HESI OB UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔A mutigravida client at 41 weeks gestation present in the labor and delivery unit after
a non-stress test indicated that the fetus is experiencing some difficulties in utero.
Which diagnostic test should the nurse prepare the client for additional information
about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling - ✔✔a. biophysical profile
✔✔A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure - ✔✔a. raise the foot of the bed
✔✔A client at 28 weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright red. She
further states that she is not experiencing any uterine contractions or abdominal pain.
What instruction should the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
c. lie on your left side for about one hour and see if the bleeding stops
d. bring a urine specimen to the lab tomorrow to determine if you have a UTI - ✔✔a.
come to the clinic today for an ultrasound
✔✔Which nursing intervention is helpful in relieving "afterpains"?
a. using relaxation breathing techniques
b. using a breast pump
c. massaging the abdomen
d. giving oxytocic medications - ✔✔a. using relaxation breathing techniques
✔✔The nurse is counseling a couple who has sought information about conceiving. For
teaching purposes, the nurses should know that ovulation usually occurs
a. two weeks before menstruation
b. immediately after menstruation
c. immediately before menstruation
d. three weeks before menstruation - ✔✔a. two weeks before menstruation
✔✔A client who has an autosomal dominant inherited disorder is exploring family
planning options and the risk of transmission of the disorder to an infant. The nurses's
response should be based on what information?
,a. males inherit the disorder with a greater frequency than females
b. each pregnancy carries a 50% chance of inheriting the disorder
c. the disorder occurs in 25% of pregnancies
d. all children will be carriers of the disorder - ✔✔b. each pregnancy carries 50%
chance of inheriting the disorder
✔✔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 woman who had a miscarriage 6 months ago becomes pregnant. Which
instruction is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - ✔✔d. take prescribed
multivitamin and mineral supplements
✔✔Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
a. blood glucose level of 45
b. blood pressure of 82/45
c. non-bulging anterior fontanel
d. central cyanosis when crying - ✔✔d. central cyanosis when crying
✔✔A 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
✔✔A new mother asks the nurse "How do I know that my daughter is getting enough
breast milk?" Which explanation should the nurse provide?
a. weigh the baby daily and if she is gaining weight she is eating enough
b. your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day
c. offer the baby extra bottle milk after her feeding and see if she is still hungry
d. if you're concerned you might consider bottle feeding so that you can monitor her
intake - ✔✔b. your milk is sufficient if the bay is voiding pale straw-colored urine 6 to 10
times a day
,✔✔On admission to the prenatal clinic, a 23 year old woman tells the nurse that her last
menstrual period began on February 15 that previously her periods were regular. Her
pregnancy test is positive. This client's expected date of delivery
a. November 22
b. November 8
c. December 22
d. October 22 - ✔✔a. November 22
✔✔An off-duty finds a woman in a supermarket parking lot delivering an infant while her
husband is screaming for someone to help his wife. Which intervention has the highest
priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm - ✔✔c. put the newborn to breast
✔✔During a prenatal visit, the nurse discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during pregnancy
tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores - ✔✔c. lower birth weights
✔✔A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the nurse is
best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10 days
c. it may look funny to you but newborn babies are often born with heads like your
baby's
d. your pelvis was too small so the baby's head had to adjust to the birth canal - ✔✔b.
that is normal the head will return to a round shape within 7 to 10 days
✔✔After each feeding, a 3 day old newborn is spitting up large amounts of newborn
formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the
neonates's formula to Similac. What information should the nurse provide to the mother
about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed with diarrhea
b. The new formula is a coconut milk formula used with babies with impaired fat
absorption
c. the new formula is a casein protein source that is low in phenylalanine
d. similac is a soy based formula that contains sucrose - ✔✔d. similac is a soy based
formula that contains sucrose
, ✔✔A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy - ✔✔b. it is difficult to
consume 18 mg of additional iron by diet alone
✔✔When explaining postpartum blues to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant - ✔✔b, d
✔✔The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take?
a. recognize this is a common reaction in new mothers
b. ask the mother why she won't look at the infant
c. observe the mother for other attachment behaviors
d. examine the newborn's eyes for the ability to focus - ✔✔c. observe the mother for
other attachment behaviors
✔✔A couple concerned because the woman has not been able to conceive is referred
to a HCP for a fertility workup and a hysterosalpingography is scheduled. Which
postprocedure complaint indicates that the fallopian tubes are patent?
a. shoulder pain
b. leg cramps
c. back pain
d. abdominal pain - ✔✔a. shoulder pain
✔✔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 and the cline is lying in a 6 in diameter pool of blood. Which action should the
nurse implement next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
c. cleanse the perineum
d. palpate the firmness of the fundus - ✔✔d. palpate the firmness of the fundus
✔✔A 38 week primigravida who works as a secretary and sits at a computer 8 hrs each
day tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling blood in the lower extremities?
ANSWERS GUARANTEE A+
✔✔A mutigravida client at 41 weeks gestation present in the labor and delivery unit after
a non-stress test indicated that the fetus is experiencing some difficulties in utero.
