HESI PN Obstetrics/Maternity Prac ce Exam/ OB "HESI"
Prac ce Ques ons and answers Newest RATED A+
2025/2026
A er repea ng the vital signs for a newborn who is 4 hours old, the prac cal nurse (PN) obtains
an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which
addi onal finding should the PN observe in the newborn? - Answers Tremors of the hands
during crying.
Which informa on should the prac cal nurse (PN) provide the parents about the purpose of
ins lling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - Answers
Prophylac c treatment for gonorrheal and chlamydia infec on.
What is the most important ac on by the prac cal nurse (PN) in preven ng neonatal infec on?
- Answers Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean sec on.
On the second postpartum day, the client reports having a cons pated stool that is greenish-
black in color. Which ac on should the prac cal nurse (PN) implement? - Answers Record
color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is posi ve.
She asks what she should be concerned about during the weeks before her first visit. Which
signs and symptoms should the prac cal nurse (PN) tell the client to report immediately to the
healthcare provider? (select all that apply) - Answers A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now
weighs 6 pound and 15 ounces. Which ac on should the prac cal nurse take? - Answers
Document the weight loss
,Which medica on is prescribed for the preven on of ophthalmia neonatorum? - Answers
Erythromycin (iilotycin)
A mul parous client's membranes rupture a er 8 hours of labor. which ac on should the
prac cal nurse implement at this me? - Answers Assess the fetal heart rate (FHR) and
pa:ern.
The prac cal nurse (PN) palpates fundal height at the umbilicus of a mul parous client who has
just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What
ac on is most important for the PN to implement? - Answers Con nue to massage the fundus
un l firm.
Which client should the prac cal nurse (PN) closely monitor for severe a er pains? - Answers
A mul gravida who is breas=eeding.
The prac cal nurse (PN) is assessing a client 2 hours a er a vaginal delivery of a 7-pound 3-
ounce newborn and determines the client's bladder is distended. Which addi onal finding
should the PN report to the charge nurse? - Answers Excessive bleeding on the perineal pad.
The prac cal nurse (PN) places a newborn who is 4 hours old with an axillary temperature of
97.2 F under the radiant heat warmer. Which ra onale supports the PN's ac on? - Answers
The newborn's thin layer of subcutaneous fat provides poor insula on.
Which strategy should the prac cal nurse (PN) implement to prevent a puerperal infec on for a
client during the first postpartum week? - Answers Implement strict medical and asep c
technique.
Which client is a candidate for the administra on of human immune globulin (RhoGam) a er
delivery? - Answers The Rh-nega ve mother who delivers a Rh-posi ve baby.
, Which physiological cause(s) for cons pa on during pregnancy should the prac cal nurse (PN)
explain to a client in the first trimester? (Select all that apply.) - Answers A. Displacement of
the colon.
E. Decrease in peristalsis.
A 14-week gesta onal client, who weighed 125 pounds before pregnancy, comes into the
health clinic for a prenatal appointment. The client's weight today is 129 pounds. What ac on
should the prac cal nurse (PN) implement? - Answers Document the finding in the medical
record.
The prac cal nurse (PN) is reviewing the informa onal packets with a client who is at risk for
preeclampsia. Which informa on is most important for the PN reinforce with the client? -
Answers No fy the clinic if any vision changes are experienced.
A primigravida at 33-weeks gesta on is admi:ed a er being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of vaginal
bleeding. Which ac on should the prac cal nurse (PN) an cipate implemen ng for the client? -
Answers Obtain a biophysical profile.
A primigravida client asks the prac cal nurse (PN). "How will i know that I will be going into
labor soon?" Which sign should the PN provide that is a common sign? - Answers Burst of
energy.
A primigravida client who is at 39-weeks gesta on arrives at the clinic and tells the prac cal
nurse (PN) she is having contrac ons every 5 minutes. The healthcare provider determines she
is dilated 3 cm and in early labor. What ac on should the prac cal nurse (PN) implement when
the client groans with each contrac on? - Answers Demonstrate simple relaxa on measures.
, A primiparous client asks the prac cal nurse (PN) how much her newborn baby should sleep
every day. What informa on should the PN provide? - Answers A newborn sleeps most of the
day and gradually will have increasing periods of wakefulness.
The mother asks the prac cal nurse (PN) what her infant may need if the phenylketonuria(PKU)
test is posi ve. What type of treatment should the PN tell the mother will be required? -
Answers Lifelong dietary management.
The prac cal nurse (PN) is discussing aspects of newborn hygiene with the new parents as they
prepare for discharge. Which informa on should the PN provide? - Answers Create a dra -
free environment when bathing the baby.
A mother who is preparing for discharge begins asking the prac cal nurse (PN) ques ons about
bo:le feeding her infant. What informa on should the PN reinforce? - Answers Burp the
newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What
ac on is most important for the prac cal nurse (PN) to implement? - Answers Monitor for
signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a posi ve home pregnancy test.
A er determining the client's last menstrual period (LMP) as August 5, what expected date of
birth (EDB) should the prac cal nurse (PN) calculate? - Answers May 12
The prac cal nurse (PN) quickly moves the crib of a male newborn and no ces that his legs flex.
arms fan out, and then return toward his midline. What ac on should the PN implement? -
Answers Document the newborn demonstrates a Moro reflex.
Which finding for a 2-week-old infant should the prac cal nurse (PN) report to the healthcare
provider? - Answers Yellowish nge around the eyes.
