HESI OB PEDS NEWEST EXAM 2025 QUESTIONS
BANK ACTUAL EXAM COMPLETE 160
QUESTIONS AND CORRECT DETAILED
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HESI OB PEDS EXIT EXAM NEWEST QUESTIONS AND ANSWERS
In a 24 year old pregnant woman, the amniocenteses is done in
late pregnancy. How should the bladder be to avoid puncturing
the bladder?
A. Empty
B. Full
C. 1/4 empty
D. 1/2 full - CORRECT ANSWER-A.
Rationale; When an amniocentesis is done in late pregnancy, the
bladder must be empty to avoid puncturing the bladder
Pitocin should be given with caution to clients with
hypertension. What drug shouldn't be given to clients with
hypertension due to its vasoconstrictive action?
A. Analgesics
B. Meperidine
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C. Codeine
D. Methergine - CORRECT ANSWER-D.
Rationale; Methergine is NOT given to clients with hypertension
due to its vasoconstrictive action. Pitocinis given with caution to
those with hypertension
Oxytocin should be administered after the placenta is delivered
because the drug will cause the uterus to contract. What can
happen if the drug is administered before the placenta is
delivered?
A. Will predispose the client to nausea
B. Will predispose the client to amnesia
C. Will predispose the client to hemorrhage
D. Will predispose the client to hypocalcemia - CORRECT
ANSWER-C.
Rationale; If the oxytocic drug is administered before the
placenta is delivered, it may result in a retained placenta, which
predisposed the client to hemorrhage and infection
In the first 12 hours after delivery, the 22 year old client shows
signs of hemorrhage. What is one of the common reasons for
uterine atony and/or hemorrhage in the first 24 hours after
delivery?
A. Empty bladder
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B. Full bladder
C. Hypoglycemia
D. Low blood pressure - CORRECT ANSWER-B.
Rationale; FULL BLADDER is one of the most common
reasons for uterine atony and/or hemorrhage in the first 24 hours
after delivery
When examining a client after delivery, the nurse finds the
fundus soft, boggy, and displaced above and to the right of the
umbilicus. What action should the nurse take first in this case?
A. Have the client empy her bladder
B. Perform fundal massage
C. Administer narcotic analgesics
D. Administer codeine and meperidine - CORRECT ANSWER-
B.
Rationale; First the nurse should perform fundal massage; then
have the client empt her bladder
When examining a client after delivery, the nurse finds the
fundus soft, boggy, and displaced above and to the right of the
umbilicus. After perfoming fundal massage and having the
client empy her bladder when should the nurse recheck fundus?
A. q 15 minutes *4 (1 hour)
B. q 45 minutes *2 (1.5 hour)
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C. q 30 minutes *4 (2 hours)
D. q 30 minutes *2 (1 hour) - CORRECT ANSWER-A.
Rationale; The nurse should recheck fundus q 15 minutes *4 (1
hour); q 30 minutes *2 hours
Internal rotation is harder to achieve when the pelvic floor is
relaxed by anesthesia resulting in persistent occiput posterior of
fetus. What regional blocks often result in assissted delivery due
to the inability to push effectively in the 2nd stage?
A. Epidermis
B. Anal Spincter
C. Rectal mucosa
D. Caudal - CORRECT ANSWER-D.
Rationale; Regional blocks, especially epidural and caudal, often
result in assissted delivery due to the inability to push effectively
in 2nd stage
Nerve lock anesthesia (spinal or epidural) during labor bloks
motor as well as nerve fibers. What does result from
vasodilation below the level of the block?
A> Maternal hypertension
B. Maternal hypotension
C. Low BP