- | P a g e
HESI OB MATERNITY 2026 ACTUAL
EXAM COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+.
Question: A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for induction of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical changes at 0900. Which action should the nurse take?
Multiple Choices:
- Administer misoprostol every 2hrs.
- Ambulate the client after administration of misoprostol.
- Start oxytocin infusion immediately.
- Begin oxytocin 4hrs after misoprostol is given.
Correct Answer: Begin oxytocin 4hrs after misoprostol is given
Question: A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment finding confirms to the nurse that the client is not in labor at this time?
Multiple Choices:
- Contractions decrease with walking.
- 2+ pitting edema in lower extremities.
- Cervical dilations is 1cm.
- Membranes are intact.
Correct Answer: Contractions decrease with walking
- | P a g e
Question: A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating an oxytocin infusion, her cervix is 100?facedand 6 cm dilated, contractions are occurring every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention should the nurse implement?
Multiple Choices:
- Notify nursery about the client's response.
- Check for clonus in both feet.
- Stop oxygen per cannula.
- Restart oxytocin infusion rate per protocol.
Correct Answer: Restart oxytocin infusion rate per protocol
Question: The nurse is caring for a 35-week gestation infant delivered by cesarean section
- hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with
nasal flaring, grunting, and retractions. The nurse should recognize these findings indicate which complication?
Multiple Choices:
- Persistent pulmonary hypertension of the newborn.
- Transient tachypnea of the newborn.
- Meconium aspiration syndrome.
- Bronchopulmonary dysplasia.
Correct Answer: Transient tachypnea of the newborn
Question: The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches.Based on these physical findings, assessment for which condition has the highest priority?
Multiple Choices:
- Hyperbilirubinemia
- Polycythemia
- Hyperthermia
- Hypoglycemia
- | P a g e
Correct Answer: Hypoglycemia
Question: The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which action should the nurse perform?
Multiple Choices:
- Cleanse the spinal injection site.
- Place procedure equipment at bedside.
- Apply an abdominal binder.
- Insert an indwelling Foley catheter.
Correct Answer: Place procedure equipment at bedside
Question: At 0600 while admitting a woman for a scheduled repeat cesarean section (C- Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
Multiple Choices:
- Ensure preoperative lab results are available.
- Inform the anesthesia care provider.
- Start prescribed IV with Lactated Ringer's.
- Contact the client's obstetrician.
Correct Answer: Inform the anesthesia care provider
Question: A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority nursing action for this client?
Multiple Choices:
- Gently massage the fundus every 4 hours.
- Observe for signs of uterine hemorrhage.
- Encourage direct contact with the infant.
- Assess the blood pressure for hypertension.
Correct Answer: Observe for signs of uterine hemorrhage.
- | P a g e
Question: A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client?
Multiple Choices:
- After ceasing breastfeeding, the diaphragm should be resized.
- Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
- If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
- Use an alternate form of contraceptive until a new diaphragm is obtained.
Correct Answer: Use an alternate form of contraceptive until a new diaphragm is obtained.Question: A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition?
Multiple Choices:
- German measles
- herpes simplex virus
- syphilis
- genital warts
Correct Answer: herpes simplex virus
Question: 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 fetal demise protocol and identification procedures. Which action is important for the nurse to take?
Multiple Choices:
- Explain reasons consent for an infant autopsy is needed.
- Encourage the mother to hold and spend time with her baby.
- Determine if the mother desires a visit from her clergy.
- Create a memory box of baby's footprints and photographs.
