HESI Case Study OB Practice Exam with
Questions and Correct Answers 2025-2026
GRADED A+
client ,teaching ,is ,an ,important ,part ,of ,the ,maternity ,nurse's ,role. ,which ,factor ,has ,the
,greatest ,influence ,on ,successful ,teaching ,of ,the ,gravid ,client? ,- ,CORRECT
,ANSWER-the ,client's ,readiness ,to ,learn
a ,38-week ,primigravida ,who ,works ,as ,a ,secretary ,and ,sits ,at ,a ,computer ,8 ,hours
,each ,days ,tells ,the ,nurse ,that ,her ,feet ,have ,begun ,to ,swell. ,which ,instruction ,would
,be ,most ,effective ,in ,preventing ,pooling ,of ,blood ,in ,the ,lower ,extremities? ,-
,CORRECT ,ANSWER-move ,about ,every ,hour
during ,a ,prenatal ,visit, ,the ,nurse ,discusses ,with ,a ,client ,the ,effects ,of ,smoking ,on ,the
,fetus. ,when ,compared ,with ,nonsmokers, ,mothers ,who ,smoke ,during ,pregnancy ,tend
,to ,produce ,infants ,who ,have ,- ,CORRECT ,ANSWER-lower ,birth ,weights
a ,26-year-old, ,gravida ,2, ,para ,1 ,client ,is ,admitted ,to ,the ,hospital ,at ,28-weeks
,gestation ,in ,preterm ,labor. ,she ,is ,given ,3 ,doses ,of ,terbutaline ,sulfate ,(Brethine)
,0.25mg ,subcutaneously ,to ,stop ,her ,labor ,contractions. ,the ,nurse ,plans ,to ,monitor ,for
,which ,primary ,side ,effect ,of ,terbutaline ,sulfate? ,- ,CORRECT ,ANSWER-tachycardia
,and ,a ,feeling ,of ,nervousness
a ,mother ,who ,is ,breastfeeding ,her ,baby ,receives ,instructions ,from ,the ,nurse. ,which
,instruction ,is ,most ,effective ,to ,prevent ,nipple ,soreness? ,- ,CORRECT ,ANSWER-
correctly ,place ,the ,infant ,on ,the ,breast
, a ,full ,term ,infant ,is ,transferred ,to ,the ,nursery ,from ,labor ,and ,delivery. ,which
,information ,is ,most ,important ,for ,the ,nurse ,to ,receive ,when ,planning ,immediate ,care
,for ,the ,newborn? ,- ,CORRECT ,ANSWER-infant's ,condition ,at ,birth ,and ,treatment
,received
in ,developing ,a ,teaching ,plan ,for ,expectant ,parents, ,the ,nurse ,plans ,to ,include
,information ,about ,when ,the ,parents ,can ,expect ,the ,infant's ,fontanels ,to ,close. ,the
,nurse ,bases ,the ,explanation ,on ,knowledge ,that ,for ,the ,normal ,newborn, ,the ,-
,CORRECT ,ANSWER-anterior ,fontanel ,closed ,at ,12 ,to ,18 ,months ,and ,the ,posterior
,by ,the ,end ,of ,the ,second ,month
when ,assessing ,a ,client ,who ,is ,at ,12-weeks ,gestation, ,the ,nurse ,recommends ,that
,she ,and ,her ,husband ,consider ,attending ,childbirth ,preparation ,classes. ,when ,is ,the
,best ,time ,for ,the ,couple ,to ,attend ,these ,classes? ,- ,CORRECT ,ANSWER-at ,30-weeks
,gestation
the ,nurse ,should ,encourage ,the ,laboring ,client ,to ,begin ,pushing ,when ,- ,CORRECT
,ANSWER-the ,cervix ,is ,completely ,dilated
the ,nurse ,is ,counseling ,a ,couple ,who ,has ,sought ,information ,about ,conceiving. ,for
,teaching ,purposes, ,the ,nurse ,should ,know ,that ,ovulation ,usually ,occurs ,- ,CORRECT
,ANSWER-two ,weeks ,before ,menstruation
