HESI OB FUNDMENTALS OF NURSING EXAMS
2023
1) A 36-year-old male client loses all function from his waist down after sustaining a spinal cord
injury after falling off the roof of his house. The nurse asks the client how this injury will affect the
different aspects of his life. The client replies, "It won't." Thisreaction exemplifies that the client
is at what stage of the grieving process?
Possible correct answers:
• Denial, denial
Feedback
Clients usually responds to the loss by following the stages of the grieving process. The paralyzed condition of the client
is his loss. The client is denying that this loss will affect him or his life.*##**##*
2) During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of
pregnancy. The nurse determines that the FHR is normal if which of thefollowing heart rates is
noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
3) During a prenatal visit, the nurse checks the fetal heart rate of a client in the thirdtrimester of
pregnancy. The nurse determines that the FHR is normal if which of the following heart rates
is noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
4)
Which of the following urinary symptoms does the pregnant woman most frequently experienceduring
the first trimester?
,Dysuria Frequency
Incontinence
Burning urination
Feedback
Pressure and irritation of the bladder by the growing uterus during the first trimester is responsible for causing urinary
frequency. Dysuria, incontinence, and burning are symptoms associated with urinary tract infections.
,5) A client LMP began July 5. Her EDD should be which of the following?
January 2
March 28
April 12
October 12
Feedback
To determine the EDD when the date of the client’s LMP is known use Nagele rule. To the first day of theLMP, add 7
days, subtract 3 months, and add 1 year (if applicable) to arrive at the EDD as follows: 5 + 7 = 12 (July) minus 3 = 4
(April). Therefore, the client’s EDD is April 12.
6) A 25-year-old client with diabetes type I visits the clinic to discuss her and herhusband's
desire to start a family. This diabetic client
Should be discouraged from becoming pregnant
Has a greater risk of complications during pregnancyShould
be informed about treatment for infertility
Will be able to carry out a completely normal pregnancy
Feedback
Clients with DM are at greater risk for developing maternal and fetal complications during pregnancy.
7) The nurse is caring for a primigravida at about 2 months and 1 week gestation.After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she says:
“Nausea and vomiting can be decreased if I eat a few crackers before arising” “If I start
to leak colostrum, I should cleanse my nipples with soap and water” “If I have a vaginal
discharge, I should wear nylon underwear”
“Leg cramps can be alleviated if I put an ice pack on the area”
, Feedback
Eating dry crackers before arising can assist in decreasing the common discomfort of nausea and vomiting.
Avoiding strong food odors and eating a high-protein snack before bedtime can also help.
8) A client suspects that she is pregnant and visits the clinic. Of the following changescaused
by pregnancy, which is the only positive sign that the client is pregnant?
2023
1) A 36-year-old male client loses all function from his waist down after sustaining a spinal cord
injury after falling off the roof of his house. The nurse asks the client how this injury will affect the
different aspects of his life. The client replies, "It won't." Thisreaction exemplifies that the client
is at what stage of the grieving process?
Possible correct answers:
• Denial, denial
Feedback
Clients usually responds to the loss by following the stages of the grieving process. The paralyzed condition of the client
is his loss. The client is denying that this loss will affect him or his life.*##**##*
2) During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of
pregnancy. The nurse determines that the FHR is normal if which of thefollowing heart rates is
noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
3) During a prenatal visit, the nurse checks the fetal heart rate of a client in the thirdtrimester of
pregnancy. The nurse determines that the FHR is normal if which of the following heart rates
is noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
4)
Which of the following urinary symptoms does the pregnant woman most frequently experienceduring
the first trimester?
,Dysuria Frequency
Incontinence
Burning urination
Feedback
Pressure and irritation of the bladder by the growing uterus during the first trimester is responsible for causing urinary
frequency. Dysuria, incontinence, and burning are symptoms associated with urinary tract infections.
,5) A client LMP began July 5. Her EDD should be which of the following?
January 2
March 28
April 12
October 12
Feedback
To determine the EDD when the date of the client’s LMP is known use Nagele rule. To the first day of theLMP, add 7
days, subtract 3 months, and add 1 year (if applicable) to arrive at the EDD as follows: 5 + 7 = 12 (July) minus 3 = 4
(April). Therefore, the client’s EDD is April 12.
6) A 25-year-old client with diabetes type I visits the clinic to discuss her and herhusband's
desire to start a family. This diabetic client
Should be discouraged from becoming pregnant
Has a greater risk of complications during pregnancyShould
be informed about treatment for infertility
Will be able to carry out a completely normal pregnancy
Feedback
Clients with DM are at greater risk for developing maternal and fetal complications during pregnancy.
7) The nurse is caring for a primigravida at about 2 months and 1 week gestation.After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she says:
“Nausea and vomiting can be decreased if I eat a few crackers before arising” “If I start
to leak colostrum, I should cleanse my nipples with soap and water” “If I have a vaginal
discharge, I should wear nylon underwear”
“Leg cramps can be alleviated if I put an ice pack on the area”
, Feedback
Eating dry crackers before arising can assist in decreasing the common discomfort of nausea and vomiting.
Avoiding strong food odors and eating a high-protein snack before bedtime can also help.
8) A client suspects that she is pregnant and visits the clinic. Of the following changescaused
by pregnancy, which is the only positive sign that the client is pregnant?
