OB HESI FINAL STUDY GUIDE 2026 COMPLETE
RESPONSES A+
◉ Which findings are most critical for the nurse to report to the
primary health care provider when caring for the client during the
last trimester of her pregnancy? (Select all that apply.)
A.Increased heartburn that is not relieved with doses of antacids
B.Increase of the fetal heart rate from 126 to 156 beats/min from
the last visit
C.Shoes and rings that are too tight because of peripheral edema in
extremities
D.Decrease in ability for the client to sleep for more than 2 hours at a
time
E.Chronic headache that has been lingering for a week behind the
client's eyes. Answer: A.Increased heartburn that is not relieved with
doses of antacids
E.Chronic headache that has been lingering for a week behind the
client's eyes
,Rationale: Options A and E are possible signs of preeclampsia or
eclampsia but can also be normal signs of pregnancy. These signs
should be reported to the health care provider for further evaluation
for the safety of the client and the fetus. Options B, C, and D are all
normal signs during the last trimester of pregnancy.
◉ Client teaching is an important part of the perinatal nurse's role.
Which factor has the greatest influence on successful teaching of the
pregnant client?
A.The client's investment in what is being taught
B.The couple's highest levels of education
C.The order in which the information is presented
D.The extent to which the pregnancy was planned. Answer: A.The
client's investment in what is being taught
Rationale: When teaching any client, readiness to learn is related to
how much the client has invested in what is being taught or how
important the materials are to the client's particular life. For
example, the client with severe morning sickness in the first
trimester may not be ready to learn about labor and delivery but is
,probably very ready to learn about ways to relieve morning sickness.
Options B and C are factors that may influence learning but are not
as influential as option A. Even if a pregnancy is planned and very
desirable, the client must be ready to learn the content presented.
◉ When preparing a class on newborn care for expectant parents,
which is correct for the nurse to teach concerning the newborn
infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7
to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white cheesy substance, predominantly located in the
skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery..
Answer: C.Vernix is a white cheesy substance, predominantly located
in the skin folds.
Rationale:
Vernix, found in the folds of the skin, is a characteristic of term
infants. Milia are not red marks made by forceps but are white
pinpoint spots usually found over the nose and chin that represent
, blockage of the sebaceous glands. Meconium is the first stool, but it
is tarry black, not yellow. Pseudostrabismus (crossed eyes) is
normal at birth through the third or fourth month and does not
require surgery.
◉ Six hours after an oxytocin (Pitocin) induction was begun and 2
hours after spontaneous rupture of the membranes, the nurse notes
several sudden decreases in the fetal heart rate with quick return to
baseline, with and without contractions. Based on this fetal heart
rate pattern, which intervention is best for the nurse to implement?
A.Turn the client to her side.
B.Begin oxygen by nasal cannula at 2 L/min.
C.Place the client in a slight Trendelenburg position.
D.Assess for cervical dilation.. Answer: C. Place the client in a slight
Trendelenburg position.
Rationale:The goal is to relieve pressure on the umbilical cord, and
placing the client in a slight Trendelenburg position is most likely to
relieve that pressure. The FHR pattern is indicative of a variable fetal
heart rate deceleration, which is typically caused by cord
compression and can occur with or without contractions. Option A
RESPONSES A+
◉ Which findings are most critical for the nurse to report to the
primary health care provider when caring for the client during the
last trimester of her pregnancy? (Select all that apply.)
A.Increased heartburn that is not relieved with doses of antacids
B.Increase of the fetal heart rate from 126 to 156 beats/min from
the last visit
C.Shoes and rings that are too tight because of peripheral edema in
extremities
D.Decrease in ability for the client to sleep for more than 2 hours at a
time
E.Chronic headache that has been lingering for a week behind the
client's eyes. Answer: A.Increased heartburn that is not relieved with
doses of antacids
E.Chronic headache that has been lingering for a week behind the
client's eyes
,Rationale: Options A and E are possible signs of preeclampsia or
eclampsia but can also be normal signs of pregnancy. These signs
should be reported to the health care provider for further evaluation
for the safety of the client and the fetus. Options B, C, and D are all
normal signs during the last trimester of pregnancy.
◉ Client teaching is an important part of the perinatal nurse's role.
Which factor has the greatest influence on successful teaching of the
pregnant client?
A.The client's investment in what is being taught
B.The couple's highest levels of education
C.The order in which the information is presented
D.The extent to which the pregnancy was planned. Answer: A.The
client's investment in what is being taught
Rationale: When teaching any client, readiness to learn is related to
how much the client has invested in what is being taught or how
important the materials are to the client's particular life. For
example, the client with severe morning sickness in the first
trimester may not be ready to learn about labor and delivery but is
,probably very ready to learn about ways to relieve morning sickness.
Options B and C are factors that may influence learning but are not
as influential as option A. Even if a pregnancy is planned and very
desirable, the client must be ready to learn the content presented.
◉ When preparing a class on newborn care for expectant parents,
which is correct for the nurse to teach concerning the newborn
infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7
to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white cheesy substance, predominantly located in the
skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery..
Answer: C.Vernix is a white cheesy substance, predominantly located
in the skin folds.
Rationale:
Vernix, found in the folds of the skin, is a characteristic of term
infants. Milia are not red marks made by forceps but are white
pinpoint spots usually found over the nose and chin that represent
, blockage of the sebaceous glands. Meconium is the first stool, but it
is tarry black, not yellow. Pseudostrabismus (crossed eyes) is
normal at birth through the third or fourth month and does not
require surgery.
◉ Six hours after an oxytocin (Pitocin) induction was begun and 2
hours after spontaneous rupture of the membranes, the nurse notes
several sudden decreases in the fetal heart rate with quick return to
baseline, with and without contractions. Based on this fetal heart
rate pattern, which intervention is best for the nurse to implement?
A.Turn the client to her side.
B.Begin oxygen by nasal cannula at 2 L/min.
C.Place the client in a slight Trendelenburg position.
D.Assess for cervical dilation.. Answer: C. Place the client in a slight
Trendelenburg position.
Rationale:The goal is to relieve pressure on the umbilical cord, and
placing the client in a slight Trendelenburg position is most likely to
relieve that pressure. The FHR pattern is indicative of a variable fetal
heart rate deceleration, which is typically caused by cord
compression and can occur with or without contractions. Option A