the ,nurse ,instructs ,a ,laboring ,client ,to ,use ,accelerated-blow ,breathing. ,the ,client
,begins ,to ,complain ,of ,tingling ,fingers ,and ,dizziness. ,what ,action ,should ,the ,nurse
,take? ,- ,CORRECT ,ANSWER-have ,the ,client ,breathe ,into ,her ,cupped ,hands
when ,preparing ,a ,class ,on ,newborn ,care ,for ,expectant ,parents, ,what ,content ,should
,the ,nurse ,teach ,concerning ,the ,newborn ,infant ,born ,at ,term ,gestation? ,- ,CORRECT
,ANSWER-vernix ,is ,a ,white, ,cheesy ,substance, ,predominantly ,located ,in ,the ,skin
,folds
twenty-four ,hours ,after ,admission ,to ,the ,newborn ,nursery, ,a ,full-term ,male ,infant
,develops ,localized ,edema ,on ,the ,right ,side ,of ,his ,head. ,the ,nurse ,knows ,that, ,in ,the
,newborn, ,an ,accumulation ,of ,blood ,between ,the ,perisoteum ,and ,skull ,which ,does ,not
,cross ,the ,suture ,line ,is ,a ,newborn ,variation ,known ,as ,- ,CORRECT ,ANSWER-a
,cephalhematoma, ,caused ,by ,forceps ,trauma ,and ,may ,last ,up ,to ,8 ,weeks
a ,expectant ,father ,tells ,the ,nurse ,he ,fears ,that ,his ,wife ,"is ,losing ,her ,mind." ,he ,states
,she ,is ,constantly ,rubbing ,her ,abdomen ,and ,talking ,to ,the ,baby, ,and ,that ,she ,actually
,reprimands ,the ,baby ,when ,it ,moves ,to ,much. ,what ,recommendation ,should ,the ,nurse
,make ,to ,this ,expectant ,father? ,- ,CORRECT ,ANSWER-let ,him ,know ,that ,these
,behaviors ,are ,part ,of ,normal ,maternal/fetal ,bonding ,which ,occur ,once ,the ,mother
,feels ,fetal ,movement
Questions and Correct Answers 2025-2026
GRADED A+
client ,teaching ,is ,an ,important ,part ,of ,the ,maternity ,nurse's ,role. ,which ,factor ,has ,the
,greatest ,influence ,on ,successful ,teaching ,of ,the ,gravid ,client? ,- ,CORRECT
,ANSWER-the ,client's ,readiness ,to ,learn
a ,38-week ,primigravida ,who ,works ,as ,a ,secretary ,and ,sits ,at ,a ,computer ,8 ,hours
,each ,days ,tells ,the ,nurse ,that ,her ,feet ,have ,begun ,to ,swell. ,which ,instruction ,would
,be ,most ,effective ,in ,preventing ,pooling ,of ,blood ,in ,the ,lower ,extremities? ,-
,CORRECT ,ANSWER-move ,about ,every ,hour
during ,a ,prenatal ,visit, ,the ,nurse ,discusses ,with ,a ,client ,the ,effects ,of ,smoking ,on ,the
,fetus. ,when ,compared ,with ,nonsmokers, ,mothers ,who ,smoke ,during ,pregnancy ,tend
,to ,produce ,infants ,who ,have ,- ,CORRECT ,ANSWER-lower ,birth ,weights
a ,26-year-old, ,gravida ,2, ,para ,1 ,client ,is ,admitted ,to ,the ,hospital ,at ,28-weeks
,gestation ,in ,preterm ,labor. ,she ,is ,given ,3 ,doses ,of ,terbutaline ,sulfate ,(Brethine)
,0.25mg ,subcutaneously ,to ,stop ,her ,labor ,contractions. ,the ,nurse ,plans ,to ,monitor ,for
,which ,primary ,side ,effect ,of ,terbutaline ,sulfate? ,- ,CORRECT ,ANSWER-tachycardia
,and ,a ,feeling ,of ,nervousness
a ,mother ,who ,is ,breastfeeding ,her ,baby ,receives ,instructions ,from ,the ,nurse. ,which
,instruction ,is ,most ,effective ,to ,prevent ,nipple ,soreness? ,- ,CORRECT ,ANSWER-
