OB HESI EXAM QUESTIONS WITH
VERIFIED ANSWERS
The amniotic membranes of a client in active labor spontaneously rupture. The fluid is
greenish brown with a foul odor. What action is a priority for the nurse?
A. Evaluate the labor pattern.
B. Administer oxygen.
C. Place the client into the knee-chest position.
D. Apply internal fetal heart monitor and note the time of membrane rupture - Answer-
ANS: D
Rationale:
In the presence of greenish brown amniotic fluid, the fetal heart rate should be
monitored continuously using an internal fetal heart rate monitor, and the time of
membrane rupture should be noted since birth should occur within 24 hours of the
rupture of membranes.
A primigravida in labor has complete cervical dilatation. Contractions are occurring
every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the nurse
determines that birth is imminent because what has occurred?
A. An increase in bloody show
B. Perineum is bulging.
C. Perineum is flattened.
D. Crowning - Answer-ANS: D
The nurse, assessing a client who is 32 weeks pregnant during a routine visit, is
concerned that the fetus is in the breech presentation. What did the nurse assess in the
client? - Answer-Fetal heart rate above the umbilicus.
A client in the last trimester of pregnancy is prescribed sulfonamide for a urinary tract
infection. What risk will this medication be to the developing fetus? - Answer-Jaundice
The fetal heart rate of a client in active labor shows variable decelerations. The cervix is
7cm dilated and the membranes are intact. What intervention should the nurse
implement first? - Answer-Assist client with turning to the left side.
VERIFIED ANSWERS
The amniotic membranes of a client in active labor spontaneously rupture. The fluid is
greenish brown with a foul odor. What action is a priority for the nurse?
A. Evaluate the labor pattern.
B. Administer oxygen.
C. Place the client into the knee-chest position.
D. Apply internal fetal heart monitor and note the time of membrane rupture - Answer-
ANS: D
Rationale:
In the presence of greenish brown amniotic fluid, the fetal heart rate should be
monitored continuously using an internal fetal heart rate monitor, and the time of
membrane rupture should be noted since birth should occur within 24 hours of the
rupture of membranes.
A primigravida in labor has complete cervical dilatation. Contractions are occurring
every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the nurse
determines that birth is imminent because what has occurred?
A. An increase in bloody show
B. Perineum is bulging.
C. Perineum is flattened.
D. Crowning - Answer-ANS: D
The nurse, assessing a client who is 32 weeks pregnant during a routine visit, is
concerned that the fetus is in the breech presentation. What did the nurse assess in the
client? - Answer-Fetal heart rate above the umbilicus.
A client in the last trimester of pregnancy is prescribed sulfonamide for a urinary tract
infection. What risk will this medication be to the developing fetus? - Answer-Jaundice
The fetal heart rate of a client in active labor shows variable decelerations. The cervix is
7cm dilated and the membranes are intact. What intervention should the nurse
implement first? - Answer-Assist client with turning to the left side.
