HESI OB LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature of 95.1°F (35.06° C), heart rate of 136 beats/minute, and a
respiratory rate of 48 breaths/minute. Based on these findings, which action should the
nurse take first?
Check the infant's arterial blood gases.
Notify the pediatrician of the infant's vital signs.
Assess the infant's blood glucose level.
Encourage the infant to take the breast or sugar water. - ✔✔Assess the infant's blood
glucose level.
✔✔The nurse is preparing to gavage feed a preterm infant who is receiving IV
antibiotics. The infant expels a bloody stool. Which nursing action should the nurse
implement?
Institute contact precautions.
Obtain a rectal temperature.
Assess for abdominal distention.
Decrease the amount of feeding. - ✔✔Assess for abdominal distention.
✔✔The apnea monitor alarm sounds for the third time during one shift for a neonate
who was delivered at 37 weeks gestation. Which nursing action should be implemented
first?
Provide tactile stimulation.
Administer flow with 100% oxygen.
Asses the functionality of the monitoring device.
Evaluate the newborn's color and respirations. - ✔✔Evaluate the newborn's color and
respirations.
✔✔Which cardiovascular findings should the nurse assess further in a client who is at
20-weeks gestation?
Decrease in pulse rate.
Decrease in blood pressure.
Increase in heart sounds (S1, S2).
Increase in red blood cell production. - ✔✔Decrease in pulse rate.
✔✔While assessing a newborn the nurse observes diffuse edema of the soft tissues of
the scalp that cross the suture lines. How should the nurse document this finding?
Molding.
,Hemangioma.
Cephalohematoma.
Caput succedaneum. - ✔✔Caput succedaneum.
✔✔A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. Which
action should the nurse implement next?
Determine the firmness of the fundus.
Give oxytocin intravenously.
Inform the healthcare provider of the bleeding.
Assess the vital signs for indicators of shock - ✔✔Determine the firmness of the fundus.
✔✔A nulliparous client telephones the labor and delivery unit to report that she is in
labor. Which action should the nurse implement?
Emphasize that food and fluid intake should stop.
Tell the client to stay home until her membranes rupture.
Ask the client to describe why she thinks she is in labor.
Suggest the client come to the hospital for labor evaluation. - ✔✔Ask the client to
describe why she thinks she is in labor.
✔✔Which prescription should the nurse administer to a newborn to reduce
complications related to birth trauma?
Silver nitrate.
Erythromycin.
Ceftriaxone.
Vitamin K. - ✔✔Vitamin K
✔✔The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
Shallow with an irregular rhythm.
Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Abdominal with synchronous chest movements.
Rate of 58 breaths per minute.
Grunting is heard with a stethoscope. - ✔✔Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Grunting heard with a stethoscope.
✔✔Which finding indicates to the nurse that a 4-day-old infant is receiving adequate
breast milk?
Gains 1 to 2 ounces per week.
, Saturates 6 to 8 diapers per day.
Rests for 6 hours between feedings.
Defecates at least once per 24 hours. - ✔✔Saturates 6 to 8 diapers per day.
✔✔When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart rate.
Listen at the apex of the heart.
Count the heart rate for at least one full minute.
Palpate the umbilical cord. - ✔✔Count the heart rate for at least one full minute.
✔✔The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
Inform the mother that the injection was prescribed by the healthcare provider.
Explore the mother's concerns about the infant receiving an injection of vitamin K.
Explain that vitamin K is required by state law and compliance is mandatory.
Remind the mother that all babies receive this shot and it is relatively painless. -
✔✔Explore the mother's concern about the infant receiving an injection of vitamin K.
✔✔A preeclamptic client has developed severe features which include pulmonary
edema. While awaiting transport to the intensive care unit, what should the nurse
assess?
Assess fetal response.
Note any complaint of sudden chest pain.
Monitor for signs of impaired gas exchange.
Observe for maternal blood pressure changes. - ✔✔Monitor for signs of impaired gas
exchange.
✔✔A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. Which action should the nurse
implement at this time?
-Ask to meet with the client and infant without family members present.
-Do a brief assessment for only the infant while family members are present.
-Observe interactions of family members with the newborn and each other.
-Reschedule the visit so that the mother and infant can be assessed privately. -
✔✔Observe interactions of family members with the newborn and each other.
✔✔A client at 25 weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the nurse
provide?
