OB HESI practice 2024 questions with
complete solution
n A multiparous client has been in labor for 8 hours when her membranes rupture. Which action should
the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Assess the fetal heart rate and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken. While inspecting
the client's perineum, the nurse notes the umbilical cord protruding from the vagina. Which action
should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - Place the client in the knee-chest position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - Observe the mother for other bonding
behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client?
,The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - The growing uterus is putting pressure on the
bladder.
Which nursing action should be implemented when intermittently gavage-feeding a preterm infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner. How
should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - Avoid alcohol because it is excreted in
breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action should the
nurse implement first?
Ventilate with an Ambu bag.
, Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant warmer. - Gently
rub the infant's feet or back to stimulate respirations and place in the radiant warmer.
A nclient ndelivers ntwins, none nis nstillborn nand nthe nother nis nrecovering nin nan nintensive ncare nnursery.
nAs nthe nnurse nprovides nassistance nto nthe nbathroom, nthe nclient, nsoftly ncrying, nstates, n"I nwish nmy
nbaby ncould nhave nlived." nWhich nresponse nis nbest nfor nthe nnurse nto nprovide?
"Don't nbe nsad. nYou'll nneed nto nbe nstrong nto ncare nfor nyour nhealthy nbaby."
"Do nyou nwant nto ngo nto nthe nnursery nand nsee nyour nbaby?"
"I nam nsorry nfor nyour nloss. nDo nyou nwant nto ntalk nabout nit?"
"It nis nalways nsad nto nlose na nbaby. nWould nyou nlike nme nto ncall nyour nminister?" n- n"I nam nsorry nfor
nyour nloss. nDo nyou nwant nto ntalk nabout nit?"
A nclient nin nthe nfirst nstage nof nactive nlabor nis nusing na nshallow npattern nof nrapid nbreaths nthat nis ntwice
nthe nnormal nadult nbreathing nrate. nThe nclient nreports nfeeling nlight-headed nand ndizzy, nand nshe nstates
nthat nher nfingers nare ntingling. nWhich naction nshould nthe nnurse nimplement?
Notify nthe nhealthcare nprovider.
Help nher nbreathe ninto na npaper nbag.
Administer noxygen nvia nnasal ncannula.
Tell nthe nclient nto nslow nher nbreathing. n- nHelp nher nbreathe ninto na npaper nbag.
A nclient nis nreceiving nan noxytocin ninfusion nfor ninduction nof nlabor. nWhen nthe nclient nbegins nactive
nlabor, nthe nfetal nheart nrate n(FHR) nslows nat nthe nonset nof nseveral ncontractions nwith nsubsequent
nreturn nto nbaseline nbefore neach ncontraction nends. nWhich naction nshould nthe nnurse nimplement?
Insert nan ninternal nmonitor ndevice.
Change nthe nclient's nposition.
Discontinue nthe noxytocin ninfusion.
Document nthe nfinding nin nthe nclient nrecord. n- nDocument nthe nfinding nin nthe nclient nrecord.
A ngravid nclient ndevelops nmaternal nhypotension nfollowing nregional nanesthesia. nWhich nintervention(s)
nshould nthe nnurse nimplement? n(Select nall nthat napply.)
complete solution
n A multiparous client has been in labor for 8 hours when her membranes rupture. Which action should
the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Assess the fetal heart rate and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken. While inspecting
the client's perineum, the nurse notes the umbilical cord protruding from the vagina. Which action
should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - Place the client in the knee-chest position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - Observe the mother for other bonding
behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client?
,The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - The growing uterus is putting pressure on the
bladder.
Which nursing action should be implemented when intermittently gavage-feeding a preterm infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner. How
should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - Avoid alcohol because it is excreted in
breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action should the
nurse implement first?
Ventilate with an Ambu bag.
, Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant warmer. - Gently
rub the infant's feet or back to stimulate respirations and place in the radiant warmer.
A nclient ndelivers ntwins, none nis nstillborn nand nthe nother nis nrecovering nin nan nintensive ncare nnursery.
nAs nthe nnurse nprovides nassistance nto nthe nbathroom, nthe nclient, nsoftly ncrying, nstates, n"I nwish nmy
nbaby ncould nhave nlived." nWhich nresponse nis nbest nfor nthe nnurse nto nprovide?
"Don't nbe nsad. nYou'll nneed nto nbe nstrong nto ncare nfor nyour nhealthy nbaby."
"Do nyou nwant nto ngo nto nthe nnursery nand nsee nyour nbaby?"
"I nam nsorry nfor nyour nloss. nDo nyou nwant nto ntalk nabout nit?"
"It nis nalways nsad nto nlose na nbaby. nWould nyou nlike nme nto ncall nyour nminister?" n- n"I nam nsorry nfor
nyour nloss. nDo nyou nwant nto ntalk nabout nit?"
A nclient nin nthe nfirst nstage nof nactive nlabor nis nusing na nshallow npattern nof nrapid nbreaths nthat nis ntwice
nthe nnormal nadult nbreathing nrate. nThe nclient nreports nfeeling nlight-headed nand ndizzy, nand nshe nstates
nthat nher nfingers nare ntingling. nWhich naction nshould nthe nnurse nimplement?
Notify nthe nhealthcare nprovider.
Help nher nbreathe ninto na npaper nbag.
Administer noxygen nvia nnasal ncannula.
Tell nthe nclient nto nslow nher nbreathing. n- nHelp nher nbreathe ninto na npaper nbag.
A nclient nis nreceiving nan noxytocin ninfusion nfor ninduction nof nlabor. nWhen nthe nclient nbegins nactive
nlabor, nthe nfetal nheart nrate n(FHR) nslows nat nthe nonset nof nseveral ncontractions nwith nsubsequent
nreturn nto nbaseline nbefore neach ncontraction nends. nWhich naction nshould nthe nnurse nimplement?
Insert nan ninternal nmonitor ndevice.
Change nthe nclient's nposition.
Discontinue nthe noxytocin ninfusion.
Document nthe nfinding nin nthe nclient nrecord. n- nDocument nthe nfinding nin nthe nclient nrecord.
A ngravid nclient ndevelops nmaternal nhypotension nfollowing nregional nanesthesia. nWhich nintervention(s)
nshould nthe nnurse nimplement? n(Select nall nthat napply.)
