1
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OB HESI/FINAL Questions and Answers
(100% Correct Answers) Already Graded
A+
A client who delivered an infant an hour ago tells the nurse the
she feels wet underneath her buttock. The nurse notes that the
perineal pad is saturated and the client is lying in a 6-inch
diameter pool of blood. Which action should the nurse implement
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first?
A. Cleanse the perineum
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B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations—Ans: Correct Answer: C
A firm uterus is needed to control bleeding from the placental site
of attachment on the uterine wall. The nurse should FIRST assess for
firmness and massage the fundus as indicated.
A woman who thinks she could be pregnant calls her neighbor,
who is a nurse, to ask when she should use a home pregnancy
test. Which response is appropriate?
A. "A home pregnancy test can be used right after your first
missed period."
B. "These tests are most accurate after you missed your second
period."
C "Home pregnancy tests often give false positives and should not
be trusted."
, 2
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D. "The test can provide accurate information when used right
after ovulation."—Ans: Correct Answer: A
Home urine test are based on the chemical detection of human
chorionic gonadotrophin, which begins to increase 6-8 days after
conception. Best detected at 2 weeks gestation or immediately
after first missed period.
When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply)
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A. Mood swings
B. Panic attacks
C. Tearfulness
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D. Decreased need for sleep
E. Disinterest in the infant—Ans: Correct Answers: A,C
"Postpartum blues" is a common emotional response related to the
rapid decrease in placental hormones after delivery and include
mood swings, teaefulness, feeling low, emotional, and fatigued.
B,D, and E indicate "Postpartum Depression"
One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe
Methergine 0.2 mg IM x 1. Which action should the nurse take
immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
, 3
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D. Call the HP to question the prescription—Ans: Correct Answer:
D
Methergine is contraindicated for clients with elevated BP, so the
nurse should contact the HP and question the prescription.
The nurse should encourage the laboring patient to begin pushing
when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
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C. the cervix is completely dilated
C. the cervix is completely effaced—Ans: Correct Answer: C
Guru01 - Stuvia
Pushing begins with the second stage of labor (i.e. when the
cervix is completely dilated at 10 cm). Pushing before this point
could case the cervix to become edematous = operative
delivery.
A client at 32-weeks gestation is hospitalized with severe
pregnancy-induced hypertension (PIH), and magnesium sulfate is
prescribed to control the symptoms. Which assessment finding
indicates the therapeutic drug level has been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp—Ans: Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR
<12 indicate toxicity, Urine output should be at least 30 ml/hr
, 4
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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 periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last
up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent complications
C. molding, caused by pressure during labor and will disappear
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within 2 to 3 days
D. a subdural hematoma which can result in lifelong damage—
Ans: Correct Answer: A
Guru01 - Stuvia
A slight abnormal variation of the newborn, usually arises within
first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull
(B) a cranial distortion lasting 5-7 days, caused by pressure on the
cranium
(C&D) involves cranial bleeding; cannot be detected on physical
exam alone
A couple has been trying to conceive for nine months without
success. Which information obtained from the clients is most likely
to have an impact on the couple's ability to conceive a child?
A. Exercise regimen of both partners includes running four miles
each morning
B. History of having sexual intercourse 2-3 times per week
C. The woman's menstrual period occurs every 35 days
For Expert help and assignment solutions, +254707240657
OB HESI/FINAL Questions and Answers
(100% Correct Answers) Already Graded
A+
A client who delivered an infant an hour ago tells the nurse the
she feels wet underneath her buttock. The nurse notes that the
perineal pad is saturated and the client is lying in a 6-inch
diameter pool of blood. Which action should the nurse implement
© 2025 Assignment Expert
first?
A. Cleanse the perineum
Guru01 - Stuvia
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations—Ans: Correct Answer: C
A firm uterus is needed to control bleeding from the placental site
of attachment on the uterine wall. The nurse should FIRST assess for
firmness and massage the fundus as indicated.
A woman who thinks she could be pregnant calls her neighbor,
who is a nurse, to ask when she should use a home pregnancy
test. Which response is appropriate?
A. "A home pregnancy test can be used right after your first
missed period."
B. "These tests are most accurate after you missed your second
period."
C "Home pregnancy tests often give false positives and should not
be trusted."
, 2
For Expert help and assignment solutions, +254707240657
D. "The test can provide accurate information when used right
after ovulation."—Ans: Correct Answer: A
Home urine test are based on the chemical detection of human
chorionic gonadotrophin, which begins to increase 6-8 days after
conception. Best detected at 2 weeks gestation or immediately
after first missed period.
When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply)
© 2025 Assignment Expert
A. Mood swings
B. Panic attacks
C. Tearfulness
Guru01 - Stuvia
D. Decreased need for sleep
E. Disinterest in the infant—Ans: Correct Answers: A,C
"Postpartum blues" is a common emotional response related to the
rapid decrease in placental hormones after delivery and include
mood swings, teaefulness, feeling low, emotional, and fatigued.
B,D, and E indicate "Postpartum Depression"
One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe
Methergine 0.2 mg IM x 1. Which action should the nurse take
immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
, 3
For Expert help and assignment solutions, +254707240657
D. Call the HP to question the prescription—Ans: Correct Answer:
D
Methergine is contraindicated for clients with elevated BP, so the
nurse should contact the HP and question the prescription.
The nurse should encourage the laboring patient to begin pushing
when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
© 2025 Assignment Expert
C. the cervix is completely dilated
C. the cervix is completely effaced—Ans: Correct Answer: C
Guru01 - Stuvia
Pushing begins with the second stage of labor (i.e. when the
cervix is completely dilated at 10 cm). Pushing before this point
could case the cervix to become edematous = operative
delivery.
A client at 32-weeks gestation is hospitalized with severe
pregnancy-induced hypertension (PIH), and magnesium sulfate is
prescribed to control the symptoms. Which assessment finding
indicates the therapeutic drug level has been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp—Ans: Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR
<12 indicate toxicity, Urine output should be at least 30 ml/hr
, 4
For Expert help and assignment solutions, +254707240657
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 periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last
up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent complications
C. molding, caused by pressure during labor and will disappear
© 2025 Assignment Expert
within 2 to 3 days
D. a subdural hematoma which can result in lifelong damage—
Ans: Correct Answer: A
Guru01 - Stuvia
A slight abnormal variation of the newborn, usually arises within
first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull
(B) a cranial distortion lasting 5-7 days, caused by pressure on the
cranium
(C&D) involves cranial bleeding; cannot be detected on physical
exam alone
A couple has been trying to conceive for nine months without
success. Which information obtained from the clients is most likely
to have an impact on the couple's ability to conceive a child?
A. Exercise regimen of both partners includes running four miles
each morning
B. History of having sexual intercourse 2-3 times per week
C. The woman's menstrual period occurs every 35 days
