OB HESI practice exam latest with
correct answers
Quiz:> At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi sampling (CVS)
procedure. What assessment finding requires immediate intervention?
-uterine cramping
-abdominal tenderness
-systolic bp <100 mmHg
-intermittent nausea
{{{Answer}}} (A. Uterine cramping)
Quiz:> A client states, "During the three months I've been pregnant, it seems like I have
had to go to the bathroom every five minutes." Which explanation should the nurse
provide to this client?
-the client may have a bladder or kidney infection
-bladder capacity increases during pregnancy
-during pregnancy a woman is especially sensitive to body functions
-the growing uterus is putting pressure on the bladder
{{{Answer}}} (D. The growing uterus is putting pressure on the bladder.)
Quiz:> The nurse assesses a male newborn and determines that he has the following
vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory
rate 48 breaths/minute. Based on these findings, which action should the nurse take
first?
-check the infant's ABGs
-notify the pediatrician of the infants VS
-assess the infant's blood glucose level
-encourage the infant to take the breast or sugar water
{{{Answer}}} (C. Assess the infant's blood glucose level)
Quiz:> An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What
is the priority nursing intervention?
-evaluate the blood pH
-begin humidified oxygen via hood
-stimulate infant crying
-place the infant under a radiant warmer
{{{Answer}}} (B. Begin humidified oxygen via hood)
,Quiz:> When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?
-quiet the infant before counting the HR
-listen at the apex of the heart
-count the HR for at least one full minute
-palpate the umbilical cord
{{{Answer}}} (C. Count the heart rate for at least one full minute)
Quiz:> The nurse prepares to administer an injection of vitamin K to a newborn infant.
The mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
-inform the mother that the injection was prescribed by the HCP
-explore the mother's concerns about the infant receiving an injection of vitamin K
-explain that vitamin K is required by state law and compliance is mandatory
-remind the mother that all babies receive this shot and it is relatively painless
{{{Answer}}} (B. Explore the mother's concerns about the infant receiving an injection of
vitamin K)
Quiz:> The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
-avoid alcohol bc it is excreted in breast milk
-avoid spicy foods to prevent infant colic
-increase caloric intake by approx. 500 calories/day
-double prenatal milk intake to improve vitamin D transfer to the infant
{{{Answer}}} (A. Avoid alcohol because it is excreted in breast milk)
Quiz:> Which nursing intervention best enhances maternal-infant bonding during the
fourth stage of labor?
-brighten the lighting so the mother can view the infant
-complete the newborn assessment as quickly as possible
-provide positive reinforcement for maternal care of infant
-encourage early initiation of breast or formula feeding
{{{Answer}}} (D. Encourage early initiation of breast of formula feeding)
Quiz:> A client at 8-weeks gestation asks the nurse about the risk fora congenital heart
defect (CHD) in her baby. Which response best explains when a CHD may occur?
-it depends on what the causative factors are for a CHD
-we don't really know what or when CHDs occur
-they usually occur in the first trimester of pregnancy
-the heart develops in the third to fifth weeks after conception
{{{Answer}}} (D. The heart develops in the third to fifth weeks after conception)
Quiz:> A client at 8-months gestation tells the nurse that she knows her baby listens to
her, but her husband thinks she is imagining things. What information should the nurse
provide?
-many women imagine what their baby is like by interpreting fetal movements
, -the fetus in utero is capable of hearing and does respond to the mothers voice
-the HCP should address her concerns about her baby hearing function
-the interaction b/w the mothers voice and the fetus's response ensures bonding
{{{Answer}}} (B. The fetus in utero is capable of hearing and does respond to the
mother's voice)
Quiz:> A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil
last week and her baby jumped in response to the noise. What information should the
nurse provide?
-this is a demonstration of the fetus acoustical reflux
-the fetus can respond to sound by 24 weeks
-it is a coincidence the fetus responded at the same time
-report behavior to HCP
{{{Answer}}} (B. The fetus can respond to sound by 24-weeks gestation)
Quiz:> A woman whose pregnancy is confirmed asks the nurse what the function of the
placenta is in early pregnancy. What information supports the explanation that the nurse
should provide?
-excretes prolactin and insulin
-produces nutrients for fetal nutrition
-secretes both estrogen and progesterone
-forms a protective, impenetrable barrier
{{{Answer}}} (C. Secretes both estrogen and progesterone)
Quiz:> Which cardiovascular findings should the nurse assess further in a client who is
at 20-weeks gestation?
-decrease in pulse rate
-decrease in BP
- increase in heart sounds
-increase in RBC production
{{{Answer}}} (A. Decrease in pulse rate)
Quiz:> A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
-having an irregular menstrual cycle
-using an anticonvulsant for epilepsy
-taking the pregnancy test too early
-being under too much stress at work
{{{Answer}}} (B. Using an anticonvulsant for epilepsy)
Quiz:> Which gastrointestinal findings should the nurse be concerned about in a client
at 28-weeks gestation?
correct answers
Quiz:> At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi sampling (CVS)
procedure. What assessment finding requires immediate intervention?
