HESI RN OB FINAL EXAM ACTUAL QUESTIONS &ANSWERS
Hesi questions-
1- A client at 37 weeks gestation presents to labor and delivery with contraction every 2 minutes
the nurse observes several shallow small vesicles on her pubis labia and perineum. The nurse
should recognize the client is prohibiting symptoms of which condition?
Ans- Herpes simplex virus
4- A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that
she is currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
Use and alternate form of contraception until a new diaphragm is obtained
5- the healthcare provider prescribes zidovudine 100 mg by mouth five times daily for a pregnant
woman who is HIV positive. How much administer?
Answer- 10
6- the nurse is preparing a young couple and their 24-hour old infant for discharge from the hospital –
Answer- evaluate infant feeding techniques prior to discharge
7- a 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-hour labor. What is the priority
nursing action?
Answer- Gently massage fundus every 4 hours
8- a multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of
membrane- which action?
Ans- prepare for a c section
9- at 0600 while admitting a woman for a scheduled repeat cesarean section the client tells the nurse
that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action
should the nurse take first?
Ans- Inform the anesthesia care provider
10- The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours
following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit, which action
should the nurse perform?
Ans- Place procedure equipment at bedside
11- the nurse is caring for a newborn who is 18 inches long, weigh 4 pounds, 14 oz has a head
circumference of 13 inches and a chest circumference of 10 inches. Based on these physical findings
assessment for which condition has the highest priority?
Ans- Hypoglycemia
, 12- while assessing a 40-week gestation primigravida in active labor, the client’s membranes rupture
spontaneously and the nurse notes that the amniotic fluid is mecornium satn—which action is nurse to
report to the hCP?
Ans- maternal blood pressure of 130/85mmHg
13- the nurse is caring for a 35-week gestation infant delivered by c section 2 hours ago, the nurse
observes the infants’ respiratory rate is 72 breaths per minutes with nasal flaring, grunting and
retractions. The nurse should recognize these finding indicates which complication?
Ans- transient tachypnea of the newborn
14- a primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an
oxytocin infusion, her cervix is 100% effeced and 6 cm dialated, contractions are occurring every 1
minute with a 75second duration. When nurse stops the oxytocin and starts oxygen, after 30 minutes of
uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention
should the nurse implement?
Ans- restart oxytocin infusion rate per protocol
15- a primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor.
The nurse applies the external fetal heart monitor and determines she is not in labor. What makes the
nurse realize she is not in labor?
Ans- contractions decrease when the client is walking
16- a primigravida client with gestational hypertension and bishop score of 3 is scheduled for induction
of labor. The nurse administers misoprostol at 0700 then observes regular contrations with cervical
changes at 0900 which action should the nurse take?
Ans- administer oxytocin 4 hours later/ begin oxytocin 4 hours after misoprostol is given
17- a multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective
contraction pattern. The available solution is lactated ringers 1000ml with Pitocin 20 units. The nurse
should program the infusion pump to deliver how may ml/hr?
Ans- 12
18- the nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine demise protocol and identification procedures. What
action is most important for the nurse to take?
Ans- encourage the mother to hold and spend time with her baby
19- following a minor vehicle collision, a client 36 weeks gestation is brought to the emergency center.
She is lying supine on a backboard, is awake, denies any complaints. Her bp is 80/50 mm hg and heart
rate is 130 bpm. What action should the nurse implement first?
Ans-Tilt the backboard sideways to display the uterus laterally
Hesi questions-
1- A client at 37 weeks gestation presents to labor and delivery with contraction every 2 minutes
the nurse observes several shallow small vesicles on her pubis labia and perineum. The nurse
should recognize the client is prohibiting symptoms of which condition?
Ans- Herpes simplex virus
4- A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that
she is currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
Use and alternate form of contraception until a new diaphragm is obtained
5- the healthcare provider prescribes zidovudine 100 mg by mouth five times daily for a pregnant
woman who is HIV positive. How much administer?
Answer- 10
6- the nurse is preparing a young couple and their 24-hour old infant for discharge from the hospital –
Answer- evaluate infant feeding techniques prior to discharge
7- a 30-year-old primigravida delivers a 9-pound infant vaginally after a 30-hour labor. What is the priority
nursing action?
Answer- Gently massage fundus every 4 hours
8- a multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of
membrane- which action?
Ans- prepare for a c section
9- at 0600 while admitting a woman for a scheduled repeat cesarean section the client tells the nurse
that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action
should the nurse take first?
Ans- Inform the anesthesia care provider
10- The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours
following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit, which action
should the nurse perform?
Ans- Place procedure equipment at bedside
11- the nurse is caring for a newborn who is 18 inches long, weigh 4 pounds, 14 oz has a head
circumference of 13 inches and a chest circumference of 10 inches. Based on these physical findings
assessment for which condition has the highest priority?
Ans- Hypoglycemia
, 12- while assessing a 40-week gestation primigravida in active labor, the client’s membranes rupture
spontaneously and the nurse notes that the amniotic fluid is mecornium satn—which action is nurse to
report to the hCP?
Ans- maternal blood pressure of 130/85mmHg
13- the nurse is caring for a 35-week gestation infant delivered by c section 2 hours ago, the nurse
observes the infants’ respiratory rate is 72 breaths per minutes with nasal flaring, grunting and
retractions. The nurse should recognize these finding indicates which complication?
Ans- transient tachypnea of the newborn
14- a primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an
oxytocin infusion, her cervix is 100% effeced and 6 cm dialated, contractions are occurring every 1
minute with a 75second duration. When nurse stops the oxytocin and starts oxygen, after 30 minutes of
uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention
should the nurse implement?
Ans- restart oxytocin infusion rate per protocol
15- a primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor.
The nurse applies the external fetal heart monitor and determines she is not in labor. What makes the
nurse realize she is not in labor?
Ans- contractions decrease when the client is walking
16- a primigravida client with gestational hypertension and bishop score of 3 is scheduled for induction
of labor. The nurse administers misoprostol at 0700 then observes regular contrations with cervical
changes at 0900 which action should the nurse take?
Ans- administer oxytocin 4 hours later/ begin oxytocin 4 hours after misoprostol is given
17- a multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective
contraction pattern. The available solution is lactated ringers 1000ml with Pitocin 20 units. The nurse
should program the infusion pump to deliver how may ml/hr?
Ans- 12
18- the nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine demise protocol and identification procedures. What
action is most important for the nurse to take?
Ans- encourage the mother to hold and spend time with her baby
19- following a minor vehicle collision, a client 36 weeks gestation is brought to the emergency center.
She is lying supine on a backboard, is awake, denies any complaints. Her bp is 80/50 mm hg and heart
rate is 130 bpm. What action should the nurse implement first?
Ans-Tilt the backboard sideways to display the uterus laterally
