OB HESI EXAM QUESTIONS WITH
VERIFIED ANSWERS
A pregnant client's medical record shows: Gravida 6 Term 2 Preterm 1 Abortion 2.
Assuming that no children passed away after birth, how should the nurse interpreted
this data? - Answer-The client has 3 living children.
The nurse is caring for a primigravid client who is 38 weeks pregnant. During her visit,
the client tells the nurse, "my belly gets really tight sometimes and I get this lightning
bolt sensation that goes down my legs and even in my vagina." What is the best
response by the nurse? - Answer-"When your belly gets tight, does the tightness go
away if you walk around or change positions?"
The nurse is teaching a group of students on fetal growth and development. Which
statement regarding fetal circulation is incorrect?
A. The umbilical vein transports nutrient and oxygen rich blood to the fetal body.
B. The foramen ovale shunts blood from the right atrium directly to the left atrium,
bypassing the lungs.
C. The ductus venosus shunts blood from the pulmonary artery directly to the
descending aorta, bypassing the lungs.
D. The umbilical cord contains one umbilical vein and two umbilical arteries. - Answer-
ANS: C
A client at 36-week gestation is scheduled to receive Rho(D) immune globulin
(RhoGAM) injection after delivery of her first child. The nurse is teaching the client about
the purpose of the medication. Which statement by the client confirms that teaching has
been effective? - Answer-"This injection will prevent the development of antibodies that
may harm my next child."
A nullipara client admitted to the labor and delivery unit says "I feel like I'm going to
have a bowel movement."Upon assessment, the client's cervix is dilated to 10 cm, the
baby is at 1+ station, and contractions are every 2-3 minutes lasting 60-90 seconds.
What is the best action for the nurse to take? - Answer-Instruct the client on quality
pushing.
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.
VERIFIED ANSWERS
A pregnant client's medical record shows: Gravida 6 Term 2 Preterm 1 Abortion 2.
Assuming that no children passed away after birth, how should the nurse interpreted
this data? - Answer-The client has 3 living children.
The nurse is caring for a primigravid client who is 38 weeks pregnant. During her visit,
the client tells the nurse, "my belly gets really tight sometimes and I get this lightning
bolt sensation that goes down my legs and even in my vagina." What is the best
response by the nurse? - Answer-"When your belly gets tight, does the tightness go
away if you walk around or change positions?"
The nurse is teaching a group of students on fetal growth and development. Which
statement regarding fetal circulation is incorrect?
A. The umbilical vein transports nutrient and oxygen rich blood to the fetal body.
B. The foramen ovale shunts blood from the right atrium directly to the left atrium,
bypassing the lungs.
C. The ductus venosus shunts blood from the pulmonary artery directly to the
descending aorta, bypassing the lungs.
D. The umbilical cord contains one umbilical vein and two umbilical arteries. - Answer-
ANS: C
A client at 36-week gestation is scheduled to receive Rho(D) immune globulin
(RhoGAM) injection after delivery of her first child. The nurse is teaching the client about
the purpose of the medication. Which statement by the client confirms that teaching has
been effective? - Answer-"This injection will prevent the development of antibodies that
may harm my next child."
A nullipara client admitted to the labor and delivery unit says "I feel like I'm going to
have a bowel movement."Upon assessment, the client's cervix is dilated to 10 cm, the
baby is at 1+ station, and contractions are every 2-3 minutes lasting 60-90 seconds.
What is the best action for the nurse to take? - Answer-Instruct the client on quality
pushing.
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.