-uterine cramping
-abdominal tenderness
-systolic bp <100 mmHg
-intermittent nausea
{{{Answer}}} (A. Uterine cramping)
Quiz:> A client states, "During the three months I've been pregnant, it seems like I have
had to go to the bathroom every five minutes." Which explanation should the nurse
provide to this client?
-the client may have a bladder or kidney infection
-bladder capacity increases during pregnancy
-during pregnancy a woman is especially sensitive to body functions
-the growing uterus is putting pressure on the bladder
{{{Answer}}} (D. The growing uterus is putting pressure on the bladder.)
Quiz:> The nurse assesses a male newborn and determines that he has the following
vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory
rate 48 breaths/minute. Based on these findings, which action should the nurse take
first?
-check the infant's ABGs
-notify the pediatrician of the infants VS
-assess the infant's blood glucose level
-encourage the infant to take the breast or sugar water
{{{Answer}}} (C. Assess the infant's blood glucose level)
Quiz:> An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What
is the priority nursing intervention?
-evaluate the blood pH
-begin humidified oxygen via hood
-stimulate infant crying
-place the infant under a radiant warmer
{{{Answer}}} (B. Begin humidified oxygen via hood)
,Quiz:> When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?
-quiet the infant before counting the HR
-listen at the apex of the heart
-count the HR for at least one full minute
-palpate the umbilical cord
{{{Answer}}} (C. Count the heart rate for at least one full minute)
Quiz:> The nurse prepares to administer an injection of vitamin K to a newborn infant.
The mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
-inform the mother that the injection was prescribed by the HCP
-explore the mother's concerns about the infant receiving an injection of vitamin K
-explain that vitamin K is required by state law and compliance is mandatory
-remind the mother that all babies receive this shot and it is relatively painless
{{{Answer}}} (B. Explore the mother's concerns about the infant receiving an injection of
vitamin K)
Quiz:> The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
-avoid alcohol bc it is excreted in breast milk
-avoid spicy foods to prevent infant colic
-increase caloric intake by approx. 500 calories/day
-double prenatal milk intake to improve vitamin D transfer to the infant
{{{Answer}}} (A. Avoid alcohol because it is excreted in breast milk)
Quiz:> Which nursing intervention best enhances maternal-infant bonding during the
fourth stage of labor?
-brighten the lighting so the mother can view the infant
-complete the newborn assessment as quickly as possible
-provide positive reinforcement for maternal care of infant
-encourage early initiation of breast or formula feeding
{{{Answer}}} (D. Encourage early initiation of breast of formula feeding)
Quiz:> A client at 8-weeks gestation asks the nurse about the risk fora congenital heart
defect (CHD) in her baby. Which response best explains when a CHD may occur?
-it depends on what the causative factors are for a CHD
-we don't really know what or when CHDs occur
-they usually occur in the first trimester of pregnancy
-the heart develops in the third to fifth weeks after conception
{{{Answer}}} (D. The heart develops in the third to fifth weeks after conception)
Quiz:> A client at 8-months gestation tells the nurse that she knows her baby listens to
her, but her husband thinks she is imagining things. What information should the nurse
provide?
-many women imagine what their baby is like by interpreting fetal movements
, -the fetus in utero is capable of hearing and does respond to the mothers voice
-the HCP should address her concerns about her baby hearing function
-the interaction b/w the mothers voice and the fetus's response ensures bonding
{{{Answer}}} (B. The fetus in utero is capable of hearing and does respond to the
mother's voice)
Quiz:> A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil
last week and her baby jumped in response to the noise. What information should the
nurse provide?
-this is a demonstration of the fetus acoustical reflux
-the fetus can respond to sound by 24 weeks
-it is a coincidence the fetus responded at the same time
-report behavior to HCP
{{{Answer}}} (B. The fetus can respond to sound by 24-weeks gestation)
Quiz:> A woman whose pregnancy is confirmed asks the nurse what the function of the
placenta is in early pregnancy. What information supports the explanation that the nurse
should provide?
-excretes prolactin and insulin
-produces nutrients for fetal nutrition
-secretes both estrogen and progesterone
-forms a protective, impenetrable barrier
{{{Answer}}} (C. Secretes both estrogen and progesterone)
Quiz:> Which cardiovascular findings should the nurse assess further in a client who is
at 20-weeks gestation?
-decrease in pulse rate
-decrease in BP
- increase in heart sounds
-increase in RBC production
{{{Answer}}} (A. Decrease in pulse rate)
Quiz:> A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
-having an irregular menstrual cycle
-using an anticonvulsant for epilepsy
-taking the pregnancy test too early
-being under too much stress at work
{{{Answer}}} (B. Using an anticonvulsant for epilepsy)
Quiz:> Which gastrointestinal findings should the nurse be concerned about in a client
at 28-weeks gestation?
