HESI OB FINAL EXAM ACTUAL QUESTIONS AND ANSWERS
GUARANTEE A+
✔✔The total bilirubin level of a 36 hour breastfeeding newborn is 14 mg/dl. Based on
this finding which intervention should the nurse implement?
a. feed the newborn sterile water hourly
b. assess the newborn's blood glucose level
c. provide phototherapy for 30 mins q8h
d. encourage the mother to breastfeed frequently - ✔✔c. encourage the mother to
breastfeed frequently
✔✔A newborn infant is brought to the nursery from the birthing suite. The nurse notices
that the infant is breathing satisfactorily but appears dusky. What action should the
nurse take first?
a. notify the pediatrician immediately
b. position the infant on the right side
c. suction the infant's nares then the oral cavity
d. check the infant's oxygen saturation rate - ✔✔d. check the infant's oxygen saturation
rate
✔✔28 year old client in active labor complains of cramps in her leg.What intervention
should the nurse implement.
A. massage the calf and foot
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. - ✔✔B. Extend the leg and dorsiflex the foot.
✔✔The nurse instructs a laboring client to use accelerated blow breathing. The client
begins to complain of tingling finger and dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
d. check the client's BP and fetal HR/ - ✔✔c. have the client breathe into her cupped
hands.
✔✔When assessing a client who is at 12 week gestation, the nurse recommends that
she and her husband consider attending childbirth preparation classes. When is the
best time for the couple to attend these classes?
A. at 16 weeks gestation
B.at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation - ✔✔D. At 30 weeks gestation.
,✔✔In developing a teaching plan for expectant parents the nurse plans to include
formation about when the parents can expect the infants fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month - ✔✔D. anterior fontanel closes at 12 to 18 months and the posterior by
the end of the second month
✔✔A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin)
to augment early labor. The nurse should discontinue the oxytocin infusion for with
pattern of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. -
✔✔A. transition labor with contractions every 2 mins, lasting 90 seconds each.
✔✔What action should the nurse implement to decrease the client's risk for hemorrhage
after c-section.
A. Monitor urinary output via an indwelling catheter.
B. assess the abdominal dressings for drainage.
C. Give the Ringer's lactated infusion at 125ml
D. Check the firmness of the uterus every 15mins. - ✔✔D. Check the firmness of the
uterus every 15mins.
✔✔Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
A. blood glucose level of 45mg/dl
B. blood pressure of 82/45 mmHG
C. Non bulging anterior fontanel
D. central cyanosis when crying - ✔✔D. central cyanosis when crying
✔✔The nurse is assessing a 3 day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare provider?
A. yellowish tinge to the skin
B. babinski reflex present bilaterally
C. pink papular rash on the face
D. moro reflex noted after a loud noise - ✔✔A. yellowish tinge to the skin
, ✔✔A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pads are completely
saturated a
nd the client is lying in a 6inch diameter pool of blood.
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D; inspect the perineum for lacerations - ✔✔C. palpate the firmness of the fundus
✔✔A 40 week gestation primigravida client is being induced with an ocytocin secondary
infusion and complains of pain in her lower back. Which intervention should the nurse
implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - ✔✔D. apply firm pressure to sacral area
✔✔A client with gestational htn is an active labor and receiving an infusion of
magnesium sulfate. Which drug should the nurse available for signs of potential
toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9 - ✔✔B. calcium gluconate
✔✔A healthcare provider informs the charge nurse of a labor and delivery unit that a
client is coming to the unit suspected abruptio placentae. What findings should the
charge nurse expect the client to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen - ✔✔A. dark,red vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
✔✔A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately.
A.heart rate of 100 beats min
B. variable fetal HR
C. Onset of uterine contractions
D. Burning on urination - ✔✔Onset of uterine contractions.
GUARANTEE A+
✔✔The total bilirubin level of a 36 hour breastfeeding newborn is 14 mg/dl. Based on
this finding which intervention should the nurse implement?
a. feed the newborn sterile water hourly
b. assess the newborn's blood glucose level
c. provide phototherapy for 30 mins q8h
d. encourage the mother to breastfeed frequently - ✔✔c. encourage the mother to
breastfeed frequently
✔✔A newborn infant is brought to the nursery from the birthing suite. The nurse notices
that the infant is breathing satisfactorily but appears dusky. What action should the
nurse take first?
a. notify the pediatrician immediately
b. position the infant on the right side
c. suction the infant's nares then the oral cavity
d. check the infant's oxygen saturation rate - ✔✔d. check the infant's oxygen saturation
rate
✔✔28 year old client in active labor complains of cramps in her leg.What intervention
should the nurse implement.
A. massage the calf and foot
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. - ✔✔B. Extend the leg and dorsiflex the foot.
✔✔The nurse instructs a laboring client to use accelerated blow breathing. The client
begins to complain of tingling finger and dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
d. check the client's BP and fetal HR/ - ✔✔c. have the client breathe into her cupped
hands.
✔✔When assessing a client who is at 12 week gestation, the nurse recommends that
she and her husband consider attending childbirth preparation classes. When is the
best time for the couple to attend these classes?
A. at 16 weeks gestation
B.at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation - ✔✔D. At 30 weeks gestation.
,✔✔In developing a teaching plan for expectant parents the nurse plans to include
formation about when the parents can expect the infants fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month - ✔✔D. anterior fontanel closes at 12 to 18 months and the posterior by
the end of the second month
✔✔A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin)
to augment early labor. The nurse should discontinue the oxytocin infusion for with
pattern of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. -
✔✔A. transition labor with contractions every 2 mins, lasting 90 seconds each.
✔✔What action should the nurse implement to decrease the client's risk for hemorrhage
after c-section.
A. Monitor urinary output via an indwelling catheter.
B. assess the abdominal dressings for drainage.
C. Give the Ringer's lactated infusion at 125ml
D. Check the firmness of the uterus every 15mins. - ✔✔D. Check the firmness of the
uterus every 15mins.
✔✔Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
A. blood glucose level of 45mg/dl
B. blood pressure of 82/45 mmHG
C. Non bulging anterior fontanel
D. central cyanosis when crying - ✔✔D. central cyanosis when crying
✔✔The nurse is assessing a 3 day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare provider?
A. yellowish tinge to the skin
B. babinski reflex present bilaterally
C. pink papular rash on the face
D. moro reflex noted after a loud noise - ✔✔A. yellowish tinge to the skin
, ✔✔A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pads are completely
saturated a
nd the client is lying in a 6inch diameter pool of blood.
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D; inspect the perineum for lacerations - ✔✔C. palpate the firmness of the fundus
✔✔A 40 week gestation primigravida client is being induced with an ocytocin secondary
infusion and complains of pain in her lower back. Which intervention should the nurse
implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - ✔✔D. apply firm pressure to sacral area
✔✔A client with gestational htn is an active labor and receiving an infusion of
magnesium sulfate. Which drug should the nurse available for signs of potential
toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9 - ✔✔B. calcium gluconate
✔✔A healthcare provider informs the charge nurse of a labor and delivery unit that a
client is coming to the unit suspected abruptio placentae. What findings should the
charge nurse expect the client to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen - ✔✔A. dark,red vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
✔✔A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately.
A.heart rate of 100 beats min
B. variable fetal HR
C. Onset of uterine contractions
D. Burning on urination - ✔✔Onset of uterine contractions.
