OB HESI 2024 EXAM Q&A
At 14 weeks gestation, a client arrives at the EC complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV.
Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a
shoulder pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the nurse implement
next?
A. check the hematocrit results
B. administer pain medication
C. increase the rate of IV fluids
D. monitor client for contractions - Answer-C. increase the rate of IV fluids
1) During a prenatal visit, the nurse discusses with a client the effects of smoking on the
fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies. - Answer-B. lower birth weights
1) Which action should the nurse implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink. - Answer-A. Have the client empty her
bladder
1) The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles. - Answer-B. Observe for an
asymmetrical Moro (startle) reflex)
1) 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. The client's pulse is 84
beats/minute and blood pressure is 156/96. The healthcare
,provider prescribes Methergine 0.2 mg IM Å~ 1. What 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 the fundus.
D. Call the healthcare provider to question the prescription. - Answer-D. Call the
healthcare provider to question the prescription
1) The nurse is preparing to give an enema to a laboring client. Which client requires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation,
and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for
induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is
not engaged. - Answer-D. a 40-week primigravida who is at 6 cm cervical dilation and
the presenting part is not engaged.
1) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever? - Answer-D. Do you have a history of
rheumatic fever?
1) The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations
are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement. - Answer-D. Ask the client if she
has felt any fetal movement
1) A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Patellar reflex 4+
, B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Answer-A. Patellar reflex 4+
1) The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP
110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Answer-C. Monitor bleeding from IV sites
1) A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Answer-A. 3+ deep tendon reflexes and
hyperclonus
1) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action
should the nurse perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
D. Assess the infant's blood glucose level. - Answer-A. Initiate positive pressure
ventilation
1) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the nurse document in this
client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Answer-D. 3-1-1-0-3
1) The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess
At 14 weeks gestation, a client arrives at the EC complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV.
Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a
shoulder pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the nurse implement
next?
A. check the hematocrit results
B. administer pain medication
C. increase the rate of IV fluids
D. monitor client for contractions - Answer-C. increase the rate of IV fluids
1) During a prenatal visit, the nurse discusses with a client the effects of smoking on the
fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies. - Answer-B. lower birth weights
1) Which action should the nurse implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink. - Answer-A. Have the client empty her
bladder
1) The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles. - Answer-B. Observe for an
asymmetrical Moro (startle) reflex)
1) 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. The client's pulse is 84
beats/minute and blood pressure is 156/96. The healthcare
,provider prescribes Methergine 0.2 mg IM Å~ 1. What 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 the fundus.
D. Call the healthcare provider to question the prescription. - Answer-D. Call the
healthcare provider to question the prescription
1) The nurse is preparing to give an enema to a laboring client. Which client requires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation,
and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for
induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is
not engaged. - Answer-D. a 40-week primigravida who is at 6 cm cervical dilation and
the presenting part is not engaged.
1) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever? - Answer-D. Do you have a history of
rheumatic fever?
1) The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations
are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement. - Answer-D. Ask the client if she
has felt any fetal movement
1) A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Patellar reflex 4+
, B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Answer-A. Patellar reflex 4+
1) The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP
110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Answer-C. Monitor bleeding from IV sites
1) A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Answer-A. 3+ deep tendon reflexes and
hyperclonus
1) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action
should the nurse perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
D. Assess the infant's blood glucose level. - Answer-A. Initiate positive pressure
ventilation
1) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the nurse document in this
client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Answer-D. 3-1-1-0-3
1) The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess
