OB HESI QUESTIONS AND ANSWERS 2026
COMPREHENSIVE EXAM SCRIPT FULL
QUESTIONS AND CORRECT ANSWERS
◉ During labor, the nurse determines that a full-term client is
demonstrating late decelerations. In which sequence should the
nurse implement these nursing actions? (Arrange in order.) Answer:
Reposition the client.
Provide oxygen via face mask.
Increase IV fluid.
Call the healthcare provider.
◉ An off-duty nurse finds a woman in a supermarket parking lot
delivering an infant while her husband is screaming for someone to
help his wife. Which intervention has the highest priority? Answer:
Put the newborn to breast. Putting the newborn to breast (D) will
help contract the uterus and prevent a postpartum hemorrhage--this
intervention has the highest priority.
◉ A 40-week gestation primigravida client is being induced with an
oxytocin (Pitocin) secondary infusion and complains of pain in her
lower back. Which intervention should the nurse implement?
Answer: Apply firm pressure to sacral area. The discomfort of back
labor can be minimized by the application of firm pressure to the
sacral area
,◉ 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? Answer: Complete a sterile
vaginal exam. A vaginal exam (A) should be performed after the
rupture of membranes to determine the presence of a prolapsed
cord.
◉ The nurse is assessing a client who is having a non-stress test
(NST) at 41-weeks gestation. The nurse determines that the client is
not having contractions, the fetal heart rate (FHR) baseline is 144
bpm, and no FHR accelerations are occurring. What action should
the nurse take? Answer: Ask the client if she has felt any fetal
movement.
◉ Just after delivery, a new mother tells the nurse, "I was
unsuccessful breastfeeding my first child, but I would like to try with
this baby." Which intervention is best for the nurse to implement
first? Answer: Provide assistance to the mother to begin
breastfeeding as soon as possible after delivery.
◉ 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.) Answer: Dark, red
vaginal bleeding.
Increased uterine irritability.
A rigid abdomen.
◉ The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which infectious
organism will this treatment prevent from harming the infant?
Answer: Gonorrhea. Erythromycin ointment is instilled into the
lower conjunctiva of each eye within 2 hours after birth to prevent
ophthalmica neonatorum, an infection caused by gonorrhea, and
inclusion conjunctivitis, an infection caused by chlamydia (C).
◉ In evaluating the respiratory effort of a one-hour-old infant using
the Silverman-Anderson Index, the nurse determines the infant has
synchronized chest and abdominal movement, just visible lower
chest retractions, just visible xiphoid retractions, minimal and
transient nasal flaring, and an expiratory grunt heard only on
auscultation. What Silverman-Anderson score should the nurse
assign to this infant? (Enter numeral value only.) Answer: A
Silverman-Anderson Index has five categories with scores of 0, 1, or
2. The total score ranges from 0 to 10. Four of the these assessment
findings should receive a score of 1, and the 5th finding
(synchronized chest and abdominal movement) receives a score of
0. Therefore, the total score is 4. A total score of 0 means the infant
, has no dyspnea, a total score of 10 indicates maximum respiratory
distress.
◉ 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? Answer: Between the time the temperature falls and
rises. In most women, the BBT drops slightly 24 to 36 hours before
ovulation and rises 24 to 72 hours after ovulation, when the corpus
luteum of the ruptured ovary produces progesterone. Therefore,
intercourse between the time of the temperature fall and rise (A) is
the best time for conception.
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide? Answer: Your milk is sufficient if the baby is voiding pale
straw-colored urine 6 to 10 times a day. The urine will be dilute
(straw-colored) and frequent (>6 to 10 times/day) (B), if the infant
is adequately hydrated.
◉ A 28-year-old client in active labor complains of cramps in her leg.
What intervention should the nurse implement? Answer: Extend the
leg and dorsiflex the foot. Dorsiflexing the foot by pushing the sole of
the foot forward or by standing (if the client is capable) (B), and
putting the heel of the foot on the floor is the best means of relieving
leg cramps.
