OB HESI REVIEW V1 EXAM WITH
CORRECT ANSWERS 2025
1. A 3 - day postpartum client , who is not immune to rubella , is
to receive the vaccine at discharge . Which of the following must
the nurse include in her discharge teaching regarding the
vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1
week .
3. The mother must wear a surgical mask when she cares for the
baby .
4. Passive antibodies transported across the placenta will protect
the baby . correct answers >> 1. The woman should not
become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive
the rubella vaccine before leaving the hospital . Which of the
following rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the
vaccine .
2. The client's immune system is highly responsive during the
postpartum period .
3. The client's baby will be high risk for acquiring rubella if the
woman does not receive the vaccine . 4. The client's insurance
company will pay for the shot if it is given during the immediate
,postpartum period . correct answers >> 1. The client's
obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now
has a temperature of 100.2 ° F . Which of the following is the
appropriate nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids . correct answers
>> 4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client
to perform which of the following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after
toileting . correct answers >> 2. Change the peripad at each
voiding .
5. A 3 - day - postpartum breastfeeding woman is being
assessed . Her breasts are firm and warm to the touch . When
asked when she last fed the baby her reply is , " I fed the baby
last evening . I let the nurses feed him in the nursery last night . I
needed to rest . " Which of the following actions should the nurse
take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
,3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman . correct
answers >> 1. Encourage the woman exclusively to breastfeed
her baby .
A breast feeding mother has been educated on how to prevent
engorgement.Which of the following actions proves the teaching
was effective?
1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula . correct
answers >> 2. She feeds her baby every 2 to 3 hours .
A 2-day post partum breastfeeeding mother states "i am so sick
of being fat when can I go on a diet" which of the following
responses is appropriate?
1. " It is fine for you to start dieting right now as long as you drink
plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet
while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to
produce enough milk for your baby . "
4. " Many mothers lose weight when they breastfeed because the
baby consumes about 600 calories a day . " correct answers
>> 4. " Many mothers lose weight when they breastfeed
because the baby consumes about 600 calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous
vaginal delivery , is assessed . The nurse notes that the fundus is
, firm at the umbilicus , there is heavy lochia , and perineal sutures
are intact . Which of the following actions should the nurse take at
this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider . correct
answers >> 4. Notify the woman's primary health care provider .
9. A client informs the nurse that she intends to bottlefeed her
baby . Which of the following actions should the nurse encourage
the client to perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day . correct answers >>
4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from
a bottlefeeding mother of a 3 - day - old . The client states that
her breasts are firm , red , and warm to the touch . Which of the
following is the best action for the nurse to advise the client to
perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk
suppressant . correct answers >> 1. Intermittently apply ice
packs to her axillae and breasts .
CORRECT ANSWERS 2025
1. A 3 - day postpartum client , who is not immune to rubella , is
to receive the vaccine at discharge . Which of the following must
the nurse include in her discharge teaching regarding the
vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1
week .
3. The mother must wear a surgical mask when she cares for the
baby .
4. Passive antibodies transported across the placenta will protect
the baby . correct answers >> 1. The woman should not
become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive
the rubella vaccine before leaving the hospital . Which of the
following rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the
vaccine .
2. The client's immune system is highly responsive during the
postpartum period .
3. The client's baby will be high risk for acquiring rubella if the
woman does not receive the vaccine . 4. The client's insurance
company will pay for the shot if it is given during the immediate
,postpartum period . correct answers >> 1. The client's
obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now
has a temperature of 100.2 ° F . Which of the following is the
appropriate nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids . correct answers
>> 4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client
to perform which of the following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after
toileting . correct answers >> 2. Change the peripad at each
voiding .
5. A 3 - day - postpartum breastfeeding woman is being
assessed . Her breasts are firm and warm to the touch . When
asked when she last fed the baby her reply is , " I fed the baby
last evening . I let the nurses feed him in the nursery last night . I
needed to rest . " Which of the following actions should the nurse
take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
,3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman . correct
answers >> 1. Encourage the woman exclusively to breastfeed
her baby .
A breast feeding mother has been educated on how to prevent
engorgement.Which of the following actions proves the teaching
was effective?
1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula . correct
answers >> 2. She feeds her baby every 2 to 3 hours .
A 2-day post partum breastfeeeding mother states "i am so sick
of being fat when can I go on a diet" which of the following
responses is appropriate?
1. " It is fine for you to start dieting right now as long as you drink
plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet
while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to
produce enough milk for your baby . "
4. " Many mothers lose weight when they breastfeed because the
baby consumes about 600 calories a day . " correct answers
>> 4. " Many mothers lose weight when they breastfeed
because the baby consumes about 600 calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous
vaginal delivery , is assessed . The nurse notes that the fundus is
, firm at the umbilicus , there is heavy lochia , and perineal sutures
are intact . Which of the following actions should the nurse take at
this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider . correct
answers >> 4. Notify the woman's primary health care provider .
9. A client informs the nurse that she intends to bottlefeed her
baby . Which of the following actions should the nurse encourage
the client to perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day . correct answers >>
4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from
a bottlefeeding mother of a 3 - day - old . The client states that
her breasts are firm , red , and warm to the touch . Which of the
following is the best action for the nurse to advise the client to
perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk
suppressant . correct answers >> 1. Intermittently apply ice
packs to her axillae and breasts .
