HESI Maternity & OB Exam 2025–2026 – Verified
Question Bank with Correct Answers
Introduction:
This document provides a comprehensive collection of verified HESI
Maternity and Obstetrics (OB) exam questions for the 2025–2026
academic year. It includes multiple-choice questions with correct
answers covering essential maternity nursing topics such as prenatal
care, labor and delivery, postpartum management, newborn care, and
common maternal complications. Ideal for nursing students
preparing for HESI or NCLEX-style exams, this resource serves as a
complete and reliable question bank for practice and review.
Exam Questions and Answers
A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit suspected abruptio
placentae. What findings should the charge nurse expect the client
to demonstrate.
A. dark, red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen --- correct answer ---A. dark, red vaginal bleeding
D. increased uterine irritability
,F. Rigid abdomen
A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately.
A. heart rate of 100 beats min
B. variable foetal HR
C. Onset of uterine contractions
D. Burning on urination --- correct answer ---Onset of uterine
contractions.
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 fetal HR is
between 140 and 150 beats/min. What action should the nurse
implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate caesarean birth
D. Obtain sterile suction equipment --- correct answer ---A.
complete sterile vag exam
Immediately after birth a newborn infant is suctioned, dried and
placed under a radiant warmer. The infant has spontaneous
,respirations and the nurse assesses an apical HR of 80
beats/minute and respirations of 20 breaths/min. What action
should be performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level --- correct answer ---A.
Initiate positive pressure ventilation
A pregnant woman 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. Which GTPAL should the nurse document in this client's
record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3 --- correct answer ---D. 3-1-1-0-3
The healthcare provider prescribes terbutaline for a client in
preterm labor. Before initiating this prescription, it is most
important for the nurse to assess the client for which of condition.
A. gestational diabetes
B. Elevated BP
, C. UTI
D> Swelling in lower extremities --- correct answer ---A.
gestational diabetes
A 4-week-old premature infant has been receiving epoetin alfa for
the last 3 weeks. Which assessment finding indicates to the nurse
that the drug is effective.
A. slowly increasing urinary output over the last week
B. rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D. Change in indirect bilirubin from 12mg/dl to 8mg/dl. --- correct
answer ---C. changes in apica HR from the 180 to the 140
The nurse should explain to a 30-year-old gravid client that alpha
fetoprotein testing is recommended for which purpose?
A. detect cardiovascular disorders
B. screen for neural tube defects
c . monitor the placental functioning
d. assess for maternal pre-eclampsia --- correct answer ---B. screen
for neural tube defects
During labor, the nurse determines that a full-term client is
demonstrating late decelerations. In which sequence should the
Question Bank with Correct Answers
Introduction:
This document provides a comprehensive collection of verified HESI
Maternity and Obstetrics (OB) exam questions for the 2025–2026
academic year. It includes multiple-choice questions with correct
answers covering essential maternity nursing topics such as prenatal
care, labor and delivery, postpartum management, newborn care, and
common maternal complications. Ideal for nursing students
preparing for HESI or NCLEX-style exams, this resource serves as a
complete and reliable question bank for practice and review.
Exam Questions and Answers
A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit suspected abruptio
placentae. What findings should the charge nurse expect the client
to demonstrate.
A. dark, red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen --- correct answer ---A. dark, red vaginal bleeding
D. increased uterine irritability
,F. Rigid abdomen
A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately.
A. heart rate of 100 beats min
B. variable foetal HR
C. Onset of uterine contractions
D. Burning on urination --- correct answer ---Onset of uterine
contractions.
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 fetal HR is
between 140 and 150 beats/min. What action should the nurse
implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate caesarean birth
D. Obtain sterile suction equipment --- correct answer ---A.
complete sterile vag exam
Immediately after birth a newborn infant is suctioned, dried and
placed under a radiant warmer. The infant has spontaneous
,respirations and the nurse assesses an apical HR of 80
beats/minute and respirations of 20 breaths/min. What action
should be performed next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
C. Initiate CPR on the infant
D. Assess the infant's blood glucose level --- correct answer ---A.
Initiate positive pressure ventilation
A pregnant woman 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. Which GTPAL should the nurse document in this client's
record?
A. 3-1-2-0-3
B. 4-1-2-0-3
C. 2-1-2-1-2
D. 3-1-1-0-3 --- correct answer ---D. 3-1-1-0-3
The healthcare provider prescribes terbutaline for a client in
preterm labor. Before initiating this prescription, it is most
important for the nurse to assess the client for which of condition.
A. gestational diabetes
B. Elevated BP
, C. UTI
D> Swelling in lower extremities --- correct answer ---A.
gestational diabetes
A 4-week-old premature infant has been receiving epoetin alfa for
the last 3 weeks. Which assessment finding indicates to the nurse
that the drug is effective.
A. slowly increasing urinary output over the last week
B. rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D. Change in indirect bilirubin from 12mg/dl to 8mg/dl. --- correct
answer ---C. changes in apica HR from the 180 to the 140
The nurse should explain to a 30-year-old gravid client that alpha
fetoprotein testing is recommended for which purpose?
A. detect cardiovascular disorders
B. screen for neural tube defects
c . monitor the placental functioning
d. assess for maternal pre-eclampsia --- correct answer ---B. screen
for neural tube defects
During labor, the nurse determines that a full-term client is
demonstrating late decelerations. In which sequence should the
