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OB HESI EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| HESI OBSTETRICS
SPECIALTY EXAM 2025 (BRAND NEW!!)
The LPN/LVN identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further assessment should
the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles. - Correct Answer -
B. Observe for an asymmetrical Moro (startle) reflex.
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Correct Answer -A. Patellar reflex 4+
The LPN/LVN assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus slightly
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tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1
cm dilated and uneffaced. Based on these assessment findings, what
intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Correct Answer -C. Monitor
bleeding from IV sites.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Correct Answer -A. 3+ deep
tendon reflexes and hyperclonus.
Immediately after birth a newborn infant is suctioned, dried, and placed
under a radiant warmer. The infant has spontaneous respirations and the
nurse assesses an apical heart rate of 80 beats/minute and respirations of
20 breaths/ minute. What action should the LPN/LVN perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
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D. Assess the infant's blood glucose level. - Correct Answer -A. Initiate
positive pressure ventilation.
A pregnant woman comes to the prenatal clinic for an initial visit. In
reviewing her childbearing history, the client indicates that she has
delivered premature twins, one full-term baby, and has had no abortions.
Which GTPAL should the LPN/LVN document in this client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Correct Answer -D. 3-1-1-0-3.
The healthcare provider prescribes terbutaline (Brethine) for a client in
preterm labor. Before initiating this prescription, it is most important for
the LPN/LVN to assess the client for which condition?
A. Gestational diabetes.
B. Elevated blood pressure.
C. Urinary tract infection.
D. Swelling in lower extremities. - Correct Answer -A. Gestational
diabetes.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen)
for the last three weeks. Which assessment finding indicates to the
LPN/LVN that the drug is effective?
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A. Slowly increasing urinary output over the last week.
B. Respiratory rate changes from the 40s to the 60s.
C. Changes in apical heart rate from the 180s to the 140s.
D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl. - Correct
Answer -C. Changes in apical heart rate from the 180s to the 140s.
The LPN/LVN is preparing a client with a term pregnancy who is in
active labor for an amniotomy. What equipment should the nurse have
available at the client's bedside? (Select all that apply.)
A. Litmus paper.
B. Fetal scalp electrode.
C. A sterile glove.
D. An amniotic hook.
E. Sterile vaginal speculum.
F. A Doppler. - Correct Answer -C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
The LPN/LVN should explain to a 30-year-old gravida client that alpha
fetoprotein testing is recommended for which purpose?
A. Detect cardiovascular disorders.
B. Screen for neural tube defects.
C. Monitor the placental functioning.
pg. 4
OB HESI EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| HESI OBSTETRICS
SPECIALTY EXAM 2025 (BRAND NEW!!)
The LPN/LVN identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further assessment should
the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles. - Correct Answer -
B. Observe for an asymmetrical Moro (startle) reflex.
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Correct Answer -A. Patellar reflex 4+
The LPN/LVN assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus slightly
pg. 1
,2|Page
tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1
cm dilated and uneffaced. Based on these assessment findings, what
intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Correct Answer -C. Monitor
bleeding from IV sites.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Correct Answer -A. 3+ deep
tendon reflexes and hyperclonus.
Immediately after birth a newborn infant is suctioned, dried, and placed
under a radiant warmer. The infant has spontaneous respirations and the
nurse assesses an apical heart rate of 80 beats/minute and respirations of
20 breaths/ minute. What action should the LPN/LVN perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
pg. 2
,3|Page
D. Assess the infant's blood glucose level. - Correct Answer -A. Initiate
positive pressure ventilation.
A pregnant woman comes to the prenatal clinic for an initial visit. In
reviewing her childbearing history, the client indicates that she has
delivered premature twins, one full-term baby, and has had no abortions.
Which GTPAL should the LPN/LVN document in this client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Correct Answer -D. 3-1-1-0-3.
The healthcare provider prescribes terbutaline (Brethine) for a client in
preterm labor. Before initiating this prescription, it is most important for
the LPN/LVN to assess the client for which condition?
A. Gestational diabetes.
B. Elevated blood pressure.
C. Urinary tract infection.
D. Swelling in lower extremities. - Correct Answer -A. Gestational
diabetes.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen)
for the last three weeks. Which assessment finding indicates to the
LPN/LVN that the drug is effective?
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, 4|Page
A. Slowly increasing urinary output over the last week.
B. Respiratory rate changes from the 40s to the 60s.
C. Changes in apical heart rate from the 180s to the 140s.
D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl. - Correct
Answer -C. Changes in apical heart rate from the 180s to the 140s.
The LPN/LVN is preparing a client with a term pregnancy who is in
active labor for an amniotomy. What equipment should the nurse have
available at the client's bedside? (Select all that apply.)
A. Litmus paper.
B. Fetal scalp electrode.
C. A sterile glove.
D. An amniotic hook.
E. Sterile vaginal speculum.
F. A Doppler. - Correct Answer -C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
The LPN/LVN should explain to a 30-year-old gravida client that alpha
fetoprotein testing is recommended for which purpose?
A. Detect cardiovascular disorders.
B. Screen for neural tube defects.
C. Monitor the placental functioning.
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