HESI OB Practice Exam Questions With 100%
Correct Answers
1. A high-risk multiparous client at 10 weeks gestation is admitted for observation after
a chorionic villavilla sampling (CVS) procedure and has a positive family history related
to Down syndrome. Which assessment finding requires notification of the physician
immediately?
A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D. Abdominal tenderness. Answer A. Uterine cramping.
2. The client states, "It's as if I have to urinate every five minutes since I became
pregnant three months ago." The nurse would respond to this client by stating that:
A. She probably has a bladder or kidney infection.
B. Bladder capacity increases in pregnancy.
C. A pregnant woman is more aware of bodily functions.
D. The expanding uterus is exerting pressure on the bladder.
Answer D. The expanding uterus is exerting pressure on the bladder.
3. The nurse assesses a newborn male and determines his axillary temperature is 95.1
F, his heart rate is 136 beats/minute and his respiratory rate is 48 breaths/minute. Based
on this information, what is the nurse's initial reaction?
A. Told the pediatrician about the infant's vital signs.
B. Reward the baby with the breast or sugar water.
,C. Assess the infant's blood glucose level.
D. Assess the infant arterial blood gases. - Answer C. Assess the infant's blood glucose
level.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation
shows 85%. What will be the priority nursing intervention?
A. Assess for blood pH.
B. Begin humidified oxygen via hood
C. Place infant under a radiant warmer
D. Provide tactile stimulation to elicit crying by the infant - Answer B Begin humidified
oxygen via hood
5. When assessing a newborn infant's heart rate, the nurse should perform which of the
following most importantly?
A. Heart rate should be counted for a minimum of one entire minute.
B. The baby needs to be still before heart rate can be counted.
C. The cord should be palpated.
D. Auscultate at the apex of the heart. - Answer A. Take the pulse for at least one entire
minute.
6. The nurse is preparing to administer a vitamin K injection to a newborn baby. The
mother states to the nurse, "Wait! I don't want my baby to have a shot." Which response
would be most appropriate for the nurse to make?
A. Inform the mother that the healthcare provider ordered the shot.
B. Ask the mother if she has any concerns about the baby getting a shot of vitamin K.
C. Explain to the mother that all babies get the shot and it is nearly painless.
D. The mother should be informed that the baby will be getting vitamin K due to state law
, and it is not optional. - Answer B. Ask the mother if she has any concerns about the baby
getting a shot of vitamin K.
7. The nurse is providing teaching to a new mother regarding diet and breast-feeding.
What is the most important instruction to include in the teaching plan?
A. Increase prenatal milk intake by two times to enhance vitamin D transfer to the baby.
B. Increase calories by about 500 calories/day.
C. Do not eat spicy foods to minimize colic in the infant.
D. Avoid alcohol since it is excreted in the breast milk. -Answer D. Avoid alcohol since it
is excreted in the breast milk.
8. Which nursing action best facilitates maternal-infant bonding during the fourth stage
of labor?
A. Use bright lights to help the mother visualize the infant.
B. Reinforce maternal-infant care by describing how well the mother is interacting with
the infant.
C. Conduct a newborn assessment as quickly as possible.
D. Encourage early initiation of breast or formula feeding. Answer D. Encourage early
initiation of breast or formula feeding.
9. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur?
A. They usually occur in the first trimester pregnancy.
B. The heart develops in the third to fifth weeks after conception.
C. It depends upon what the causative factors are for a CHD.
D. We really don't know what or when CHDs occur. - Answer B. The heart develops in
the third to fifth weeks after conception.
Correct Answers
1. A high-risk multiparous client at 10 weeks gestation is admitted for observation after
a chorionic villavilla sampling (CVS) procedure and has a positive family history related
to Down syndrome. Which assessment finding requires notification of the physician
immediately?
A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D. Abdominal tenderness. Answer A. Uterine cramping.
2. The client states, "It's as if I have to urinate every five minutes since I became
pregnant three months ago." The nurse would respond to this client by stating that:
A. She probably has a bladder or kidney infection.
B. Bladder capacity increases in pregnancy.
C. A pregnant woman is more aware of bodily functions.
D. The expanding uterus is exerting pressure on the bladder.
Answer D. The expanding uterus is exerting pressure on the bladder.
3. The nurse assesses a newborn male and determines his axillary temperature is 95.1
F, his heart rate is 136 beats/minute and his respiratory rate is 48 breaths/minute. Based
on this information, what is the nurse's initial reaction?
A. Told the pediatrician about the infant's vital signs.
B. Reward the baby with the breast or sugar water.
,C. Assess the infant's blood glucose level.
D. Assess the infant arterial blood gases. - Answer C. Assess the infant's blood glucose
level.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation
shows 85%. What will be the priority nursing intervention?
A. Assess for blood pH.
B. Begin humidified oxygen via hood
C. Place infant under a radiant warmer
D. Provide tactile stimulation to elicit crying by the infant - Answer B Begin humidified
oxygen via hood
5. When assessing a newborn infant's heart rate, the nurse should perform which of the
following most importantly?
A. Heart rate should be counted for a minimum of one entire minute.
B. The baby needs to be still before heart rate can be counted.
C. The cord should be palpated.
D. Auscultate at the apex of the heart. - Answer A. Take the pulse for at least one entire
minute.
6. The nurse is preparing to administer a vitamin K injection to a newborn baby. The
mother states to the nurse, "Wait! I don't want my baby to have a shot." Which response
would be most appropriate for the nurse to make?
A. Inform the mother that the healthcare provider ordered the shot.
B. Ask the mother if she has any concerns about the baby getting a shot of vitamin K.
C. Explain to the mother that all babies get the shot and it is nearly painless.
D. The mother should be informed that the baby will be getting vitamin K due to state law
, and it is not optional. - Answer B. Ask the mother if she has any concerns about the baby
getting a shot of vitamin K.
7. The nurse is providing teaching to a new mother regarding diet and breast-feeding.
What is the most important instruction to include in the teaching plan?
A. Increase prenatal milk intake by two times to enhance vitamin D transfer to the baby.
B. Increase calories by about 500 calories/day.
C. Do not eat spicy foods to minimize colic in the infant.
D. Avoid alcohol since it is excreted in the breast milk. -Answer D. Avoid alcohol since it
is excreted in the breast milk.
8. Which nursing action best facilitates maternal-infant bonding during the fourth stage
of labor?
A. Use bright lights to help the mother visualize the infant.
B. Reinforce maternal-infant care by describing how well the mother is interacting with
the infant.
C. Conduct a newborn assessment as quickly as possible.
D. Encourage early initiation of breast or formula feeding. Answer D. Encourage early
initiation of breast or formula feeding.
9. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur?
A. They usually occur in the first trimester pregnancy.
B. The heart develops in the third to fifth weeks after conception.
C. It depends upon what the causative factors are for a CHD.
D. We really don't know what or when CHDs occur. - Answer B. The heart develops in
the third to fifth weeks after conception.
