OB HESI PRACTICE EXAM 2024
QUESTIONS WITH CORRECT ANSWERS
A multiparous client has been in labor for 8 hours when her membranes rupture. Which
action should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Answer-Assess the fetal heart rate and
pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken.
While inspecting the client's perineum, the nurse notes the umbilical cord protruding
from the vagina. Which action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - Answer-Place the client in the knee-chest
position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action
should the nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - Answer-Observe the mother for
other bonding behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to
go to the bathroom every five minutes." Which explanation should the nurse provide to
this client?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - Answer-The growing uterus is
putting pressure on the bladder.
Which nursing action should be implemented when intermittently gavage-feeding a
preterm infant?
,Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - Answer-Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - Answer-Abstinence is
strongly recommended throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - Answer-Avoid alcohol
because it is excreted in breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action
should the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant
warmer. - Answer-Gently rub the infant's feet or back to stimulate respirations and place
in the radiant warmer.
A client delivers twins, one is stillborn and the other is recovering in an intensive care
nursery. As the nurse provides assistance to the bathroom, the client, softly crying,
states, "I wish my baby could have lived." Which response is best for the nurse to
provide?
"Don't be sad. You'll need to be strong to care for your healthy baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your minister?" - Answer-"I
am sorry for your loss. Do you want to talk about it?"
, 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 reports feeling light-headed and dizzy,
and she states that her fingers are tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing. - Answer-Help her breathe into a paper bag.
A client is receiving an oxytocin infusion for induction of labor. When the client begins
active labor, the fetal heart rate (FHR) slows at the onset of several contractions with
subsequent return to baseline before each contraction ends. Which action should the
nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record. - Answer-Document the finding in the client
record.
A gravid client develops maternal hypotension following regional anesthesia. Which
intervention(s) should the nurse implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status. - Answer-Administer oxygen.
Increase IV fluids.
Place the client in a lateral position.
Monitor fetal status.
During an assessment of a multiparous client who delivered an 8-pound 7-ounce infant
4 hours ago, the nurse notes the client's perineal pad is completely saturated within 15
minutes. Which action should the nurse implement next?
Perform fundal massage.
Assess blood pressure.
Notify the healthcare provider.
Encourage the client to void. - Answer-Perform fundal massage.
The nurse notes a pattern of the fetal heart rate decreasing after each contraction.
Which action should the nurse implement?
Give 10 liters of oxygen via face mask.
QUESTIONS WITH CORRECT ANSWERS
A multiparous client has been in labor for 8 hours when her membranes rupture. Which
action should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Answer-Assess the fetal heart rate and
pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken.
While inspecting the client's perineum, the nurse notes the umbilical cord protruding
from the vagina. Which action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - Answer-Place the client in the knee-chest
position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action
should the nurse take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - Answer-Observe the mother for
other bonding behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to
go to the bathroom every five minutes." Which explanation should the nurse provide to
this client?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - Answer-The growing uterus is
putting pressure on the bladder.
Which nursing action should be implemented when intermittently gavage-feeding a
preterm infant?
,Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - Answer-Allow the formula to flow by gravity.
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - Answer-Abstinence is
strongly recommended throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - Answer-Avoid alcohol
because it is excreted in breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action
should the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant
warmer. - Answer-Gently rub the infant's feet or back to stimulate respirations and place
in the radiant warmer.
A client delivers twins, one is stillborn and the other is recovering in an intensive care
nursery. As the nurse provides assistance to the bathroom, the client, softly crying,
states, "I wish my baby could have lived." Which response is best for the nurse to
provide?
"Don't be sad. You'll need to be strong to care for your healthy baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your minister?" - Answer-"I
am sorry for your loss. Do you want to talk about it?"
, 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 reports feeling light-headed and dizzy,
and she states that her fingers are tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing. - Answer-Help her breathe into a paper bag.
A client is receiving an oxytocin infusion for induction of labor. When the client begins
active labor, the fetal heart rate (FHR) slows at the onset of several contractions with
subsequent return to baseline before each contraction ends. Which action should the
nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record. - Answer-Document the finding in the client
record.
A gravid client develops maternal hypotension following regional anesthesia. Which
intervention(s) should the nurse implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status. - Answer-Administer oxygen.
Increase IV fluids.
Place the client in a lateral position.
Monitor fetal status.
During an assessment of a multiparous client who delivered an 8-pound 7-ounce infant
4 hours ago, the nurse notes the client's perineal pad is completely saturated within 15
minutes. Which action should the nurse implement next?
Perform fundal massage.
Assess blood pressure.
Notify the healthcare provider.
Encourage the client to void. - Answer-Perform fundal massage.
The nurse notes a pattern of the fetal heart rate decreasing after each contraction.
Which action should the nurse implement?
Give 10 liters of oxygen via face mask.
