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Exam (elaborations)

HESI OB 2026 CORE EXAM TEST QUESTIONS AND ANSWERS GUARANTEE A+

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HESI OB 2026 CORE EXAM TEST QUESTIONS AND ANSWERS GUARANTEE A+

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HESI OB
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HESI OB

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January 6, 2026
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Written in
2025/2026
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HESI OB 2026 CORE EXAM TEST QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." - ✔✔B.
"That is called caput succedaneum. It will absorb and cause no problems."

✔✔A client at 35 weeks gestation complains of a "pain whenever the baby moves". On
assessment, the nurse notes the client's temperature to be 101.2F with severe
abdominal or uterine tenderness on palpation. The nurse knows that these findings are
indicative of which condition?
A. Round ligament strain.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis - ✔✔D. Chorioamnionitis

✔✔An unlicensed assistive personnel (UAP) reports to the charge nurse that a client
who delivers a 7-pound infant 12 hours ago is reporting a severe headache. The client
blood pressure is 110/70 mmHg, respiratory rate is 18 breaths/minute, heart rate is 74
bpm, and temperature is 98.6F. The client's fundus is firm and one fingerbreadth above
the umbilicus. Which action should the charge nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery. - ✔✔A. Notify the
healthcare provider of the assessment findings.

✔✔The nurse is preparing to administer phytonadione to a newborn. Which statement
made by the parents indicates understanding why the nurse is administering this
medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver. - ✔✔C. Prevent hemorrhagic disorders.

✔✔A 16 year old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client's nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.

, D. Allow family visitation - ✔✔C. Keep an airway at the bedside.

✔✔A pregnant client presents to the antepartum clinic complaining of brownish vaginal
bleeding. The nurse notes that she has a greatly enlarges uterus and is complaining of
severe nausea. The client reports that her period was "about 2 and a half months ago".
Vital signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg.
Based on these findings, what laboratory value should the nurse review?
A. HcG values.
B. Hematocrit.
C. Vaginal secretions culture.
D. Glucose in the urine. - ✔✔A. HcG values.

✔✔A woman who is 38 weeks gestation is receiving magnesium sulfate for severe
preeclampsia. Which assessment finding warrants immediate intervention by the nurse?
a. Dizziness when standing.
b. Sinus tachycardia.
c. Absent patellar reflexes.
d. Lower back pain. - ✔✔B. Sinus tachycardia

✔✔The nurse notes on the fetal monitor that a laboring client has a variable
deceleration. Which action should the nurse implement first?
A. Assess cervical dilation.
B. Administer oxygen via facemask.
C. Change the client's position.
D. Turn off the oxytocin infusion. - ✔✔C. Change the client's position.

✔✔An ambulatory client at 39-weeks gestation presents to the emergency center with
an obvious injury to her arm that occurred as the result of a fall. Which concurrent
symptom is a priority for the nurse to assess.
A. Ecchymotic knees.
B. Dribbling urine.
C. 1+ pedal edema.
D. Pain in the forearm. - ✔✔A. Ecchymotic knees.

✔✔A newborn's assessment reveals spina bifida occulta. Which maternal factor should
the nurse identify as having the greatest impact on the development of this newborn
complication?
A. Folic acid deficiency
B. Preeclampsia
C. Tobacco use
D. Short interval pregnancy - ✔✔A. Folic acid deficiency

✔✔Upon admission to the nursery, the nurse places a newborn supine under a radiant
warmer, an external heat source. What intervention should the nurse implement to
ensure safe thermoregulation?

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