OB HESI PRACTICE 2025 WITH
100% CORRECT ANSWERS
A multiparous client has been in labor for 8 hours when her
membranes rupture. Which action should the nurse implement
first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. correct answers
>> Assess the fetal heart rate and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag
of water" has broken. While inspecting the client's perineum, the
nurse notes the umbilical cord protruding from the vagina. Which
action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. correct answers
>> Place the client in the knee-chest position.
,The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. correct
answers >> Observe the mother for other bonding behaviors.
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?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body
functions.
The growing uterus is putting pressure on the bladder. correct
answers >> The growing uterus is putting pressure on the
bladder.
Which nursing action should be implemented when intermittently
gavage-feeding a preterm infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
,Apply steady pressure to the syringe. correct answers >>
Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for
her to have a drink with dinner. How should the nurse respond to
the client?
During the second trimester beer can be consumed without harm
to the fetus.
Wine can be consumed several times a week after the first
trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy.
correct answers >> Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching
plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the
correct answers >> Avoid alcohol because it is excreted in
breast milk.
A preterm infant with an apnea monitor experiences an episode of
apnea. Which action should the nurse implement first?
, Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and
place in the radiant warmer. correct answers >> Gently rub
the infant's feet or back to stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn and the other is recovering
in an intensive care nursery. As the nurse provides assistance to
the bathroom, the client, softly crying, states, "I wish my baby
could have lived." Which response is best for the nurse to
provide?
"Don't be sad. You'll need to be strong to care for your healthy
baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your
minister?" correct answers >> "I am sorry for your loss. Do
you want to talk about it?"
A client in the first stage of active labor is using a shallow pattern
of rapid breaths that is twice the normal adult breathing rate. The
client reports feeling light-headed and dizzy, and she states that
her fingers are tingling. Which action should the nurse
implement?
Notify the healthcare provider.
100% CORRECT ANSWERS
A multiparous client has been in labor for 8 hours when her
membranes rupture. Which action should the nurse implement
first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. correct answers
>> Assess the fetal heart rate and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag
of water" has broken. While inspecting the client's perineum, the
nurse notes the umbilical cord protruding from the vagina. Which
action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. correct answers
>> Place the client in the knee-chest position.
,The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. correct
answers >> Observe the mother for other bonding behaviors.
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?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body
functions.
The growing uterus is putting pressure on the bladder. correct
answers >> The growing uterus is putting pressure on the
bladder.
Which nursing action should be implemented when intermittently
gavage-feeding a preterm infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
,Apply steady pressure to the syringe. correct answers >>
Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for
her to have a drink with dinner. How should the nurse respond to
the client?
During the second trimester beer can be consumed without harm
to the fetus.
Wine can be consumed several times a week after the first
trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy.
correct answers >> Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching
plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the
correct answers >> Avoid alcohol because it is excreted in
breast milk.
A preterm infant with an apnea monitor experiences an episode of
apnea. Which action should the nurse implement first?
, Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and
place in the radiant warmer. correct answers >> Gently rub
the infant's feet or back to stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn and the other is recovering
in an intensive care nursery. As the nurse provides assistance to
the bathroom, the client, softly crying, states, "I wish my baby
could have lived." Which response is best for the nurse to
provide?
"Don't be sad. You'll need to be strong to care for your healthy
baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your
minister?" correct answers >> "I am sorry for your loss. Do
you want to talk about it?"
A client in the first stage of active labor is using a shallow pattern
of rapid breaths that is twice the normal adult breathing rate. The
client reports feeling light-headed and dizzy, and she states that
her fingers are tingling. Which action should the nurse
implement?
Notify the healthcare provider.
