HESI MATERNITY OB EXAM VERSION 1 / HESI MATERNITY OB EXAM
PREPARATION/ HESI MATERNITY OB EXAM PRACTICE EXAM LATEST
ALL QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
A nurse is assessing a client who is 32 weeks pregnant and reports a sudden
gush of fluid from the vagina. Which of the following actions should the nurse
take first?
A) Test the vaginal fluid for pH.
B) Obtain a fetal heart rate (FHR).
C) Assist the client into a supine position.
D) Prepare for an immediate vaginal examination.
E) Document the client's statement in the medical record.
Correct Answer: B) Obtain a fetal heart rate (FHR)
Rationale: The immediate priority when there is a suspected rupture
of membranes is to assess fetal well-being by obtaining a fetal heart
rate. A sudden gush of fluid could indicate ruptured membranes,
which places the fetus at risk for cord prolapse or infection.
Question 2
A nurse is providing education to a client who is 8 weeks pregnant about
managing nausea and vomiting. Which of the following instructions should
the nurse include?
A) Eat a large meal before bedtime.
B) Consume fatty, spicy foods to stimulate appetite.
C) Drink plenty of fluids with meals.
D) Eat dry crackers before getting out of bed in the morning.
E) Skip meals if feeling nauseated.
Correct Answer: D) Eat dry crackers before getting out of bed in the morning
Rationale: Eating dry crackers or toast before getting out of bed can
help absorb stomach acids and reduce morning sickness. Eating
small, frequent meals, avoiding fatty/spicy foods, and drinking
fluids between meals rather than with them are also common
recommendations.
Question 3
A client who is 36 weeks pregnant reports severe epigastric pain, headache,
and blurred vision. The nurse notes a blood pressure of 160/100 mmHg and
+3 proteinuria. The nurse recognizes these findings as indicative of which
condition?
A) Gestational hypertension
B) Placenta previa
C) Mild preeclampsia
D) Severe preeclampsia
E) Ectopic pregnancy
,Correct Answer: D) Severe preeclampsia
Rationale: Severe epigastric pain, persistent headache, and visual
disturbances, along with significantly elevated blood pressure
(≥160/110 mmHg) and proteinuria, are classic signs of severe
preeclampsia. Gestational hypertension lacks proteinuria, and mild
preeclampsia has less severe symptoms and blood pressure.
Question 4
A nurse is caring for a newborn who is 1 hour old. Which of the following is
an expected finding during the initial assessment?
A) Respiratory rate of 20 breaths/min.
B) Jaundice on the face and sclera.
C) Acrocyanosis.
D) Absence of a Moro reflex.
E) Heart rate of 80 beats/min.
Correct Answer: C) Acrocyanosis
Rationale: Acrocyanosis (bluish discoloration of the hands and feet) is
a common and normal finding in newborns during the first 24 hours
due to immature peripheral circulation. A normal respiratory rate is
30-60 breaths/min, heart rate 110-160 beats/min, and jaundice or
absence of a Moro reflex are abnormal findings.
Question 5
A nurse is teaching a group of pregnant clients about preventing neural tube
defects. Which of the following nutrients should the nurse emphasize?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
E) Vitamin C
Correct Answer: C) Folic acid
Rationale: Adequate intake of folic acid (folate) before conception
and during early pregnancy is crucial for preventing neural tube
defects such as spina bifida and anencephaly.
Question 6
A client in active labor is experiencing persistent occiput posterior (OP)
position. Which of the following non-pharmacological interventions should
the nurse recommend?
A) Encouraging the client to lie flat on her back.
B) Applying counterpressure to the client's sacrum.
, C) Administering a warm bath.
D) Performing continuous fundal massage.
E) Instructing the client to push harder with each contraction.
Correct Answer: B) Applying counterpressure to the client's sacrum
Rationale: Counterpressure applied to the sacrum can help alleviate
back pain associated with the occiput posterior position, as the fetal
head exerts pressure on the maternal sacrum.
Question 7
A nurse is assessing a postpartum client 4 hours after delivery. The nurse
notes a boggy uterus that is displaced to the right. Which of the following
actions should the nurse take first?
A) Administer oxytocin as prescribed.
B) Assist the client to void.
C) Massage the fundus vigorously.
D) Monitor the client's blood pressure.
E) Document the findings in the chart.
Correct Answer: B) Assist the client to void
Rationale: A boggy uterus displaced to the right is often indicative of
a full bladder, which prevents the uterus from contracting
effectively and increases the risk of hemorrhage. Assisting the
client to void is the first priority to allow the uterus to return to its
midline, firm position.
Question 8
A nurse is providing education to a new mother about breastfeeding. Which
of the following statements by the mother indicates a need for further
teaching?
A) "I should feed my baby every 2-3 hours or whenever she shows hunger
cues."
B) "My baby should have at least 6-8 wet diapers per day after the first few
days."
C) "I will give my baby a bottle of formula at night so she sleeps longer."
D) "I know my milk supply will increase as my baby feeds more."
E) "I should alternate which breast I offer first at each feeding."
Correct Answer: C) "I will give my baby a bottle of formula at night so she
sleeps longer."
Rationale: Supplementing with formula can interfere with the
establishment of breast milk supply, which relies on frequent
stimulation and emptying of the breasts. It can also lead to nipple
confusion.
