OB HESI practice 2025 Questions And Answers

OB HESI practice 2025 Questions And
Answers

Ar31-year-oldrwomanrusesranrover-the-
counterr(OTC)rpregnancyrtestrthatrisrpositiveronerweekrafterrarmissedrperiod.rAtrtherclinic,rt
herclientrtellsrthernursershertakesrphenytoinrforrepilepsy,rhasrarhistoryrofrirregularrperiods,ri
srunderrstressratrwork,randrhasrnotrbeenrsleepingrwell.rTherclient'srphysicalrexaminationran
drultrasoundrdornotrindicaterthatrsherisrpregnant.rHowrshouldrthernurserexplainrthermostrlik
elyrcauserforrobtainingrfalse-positiverpregnancyrtestrresults?

Havingranrirregularrmenstrualrcycle.
Usingranranticonvulsantrforrepilepsy.
Takingrtherpregnancyrtestrtoorearly.
Beingrunderrtoormuchrstressratrwork.r-rCORRECTrrANSWER-
Usingranranticonvulsantrforrepilepsy.

Ar36-weekrgestationrclientrwithrpregnancy-
inducedrhypertensionr(PIH)risrreceivingranrIVrinfusionrofrmagnesiumrsulfate.rWhichrassess
mentrfindingrshouldrthernurserreportrtortherhealthcarerprovider?

Bloodrpressurerofr100/60rmmrHg.
Fetalrheartrraterofr120rtor125rbeats/minute.
Contractionsroccurreveryr30rminutes.
Respiratoryrraterofr11rbreaths/minute.r-rCORRECTrrANSWER-
Respiratoryrraterofr11rbreaths/minute.

Arclientratr25rweeksrgestationrtellsrthernurserthatrsherdroppedrarcookingrutensilrlastrweekra
ndrherrbabyrjumpedrinrresponsertorthernoise.rWhatrinformationrshouldrthernurserprovide?

Thisrisrardemonstrationrofrtherfetus'sracousticalrreflex.
Therfetusrcanrrespondrtorsoundrbyr24rweeksrgestation.
Itrisrarcoincidencertherfetusrrespondedratrthersamertime.
Reportrtherfetus'srbehaviorrtortherhealthcarerprovider.r-rCORRECTrrANSWER-
Therfetusrcanrrespondrtorsoundrbyr24-weeksrgestation.

Arclientratr28rweeksrgestationrarrivesratrtherlaborrandrdeliveryrunitrwithrarcomplaintrofrbrightr
red,rpainlessrvaginalrbleeding.rForrwhichrdiagnosticrprocedurershouldrthernurserpreparerth
erclient?

Contractionrstressrtest.
Internalrfetalrmonitoring.
Abdominalrultrasound.

,Lecithin-sphingomyelinrratio.r-rCORRECTrrANSWER-Abdominalrultrasound.

Arclientratr28rweeksrgestationrexperiencesrbluntrabdominalrtrauma.rWhichrparameterrshou
ldrthernurserassessrfirstrforrsignsrofrinternalrhemorrhage?

Vaginalrbleeding.
Complaintsrofrabdominalrpain.
Changesrinrfetalrheartrraterpatterns.
Alterationrinrmaternalrbloodrpressure.r-rCORRECTrrANSWER-
Changesrinrfetalrheartrraterpatterns.

Arclientratr28rweeksrgestationrisrconcernedraboutrherrweightrgainrofr17rpounds.rWhatrinfor
mationrshouldrthernurserproviderthisrclient?

Itrisrnotrnecessaryrtorkeeprsuchrarcloserwatchronrweightrgain.
Tryrtorexercisermorerbecausertoormuchrweightrhasrbeenrgained.
Increaserthercaloriesrinryourrdietrtorgainrmorerweightrperrweek.
Therweightrgainrisracceptablerforrthernumberrofrweeksrpregnant.r-rCORRECTrrANSWER-
Therweightrgainrisracceptablerforrthernumberrofrweeksrpregnant.

Arclientratr29rweeksrgestationrwithrpossiblerplacentalrinsufficiencyrisrbeingrpreparedrforrpre
natalrtesting.rInformationraboutrwhichrdiagnosticrstudyrshouldrthernurserprovidertortherclien
t?

