OB HESI RN 2024 EXAM QUESTIONS
AND ANSWERS
A client at 33 weeks gestation is admitted with a moderated amount of vaginal bleeding
and no contractions are noted on the external monitor. What intervention should the
nurse implement?
a. Weigh perineal pad
b. Weigh daily
c. Measure I & O
d. Ambulate 15 minutes QID - Answer-a. Weigh perineal pad
The nurse is caring for a newborn infant who was recently diagnosed with congenital
heart defect. Which assessment finding warrants immediate intervention?
a. Sweating during feeding
b. Weak peripheral pulses
c. Bluish tinge to the tongue
d. Increased RR - Answer-c. Bluish tinge to the tongue
A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant. What
information should the nurse provide prior to discharge?
A. avoid using lanolin based nipple cream
B. continue prenatal vitamins with B12 while breast feeding
C. offer iron fortified supplemental formula daily
D. weigh baby weekly to evaluate growth - Answer-B. continue prenatal vitamins with
B12 while breast feeding
A primigravida at 36-weeks gestation, who is RH negative, experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most important for the
nurse to report to the HCP?
a. FHR of 162 bpm
b. Trace of protein in the urine
c. Positive fetal hemoglobin testing
d. Mild contraction every 10 minutes - Answer-c. Positive fetal hemoglobin testing
The nurse is caring for a postpartum client who is exhibiting symptoms of spinal
headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist's arrival to the unit, which action should the nurse perform?
a. Place procedure equipment at bedside
b. Apply and abdominal binder
c. Cleanse the spinal injection site
d. Insert an indwelling foley catheter - Answer-a. Place procedure equipment at bedside
, The nurse is counseling a client who is 6-weeks gestation and experiencing morning
sickness, but does not want to take any drugs for this discomfort. Which herbal
supplement is likely to help this client with the nausea she is experiencing?
a. Ginki
b. Chamomile
c. Peppermint
d. Ginger - Answer-d. Ginger
The nurse is assessing a postpartum client who delivered a 10 lb infant vaginally 2
hours ago. The client's fundus is 2 fingerbreadths above the umbilicus, deviated to the
right side, and boggy. After the client voids 250 ml of urine using a bedpan, what action
should the nurse implement?
a. Re-evaluate the client in 15 minutes
b. Assist the client to the bathroom to void
c. Palpate the suprapubic region for distention
d. Encourage the client to breastfeed - Answer-c. Palpate the suprapubic region for
distention
At 0600 While admitting a woman for a scheduled repeat cesarean section, the client
tells the nurse that drank a cup of coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with Lactates Ringers
c. Inform the anesthesia care provider
d. Contact the clients obstetrician - Answer-b. Start prescribed IV with Lactates Ringers
A client who is in active labor is receiving magnesium sulfate and begins to experience
slurred speech and decreased reflexes. Which action should the nurse implement first?
a. Obtain a serum magnesium level
b. Measure the client's hourly urinary output
c. Provide an emesis basin for vomiting
d. Turn off the magnesium sulfate infusion - Answer-d. Turn off the magnesium sulfate
infusion
Calculated by Naegale's rule, a primp client is at 28-week gestation. She is moderately
obese and carrying twins and the nurse measures her fundal height at 27 cm. During
previous visit 3 weeks ago, the fundal height was measured at 28 cm. Based on these
findings, what should the nurse conclude?
A. Fundal height measurement may indicate intrauterine growth retardation
B. The healthcare provider needs to be notified immediately since this fundal height
measurement is greater than expected
C. Confirm the fundal height measurement with another nurse
D. Recognize this as a reasonable fundal height measurement for this client - Answer-
A. Fundal height measurement may indicate intrauterine growth retardation
AND ANSWERS
A client at 33 weeks gestation is admitted with a moderated amount of vaginal bleeding
and no contractions are noted on the external monitor. What intervention should the
nurse implement?
a. Weigh perineal pad
b. Weigh daily
c. Measure I & O
d. Ambulate 15 minutes QID - Answer-a. Weigh perineal pad
The nurse is caring for a newborn infant who was recently diagnosed with congenital
heart defect. Which assessment finding warrants immediate intervention?
a. Sweating during feeding
b. Weak peripheral pulses
c. Bluish tinge to the tongue
d. Increased RR - Answer-c. Bluish tinge to the tongue
A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant. What
information should the nurse provide prior to discharge?
A. avoid using lanolin based nipple cream
B. continue prenatal vitamins with B12 while breast feeding
C. offer iron fortified supplemental formula daily
D. weigh baby weekly to evaluate growth - Answer-B. continue prenatal vitamins with
B12 while breast feeding
A primigravida at 36-weeks gestation, who is RH negative, experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most important for the
nurse to report to the HCP?
a. FHR of 162 bpm
b. Trace of protein in the urine
c. Positive fetal hemoglobin testing
d. Mild contraction every 10 minutes - Answer-c. Positive fetal hemoglobin testing
The nurse is caring for a postpartum client who is exhibiting symptoms of spinal
headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist's arrival to the unit, which action should the nurse perform?
a. Place procedure equipment at bedside
b. Apply and abdominal binder
c. Cleanse the spinal injection site
d. Insert an indwelling foley catheter - Answer-a. Place procedure equipment at bedside
, The nurse is counseling a client who is 6-weeks gestation and experiencing morning
sickness, but does not want to take any drugs for this discomfort. Which herbal
supplement is likely to help this client with the nausea she is experiencing?
a. Ginki
b. Chamomile
c. Peppermint
d. Ginger - Answer-d. Ginger
The nurse is assessing a postpartum client who delivered a 10 lb infant vaginally 2
hours ago. The client's fundus is 2 fingerbreadths above the umbilicus, deviated to the
right side, and boggy. After the client voids 250 ml of urine using a bedpan, what action
should the nurse implement?
a. Re-evaluate the client in 15 minutes
b. Assist the client to the bathroom to void
c. Palpate the suprapubic region for distention
d. Encourage the client to breastfeed - Answer-c. Palpate the suprapubic region for
distention
At 0600 While admitting a woman for a scheduled repeat cesarean section, the client
tells the nurse that drank a cup of coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with Lactates Ringers
c. Inform the anesthesia care provider
d. Contact the clients obstetrician - Answer-b. Start prescribed IV with Lactates Ringers
A client who is in active labor is receiving magnesium sulfate and begins to experience
slurred speech and decreased reflexes. Which action should the nurse implement first?
a. Obtain a serum magnesium level
b. Measure the client's hourly urinary output
c. Provide an emesis basin for vomiting
d. Turn off the magnesium sulfate infusion - Answer-d. Turn off the magnesium sulfate
infusion
Calculated by Naegale's rule, a primp client is at 28-week gestation. She is moderately
obese and carrying twins and the nurse measures her fundal height at 27 cm. During
previous visit 3 weeks ago, the fundal height was measured at 28 cm. Based on these
findings, what should the nurse conclude?
A. Fundal height measurement may indicate intrauterine growth retardation
B. The healthcare provider needs to be notified immediately since this fundal height
measurement is greater than expected
C. Confirm the fundal height measurement with another nurse
D. Recognize this as a reasonable fundal height measurement for this client - Answer-
A. Fundal height measurement may indicate intrauterine growth retardation
