HESI OB PEDS ACTUAL EXAM | COMPLETE QUESTIONS WITH 100% RATED
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. A client in labor receives an epidural block. What intervention should the nurse implement first?: Monitor blood
pressure
2. A nulliparous client telephones the labor and delivery unit to report that she is in labor. What action should the
nurse implement?: Ask the client why she thinks she is in labor
3. A primigravida at 12-weeks gestation tells the nurse that she does not like diary products. Which food should the
nurse recommend to increase the client's calcium intake?: Canned sardines
4. A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week after a missed
period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular
periods, is under stress at work, and has not been sleeping well. The client's physical examination and ultrasound do
not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results?: Using an anticonvulsant for epilepsy
5. What action should the nurse implement to prevent conductive heat loss in a newborn?: Put a blanket on the scale
when weighing the infant
6. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse determines the
uterus is boggy and is displaced above and to the right of the umbilicus. Which action should the nurse implement
next?: Assist the client to the bathroom
7. A client is experiencing "back" labor and complains of intense pain in the lower lumbar-sacral area. What action
should the nurse implement?: Apply counter pressure against the sacrum
8. A female client who wants to delivery at home asks the nurse to explain the
role of a nurse-midwife in providing obstetric care. What information should
, the nurse provide?: The pregnancy should progress normally and be considered low risk
9. A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of 55 to 60 seconds.
An internal uterine pressure catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mm Hg at the peak of a
contraction and the resting tone is 6 to 10 mm Hg. Based on this information, what action should the nurse implement?:
Document the findings
10 When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?: Count the heart rate for a full minute
11. Which action should the nurse implement when caring for a newborn immediately after birth?: Keep the
newborn's airway clear
12. A woman, whose pregnancy is confirmed, asks the nurse what the function of the placenta is in early pregnancy.
What information supports the explanation that the nurse should provide?: Secretes both estrogen and progesterone
13. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should the
nurse implement?: Administer oxygen and monitor fetal status
14. A multiparous client is bearing down with contractions and crying out, "The baby is coming!" Which immediate
action should the nurse implement?: Visualize the perineum for bulging
15. Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks gestation?: PICA
16. A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she
is imagining things. What information
should the nurse provide?: The fetus in utero is capable of hearing and does respond to the mother's voice
17. A client in the first stage of active labor is using a shallow pattern of rapid breaths that is twice the normal adult
breathing rate. The client complains of feeling light-headed, dizzy, and states that her fingers are tingling. What action
should the nurse implement?: Help her breathe into a paper bag
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. A client in labor receives an epidural block. What intervention should the nurse implement first?: Monitor blood
pressure
2. A nulliparous client telephones the labor and delivery unit to report that she is in labor. What action should the
nurse implement?: Ask the client why she thinks she is in labor
3. A primigravida at 12-weeks gestation tells the nurse that she does not like diary products. Which food should the
nurse recommend to increase the client's calcium intake?: Canned sardines
4. A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week after a missed
period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular
periods, is under stress at work, and has not been sleeping well. The client's physical examination and ultrasound do
not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results?: Using an anticonvulsant for epilepsy
5. What action should the nurse implement to prevent conductive heat loss in a newborn?: Put a blanket on the scale
when weighing the infant
6. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse determines the
uterus is boggy and is displaced above and to the right of the umbilicus. Which action should the nurse implement
next?: Assist the client to the bathroom
7. A client is experiencing "back" labor and complains of intense pain in the lower lumbar-sacral area. What action
should the nurse implement?: Apply counter pressure against the sacrum
8. A female client who wants to delivery at home asks the nurse to explain the
role of a nurse-midwife in providing obstetric care. What information should
, the nurse provide?: The pregnancy should progress normally and be considered low risk
9. A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of 55 to 60 seconds.
An internal uterine pressure catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mm Hg at the peak of a
contraction and the resting tone is 6 to 10 mm Hg. Based on this information, what action should the nurse implement?:
Document the findings
10 When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?: Count the heart rate for a full minute
11. Which action should the nurse implement when caring for a newborn immediately after birth?: Keep the
newborn's airway clear
12. A woman, whose pregnancy is confirmed, asks the nurse what the function of the placenta is in early pregnancy.
What information supports the explanation that the nurse should provide?: Secretes both estrogen and progesterone
13. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should the
nurse implement?: Administer oxygen and monitor fetal status
14. A multiparous client is bearing down with contractions and crying out, "The baby is coming!" Which immediate
action should the nurse implement?: Visualize the perineum for bulging
15. Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks gestation?: PICA
16. A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she
is imagining things. What information
should the nurse provide?: The fetus in utero is capable of hearing and does respond to the mother's voice
17. A client in the first stage of active labor is using a shallow pattern of rapid breaths that is twice the normal adult
breathing rate. The client complains of feeling light-headed, dizzy, and states that her fingers are tingling. What action
should the nurse implement?: Help her breathe into a paper bag