Amniocentesis.
Ultrasonography.
Chorionicrvillusrsampling.
Maternalrserumralpha-fetoprotein.r-rCORRECTrrANSWER-Ultrasonography

Arclientratr35rweeksrgestationrvisitsrtherclinicrforrarprenatalrcheck-
up.rWhichrdisclosurerbyrtherclientrwarrantsrfurtherrassessmentrbyrthernurse?

Periodicrabdominalrpain.
Ankleredemarinrtherafternoon.
Backacherwithrprolongedrstanding.
Shortnessrofrbreathrwhenrclimbingrstairs.r-rCORRECTrrANSWER-
Periodicrabdominalrpain.

Arclientratr39rweeksrgestationrisradmittedrtortherlaborrandrdeliveryrunit.rHerrobstetricalrhisto
ryrincludesr3rliverbirthsratr39rweeks,r34rweeks,randr35rweeksrgestation.rWhatrisrherrgravida
rnumber?



3.
4.
2.
1.r-rCORRECTrrANSWER-4.

, Arclientratr8rmonthsrgestationrtellsrthernurserthatrsherknowsrherrbabyrlistensrtorher,rbutrherr
husbandrthinksrsherisrimaginingrthings.rWhatrinformationrshouldrthernurserprovide?

Manyrwomenrimaginerwhatrtheirrbabyrisrlikerbyrinterpretingrfetalrmovements.
Therfetusrinruterorisrcapablerofrhearingrandrdoesrrespondrtorthermother'srvoice.
Therhealthcarerproviderrshouldraddressrherrconcernsraboutrherrbaby'srhearingrfunction.
Therinteractionrbetweenrthermother'srvoicerandrtherfetus'srresponserensuresrbonding.r-
rCORRECTrrANSWER-

Therfetusrinruterorisrcapablerofrhearingrandrdoesrrespondrtorthermother'srvoice.

Arclientratr8rweeksrgestationrasksrthernurseraboutrtherriskrforrarcongenitalrheartrdefectr(CH
D)rinrherrbaby.rWhichrresponserbestrexplainsrwhenrarcongenitalrheartrdefectr(CHD)rmayroc
cur?

ItrdependsronrwhatrthercausativerfactorsrarerforrarCHD.
Werdon'trreallyrknowrwhatrorrwhenrCHDsroccur.
Theyrusuallyroccurrinrtherfirstrtrimesterrofrpregnancy.
Therheartrdevelopsrinrtherthirdrtorfifthrweeksrafterrconception.r-rCORRECTrrANSWER-
Therheartrdevelopsrinrtherthirdrtorfifthrweeksrafterrconception.

Arclientrcomesrintortherclinicrforrherrsix-
weekrpostpartumrcheckuprandrcomplainsrthatrherrleftrbreastrisrerythematousrandrpainful.rT
herclientrasks,r"CanrIrstillrbreastfeedrmyrbaby?"rWhichrisrtherbestrresponserforrthernursertor
provide?

Advisertorstoprbreastfeedingruntilrtherinfectionrclears.
Informrtherclientrtorcontinuerbreastfeeding.
Beginrallrfeedingsrwithrtherinfectedrbreast.
Tellrtherclientrtorpumprthenrdiscardrthermilkrfromrtheraffectedrbreast.r-
rCORRECTrrANSWER-Informrtherclientrtorcontinuerbreastfeeding.



Arclientrdeliversrherrfirstrinfantrandrasksrthernurserifrherrskinrchangesrfromrpregnancyrarerp
ermanent.rWhichrchangershouldrthernursertellrtherclientrwillrremainrafterrpregnancy?

Pruritus.
Chloasma.
Vascularrspiders.
Striaergravidarum.r-rCORRECTrrANSWER-Striaergravidarum.

Arclientrdeliversrherrfirstrinfantrandrasksrthernurserifrherrskinrchangesrfromrpregnancyrarerp
ermanent.rWhichrchangershouldrthernursertellrtherclientrwillrremainrafterrpregnancy?

Pruritus.
Chloasma.
Vascularrspiders.