Which diagnostic test should the nurse prepare the client for additional information
about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling - ✔✔a. biophysical profile
✔✔A client receiving epidural anesthesia begins to experience nausea and becomes
pale and clammy. What intervention should the nurse implement first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure - ✔✔a. raise the foot of the bed
✔✔A client at 28 weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright red. She
further states that she is not experiencing any uterine contractions or abdominal pain.
What instruction should the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
c. lie on your left side for about one hour and see if the bleeding stops
d. bring a urine specimen to the lab tomorrow to determine if you have a UTI - ✔✔a.
come to the clinic today for an ultrasound
✔✔Which nursing intervention is helpful in relieving "afterpains"?
a. using relaxation breathing techniques
b. using a breast pump
c. massaging the abdomen
d. giving oxytocic medications - ✔✔a. using relaxation breathing techniques
✔✔The nurse is counseling a couple who has sought information about conceiving. For
teaching purposes, the nurses should know that ovulation usually occurs
a. two weeks before menstruation
b. immediately after menstruation
c. immediately before menstruation
d. three weeks before menstruation - ✔✔a. two weeks before menstruation
✔✔A client who has an autosomal dominant inherited disorder is exploring family
planning options and the risk of transmission of the disorder to an infant. The nurses's
response should be based on what information?
,a. males inherit the disorder with a greater frequency than females
b. each pregnancy carries a 50% chance of inheriting the disorder
c. the disorder occurs in 25% of pregnancies
d. all children will be carriers of the disorder - ✔✔b. each pregnancy carries 50%
chance of inheriting the disorder
✔✔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 woman who had a miscarriage 6 months ago becomes pregnant. Which
instruction is most important for the nurse to provide this client?
a. elevate lower legs while resting
b. increase caloric intake by 200 to 300 calories per day
c. increase water intake to 8 full glasses per day
d. take prescribed multivitamin and mineral supplements - ✔✔d. take prescribed
multivitamin and mineral supplements
✔✔Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
a. blood glucose level of 45
b. blood pressure of 82/45
c. non-bulging anterior fontanel
d. central cyanosis when crying - ✔✔d. central cyanosis when crying
✔✔A 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
✔✔A new mother asks the nurse "How do I know that my daughter is getting enough
breast milk?" Which explanation should the nurse provide?
a. weigh the baby daily and if she is gaining weight she is eating enough
b. your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day
c. offer the baby extra bottle milk after her feeding and see if she is still hungry
d. if you're concerned you might consider bottle feeding so that you can monitor her
intake - ✔✔b. your milk is sufficient if the bay is voiding pale straw-colored urine 6 to 10
times a day
,✔✔On admission to the prenatal clinic, a 23 year old woman tells the nurse that her last
menstrual period began on February 15 that previously her periods were regular. Her
pregnancy test is positive. This client's expected date of delivery
a. November 22
b. November 8
c. December 22
d. October 22 - ✔✔a. November 22
✔✔An off-duty finds a woman in a supermarket parking lot delivering an infant while her
husband is screaming for someone to help his wife. Which intervention has the highest
priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm - ✔✔c. put the newborn to breast
✔✔During a prenatal visit, the nurse discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during pregnancy
tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores - ✔✔c. lower birth weights
✔✔A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the nurse is
best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10 days
c. it may look funny to you but newborn babies are often born with heads like your
baby's
d. your pelvis was too small so the baby's head had to adjust to the birth canal - ✔✔b.
that is normal the head will return to a round shape within 7 to 10 days
✔✔After each feeding, a 3 day old newborn is spitting up large amounts of newborn
formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the
neonates's formula to Similac. What information should the nurse provide to the mother
about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed with diarrhea
b. The new formula is a coconut milk formula used with babies with impaired fat
absorption
c. the new formula is a casein protein source that is low in phenylalanine
d. similac is a soy based formula that contains sucrose - ✔✔d. similac is a soy based
formula that contains sucrose
, ✔✔A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy - ✔✔b. it is difficult to
consume 18 mg of additional iron by diet alone
✔✔When explaining postpartum blues to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant - ✔✔b, d
✔✔The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take?
a. recognize this is a common reaction in new mothers
b. ask the mother why she won't look at the infant
c. observe the mother for other attachment behaviors
d. examine the newborn's eyes for the ability to focus - ✔✔c. observe the mother for
other attachment behaviors
✔✔A couple concerned because the woman has not been able to conceive is referred
to a HCP for a fertility workup and a hysterosalpingography is scheduled. Which
postprocedure complaint indicates that the fallopian tubes are patent?
a. shoulder pain
b. leg cramps
c. back pain
d. abdominal pain - ✔✔a. shoulder pain
✔✔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 and the cline is lying in a 6 in diameter pool of blood. Which action should the
nurse implement next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
c. cleanse the perineum
d. palpate the firmness of the fundus - ✔✔d. palpate the firmness of the fundus
✔✔A 38 week primigravida who works as a secretary and sits at a computer 8 hrs each
day tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling blood in the lower extremities?