ANSWERS GUARANTEE A+
✔✔The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature of 95.1°F (35.06° C), heart rate of 136 beats/minute, and a
respiratory rate of 48 breaths/minute. Based on these findings, which action should the
nurse take first?
Check the infant's arterial blood gases.
Notify the pediatrician of the infant's vital signs.
Assess the infant's blood glucose level.
Encourage the infant to take the breast or sugar water. - ✔✔Assess the infant's blood
glucose level.
✔✔The nurse is preparing to gavage feed a preterm infant who is receiving IV
antibiotics. The infant expels a bloody stool. Which nursing action should the nurse
implement?
Institute contact precautions.
Obtain a rectal temperature.
Assess for abdominal distention.
Decrease the amount of feeding. - ✔✔Assess for abdominal distention.
✔✔The apnea monitor alarm sounds for the third time during one shift for a neonate
who was delivered at 37 weeks gestation. Which nursing action should be implemented
first?
Provide tactile stimulation.
Administer flow with 100% oxygen.
Asses the functionality of the monitoring device.
Evaluate the newborn's color and respirations. - ✔✔Evaluate the newborn's color and
respirations.
✔✔Which cardiovascular findings should the nurse assess further in a client who is at
20-weeks gestation?
Decrease in pulse rate.
Decrease in blood pressure.
Increase in heart sounds (S1, S2).
Increase in red blood cell production. - ✔✔Decrease in pulse rate.
✔✔While assessing a newborn the nurse observes diffuse edema of the soft tissues of
the scalp that cross the suture lines. How should the nurse document this finding?
Molding.
,Hemangioma.
Cephalohematoma.
Caput succedaneum. - ✔✔Caput succedaneum.
✔✔A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. Which
action should the nurse implement next?
Determine the firmness of the fundus.
Give oxytocin intravenously.
Inform the healthcare provider of the bleeding.
Assess the vital signs for indicators of shock - ✔✔Determine the firmness of the fundus.
✔✔A nulliparous client telephones the labor and delivery unit to report that she is in
labor. Which action should the nurse implement?
Emphasize that food and fluid intake should stop.
Tell the client to stay home until her membranes rupture.
Ask the client to describe why she thinks she is in labor.
Suggest the client come to the hospital for labor evaluation. - ✔✔Ask the client to
describe why she thinks she is in labor.
✔✔Which prescription should the nurse administer to a newborn to reduce
complications related to birth trauma?
Silver nitrate.
Erythromycin.
Ceftriaxone.
Vitamin K. - ✔✔Vitamin K
✔✔The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
Shallow with an irregular rhythm.
Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Abdominal with synchronous chest movements.
Rate of 58 breaths per minute.
Grunting is heard with a stethoscope. - ✔✔Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Grunting heard with a stethoscope.
✔✔Which finding indicates to the nurse that a 4-day-old infant is receiving adequate
breast milk?
Gains 1 to 2 ounces per week.
, Saturates 6 to 8 diapers per day.
Rests for 6 hours between feedings.
Defecates at least once per 24 hours. - ✔✔Saturates 6 to 8 diapers per day.
✔✔When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart rate.
Listen at the apex of the heart.
Count the heart rate for at least one full minute.
Palpate the umbilical cord. - ✔✔Count the heart rate for at least one full minute.
✔✔The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
Inform the mother that the injection was prescribed by the healthcare provider.
Explore the mother's concerns about the infant receiving an injection of vitamin K.
Explain that vitamin K is required by state law and compliance is mandatory.
Remind the mother that all babies receive this shot and it is relatively painless. -
✔✔Explore the mother's concern about the infant receiving an injection of vitamin K.
✔✔A preeclamptic client has developed severe features which include pulmonary
edema. While awaiting transport to the intensive care unit, what should the nurse
assess?
Assess fetal response.
Note any complaint of sudden chest pain.
Monitor for signs of impaired gas exchange.
Observe for maternal blood pressure changes. - ✔✔Monitor for signs of impaired gas
exchange.
✔✔A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. Which action should the nurse
implement at this time?
-Ask to meet with the client and infant without family members present.
-Do a brief assessment for only the infant while family members are present.
-Observe interactions of family members with the newborn and each other.
-Reschedule the visit so that the mother and infant can be assessed privately. -
✔✔Observe interactions of family members with the newborn and each other.
✔✔A client at 25 weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the nurse
provide?
