HESI OB 2025 EXAM QUESTIONS AND
ANSWERS
The day after delivery a woman, whose fundus is firm at 1 cm below the umbilicus and
who has moderate lochia, tells the nurse that something must be wrong, "All I do is go
to the bathroom." Which of the following is an appropriate nursing response? - Answer-
Inform the client that polyuria is normal
A breastfeeding client, G10P6408, delivered 10 minutes ago. Which of the following
assessments is most important for the nurse to perform at this time? - Answer-Fundus.
The nurse is caring for a client who had a cesarean section under spinal anesthesia
less than 2 hours ago. Which of the following nursing actions is appropriate at this time?
- Answer-Have her turn and deep breathe every 2 hours
The nurse is caring for a postpartum client who experienced a second-degree perineal
laceration at delivery 2 hours ago. Which of the following interventions should the nurse
perform at this time? - Answer-Apply an ice pack to the perineum.
A woman had a cesarean section yesterday. She states that she needs to cough but
that she is afraid to. Which of the following is the nurse's best response? - Answer-"If
you support your incision with a pillow, coughing should hurt less."
A woman is receiving patient-controlled analgesia (PCA) post-cesarean section. Which
of the following must be included in the patient teaching? - Answer-. The client should
report any feelings of nausea or itching to the nurse.
An 18-week gestation client telephones the obstetrician's office stating, "I'm really
scared. I think I have breast cancer. My breasts are filled with tumors." The nurse
should base the response on which of the following? - Answer-Nodular breast tissue is
normal during pregnancy.
A woman states that she frequently awakens with "painful leg cramps" during the night.
Which of the following assessments should the nurse make? - Answer-Dietary
evaluation.
Which of the following exercises should be taught to a pregnant woman who complains
of backaches? - Answer-Pelvic tilting.
A woman in her third trimester advises the nurse that she wishes to breastfeed her
baby, "but I don't think my nipples are right." Upon examination, the nurse notes that the
client has inverted nipples. Which of the following actions should the nurse take at this
time? - Answer-Refer the client to a lactation consultant for advice.
, Which of the following vital sign changes should the nurse highlight for a pregnant
woman's obstetrician? - Answer-Prepregnancy blood pressure (BP) 100/60 and third
trimester BP 140/90.
A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil
2500 mg daily as a complementary therapy. This suggestion was made because
evening primrose has been shown to perform which of the following actions? - Answer-
Ripen the cervix
A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take
evening primrose daily. The office nurse advises the client to report which of the
following side effects that has been attributed to the oil? - Answer-Skin rash.
A 37-week gravid client states that she noticed a "white liquid" leaking from her breasts
during a recent shower. Which of the following nursing responses is appropriate at this
time? - Answer-Reassure the mother that this is normal in the third trimester.
A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of
the following is the likely clinical reason for this complaint? - Answer-Fundal height.
The nurse is providing anticipatory guidance to a woman in her second trimester
regarding signs/symptoms that she might experience in the coming weeks. Which of the
following comments by the client indicates that further teaching is needed? -
Answer-"During the third trimester I may experience persistent headache."
The nurse is analyzing the three-generation pedigree below. In which generation is the
proband? - Answer-II.
A woman is seeking genetic counseling during her pregnancy. She has a strong family
history of diabetes mellitus. She wishes to have an amniocentesis to determine whether
or not she is carrying a baby who will "develop diabetes." Which of the following replies
by the nurse would be most appropriate for the nurse to make? - Answer-"Although
diabetes does have a genetic component, diet and exercise also determine whether or
not someone is diabetic."
A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just
learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what
her options are for getting pregnant and breastfeeding her baby. The nurse should base
her reply on which of the following? - Answer-Fertility of women who carry the BRCA1
and BRCA2 genes is similar to that of unaffected women.
A woman asks a nurse about presymptomatic genetic testing for Huntington's disease.
The nurse should base her response on which of the following? - Answer-If the woman
is positive for the gene for Huntington's, she will develop the disease later in life.
