child.
c) Encourage the client to develop a positive attitude about
breastfeeding to help ensure success.
d) Provide assistance to the mother to begin breastfeeding as soon as
possible after delivery. ..ANSWER..d) Provide assistance to the mother
to begin breastfeeding as soon as possible after delivery.
2.A mother who is breastfeeding her baby receives instructions from
the nurse. Which instruction is most effective to prevent nipple
soreness?
a) Wear a cotton bra.
b) Increase nursing time gradually.
c) Correctly place the infant on the breast.
d) Manually express a small amount of milk before nursing.
..ANSWER..c) Correctly place the infant on the breast.
1|Page
,3.The nurse identifies crepitus when examining the chest of a newborn
who was delivered vaginally. Which further assessment should the
nurse perform?
a) Elicit a positive scarf sign on the affected side.
b) Observe for an asymmetrical Moro (startle) reflex.
c) Watch for swelling of fingers on the affected side.
d) Note paralysis of affected extremity and muscles. ..ANSWER..b)
Observe for an asymmetrical Moro (startle) reflex.
4.what is the most common cause of nipple soreness
..ANSWER..incorrect positioning of the infant on the breast, e. g.,
grasping too little of the areola or grasping only the nipple
5.A 24-hour-old newborn has a pink papular rash with vesicles
superimposed on the thorax, back, and abdomen. What action should
the nurse implement?
a) Notify the healthcare provider.
b) Move the newborn to an isolation nursery.
c) Document the finding in the infant's record.
d) Obtain a culture of the vesicles. ..ANSWER..c) Document the finding
in the infant's record.
6.Erythema toxicum ..ANSWER..is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in
the infant's record, and requires no further action.
2|Page
,7.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. ..ANSWER..c) Place the woman in a
lateral position.
8.BP drop in an epidural ..ANSWER..-immediately turn the woman to a
lateral position, place a pillow or wedge under the right hip to deflect
the uterus
-increase the IV fluid
-administer oxygen by face mask
-if it decreases further or remains lo then notify the healthcare provider
9.A client at 30-weeks gestation, complaining of pressure over the
pubic area, is admitted for observation. She is contracting irregularly
and demonstrates underlying uterine irritability. Vaginal examination
reveals that her cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
a) Provide oral hydration.
b) Have a complete blood count (CBC) drawn.
c) Obtain a specimen for urine analysis.
3|Page
, d) Place the client on strict bedrest. ..ANSWER..c) Obtain a specimen for
urine analysis.
10.preterm clients with uterine irritability and contractions
..ANSWER..often suffer from a UTI so that should be either diagnosed
or ruled out with a urine analysis
11.A client with no prenatal care arrives at the labor unit screaming,
"The baby is coming!" The nurse performs a vaginal examination that
reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
a) Gravidity and parity.
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions. ..ANSWER..c) Date of last
normal menstrual period.
12.used to mature lungs in a preterm ..ANSWER..corticosteroids
13.The nurse caring for a laboring client encourages her to void at least
q2h, and records each time the client empties her bladder. What is the
primary reason for implementing this nursing intervention?
a) Emptying the bladder during delivery is difficult because of the
position of the presenting fetal part.
4|Page
