HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
1. At 10 weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villavilla sampling (CVS) procedure. What assessment
finding requires immediate intervention?
A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D. Abdominal tenderness. - (answer) A. Uterine cramping.
2. A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client?
A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. During pregnancy a woman is especially sensitive to body functions.
D. The growing uterus is putting pressure on the bladder. - (answer) D. The growing uterus is putting
pressure on the bladder.
3. The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate of 48 breaths/minute. Based on
these findings, which action should the nurse take first?
A. Notify the pediatrician of the infant's vital signs.
B. Encourage the infant to take the breast or sugar water.
C. Assess the infant's blood glucose level.
D. Check the infant's arterial blood gases. - (answer) C. Assess the infant's blood glucose level.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation indicates 85%.
What is the priority nursing intervention?
,HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
A. Evaluate the blood pH.
B. Begin humidified oxygen via hood.
C. Place the infant under a radiant warmer.
D. Stimulate infant crying. - (answer) B. Begin humidified oxygen via hood.
5. When assessing a newborn infant's heart rate, which technique is most important for the nurse to
use?
A. Count the heart rate for at least one full minute.
B. Quiet the infant before counting the heart rate.
C. Palpate the umbilical cord.
D. Listen at the apex of the heart. - (answer) A. Count the heart rate for at least one full minute.
6. The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the
nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to
make?
A. Inform the mother that the injection was prescribed by the healthcare provider.
B. Explore the mother's concern about the infant receiving an injection of vitamin K.
C. Remind the mother that all babies receive the shot and it is relatively painless.
D. Explain that vitamin K is required by state law and compliance is mandatory. - (answer) B. Explore
the mother's concern about the infant receiving an injection of vitamin K.
7. The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Double prenatal milk intake to improve vitamin D transfer to the infant.
B. Increase caloric intake by approximately 500 calories/day.
C. Avoid spicy foods to prevent infant colic.
, HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
D. Avoid alcohol because it is excreted in breast milk. - (answer) D. Avoid alcohol because it is excreted
in breast milk.
8. Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor?
A. Brighten the lighting so the mother can view the infant.
B. Provide positive reinforcement for maternal care of infant.
C. Complete a newborn assessment as quickly as possible.
D. Encourage early initiation of breast or formula feeding. - (answer) D. Encourage early initiation of
breast or formula feeding.
9. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect (CHD) in her
baby. Which response best explains when a CHD may occur?
A. They usually occur in the first trimester pregnancy.
B. The heart develops in the third to fifth weeks after conception.
C. It depends on what the causative factors are for a CHD.
D. We don't really know what or when CHDs occur. - (answer) B. The heart develops in the third to fifth
weeks after conception.
10 A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband
thinks she is imagining things. What information should the nurse provide?
A. The interaction between the mother's voice and the fetus's response ensures bonding.
B. The healthcare provider should address her concerns about her baby's hearing function.
C. The fetus in utero is capable of hearing and does respond to the mother's voice.
D. Many women imagine what their baby is like by interpreting fetal movements. - (answer) C. The
fetus in utero is capable of hearing and does respond to the mother's voice.
ANSWERS (VERIFIED
1. At 10 weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villavilla sampling (CVS) procedure. What assessment
finding requires immediate intervention?
A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D. Abdominal tenderness. - (answer) A. Uterine cramping.
2. A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client?
A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. During pregnancy a woman is especially sensitive to body functions.
D. The growing uterus is putting pressure on the bladder. - (answer) D. The growing uterus is putting
pressure on the bladder.
3. The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate of 48 breaths/minute. Based on
these findings, which action should the nurse take first?
A. Notify the pediatrician of the infant's vital signs.
B. Encourage the infant to take the breast or sugar water.
C. Assess the infant's blood glucose level.
D. Check the infant's arterial blood gases. - (answer) C. Assess the infant's blood glucose level.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation indicates 85%.
What is the priority nursing intervention?
,HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
A. Evaluate the blood pH.
B. Begin humidified oxygen via hood.
C. Place the infant under a radiant warmer.
D. Stimulate infant crying. - (answer) B. Begin humidified oxygen via hood.
5. When assessing a newborn infant's heart rate, which technique is most important for the nurse to
use?
A. Count the heart rate for at least one full minute.
B. Quiet the infant before counting the heart rate.
C. Palpate the umbilical cord.
D. Listen at the apex of the heart. - (answer) A. Count the heart rate for at least one full minute.
6. The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the
nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to
make?
A. Inform the mother that the injection was prescribed by the healthcare provider.
B. Explore the mother's concern about the infant receiving an injection of vitamin K.
C. Remind the mother that all babies receive the shot and it is relatively painless.
D. Explain that vitamin K is required by state law and compliance is mandatory. - (answer) B. Explore
the mother's concern about the infant receiving an injection of vitamin K.
7. The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Double prenatal milk intake to improve vitamin D transfer to the infant.
B. Increase caloric intake by approximately 500 calories/day.
C. Avoid spicy foods to prevent infant colic.
, HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
D. Avoid alcohol because it is excreted in breast milk. - (answer) D. Avoid alcohol because it is excreted
in breast milk.
8. Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor?
A. Brighten the lighting so the mother can view the infant.
B. Provide positive reinforcement for maternal care of infant.
C. Complete a newborn assessment as quickly as possible.
D. Encourage early initiation of breast or formula feeding. - (answer) D. Encourage early initiation of
breast or formula feeding.
9. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect (CHD) in her
baby. Which response best explains when a CHD may occur?
A. They usually occur in the first trimester pregnancy.
B. The heart develops in the third to fifth weeks after conception.
C. It depends on what the causative factors are for a CHD.
D. We don't really know what or when CHDs occur. - (answer) B. The heart develops in the third to fifth
weeks after conception.
10 A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband
thinks she is imagining things. What information should the nurse provide?
A. The interaction between the mother's voice and the fetus's response ensures bonding.
B. The healthcare provider should address her concerns about her baby's hearing function.
C. The fetus in utero is capable of hearing and does respond to the mother's voice.
D. Many women imagine what their baby is like by interpreting fetal movements. - (answer) C. The
fetus in utero is capable of hearing and does respond to the mother's voice.
