OB HESI FINAL FINAL PAPER 2026 EXAM Q&A
STUDY GUIDE COMPLETE SOLUTIONS
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline
sulfate? Answer: Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause tachycardia,
increased cardiac output, restlessness, headache, and a feeling of
"nervousness".
◉ When do the anterior and posterior fontanels close? Answer: anterior
fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
◉ When assessing a client who is at 12-weeks 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? Answer: 30 weeks gestation
,at 30 weeks gestation is closest (of the options) to the time parents
would be ready for such classes. Learning is facilitated by an interested
pupil! The couple is most interested in childbirth toward the end of the
pregnancy when they are psychologically ready for the termination of
the pregnancy, and the birth of their child is an immediate concern.
◉ The nurse should encourage the laboring client to begin pushing
when. Answer: the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never
completely dilate, necessitating an operative delivery. Many
primigravida's begin active labor 100% effaced and then proceed to
dilate.
◉ The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take? Answer: Have the client
breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining
, carbon dioxide. This can be facilitated by breathing into a paper bag or
cupped hands.
◉ Twenty-four hours after admission to the newborn nursery, a full-term
male infant develops localized edema on the right side of his head. The
nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn
variation known as... Answer: a cephalohematoma, caused by forceps
trauma and may last up to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually
arises within the first 24 hours after delivery. Trauma from delivery
causes capillary bleeding between the periosteum and the skull.
◉ When does the head return to its normal shape Answer: 7-10 days
◉ What did Nurse theorist Reva Rubin describe? Answer: The initial
postpartum period as the "taking-in phase," which is characterized by
maternal reliance on others to satisfy the needs for comfort, rest,
nourishment, and closeness to families and the newborn.
◉ A couple, concerned because the woman has not been able to
conceive, is referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which post procedure complaint
indicates that the fallopian tubes are patent? Answer: Shoulder pain
STUDY GUIDE COMPLETE SOLUTIONS
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline
sulfate? Answer: Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause tachycardia,
increased cardiac output, restlessness, headache, and a feeling of
"nervousness".
◉ When do the anterior and posterior fontanels close? Answer: anterior
fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
◉ When assessing a client who is at 12-weeks 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? Answer: 30 weeks gestation
,at 30 weeks gestation is closest (of the options) to the time parents
would be ready for such classes. Learning is facilitated by an interested
pupil! The couple is most interested in childbirth toward the end of the
pregnancy when they are psychologically ready for the termination of
the pregnancy, and the birth of their child is an immediate concern.
◉ The nurse should encourage the laboring client to begin pushing
when. Answer: the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never
completely dilate, necessitating an operative delivery. Many
primigravida's begin active labor 100% effaced and then proceed to
dilate.
◉ The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take? Answer: Have the client
breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining
, carbon dioxide. This can be facilitated by breathing into a paper bag or
cupped hands.
◉ Twenty-four hours after admission to the newborn nursery, a full-term
male infant develops localized edema on the right side of his head. The
nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn
variation known as... Answer: a cephalohematoma, caused by forceps
trauma and may last up to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually
arises within the first 24 hours after delivery. Trauma from delivery
causes capillary bleeding between the periosteum and the skull.
◉ When does the head return to its normal shape Answer: 7-10 days
◉ What did Nurse theorist Reva Rubin describe? Answer: The initial
postpartum period as the "taking-in phase," which is characterized by
maternal reliance on others to satisfy the needs for comfort, rest,
nourishment, and closeness to families and the newborn.
◉ A couple, concerned because the woman has not been able to
conceive, is referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which post procedure complaint
indicates that the fallopian tubes are patent? Answer: Shoulder pain