PREPARATION/ HESI MATERNITY OB EXAM PRACTICE EXAM LATEST
ALL QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
A nurse is assessing a client who is 32 weeks pregnant and reports a sudden
gush of fluid from the vagina. Which of the following actions should the nurse
take first?
A) Test the vaginal fluid for pH.
B) Obtain a fetal heart rate (FHR).
C) Assist the client into a supine position.
D) Prepare for an immediate vaginal examination.
E) Document the client's statement in the medical record.
Correct Answer: B) Obtain a fetal heart rate (FHR)
Rationale: The immediate priority when there is a suspected rupture
of membranes is to assess fetal well-being by obtaining a fetal heart
rate. A sudden gush of fluid could indicate ruptured membranes,
which places the fetus at risk for cord prolapse or infection.
Question 2
A nurse is providing education to a client who is 8 weeks pregnant about
managing nausea and vomiting. Which of the following instructions should
the nurse include?
A) Eat a large meal before bedtime.
B) Consume fatty, spicy foods to stimulate appetite.
C) Drink plenty of fluids with meals.
D) Eat dry crackers before getting out of bed in the morning.
E) Skip meals if feeling nauseated.
Correct Answer: D) Eat dry crackers before getting out of bed in the morning
Rationale: Eating dry crackers or toast before getting out of bed can
help absorb stomach acids and reduce morning sickness. Eating
small, frequent meals, avoiding fatty/spicy foods, and drinking
fluids between meals rather than with them are also common
recommendations.
Question 3
A client who is 36 weeks pregnant reports severe epigastric pain, headache,
and blurred vision. The nurse notes a blood pressure of 160/100 mmHg and
+3 proteinuria. The nurse recognizes these findings as indicative of which
condition?
A) Gestational hypertension
B) Placenta previa
C) Mild preeclampsia
D) Severe preeclampsia
E) Ectopic pregnancy
,Correct Answer: D) Severe preeclampsia
Rationale: Severe epigastric pain, persistent headache, and visual
disturbances, along with significantly elevated blood pressure
(≥160/110 mmHg) and proteinuria, are classic signs of severe
preeclampsia. Gestational hypertension lacks proteinuria, and mild
preeclampsia has less severe symptoms and blood pressure.
Question 4
A nurse is caring for a newborn who is 1 hour old. Which of the following is
an expected finding during the initial assessment?
A) Respiratory rate of 20 breaths/min.
B) Jaundice on the face and sclera.
C) Acrocyanosis.
D) Absence of a Moro reflex.
E) Heart rate of 80 beats/min.
Correct Answer: C) Acrocyanosis
Rationale: Acrocyanosis (bluish discoloration of the hands and feet) is
a common and normal finding in newborns during the first 24 hours
due to immature peripheral circulation. A normal respiratory rate is
30-60 breaths/min, heart rate 110-160 beats/min, and jaundice or
absence of a Moro reflex are abnormal findings.
Question 5
A nurse is teaching a group of pregnant clients about preventing neural tube
defects. Which of the following nutrients should the nurse emphasize?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
E) Vitamin C
Correct Answer: C) Folic acid
Rationale: Adequate intake of folic acid (folate) before conception
and during early pregnancy is crucial for preventing neural tube
defects such as spina bifida and anencephaly.
Question 6
A client in active labor is experiencing persistent occiput posterior (OP)
position. Which of the following non-pharmacological interventions should
the nurse recommend?
A) Encouraging the client to lie flat on her back.
B) Applying counterpressure to the client's sacrum.
, C) Administering a warm bath.
D) Performing continuous fundal massage.
E) Instructing the client to push harder with each contraction.
Correct Answer: B) Applying counterpressure to the client's sacrum
Rationale: Counterpressure applied to the sacrum can help alleviate
back pain associated with the occiput posterior position, as the fetal
head exerts pressure on the maternal sacrum.
Question 7
A nurse is assessing a postpartum client 4 hours after delivery. The nurse
notes a boggy uterus that is displaced to the right. Which of the following
actions should the nurse take first?
A) Administer oxytocin as prescribed.
B) Assist the client to void.
C) Massage the fundus vigorously.
D) Monitor the client's blood pressure.
E) Document the findings in the chart.
Correct Answer: B) Assist the client to void
Rationale: A boggy uterus displaced to the right is often indicative of
a full bladder, which prevents the uterus from contracting
effectively and increases the risk of hemorrhage. Assisting the
client to void is the first priority to allow the uterus to return to its
midline, firm position.
Question 8
A nurse is providing education to a new mother about breastfeeding. Which
of the following statements by the mother indicates a need for further
teaching?
A) "I should feed my baby every 2-3 hours or whenever she shows hunger
cues."
B) "My baby should have at least 6-8 wet diapers per day after the first few
days."
C) "I will give my baby a bottle of formula at night so she sleeps longer."
D) "I know my milk supply will increase as my baby feeds more."
E) "I should alternate which breast I offer first at each feeding."
Correct Answer: C) "I will give my baby a bottle of formula at night so she
sleeps longer."
Rationale: Supplementing with formula can interfere with the
establishment of breast milk supply, which relies on frequent
stimulation and emptying of the breasts. It can also lead to nipple
confusion.