ANSWERS
The day after delivery a woman, whose fundus is firm at 1 cm below the umbilicus and
who has moderate lochia, tells the nurse that something must be wrong, "All I do is go
to the bathroom." Which of the following is an appropriate nursing response? - Answer-
Inform the client that polyuria is normal
A breastfeeding client, G10P6408, delivered 10 minutes ago. Which of the following
assessments is most important for the nurse to perform at this time? - Answer-Fundus.
The nurse is caring for a client who had a cesarean section under spinal anesthesia
less than 2 hours ago. Which of the following nursing actions is appropriate at this time?
- Answer-Have her turn and deep breathe every 2 hours
The nurse is caring for a postpartum client who experienced a second-degree perineal
laceration at delivery 2 hours ago. Which of the following interventions should the nurse
perform at this time? - Answer-Apply an ice pack to the perineum.
A woman had a cesarean section yesterday. She states that she needs to cough but
that she is afraid to. Which of the following is the nurse's best response? - Answer-"If
you support your incision with a pillow, coughing should hurt less."
A woman is receiving patient-controlled analgesia (PCA) post-cesarean section. Which
of the following must be included in the patient teaching? - Answer-. The client should
report any feelings of nausea or itching to the nurse.
An 18-week gestation client telephones the obstetrician's office stating, "I'm really
scared. I think I have breast cancer. My breasts are filled with tumors." The nurse
should base the response on which of the following? - Answer-Nodular breast tissue is
normal during pregnancy.
A woman states that she frequently awakens with "painful leg cramps" during the night.
Which of the following assessments should the nurse make? - Answer-Dietary
evaluation.
Which of the following exercises should be taught to a pregnant woman who complains
of backaches? - Answer-Pelvic tilting.
A woman in her third trimester advises the nurse that she wishes to breastfeed her
baby, "but I don't think my nipples are right." Upon examination, the nurse notes that the
client has inverted nipples. Which of the following actions should the nurse take at this
time? - Answer-Refer the client to a lactation consultant for advice.
, Which of the following vital sign changes should the nurse highlight for a pregnant
woman's obstetrician? - Answer-Prepregnancy blood pressure (BP) 100/60 and third
trimester BP 140/90.
A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil
2500 mg daily as a complementary therapy. This suggestion was made because
evening primrose has been shown to perform which of the following actions? - Answer-
Ripen the cervix
A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take
evening primrose daily. The office nurse advises the client to report which of the
following side effects that has been attributed to the oil? - Answer-Skin rash.
A 37-week gravid client states that she noticed a "white liquid" leaking from her breasts
during a recent shower. Which of the following nursing responses is appropriate at this
time? - Answer-Reassure the mother that this is normal in the third trimester.
A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of
the following is the likely clinical reason for this complaint? - Answer-Fundal height.
The nurse is providing anticipatory guidance to a woman in her second trimester
regarding signs/symptoms that she might experience in the coming weeks. Which of the
following comments by the client indicates that further teaching is needed? -
Answer-"During the third trimester I may experience persistent headache."
The nurse is analyzing the three-generation pedigree below. In which generation is the
proband? - Answer-II.
A woman is seeking genetic counseling during her pregnancy. She has a strong family
history of diabetes mellitus. She wishes to have an amniocentesis to determine whether
or not she is carrying a baby who will "develop diabetes." Which of the following replies
by the nurse would be most appropriate for the nurse to make? - Answer-"Although
diabetes does have a genetic component, diet and exercise also determine whether or
not someone is diabetic."
A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just
learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what
her options are for getting pregnant and breastfeeding her baby. The nurse should base
her reply on which of the following? - Answer-Fertility of women who carry the BRCA1
and BRCA2 genes is similar to that of unaffected women.
A woman asks a nurse about presymptomatic genetic testing for Huntington's disease.
The nurse should base her response on which of the following? - Answer-If the woman
is positive for the gene for Huntington's, she will develop the disease later in life.