correctly ,place ,the ,infant ,on ,the ,breast
, a ,full ,term ,infant ,is ,transferred ,to ,the ,nursery ,from ,labor ,and ,delivery. ,which
,information ,is ,most ,important ,for ,the ,nurse ,to ,receive ,when ,planning ,immediate ,care
,for ,the ,newborn? ,- ,CORRECT ,ANSWER-infant's ,condition ,at ,birth ,and ,treatment
,received
in ,developing ,a ,teaching ,plan ,for ,expectant ,parents, ,the ,nurse ,plans ,to ,include
,information ,about ,when ,the ,parents ,can ,expect ,the ,infant's ,fontanels ,to ,close. ,the
,nurse ,bases ,the ,explanation ,on ,knowledge ,that ,for ,the ,normal ,newborn, ,the ,-
,CORRECT ,ANSWER-anterior ,fontanel ,closed ,at ,12 ,to ,18 ,months ,and ,the ,posterior
,by ,the ,end ,of ,the ,second ,month
when ,assessing ,a ,client ,who ,is ,at ,12-weeks ,gestation, ,the ,nurse ,recommends ,that
,she ,and ,her ,husband ,consider ,attending ,childbirth ,preparation ,classes. ,when ,is ,the
,best ,time ,for ,the ,couple ,to ,attend ,these ,classes? ,- ,CORRECT ,ANSWER-at ,30-weeks
,gestation
the ,nurse ,should ,encourage ,the ,laboring ,client ,to ,begin ,pushing ,when ,- ,CORRECT
,ANSWER-the ,cervix ,is ,completely ,dilated
the ,nurse ,is ,counseling ,a ,couple ,who ,has ,sought ,information ,about ,conceiving. ,for
,teaching ,purposes, ,the ,nurse ,should ,know ,that ,ovulation ,usually ,occurs ,- ,CORRECT
,ANSWER-two ,weeks ,before ,menstruation
the ,nurse ,instructs ,a ,laboring ,client ,to ,use ,accelerated-blow ,breathing. ,the ,client
,begins ,to ,complain ,of ,tingling ,fingers ,and ,dizziness. ,what ,action ,should ,the ,nurse
,take? ,- ,CORRECT ,ANSWER-have ,the ,client ,breathe ,into ,her ,cupped ,hands
when ,preparing ,a ,class ,on ,newborn ,care ,for ,expectant ,parents, ,what ,content ,should
,the ,nurse ,teach ,concerning ,the ,newborn ,infant ,born ,at ,term ,gestation? ,- ,CORRECT
,ANSWER-vernix ,is ,a ,white, ,cheesy ,substance, ,predominantly ,located ,in ,the ,skin
,folds
twenty-four ,hours ,after ,admission ,to ,the ,newborn ,nursery, ,a ,full-term ,male ,infant
,develops ,localized ,edema ,on ,the ,right ,side ,of ,his ,head. ,the ,nurse ,knows ,that, ,in ,the
,newborn, ,an ,accumulation ,of ,blood ,between ,the ,perisoteum ,and ,skull ,which ,does ,not
,cross ,the ,suture ,line ,is ,a ,newborn ,variation ,known ,as ,- ,CORRECT ,ANSWER-a
,cephalhematoma, ,caused ,by ,forceps ,trauma ,and ,may ,last ,up ,to ,8 ,weeks
a ,expectant ,father ,tells ,the ,nurse ,he ,fears ,that ,his ,wife ,"is ,losing ,her ,mind." ,he ,states
,she ,is ,constantly ,rubbing ,her ,abdomen ,and ,talking ,to ,the ,baby, ,and ,that ,she ,actually
,reprimands ,the ,baby ,when ,it ,moves ,to ,much. ,what ,recommendation ,should ,the ,nurse
,make ,to ,this ,expectant ,father? ,- ,CORRECT ,ANSWER-let ,him ,know ,that ,these
,behaviors ,are ,part ,of ,normal ,maternal/fetal ,bonding ,which ,occur ,once ,the ,mother
,feels ,fetal ,movement
