1|Page
HESI OB PEDS Exam 2025 — Study Guide, Practice
Questions & Obstetrics and Pediatrics Nursing Prep
Prepare for the HESI OB PEDS Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential obstetric and pediatric nursing concepts, maternal
and newborn care, growth and development, labor and delivery, common pediatric
illnesses, and clinical skills to excel in your HESI OB PEDS exam.
• HESI OB PEDS exam 2025
• HESI Obstetrics and Pediatrics study guide
• OB PEDS nursing practice test
• HESI OB PEDS review 2025
The umbilical cord should always be checked at birth. What should the umbilical card contain in
a newborn?
A. 3 vessels, 2 veins which carry oxygenated blood to the fetus and 1 artery whic carries
unoxygenated blood back to placenta
B. 4 vessels, 2 veins which carry oxygenated blood to the fetus and 2 arteries which carries
unoxygenated blood back to placenta
C. 3 vessels, 1 veins which carries oxygenated blood to the fetus and 2 arteries which carries
unoxygenated blood back to placenta
D. 3 vessels, 1 artery which carries oxygenated blood to the fetus and 2 veins which carries
unoxygenated blood back to placenta - ANSWER-C. It should contain 3 vessels, 1 vein which
carries oxygenated blood to the fetus nad 2 arteries whic carry unoxygenated blood back to the
placenta. This is opposite of normal circulation.
,2|Page
The umbilical cord in a newborn should contain 3 vessels, 1 vein which carries oxygenated blood
to the fetus and 2 arteries which carry unoxygenated blood back to the placenta. What do cord
abnormalities usually indicate?
A. Neurologic anomalies
B. Renal anomalies
C. Congenital vertebral anomaly
D. Chromosome anomaly - ANSWER-B.
Cord abnormalities usually indicate cardiovascular or renal anomalies.
Cord abnormalities usually indicate cardivascular or renal anomalies. What happens if fetal
structures of foramen ovale, ductus arteriosus and ductus venous do no close postnatal?
A. Cardia pulmonary compromise
B. Renal compromise
C. Gastro intestinal compromise
D. Neurological compromise - ANSWER-A.
Postnatally, the fetal structures of foramen ovale, ductus arteriosus and ductus venosus shoul
close. If they do not, cardiac and pulmonary compromise will develop
Approximately 20 prior to nerve block anesthesia, the client should be hydrated with 500-1000
cc of lactated ringers IV. What should the nurse do if hypotension offurs?
A. Administer Stadol
B. Administer O2 at 10 L/min by face mask
C. Administer CO2 at 10 L/min by face mask
D. Administer Nubain - ANSWER-B.
If hypotension occurs- turn client to her side, administer O2 at 10 L/min by face mask, and
increase IV rate
,3|Page
Regardless of who performs the physical assessment , the nurse must know normal versus
abnormal variations of the newborn. What is the difference between caput succedaneum and
cephalhematoma?
A. cephalhematoma crosses suture lines and is usually present at birth
B. Cephalhematoma does NOT cross suture lines and manifests a few hours after birth
C. Cephalhematoma: edema under scalp
D. Caput succedaneum : blood under teh periosteum - ANSWER-B.
It is difficult to differentiate between caput succedaneum (edema under the scalp) and
cephalhematoma (blood under the peristeum). The caput crosses suture lines and is usually
present at birth, while cephalhematoma does not cross suture lines and manifests a few hours
after birth.
Postpartum blues are usually normal, especially 5 - 7 days after deliverry. In what case is
RhoGAM given to a mother after delivery?
A. If mother is Rh positive
B. If mother is Rh negative
C. If the mother has a positive Coombs
D. If the mother has a Rh negative fetus - ANSWER-B.
Remember RhoGRAM is given to a Rh negative mother who delivers a Rh positive fetus and has
a negative direct Coombs. If the mother has a positive Coombs, there is no need to give
RhoGRAM since the mother is already sensitized
if the structures of the foramen ovale, ductus arteriosus and ductus venosus don't close
postnatally, cardiac and pulmonary compromise will develop. What should be suctioned by the
nurse firstly?
A. Nose
B. Mouth
C. Lungs
, 4|Page
D. Kidney - ANSWER-B.
Suctioning the mouth first and then the nose. Stimulating the nares can initiate inspiration
which could cause aspiration of mucus in oral pharynx
Physiologic jaundice is the normal inability of the immature liver to keep up with normal RBC
destruction. When does jaundice occur in newborns?
A. 5-6 days of life
B . 2-3 days of life
C. 7-8 days of life
D. 9-10 days of life - ANSWER-B.
Physiologic jaundice (normal inability of the immature liver to keep up with normal RBC
destruction) occurs at 2-3 days of life
Physiologic jaundice (normal inability of the immature liver to keep up with normal RBC
destruction) occurs 2-3 days of life.When does jaundice become pathologic?
A. When it occurs before 24 hurs or persists beyond 7 days
B. When it occurs before 14 hours or persists beyond 8 day
C. When it occurs before 12 hours or persists beyond 3 days
D. When it occurs before 10 hours or persists beyond 2 days - ANSWER-A.
Physiologic jaundice (normal inability of the immature live to keep up with normal RBC
destruction) occurs at 2-3 days of life. It occurs before 24 hours or persists beyond 7 days, it
becomes pathologic
Physiologic jaundice which occurs 2-3 days after birth due to the liver's inability to keep up with
RBC destruction. Who is the culprit in this case?
