OB HESI FINAL ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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."
D. "The test can provide accurate information when used right after
ovulation.". Answer: 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)
A. Mood swings
,B. Panic attacks
C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant. Answer: 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
D. Call the HP to question the prescription. Answer: 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
C. the cervix is completely dilated
C. the cervix is completely effaced. Answer: Correct Answer: C
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. Answer: Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12
indicate toxicity, Urine output should be at least 30 ml/hr
, ◉ 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 within 2
to 3 days
D. a subdural hematoma which can result in lifelong damage. Answer:
Correct Answer: A
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
QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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."
D. "The test can provide accurate information when used right after
ovulation.". Answer: 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)
A. Mood swings
,B. Panic attacks
C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant. Answer: 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
D. Call the HP to question the prescription. Answer: 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
C. the cervix is completely dilated
C. the cervix is completely effaced. Answer: Correct Answer: C
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. Answer: Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12
indicate toxicity, Urine output should be at least 30 ml/hr
, ◉ 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 within 2
to 3 days
D. a subdural hematoma which can result in lifelong damage. Answer:
Correct Answer: A
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
