HESI PN OB EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse
would explain that this is most probably the result of which of the following?
A. thrombophlebi s
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus - Answers D - Explana on
Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in
the lower extremi es. Subsequently, edema and varicose vein forma on may occur.
Thrombophlebi s is an inflamma on of the veins due to thrombus forma on. Pregnancy-
induced hypertension is not associated with these symptoms. Gravity plays only a minor role
with these symptoms.
Which of the following would cause a false-posi ve result on a pregnancy test?
A. The test was performed less than 10 days a,er an abor on
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abor on or a missed abor on is
impending - Answers A - Explana on
A false-posi ve reac on can occur if the
,pregnancy test is performed less than 10 days a,er an abor on. Performing the tests too early
or too late in the pregnancy, storing the urine sample too long at room temperature, or having a
spontaneous or missed abor on impending can all produce false- nega ve results.
During a lecture on reproduc on, a student nurse asks the instructor what determines the sex
of a fetus. Accurate informa on in response to this ques on would be:
A. "The sex of the fetus is not determined un l the eighth week of gesta on."
B. "The fer liza on of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." - Answers B.
Explana on
The sex of the fetus is determined at the point that the sperm fer lizes the ovum to form the
zygote. Sex is ul mately determined by the chromosome contributed by the sperm.
Pediazole is a suspension medica on that contains 200 mg erythromycin and 600 mg
sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How many mg of
sulfisoxazole is this client receiving in a 24-hour period?
A. 160 mg
B. 320 mg
C. 480 mg
D. 960 mg - Answers D. Explana on
600 mg/ 5 mL = x mg/ 4 mL
2400 = 5x
x= 2400/5
,x= 480 mg per dose x 2 = 960 mg in 24 hours.
A primigravida pa ent who is 12 weeks pregnant visits a helath promo on program in the
community pertaining to the pregnancy care. A group of nursing student is educa ng the public
about measures to prevent discomfort of pregnancy. The primigravida pa ent asks one of the
student about measures on how to prevent heartburn she is experiencing throughout the day.
Select all the necessary measures to prevent the primigravia pa ent's complaint.
A. Ea ng small, frequent meals and avoiding fa?y and spicy food
B. Ea ng high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Si@ng upright for 30 minutes a,er a meal
F. Engaging in regular exercise - Answers A, C, E
The nurse iden fies substance abuse behaviors exhibited by a pregnant client during an ini al
prenatal screening. While promo ng a therapeu c and accep ng environment, the care
managment by the nurse would be MOST appropriate if focused on which of the following?
A. Discouraging substance use during pregnancy
B. Termina on of the pregnancy at an early stage
C. Elimina ng substance use during pregnancy
D. Se@ng boundaries with the client in regards to substance use - Answers C.
Explana on
, Use of substances during pregnancy can lead to severe fetal or neonatal abnormali es,
complica ons, and death. The primary goal of nursing care should be preven on or elimina on
of substance use during pregnancy.
This is a dark streak down the midline of the abdomen that may appear as the uterus is
enlarging. The LPN correctly describes this to the pregnant woman as? - Answers LINEA
NIGRA
Cervical so,ening and uterine souffle are classified as which of the following?
A. diagnos c signs
B. presump ve signs
C. probable signs
D. posi ve signs - Answers C.
Explana on
Cervical so,ening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objec ve findings that strongly suggest pregnancy. Other probable
signs include Hegar sign, which is so,ening of the lower uterine segment; Piskacek sign, which is
enlargement and so,ening of the uterus; serum laboratory tests; changes in skin pigmenta on;
and ultrasonic evidence of a gesta onal sac. Presump ve signs are subjec ve signs and include
amenorrhea; nausea and vomi ng; urinary frequency; breast tenderness and changes;
excessive fa gue; uterine enlargement; and quickening.
A client at 36 weeks' gesta on is schedule for a rou ne ultrasound prior to an amniocentesis.
A,er teaching the client about the purpose for the ultrasound, which of the following client
statements would indicate to the nurse in charge that the client needs further instruc on?
A. The ultrasound will help to locate the placenta
B. The ultrasound iden fies blood flow through the umbilical cord
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse
would explain that this is most probably the result of which of the following?