A. Conjugated bilirubin
B. Unconjugated bilirubin
C. Unconjugated penile
HESI OB PEDS Exam 2025 — Study Guide, Practice
Questions & Obstetrics and Pediatrics Nursing Prep
Prepare for the HESI OB PEDS Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential obstetric and pediatric nursing concepts, maternal
and newborn care, growth and development, labor and delivery, common pediatric
illnesses, and clinical skills to excel in your HESI OB PEDS exam.
• HESI OB PEDS exam 2025
• HESI Obstetrics and Pediatrics study guide
• OB PEDS nursing practice test
• HESI OB PEDS review 2025
The umbilical cord should always be checked at birth. What should the umbilical card contain in
a newborn?
A. 3 vessels, 2 veins which carry oxygenated blood to the fetus and 1 artery whic carries
unoxygenated blood back to placenta
B. 4 vessels, 2 veins which carry oxygenated blood to the fetus and 2 arteries which carries
unoxygenated blood back to placenta
C. 3 vessels, 1 veins which carries oxygenated blood to the fetus and 2 arteries which carries
unoxygenated blood back to placenta
D. 3 vessels, 1 artery which carries oxygenated blood to the fetus and 2 veins which carries
unoxygenated blood back to placenta - ANSWER-C. It should contain 3 vessels, 1 vein which
carries oxygenated blood to the fetus nad 2 arteries whic carry unoxygenated blood back to the
placenta. This is opposite of normal circulation.
,2|Page
The umbilical cord in a newborn should contain 3 vessels, 1 vein which carries oxygenated blood
to the fetus and 2 arteries which carry unoxygenated blood back to the placenta. What do cord
abnormalities usually indicate?
A. Neurologic anomalies
B. Renal anomalies
C. Congenital vertebral anomaly
D. Chromosome anomaly - ANSWER-B.
Cord abnormalities usually indicate cardiovascular or renal anomalies.
Cord abnormalities usually indicate cardivascular or renal anomalies. What happens if fetal
structures of foramen ovale, ductus arteriosus and ductus venous do no close postnatal?
A. Cardia pulmonary compromise
B. Renal compromise
C. Gastro intestinal compromise
D. Neurological compromise - ANSWER-A.
Postnatally, the fetal structures of foramen ovale, ductus arteriosus and ductus venosus shoul
close. If they do not, cardiac and pulmonary compromise will develop
Approximately 20 prior to nerve block anesthesia, the client should be hydrated with 500-1000
cc of lactated ringers IV. What should the nurse do if hypotension offurs?
A. Administer Stadol
B. Administer O2 at 10 L/min by face mask
C. Administer CO2 at 10 L/min by face mask
D. Administer Nubain - ANSWER-B.
If hypotension occurs- turn client to her side, administer O2 at 10 L/min by face mask, and
increase IV rate
,3|Page
Regardless of who performs the physical assessment , the nurse must know normal versus
abnormal variations of the newborn. What is the difference between caput succedaneum and
cephalhematoma?
A. cephalhematoma crosses suture lines and is usually present at birth
B. Cephalhematoma does NOT cross suture lines and manifests a few hours after birth
C. Cephalhematoma: edema under scalp
D. Caput succedaneum : blood under teh periosteum - ANSWER-B.
It is difficult to differentiate between caput succedaneum (edema under the scalp) and
cephalhematoma (blood under the peristeum). The caput crosses suture lines and is usually
present at birth, while cephalhematoma does not cross suture lines and manifests a few hours
after birth.
Postpartum blues are usually normal, especially 5 - 7 days after deliverry. In what case is
RhoGAM given to a mother after delivery?
A. If mother is Rh positive
B. If mother is Rh negative
C. If the mother has a positive Coombs
D. If the mother has a Rh negative fetus - ANSWER-B.
Remember RhoGRAM is given to a Rh negative mother who delivers a Rh positive fetus and has
a negative direct Coombs. If the mother has a positive Coombs, there is no need to give
RhoGRAM since the mother is already sensitized
if the structures of the foramen ovale, ductus arteriosus and ductus venosus don't close
postnatally, cardiac and pulmonary compromise will develop. What should be suctioned by the
nurse firstly?
A. Nose
B. Mouth
C. Lungs
, 4|Page
D. Kidney - ANSWER-B.
Suctioning the mouth first and then the nose. Stimulating the nares can initiate inspiration
which could cause aspiration of mucus in oral pharynx
Physiologic jaundice is the normal inability of the immature liver to keep up with normal RBC
destruction. When does jaundice occur in newborns?
A. 5-6 days of life
B . 2-3 days of life
C. 7-8 days of life
D. 9-10 days of life - ANSWER-B.
Physiologic jaundice (normal inability of the immature liver to keep up with normal RBC
destruction) occurs at 2-3 days of life
Physiologic jaundice (normal inability of the immature liver to keep up with normal RBC
destruction) occurs 2-3 days of life.When does jaundice become pathologic?
A. When it occurs before 24 hurs or persists beyond 7 days
B. When it occurs before 14 hours or persists beyond 8 day
C. When it occurs before 12 hours or persists beyond 3 days
D. When it occurs before 10 hours or persists beyond 2 days - ANSWER-A.
Physiologic jaundice (normal inability of the immature live to keep up with normal RBC
destruction) occurs at 2-3 days of life. It occurs before 24 hours or persists beyond 7 days, it
becomes pathologic
Physiologic jaundice which occurs 2-3 days after birth due to the liver's inability to keep up with
RBC destruction. Who is the culprit in this case?
A. Conjugated bilirubin
B. Unconjugated bilirubin
C. Unconjugated penile
