2026 HESI MATERNITY OB EXAM VERSION 5 Correct and Verified Answers Graded A .

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2026 HESI MATERNITY OB EXAM VERSION 5

Correct and Verified Answers Graded A .

• The nurse is counseling a woman who wants to become pregnant. The woman tells

the nurse that she has a 36-day menstrual cycle and the first day of her menstrual period was January 7. The nurse correctly calculates that the woman's next fertile

period is:

• January 14-15
• January 22-23
• January 30-31
• February 6-7

Correct Answer: c. January 30-31

• A client in active labor complains of cramps in her leg. What intervention should the

nurse implement?

• Ask the client if she takes a daily calcium tablet
• Extend the leg and dorsiflex the foot
• Lower the leg off the side of the bed
• Elevate the leg above the heart

Correct Answer: b. Extend the leg and dorsiflex the foot

• Which nursing intervention is most helpful in relieving postpartum uterine

contractions or "afterpains?"

• Lying prone with a pillow on the abdomen
• Using a breast pump
• Massaging the abdomen
• Giving oxytocic medications

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Correct Answer: a. Lying prone with a pillow on the abdomen

• A client who is in the second trimester of pregnancy tells the nurse that she wants

to use herbal therapy. Which response is best for the nurse to provide?

• Herbs are a corner stone of good health to include in your treatment
• Touch is also therapeutic in relieving discomfort and anxiety
• Your healthcare provider should direct treatment options for herbal therapy
• It is important that you want to take part in your care

Correct Answer: d. It is important that you want to take part in your care

• A multigravida client arrives at the labor and delivery 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 heart rate is between 140 to 150 beats/minute.What action should the nurse implement next?

• Complete a sterile vaginal exam
• Take maternal temperature every 2 hours
• Prepare for an immediate cesarean birth
• Obtain sterile suction equipment

Correct Answer: a. Complete a sterile vaginal exam

• A mother who is breastfeeding her baby receives instructions from the nurse. Which

instruction is most effective to prevent nipple soreness?

• Wear a cotton bra
• Increase nursing time gradually
• Correctly place the infant on the breast
• Manually express a small amount of milk before nursing

Correct Answer: c. Correctly place the infant on the breast

• When explaining "postpartum blues" to a client who is 1 day postpartum, which

symptoms should the nurse include in the teaching plan? (Select all that apply.)

• Mood swings
• Panic attacks

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• Tearfulness
• Decreased need for sleep
• Disinterest in the infant

Correct Answer: a. Mood swings, c. Tearfulness

• The nurse is caring for a woman with a previously diagnosed heart disease who is in

the second stage of labor. Which assessment findings are of greatest concern?

• Edema, basilar rales, and an irregular pulse
• Increased urinary output, and tachycardia
• Shortness of breath, bradycardia, and hypertension
• Regular heart rate, and hypertension

Correct Answer: a. Edema, basilar rales, and an irregular pulse

• 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?

• Provide oral hydration
• Have a complete blood count (CBC) drawn
• Obtain a specimen for urine analysis
• Place the client on strict bedrest

Correct Answer: c. Obtain a specimen for urine analysis

• The nurse is teaching a woman how to use her basal body temperature (BBT)

pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?

• Between the time the temperature falls and rises
• Between 36 and 48 hours after the temperature rises
• When the temperature falls and remains low for 36 hours
• Within 72 hours before the temperature falls

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Correct Answer: a. Between the time the temperature falls and rises

11. The nurse should encourage the laboring client to begin pushing when:

• There is only an anterior or posterior lip of cervix left
• The client describes the need to have a bowel movement
• The cervix is completely dilated
• The cervix is completely effaced

Correct Answer: c. The cervix is completely dilated

• One hour after giving birth to an 8-pound infant, a client's lochia rubra has

increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1. What action should the nurse take immediately?

• Give the medication as prescribed and monitor for efficacy
• Encourage the client to breastfeed rather than bottle feed
• Have the client empty her bladder and massage the fundus
• Call the healthcare provider to question the prescription

Correct Answer: d. Call the healthcare provider to question the prescription

• 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:

• Shortness of breath
• Joint pain
• A persistent cold
• Organomegaly

Correct Answer: c. A persistent cold

• A healthcare provider informs the charge nurse of a labor and delivery unit that a

client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select all that apply)

• Dark, red vaginal bleeding