OB HESI 2023
1. D. Use an alternate form of contraceptive until a new diaphragm is obtained.-
: A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse
that she is currently using the same diaphragm that she used before becoming pregnant. Which
information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safeto use.
D. Use an alternate form of contraceptive until a new diaphragm is obtained.
2. 10: The healthcare provider prescribes zidovudine 100mg po 5x daily for a preg-nant
woman who is HIV positive. How much do you administer? (?)
3. D. Evaluate infant feeding technique prior to discharge.: The nurse is prepar-ing a
young couple and their 24-hour-old infant for discharge from the hospital. In conducting
discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge.
4. A. Gently massage the fundus every 4 hours.: A 30-year-old primigravida delivers
a 9-pound (4082 gram) infant vaginally after a 30-hour labor. What is thepriority nursing
action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
5. D. Prepare for a cesarean section.: A multiparous client with active herpes lesion is
admitted to the unit with spontaneous rupture of membranes. Which actionshould the nurse
do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section.
6. D. Hypoglycemia: The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chestcircumference of
10 inches. Based on these physical findings, assessments for which condition has the
highest priority?
A. Hyperbilirubinemia
B. Polycythemia
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, OB HESI 2023
C. Hyperthermia
D. Hypoglycemia
7. A. Maternal blood pressure of 130/85 mmHg.: While assessing a 40-week gestation
primigravida in active labor, the client's membranes rupture spontaneouslyand the nurse
notices that the amniotic fluid is meconium stained. Which additionalfinding is most
important for the nurse to report to the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes.
8. B. Transient tachypnea of the newborn.: The nurse is caring for a 35-week gestation
infant delivered by cesarean section 2 hours ago. The nurse observes the infant's
respiratory rate is 72 breaths/minute with nasal flaring, grunting, and retractions. The nurse
should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
9. D. Restart oxytocin infusion rate per protocol.: A primipara client at 42 weeks
gestation is admitted for induction. Within one hour after initiating an oxytocin infusion,
her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1 minute
with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30
minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second
duration. What intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
10. B. Inform the anesthesia care provider.: At 0600 while admitting a woman fora
scheduled repeat cesarean section, the client tells the nurse that she drank a cupof coffee at
0400 because she wanted to avoid getting a headache. What action would the nurse take
first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
11. B. Place procedure equipment at bedside.: The nurse is caring for a post- partum
client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a
normal newborn. Prior to the anesthesiologists arrival on the unit, which
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1. D. Use an alternate form of contraceptive until a new diaphragm is obtained.-
: A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse
that she is currently using the same diaphragm that she used before becoming pregnant. Which
information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safeto use.
D. Use an alternate form of contraceptive until a new diaphragm is obtained.
2. 10: The healthcare provider prescribes zidovudine 100mg po 5x daily for a preg-nant
woman who is HIV positive. How much do you administer? (?)
3. D. Evaluate infant feeding technique prior to discharge.: The nurse is prepar-ing a
young couple and their 24-hour-old infant for discharge from the hospital. In conducting
discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge.
4. A. Gently massage the fundus every 4 hours.: A 30-year-old primigravida delivers
a 9-pound (4082 gram) infant vaginally after a 30-hour labor. What is thepriority nursing
action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
5. D. Prepare for a cesarean section.: A multiparous client with active herpes lesion is
admitted to the unit with spontaneous rupture of membranes. Which actionshould the nurse
do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section.
6. D. Hypoglycemia: The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chestcircumference of
10 inches. Based on these physical findings, assessments for which condition has the
highest priority?
A. Hyperbilirubinemia
B. Polycythemia
1/9
, OB HESI 2023
C. Hyperthermia
D. Hypoglycemia
7. A. Maternal blood pressure of 130/85 mmHg.: While assessing a 40-week gestation
primigravida in active labor, the client's membranes rupture spontaneouslyand the nurse
notices that the amniotic fluid is meconium stained. Which additionalfinding is most
important for the nurse to report to the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes.
8. B. Transient tachypnea of the newborn.: The nurse is caring for a 35-week gestation
infant delivered by cesarean section 2 hours ago. The nurse observes the infant's
respiratory rate is 72 breaths/minute with nasal flaring, grunting, and retractions. The nurse
should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
9. D. Restart oxytocin infusion rate per protocol.: A primipara client at 42 weeks
gestation is admitted for induction. Within one hour after initiating an oxytocin infusion,
her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1 minute
with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30
minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second
duration. What intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
10. B. Inform the anesthesia care provider.: At 0600 while admitting a woman fora
scheduled repeat cesarean section, the client tells the nurse that she drank a cupof coffee at
0400 because she wanted to avoid getting a headache. What action would the nurse take
first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
11. B. Place procedure equipment at bedside.: The nurse is caring for a post- partum
client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a
normal newborn. Prior to the anesthesiologists arrival on the unit, which
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