1|Page
OB HESI FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| HESI OBSTETRICS
SPECIALTY FINAL EXAM 2025 (BRAND NEW!!)
A client at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to
control the symptoms. Which assessment finding indicates the
therapeutic drug level has been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp - Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12
indicate toxicity, Urine output should be at least 30 ml/hr
The nurse assesses a client admitted to the labor and delivery unit and
obtains the following data: dark red vaginal bleeding, uterus slightly
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
pg. 1
,2|Page
D. Perform Leopold's maneuvers - Correct Answer: D
The client is presenting with signs of placental abruption so monitoring
bleeding from peripheral IV sites is priority. WHY? Disseminated
intravascular coagulation (DIC) is a complication of PA characterized by
abnormal bleeding
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart - Correct Answer: B
Dorsiflexinfg the foot by pushing the sole of the foot forward or by
standing is the best means of relieving leg cramps
The nurse should explain to a 30-year-old gravid 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
D. Assess for maternal pre-ecplamsia - Correct Answer: B
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevation
may indicate neural tube defect
pg. 2
,3|Page
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most
important for the nurse to implement?
A. Describe diet changes that can improve the management of her
diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during
pregnancy
C. Demonstrate how to administer insulin
D. Evaluate the client's ability to do glucose monitoring - Correct
Answer: A
Diet modifications are effective in managing this type of diabetes during
pregnancy.
What preoperative nursing intervention should be included in the plan of
care for an infant w/ pyloric stenosis?
A. Monitor for signs of metabolic acidosis
B. Estimate the quantity of diarrhea stools
C. Place in supine position after feeding
D. Observe for projectile vomiting - Correct Answer: D
A classic sign of pyloric stenosis, which contributes to metabolic
alkalosis
A 2-year-old child with Downs Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with DS
pg. 3
, 4|Page
A. Congenital heart disease
B. Fragile X chromosome
C. Trisomy 13
D. Pyloric Stenosis - Correct Answer: A
The most common associated condition associated with DS. (B&C)
involve abnormalities with chromosomes but are not associated with DS
The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118,
and Resp. 24. The child's pedal pulses are present w/ a volume of +1,
and no edema is observed. What action should the nurse implement
first?
A. Insert an indwelling catheter
B. Start an IV infusion of normal saline
C. Send a specimen to the lab for urinalysis
D. Document the child's vital signs and pulses - Correct Answer: B
The child is experiencing fluid volume deficit as evidenced by the VS
and decreased pulse pressures. **Priority is to restore fluids
During discharge teaching of a child with juvenile rheumatoid arthritis,
the nurse should stress to the parents the importance of obtaining which
diagnostic testing?
A. Hearing tests
B. Eye exams
C. Chest X-rays
pg. 4
OB HESI FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| HESI OBSTETRICS
SPECIALTY FINAL EXAM 2025 (BRAND NEW!!)
A client at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to
control the symptoms. Which assessment finding indicates the
therapeutic drug level has been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp - Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12
indicate toxicity, Urine output should be at least 30 ml/hr
The nurse assesses a client admitted to the labor and delivery unit and
obtains the following data: dark red vaginal bleeding, uterus slightly
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
pg. 1
,2|Page
D. Perform Leopold's maneuvers - Correct Answer: D
The client is presenting with signs of placental abruption so monitoring
bleeding from peripheral IV sites is priority. WHY? Disseminated
intravascular coagulation (DIC) is a complication of PA characterized by
abnormal bleeding
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart - Correct Answer: B
Dorsiflexinfg the foot by pushing the sole of the foot forward or by
standing is the best means of relieving leg cramps
The nurse should explain to a 30-year-old gravid 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
D. Assess for maternal pre-ecplamsia - Correct Answer: B
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevation
may indicate neural tube defect
pg. 2
,3|Page
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
hypoglycemic agents are discontinued. Which intervention is most
important for the nurse to implement?
A. Describe diet changes that can improve the management of her
diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during
pregnancy
C. Demonstrate how to administer insulin
D. Evaluate the client's ability to do glucose monitoring - Correct
Answer: A
Diet modifications are effective in managing this type of diabetes during
pregnancy.
What preoperative nursing intervention should be included in the plan of
care for an infant w/ pyloric stenosis?
A. Monitor for signs of metabolic acidosis
B. Estimate the quantity of diarrhea stools
C. Place in supine position after feeding
D. Observe for projectile vomiting - Correct Answer: D
A classic sign of pyloric stenosis, which contributes to metabolic
alkalosis
A 2-year-old child with Downs Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with DS
pg. 3
, 4|Page
A. Congenital heart disease
B. Fragile X chromosome
C. Trisomy 13
D. Pyloric Stenosis - Correct Answer: A
The most common associated condition associated with DS. (B&C)
involve abnormalities with chromosomes but are not associated with DS
The vital signs of 4 yr old child w/ polyuria are: BP 80/40, pulse, 118,
and Resp. 24. The child's pedal pulses are present w/ a volume of +1,
and no edema is observed. What action should the nurse implement
first?
A. Insert an indwelling catheter
B. Start an IV infusion of normal saline
C. Send a specimen to the lab for urinalysis
D. Document the child's vital signs and pulses - Correct Answer: B
The child is experiencing fluid volume deficit as evidenced by the VS
and decreased pulse pressures. **Priority is to restore fluids
During discharge teaching of a child with juvenile rheumatoid arthritis,
the nurse should stress to the parents the importance of obtaining which
diagnostic testing?
A. Hearing tests
B. Eye exams
C. Chest X-rays
pg. 4
