OB HESI Study Guide Exam 2026
Questions and Answers
What is the site for newborn heelstick? - Correct answer-Outer side of the heel,
never in the center because of the nerves and blood vessels
What blood tests are state mandated for newborns? - Correct answer-
Symptoms and interventions for supine hypotension? - Correct answer-Lay on left
side
Breast milk is a body fluid... - Correct answer-Wear gloves when handling milk or
assisting mom to breastfeed
What do you do if a newborn is gagging and cyanotic? - Correct answer-Suction
with a bulb syringe
What condition would you be suspicious of? - Correct answer-The three C's
(coughing, choking, cyanosis)= Tracheal Esophageal Fistula
What to recommend if the post partum mom is complaining of heartburn? - Correct
answer-Eat small, frequent meals
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,Is it normal for a post partum mom to have a low pulse? - Correct answer-
What is the nursing action if the fetal heart rate is 100 during labor? - Correct
answer-LOIN- Left side, Oxygen (8-10L), Increase main line IV, Notify HCP
What happens in the second stage of labor? - Correct answer-Pushing
Interventions for sore nipples? - Correct answer-Water only- no soap, no plastic
liners in breast pads, rub breast milk into cracked nipples
What is Hemabate used for? - Correct answer-Severe post partum hemorrhage
What meds would you give with Hemabate and why? - Correct answer-Oxytocin to
promote uterine contractions to return uterus to post pregnancy size and reduce
hemorrhaging.
What do you do if a newborns head measures smaller than the chest? - Correct
answer-Notify Dr.
What do you do if a patient in labor says the have to have a bowel movement? -
Correct answer-Do a vaginal exam
What explanation do you give to the mom for administration of vitamin K? -
Correct answer-To help the baby's body properly clot blood
What are the signs of Magnesium Sulfate toxicity? - Correct answer-Less than
30ml of urine output per hour
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, How do you care for an umbilical stump? - Correct answer-Use water only, turn
down diaper so it does not irritate the stump- the cord must air dry.
What is the difference between direct and indirect coombs? - Correct answer-
Indirect Coombs test is done on the mother to determine if she has developed RH
antibodies.
Direct Coombs test is done on cord blood to detect RBC (bilirubin) destruction
from RH sensitization.
What bilirubin level in a newborn would indicate the need for treatment related to
hemolysis due to RH factor? - Correct answer-12 or greater
What is the treatment for elevated bilirubin? - Correct answer-Place under UV
lights. Be sure to cover eyes and genitalia in males.
What do UV lights do? - Correct answer-Conjugate (breakdown) bilirubin so it can
be excreted.
What is the term for high bilirubin? - Correct answer-Hyperbilirubinemia
To promote newborn safety you should... - Correct answer-Apply temperature
probe to the abdomen, not over boney prominences.
When is the second Hep B vaccine done? - Correct answer-One to two months
after the initial dose was given.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Questions and Answers
What is the site for newborn heelstick? - Correct answer-Outer side of the heel,
never in the center because of the nerves and blood vessels
What blood tests are state mandated for newborns? - Correct answer-
Symptoms and interventions for supine hypotension? - Correct answer-Lay on left
side
Breast milk is a body fluid... - Correct answer-Wear gloves when handling milk or
assisting mom to breastfeed
What do you do if a newborn is gagging and cyanotic? - Correct answer-Suction
with a bulb syringe
What condition would you be suspicious of? - Correct answer-The three C's
(coughing, choking, cyanosis)= Tracheal Esophageal Fistula
What to recommend if the post partum mom is complaining of heartburn? - Correct
answer-Eat small, frequent meals
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Is it normal for a post partum mom to have a low pulse? - Correct answer-
What is the nursing action if the fetal heart rate is 100 during labor? - Correct
answer-LOIN- Left side, Oxygen (8-10L), Increase main line IV, Notify HCP
What happens in the second stage of labor? - Correct answer-Pushing
Interventions for sore nipples? - Correct answer-Water only- no soap, no plastic
liners in breast pads, rub breast milk into cracked nipples
What is Hemabate used for? - Correct answer-Severe post partum hemorrhage
What meds would you give with Hemabate and why? - Correct answer-Oxytocin to
promote uterine contractions to return uterus to post pregnancy size and reduce
hemorrhaging.
What do you do if a newborns head measures smaller than the chest? - Correct
answer-Notify Dr.
What do you do if a patient in labor says the have to have a bowel movement? -
Correct answer-Do a vaginal exam
What explanation do you give to the mom for administration of vitamin K? -
Correct answer-To help the baby's body properly clot blood
What are the signs of Magnesium Sulfate toxicity? - Correct answer-Less than
30ml of urine output per hour
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, How do you care for an umbilical stump? - Correct answer-Use water only, turn
down diaper so it does not irritate the stump- the cord must air dry.
What is the difference between direct and indirect coombs? - Correct answer-
Indirect Coombs test is done on the mother to determine if she has developed RH
antibodies.
Direct Coombs test is done on cord blood to detect RBC (bilirubin) destruction
from RH sensitization.
What bilirubin level in a newborn would indicate the need for treatment related to
hemolysis due to RH factor? - Correct answer-12 or greater
What is the treatment for elevated bilirubin? - Correct answer-Place under UV
lights. Be sure to cover eyes and genitalia in males.
What do UV lights do? - Correct answer-Conjugate (breakdown) bilirubin so it can
be excreted.
What is the term for high bilirubin? - Correct answer-Hyperbilirubinemia
To promote newborn safety you should... - Correct answer-Apply temperature
probe to the abdomen, not over boney prominences.
When is the second Hep B vaccine done? - Correct answer-One to two months
after the initial dose was given.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