A. thrombophlebi s
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus - Answers D - Explana on
Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in
the lower extremi es. Subsequently, edema and varicose vein forma on may occur.
Thrombophlebi s is an inflamma on of the veins due to thrombus forma on. Pregnancy-
induced hypertension is not associated with these symptoms. Gravity plays only a minor role
with these symptoms.
Which of the following would cause a false-posi ve result on a pregnancy test?
A. The test was performed less than 10 days a,er an abor on
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abor on or a missed abor on is
impending - Answers A - Explana on
A false-posi ve reac on can occur if the
,pregnancy test is performed less than 10 days a,er an abor on. Performing the tests too early
or too late in the pregnancy, storing the urine sample too long at room temperature, or having a
spontaneous or missed abor on impending can all produce false- nega ve results.
During a lecture on reproduc on, a student nurse asks the instructor what determines the sex
of a fetus. Accurate informa on in response to this ques on would be:
A. "The sex of the fetus is not determined un l the eighth week of gesta on."
B. "The fer liza on of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." - Answers B.
Explana on
The sex of the fetus is determined at the point that the sperm fer lizes the ovum to form the
zygote. Sex is ul mately determined by the chromosome contributed by the sperm.
Pediazole is a suspension medica on that contains 200 mg erythromycin and 600 mg
sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How many mg of
sulfisoxazole is this client receiving in a 24-hour period?
A. 160 mg
B. 320 mg
C. 480 mg
D. 960 mg - Answers D. Explana on
600 mg/ 5 mL = x mg/ 4 mL
2400 = 5x
x= 2400/5
,x= 480 mg per dose x 2 = 960 mg in 24 hours.
A primigravida pa ent who is 12 weeks pregnant visits a helath promo on program in the
community pertaining to the pregnancy care. A group of nursing student is educa ng the public
about measures to prevent discomfort of pregnancy. The primigravida pa ent asks one of the
student about measures on how to prevent heartburn she is experiencing throughout the day.
Select all the necessary measures to prevent the primigravia pa ent's complaint.
A. Ea ng small, frequent meals and avoiding fa?y and spicy food
B. Ea ng high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Si@ng upright for 30 minutes a,er a meal
F. Engaging in regular exercise - Answers A, C, E
The nurse iden fies substance abuse behaviors exhibited by a pregnant client during an ini al
prenatal screening. While promo ng a therapeu c and accep ng environment, the care
managment by the nurse would be MOST appropriate if focused on which of the following?
A. Discouraging substance use during pregnancy
B. Termina on of the pregnancy at an early stage
C. Elimina ng substance use during pregnancy
D. Se@ng boundaries with the client in regards to substance use - Answers C.
Explana on
, Use of substances during pregnancy can lead to severe fetal or neonatal abnormali es,
complica ons, and death. The primary goal of nursing care should be preven on or elimina on
of substance use during pregnancy.
This is a dark streak down the midline of the abdomen that may appear as the uterus is
enlarging. The LPN correctly describes this to the pregnant woman as? - Answers LINEA
NIGRA
Cervical so,ening and uterine souffle are classified as which of the following?
A. diagnos c signs
B. presump ve signs
C. probable signs
D. posi ve signs - Answers C.
Explana on
Cervical so,ening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objec ve findings that strongly suggest pregnancy. Other probable
signs include Hegar sign, which is so,ening of the lower uterine segment; Piskacek sign, which is
enlargement and so,ening of the uterus; serum laboratory tests; changes in skin pigmenta on;
and ultrasonic evidence of a gesta onal sac. Presump ve signs are subjec ve signs and include
amenorrhea; nausea and vomi ng; urinary frequency; breast tenderness and changes;
excessive fa gue; uterine enlargement; and quickening.
A client at 36 weeks' gesta on is schedule for a rou ne ultrasound prior to an amniocentesis.
A,er teaching the client about the purpose for the ultrasound, which of the following client
statements would indicate to the nurse in charge that the client needs further instruc on?
A. The ultrasound will help to locate the placenta
B. The ultrasound iden fies blood flow through the umbilical cord