Prac ce Ques ons and answers Newest RATED A+
2025/2026
A er repea ng the vital signs for a newborn who is 4 hours old, the prac cal nurse (PN) obtains
an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which
addi onal finding should the PN observe in the newborn? - Answers Tremors of the hands
during crying.
Which informa on should the prac cal nurse (PN) provide the parents about the purpose of
ins lling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - Answers
Prophylac c treatment for gonorrheal and chlamydia infec on.
What is the most important ac on by the prac cal nurse (PN) in preven ng neonatal infec on?
- Answers Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean sec on.
On the second postpartum day, the client reports having a cons pated stool that is greenish-
black in color. Which ac on should the prac cal nurse (PN) implement? - Answers Record
color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is posi ve.
She asks what she should be concerned about during the weeks before her first visit. Which
signs and symptoms should the prac cal nurse (PN) tell the client to report immediately to the
healthcare provider? (select all that apply) - Answers A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now
weighs 6 pound and 15 ounces. Which ac on should the prac cal nurse take? - Answers
Document the weight loss
,Which medica on is prescribed for the preven on of ophthalmia neonatorum? - Answers
Erythromycin (iilotycin)
A mul parous client's membranes rupture a er 8 hours of labor. which ac on should the
prac cal nurse implement at this me? - Answers Assess the fetal heart rate (FHR) and
pa:ern.
The prac cal nurse (PN) palpates fundal height at the umbilicus of a mul parous client who has
just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What
ac on is most important for the PN to implement? - Answers Con nue to massage the fundus
un l firm.
Which client should the prac cal nurse (PN) closely monitor for severe a er pains? - Answers
A mul gravida who is breas=eeding.
The prac cal nurse (PN) is assessing a client 2 hours a er a vaginal delivery of a 7-pound 3-
ounce newborn and determines the client's bladder is distended. Which addi onal finding
should the PN report to the charge nurse? - Answers Excessive bleeding on the perineal pad.
The prac cal nurse (PN) places a newborn who is 4 hours old with an axillary temperature of
97.2 F under the radiant heat warmer. Which ra onale supports the PN's ac on? - Answers
The newborn's thin layer of subcutaneous fat provides poor insula on.
Which strategy should the prac cal nurse (PN) implement to prevent a puerperal infec on for a
client during the first postpartum week? - Answers Implement strict medical and asep c
technique.
Which client is a candidate for the administra on of human immune globulin (RhoGam) a er
delivery? - Answers The Rh-nega ve mother who delivers a Rh-posi ve baby.
, Which physiological cause(s) for cons pa on during pregnancy should the prac cal nurse (PN)
explain to a client in the first trimester? (Select all that apply.) - Answers A. Displacement of
the colon.
E. Decrease in peristalsis.
A 14-week gesta onal client, who weighed 125 pounds before pregnancy, comes into the
health clinic for a prenatal appointment. The client's weight today is 129 pounds. What ac on
should the prac cal nurse (PN) implement? - Answers Document the finding in the medical
record.
The prac cal nurse (PN) is reviewing the informa onal packets with a client who is at risk for
preeclampsia. Which informa on is most important for the PN reinforce with the client? -
Answers No fy the clinic if any vision changes are experienced.
A primigravida at 33-weeks gesta on is admi:ed a er being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of vaginal
bleeding. Which ac on should the prac cal nurse (PN) an cipate implemen ng for the client? -
Answers Obtain a biophysical profile.
A primigravida client asks the prac cal nurse (PN). "How will i know that I will be going into
labor soon?" Which sign should the PN provide that is a common sign? - Answers Burst of
energy.
A primigravida client who is at 39-weeks gesta on arrives at the clinic and tells the prac cal
nurse (PN) she is having contrac ons every 5 minutes. The healthcare provider determines she
is dilated 3 cm and in early labor. What ac on should the prac cal nurse (PN) implement when
the client groans with each contrac on? - Answers Demonstrate simple relaxa on measures.
, A primiparous client asks the prac cal nurse (PN) how much her newborn baby should sleep
every day. What informa on should the PN provide? - Answers A newborn sleeps most of the
day and gradually will have increasing periods of wakefulness.
The mother asks the prac cal nurse (PN) what her infant may need if the phenylketonuria(PKU)
test is posi ve. What type of treatment should the PN tell the mother will be required? -
Answers Lifelong dietary management.
The prac cal nurse (PN) is discussing aspects of newborn hygiene with the new parents as they
prepare for discharge. Which informa on should the PN provide? - Answers Create a dra -
free environment when bathing the baby.
A mother who is preparing for discharge begins asking the prac cal nurse (PN) ques ons about
bo:le feeding her infant. What informa on should the PN reinforce? - Answers Burp the
newborn periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What
ac on is most important for the prac cal nurse (PN) to implement? - Answers Monitor for
signs of hypoglycemia.
A young adult female comes to the health clinic to confirm a posi ve home pregnancy test.
A er determining the client's last menstrual period (LMP) as August 5, what expected date of
birth (EDB) should the prac cal nurse (PN) calculate? - Answers May 12
The prac cal nurse (PN) quickly moves the crib of a male newborn and no ces that his legs flex.
arms fan out, and then return toward his midline. What ac on should the PN implement? -
Answers Document the newborn demonstrates a Moro reflex.
Which finding for a 2-week-old infant should the prac cal nurse (PN) report to the healthcare
provider? - Answers Yellowish nge around the eyes.