COMPREHENSIVE EXAM SCRIPT FULL
QUESTIONS AND CORRECT ANSWERS
◉ During labor, the nurse determines that a full-term client is
demonstrating late decelerations. In which sequence should the
nurse implement these nursing actions? (Arrange in order.) Answer:
Reposition the client.
Provide oxygen via face mask.
Increase IV fluid.
Call the healthcare provider.
◉ An off-duty nurse finds a woman in a supermarket parking lot
delivering an infant while her husband is screaming for someone to
help his wife. Which intervention has the highest priority? Answer:
Put the newborn to breast. Putting the newborn to breast (D) will
help contract the uterus and prevent a postpartum hemorrhage--this
intervention has the highest priority.
◉ A 40-week gestation primigravida client is being induced with an
oxytocin (Pitocin) secondary infusion and complains of pain in her
lower back. Which intervention should the nurse implement?
Answer: Apply firm pressure to sacral area. The discomfort of back
labor can be minimized by the application of firm pressure to the
sacral area
,◉ 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? Answer: Complete a sterile
vaginal exam. A vaginal exam (A) should be performed after the
rupture of membranes to determine the presence of a prolapsed
cord.
◉ The nurse is assessing a client who is having a non-stress test
(NST) at 41-weeks gestation. The nurse determines that the client is
not having contractions, the fetal heart rate (FHR) baseline is 144
bpm, and no FHR accelerations are occurring. What action should
the nurse take? Answer: Ask the client if she has felt any fetal
movement.
◉ Just after delivery, a new mother tells the nurse, "I was
unsuccessful breastfeeding my first child, but I would like to try with
this baby." Which intervention is best for the nurse to implement
first? Answer: Provide assistance to the mother to begin
breastfeeding as soon as possible after delivery.
◉ 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.) Answer: Dark, red
vaginal bleeding.
Increased uterine irritability.
A rigid abdomen.
◉ The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which infectious
organism will this treatment prevent from harming the infant?
Answer: Gonorrhea. Erythromycin ointment is instilled into the
lower conjunctiva of each eye within 2 hours after birth to prevent
ophthalmica neonatorum, an infection caused by gonorrhea, and
inclusion conjunctivitis, an infection caused by chlamydia (C).
◉ In evaluating the respiratory effort of a one-hour-old infant using
the Silverman-Anderson Index, the nurse determines the infant has
synchronized chest and abdominal movement, just visible lower
chest retractions, just visible xiphoid retractions, minimal and
transient nasal flaring, and an expiratory grunt heard only on
auscultation. What Silverman-Anderson score should the nurse
assign to this infant? (Enter numeral value only.) Answer: A
Silverman-Anderson Index has five categories with scores of 0, 1, or
2. The total score ranges from 0 to 10. Four of the these assessment
findings should receive a score of 1, and the 5th finding
(synchronized chest and abdominal movement) receives a score of
0. Therefore, the total score is 4. A total score of 0 means the infant
, has no dyspnea, a total score of 10 indicates maximum respiratory
distress.
◉ 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? Answer: Between the time the temperature falls and
rises. In most women, the BBT drops slightly 24 to 36 hours before
ovulation and rises 24 to 72 hours after ovulation, when the corpus
luteum of the ruptured ovary produces progesterone. Therefore,
intercourse between the time of the temperature fall and rise (A) is
the best time for conception.
◉ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide? Answer: Your milk is sufficient if the baby is voiding pale
straw-colored urine 6 to 10 times a day. The urine will be dilute
(straw-colored) and frequent (>6 to 10 times/day) (B), if the infant
is adequately hydrated.
◉ A 28-year-old client in active labor complains of cramps in her leg.
What intervention should the nurse implement? Answer: Extend the
leg and dorsiflex the foot. Dorsiflexing the foot by pushing the sole of
the foot forward or by standing (if the client is capable) (B), and
putting the heel of the foot on the floor is the best means of relieving
leg cramps.
