HESI Maternity OB Exam Version 5

1

HESI Maternity OB Exam Version 5 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A pregnant client at 34 weeks gestation reports sudden gush of clear fluid from the vagina. What is the priority nursing assessment?

• Assess blood pressure and heart rate

✔✔B. Check fetal heart rate and note time of rupture

• Measure fundal height
• Prepare for immediate delivery

A postpartum client reports severe perineal pain and observes swelling at the site. What is the priority intervention?

• Encourage ambulation

✔✔B. Apply cold compress and assess for hematoma

• Provide warm sitz bath immediately
• Document findings only

A client in active labor has a contraction every 2 minutes lasting 80 seconds with fetal heart rate showing late decelerations. What should the nurse do first? 1 / 4

2

• Administer pain medication

✔✔B. Reposition the client, give oxygen, and notify provider

• Encourage deep breathing
• Continue monitoring

A client at 28 weeks gestation presents with swelling of the face and hands and reports headaches. What is the priority nursing action?

• Measure fundal height

✔✔B. Assess for preeclampsia and notify provider

• Encourage rest and hydration
• Teach fetal kick counts

A client with gestational diabetes is unsure about how to monitor blood sugar at home. What teaching is essential?

• Check blood sugar once a week
• Skip insulin on low-glucose days

✔✔C. Teach fingerstick technique, target levels, and diet management

• Monitor only if feeling symptoms 2 / 4

3

A newborn at 2 hours of life has a heart rate of 80 bpm and weak cry. What is the immediate nursing intervention?

• Swaddle the newborn

✔✔B. Stimulate and provide supplemental oxygen

• Administer vitamin K
• Place under phototherapy

A client in labor reports severe back pain with contractions. What non-pharmacologic method can the nurse suggest?

• Apply cold packs to the abdomen
• Administer IV opioids immediately

✔✔C. Encourage ambulation, position changes, and counter-pressure

• Limit movement and keep supine

A client at 36 weeks gestation presents with sudden abdominal pain and no fetal movement.What is the priority action?

• Provide pain medication

✔✔B. Assess fetal heart rate and prepare for emergency evaluation 3 / 4

4

• Encourage rest
• Perform fundal massage

A postpartum client on day 2 reports heavy vaginal bleeding with passage of clots. What is the priority nursing assessment?

• Encourage ambulation

✔✔B. Assess uterine tone and massage fundus

• Document amount of bleeding
• Apply a perineal pad only

A client at 40 weeks gestation reports regular contractions every 3 minutes. What is the next nursing action?

• Prepare for induction immediately
• Encourage the client to walk

✔✔C. Assess cervical dilation and effacement

• Assess vital signs only

A client receiving oxytocin develops contractions lasting 90 seconds every 1–2 minutes. What is the priority nursing intervention?

• / 4