OB "HESI" Practice Questions 132
complete solutions rated A+
OB "HESI" Practice Questions 132
complete solutions rated A+
A 30-year-old multiparous woman who has a 3-year-old boy and a newborn girl tells the nurse, "My son
is so jealous of my daughter, I don't know how I'll ever manage both children when I get home." How
should the nurse respond?
A. "Tell the older child that he is a big boy now and should love his new sister."
B. "Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the first six weeks to allow him to adjust to the
newborn."
D. "Regression in behaviors in the older child is a typical reaction so he needs attention at this time." -
ANSWER D
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D. Administer vitamin K - ANSWER A
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute - ANSWER A
,OB "HESI" Practice Questions 132
complete solutions rated A+
A pregnany client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is best for the nurse to provide this client?
A. "Complete bedrest decreases oxygen needs and demands on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can make sure that will happen."
C. "I know you're upset. Would you like to talk about some things you could do while in bed?"
D. "Labor is difficult and you need to use this time to rest before you have to assume all child-caring
duties." - ANSWER A
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? (Select all that apply)
A. Litmus paper
B. Fetal scalp electrode
C. A sterile glove
D. An amnihook
E. Sterile vaginal speculum
F. Lubricant - ANSWER CDF
The nurse is preparing to give an enema to a laboring client. Which client requires the most caution
when carrying out this procedure?
A. A gravida 6. para 5 who is 38 years of age and in early labor
B. A 37-week primigravida who presents at 100% effacement, 3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor
due to post dates
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged -
ANSWER D
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain
relief. Which assessment finding is most important for the nurse to report to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B. White blood cell count of 12,000/mm3
,OB "HESI" Practice Questions 132
complete solutions rated A+
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D. A platelet count of 67,000/mm3 - ANSWER D
The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client whose
last menstrual period started on December 1. Which date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8 - ANSWER D
The nurse is performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if the
neonate is small for gestational age (SGA)? (Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm)
C. Frontal occipital circumference of 12.5 inches (31.25 cm)
D. Skin smooth with visible veins and abundant vernix
E. Anterior plantar crease and smooth heel surfaces
F. full flexion of all extremities in resting supine position - ANSWER ABC
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding?
A. Two vessels; one artery and one vein
B. Two vessels; two arteries and no veins
C. Three vessels; two arteries and one vein
D. Three vessels; two veins and one artery - ANSWER C
A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that
the infant may have an esophageal atresia. Which symptoms is this newborn likely to exhibit?
, OB "HESI" Practice Questions 132
complete solutions rated A+
A. Choking, coughing, and cyanosis
B. Projectile vomiting and cyanosis
C. Apneic spells and grunting
D. Scaphoid abdomen and anorexia - ANSWER A
A women with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring - ANSWER A
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation.
She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination
reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the
nurse implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest - ANSWER C
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a
home pregnancy test to diagnose pregnancy. Which response appropriate?
A. "A home pregnancy test can be used right after your missed period."
B. "These tests are most accurate after you have missed your second period."
C. "Home pregnancy tests often give false positives and should not be trusted."
D. "The test can provide accurate information when used right after ovulation." - ANSWER A
complete solutions rated A+
OB "HESI" Practice Questions 132
complete solutions rated A+
A 30-year-old multiparous woman who has a 3-year-old boy and a newborn girl tells the nurse, "My son
is so jealous of my daughter, I don't know how I'll ever manage both children when I get home." How
should the nurse respond?
A. "Tell the older child that he is a big boy now and should love his new sister."
B. "Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the first six weeks to allow him to adjust to the
newborn."
D. "Regression in behaviors in the older child is a typical reaction so he needs attention at this time." -
ANSWER D
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D. Administer vitamin K - ANSWER A
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute - ANSWER A
,OB "HESI" Practice Questions 132
complete solutions rated A+
A pregnany client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is best for the nurse to provide this client?
A. "Complete bedrest decreases oxygen needs and demands on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can make sure that will happen."
C. "I know you're upset. Would you like to talk about some things you could do while in bed?"
D. "Labor is difficult and you need to use this time to rest before you have to assume all child-caring
duties." - ANSWER A
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? (Select all that apply)
A. Litmus paper
B. Fetal scalp electrode
C. A sterile glove
D. An amnihook
E. Sterile vaginal speculum
F. Lubricant - ANSWER CDF
The nurse is preparing to give an enema to a laboring client. Which client requires the most caution
when carrying out this procedure?
A. A gravida 6. para 5 who is 38 years of age and in early labor
B. A 37-week primigravida who presents at 100% effacement, 3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor
due to post dates
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged -
ANSWER D
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain
relief. Which assessment finding is most important for the nurse to report to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B. White blood cell count of 12,000/mm3
,OB "HESI" Practice Questions 132
complete solutions rated A+
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D. A platelet count of 67,000/mm3 - ANSWER D
The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client whose
last menstrual period started on December 1. Which date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8 - ANSWER D
The nurse is performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if the
neonate is small for gestational age (SGA)? (Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm)
C. Frontal occipital circumference of 12.5 inches (31.25 cm)
D. Skin smooth with visible veins and abundant vernix
E. Anterior plantar crease and smooth heel surfaces
F. full flexion of all extremities in resting supine position - ANSWER ABC
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding?
A. Two vessels; one artery and one vein
B. Two vessels; two arteries and no veins
C. Three vessels; two arteries and one vein
D. Three vessels; two veins and one artery - ANSWER C
A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that
the infant may have an esophageal atresia. Which symptoms is this newborn likely to exhibit?
, OB "HESI" Practice Questions 132
complete solutions rated A+
A. Choking, coughing, and cyanosis
B. Projectile vomiting and cyanosis
C. Apneic spells and grunting
D. Scaphoid abdomen and anorexia - ANSWER A
A women with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring - ANSWER A
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation.
She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination
reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the
nurse implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest - ANSWER C
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a
home pregnancy test to diagnose pregnancy. Which response appropriate?
A. "A home pregnancy test can be used right after your missed period."
B. "These tests are most accurate after you have missed your second period."
C. "Home pregnancy tests often give false positives and should not be trusted."
D. "The test can provide accurate information when used right after ovulation." - ANSWER A
