2026 HESI MATERNITY OB EXAM VERSION 7 {ALREADY GRADED A+ } NEWEST VERSION

• | P a g e

2026 HESI MATERNITY OB EXAM VERSION

7 {ALREADY GRADED A+ } NEWEST VERSION

• A term multigravida who is receiving oxytocin (Pitocin) for labor augmentation, is

requesting pain medication. Review of the client's record indicates that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and promethazine (Phenergan) 25 mg IV push. Vaginal exam reveals that the clients cervical dilation is 3 cm, 70?faced, and at a 0 station. What action should the nurse implement?• Correct Answer: Instruct the client to use deep breathing during a contraction

• The nurse is discussing involution with a postpartum client. Which statement best

indicates that the client understands the effect of breastfeeding on the resumption of menstrual cycle?

• Correct Answer: While i am breastfeeding, my period may be delayed

• Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation. She is

moderately obese and carrying twins and the nurse measures her fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height measured at 28 cm.Based on these findings, what should the nurse conclude?

• Correct Answer: Fundal height measurement may indicate intrauterine growth

retardation

• A primigravida at 40 weeks gestation is contracting q2 minutes and her cervix is 9

cm dilated and 100?faced. The FHR is 120 beats/minute. The client is screaming, and her husband is alarmed. Which intervention should the nurse implement?

• notify the rapid response team
• have delivery table set up
• ask the husband to step out
• administer a PRN narcotic

• Correct Answer: b. have delivery table set up

• | P a g e

• The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After

the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. What action is most important for the nurse to take?

• Explain reasons consent for an infant autopsy is needed
• create a memory box of a baby's footprints and photographs
• determine if the mother desires a visit from the clergy
• encourage the mother to hold and spend time with her baby

• Correct Answer: d. encourage the mother to hold and spend time with her baby

• One week after missing her menstrual period, a woman performs an OTC pregnancy

test and it is positive. Which hormone is responsible for producing the positive result?

• Correct Answer: HCG

• The father of a 3-day old infant who is breast feeding calls the postpartum help line

to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. What information is most important for the nurse to provide this father?• Correct Answer: Contact the clinic if the behaviors continue for more than two weeks or become worse.

• Clients who are HIV positive are encouraged to bottle-feed their infants because:

• Correct Answer: the HIV virus is transmitted through breastmilk.

• When fetal movements or contractions compress the umbilical cord, variable

decelerations can happen.

• Correct Answer: Maternal repositioning can alleviate cord compressions

• A primigravida at 36 weeks gestation, who is Rh negative, experienced abdominal

trauma in a motor vehicle collision. Which assessment finding is more important for the nurse to report to the HCP?

• Correct Answer: Positive fetal hemoglobin testing

• While caring for a laboring client on continuous fetal monitoring. The nurse notes

an FHR pattern that falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first?

• | P a g e

• Correct Answer: Change the maternal position

• During the admission of a newborn, the nurse identifies a localized swelling that

does not cross the suture line on the posterior area of the parietal bone. What action should the nurse implement?

• Correct Answer: Notify the pediatrician of the cephalhematoma

• The nurse is teaching a client with gestational diabetes about nutrition and insulin

need for pregnancy. Which content should the nurse include in this client teaching plan?

• Correct Answer: increase daily caloric intake is needed

• A 38-week primigravida client who is positive for group A beta streptococcus

receives a prescription for cefazolin 2grams IV to be infused over 30mins. The medications available in 2 grams/100ml of normal saline. The nurse should program the infusion pump to deliver how many ml/hours?

• Correct Answer: 1.6ml/hr

• When performing daily head to toe assessment of a 1-day old newborn the nurse

observes yellow tint to the skin on the forehead, sternum and abdomen. What action should the nurse take?

• measure bilirubin levels using transcutaneous bilirubinometer.
• review maternal medical records for blood type and Rh factor
• Prepare the newborn for phototherapy
• Evaluate cord Coombs test results

• Correct Answer: a. measure bilirubin levels using transcutaneous bilirubinometer.

• A new mother asks the nurse about an area of swelling on her baby head near the

posterior fontanel that lies across the suture lines. How should the nurse respond?

• That's called caput succedaneum. It will absorb and cause no problems.
• That is called a cephalhematoma. It will cause no problems.
• That is called a cephalhematoma. It can cause jaundice as it is.
• That is called caput succedaneum. It will have to be drained.

• | P a g e

• Correct Answer: a. That's called caput succedaneum. It will absorb and cause no problems.

• A 39-week gestational multigravida is admitted to labor and delivery spontaneous

rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6cm, 90?facedand the fetus is at a +2 station.During the last 45 minutes the fetal heart rate has ranged between 170 and 180 beats/minute. What action should the nurse implement?

• Obtain a blood specimen for hemoglobin
• Take an oral maternal temperature
• Straight Catheterize client
• Send amniotic fluid for analysis

• Correct Answer: b. Take an oral maternal temperature

• An obviously pregnant woman walks into the hospital's emergency department

entrance shouting. "Help me! Help me! My baby is coming! I'm so afraid!" The nurse determines if delivery is indeed imminent, what action is most important for the nurse to take?

• Determines the gestational age of fetus
• Assess the amount and color of the amniotic fluid
• Obtain peripheral IV access and begin administration of IV fluids
• Provide clear concise instructions in a calm, deliberate manner

• Correct Answer: d. Provide clear concise instructions in a calm, deliberate manner

• A client who is 3 weeks postpartum tells the nurse. "I am so tired all the time. I

didn't know having a baby would be so hard." What response should the nurse provide.

• It is common to feel exhausted for the first 3 months. Try to sleep when the baby sleeps.
• It is normal to feel tired for the first couple weeks. Be patient with yourself and rest more.
• You should not be doing any housework. Are any of your family members helping you?
• Adjusting to a new baby can be difficult. Tell me more about any help you are receiving.

• Correct Answer: d. Adjusting to a new baby can be difficult. Tell me more about any help you are receiving.