OB HESI PRACTICE TEST QUESTIONS
WITH COMPLETE SOLUTIONS
A woman who gave birth 48 hours ago is bottle-feeding her infants. During assessment,
the nurse determines that both breasts are swollen, warm, and tender upon palpation.
What action should the nurse take?
A. apply cold compresses to both breasts for comfort
B. instruct the client run warm water on her breasts
C. wear a loose-fitting bra to prevent nipple irritation
D. express small amounts of milk to relieve pressure - Answer-A
cold compresses will reduce discomfort. Lactation begins on day 3 so she needs to
avoid stimulating her nipples, which further stimulates milk production. She should also
wear a tight-fitting bra to de-stimulate
Which nursing intervention would be most helpful in relieving postpartum uterine
contractions or "afterpains"?
A. lying prone with a pillow on the abdomen
B. using a breast pump
C. massaging the abdomen
D. giving oxytoxic medications - Answer-A
lying prone keeps the fundus contracted and is especially useful with multiparas (who
commonly experience afterpains due to lack of uterine tone) B and D stimulate uterine
contractions and C may contract the uterus temporarily and then encourage afterpains
later
A women 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 when resting
B. increase caloric intake by 200-3000 cals/day
C. increase water intake to 8 full glasses/day
D. take prescribed multivitamins and mineral supplements - Answer-D
spontaneous abortions or still birth within the last year should take supplemental
vitamins and minerals, maintain a balanced diet, and drink 8 glasses of water a day
BUT the V&M is the priority teaching
A client in active labor is admitted with preeclampsia. Which assessment finding is most
significant in planning this client's care?
A. patellar reflex 4+
B. BP 158/80
C. 4 hour urine output of 240 ml
D. RR 12/min - Answer-A
4+ reflexes with pregnancy-induced HTN indicated hyper-reflexia --> indication of an
impending seizure
, A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot".
Which explanation should the nurse give this anxious client?
A. some care is required when touching the large soft area on top of the head until the
bones fuse together
B. that just an "old wives tale" so don't worry you cant harm your baby's head by
touching the soft spot
C. the soft spot will disappear within 6 week and is very unlikely to cause any problems
for your baby
D. theres a strong, tough membrane there to protect the baby so you need not be afraid
to wash or comb their hair - Answer-D
correct information and alleviates anxiety
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 ASAP
B. suction the nose then mouth
C. check the O2 sat
D. position the infant on the R side - Answer-C
assess then intervene
call doc if O2 sat <90%
suction mouth THEN nose
D facilitates drainage from the mouth and promotes emptying into the small intestine-
not a high priority at this time
insulin dependent diabetic client wants to get pregnant in 6 months. What education do
you share with this client?
A. your current dose of insulin should be maintained throughout your pregnancy
B. maintain blood sugar levels in a constant range WNL during pregnancy
C. the course and outcome of your pregnancy is not an achievable goal with diabetes
D. expect an increase in insulin dosages by 5 units/week during the first trimester -
Answer-B
maintaining blood sugar WNL during pregnancy will increase the likelihood of a smooth
pregnancy
A breastfeeding mother receives instructions from the nurse. Which instruction is most
effective to prevent nipple soreness?
A. wear a cotton bra
B. increase nursing time gradually
C. correctly place the infant on the breast
D. manually express a small amount of milk before nursing - Answer-C
incorrect positioning is the most common cause of nipple soreness
A helps prevent chafing
If the woman has a 36-day menstrual cycle and the first day of her last period was Jan
8, when is the woman's next fertile period?
WITH COMPLETE SOLUTIONS
A woman who gave birth 48 hours ago is bottle-feeding her infants. During assessment,
the nurse determines that both breasts are swollen, warm, and tender upon palpation.
What action should the nurse take?
A. apply cold compresses to both breasts for comfort
B. instruct the client run warm water on her breasts
C. wear a loose-fitting bra to prevent nipple irritation
D. express small amounts of milk to relieve pressure - Answer-A
cold compresses will reduce discomfort. Lactation begins on day 3 so she needs to
avoid stimulating her nipples, which further stimulates milk production. She should also
wear a tight-fitting bra to de-stimulate
Which nursing intervention would be most helpful in relieving postpartum uterine
contractions or "afterpains"?
A. lying prone with a pillow on the abdomen
B. using a breast pump
C. massaging the abdomen
D. giving oxytoxic medications - Answer-A
lying prone keeps the fundus contracted and is especially useful with multiparas (who
commonly experience afterpains due to lack of uterine tone) B and D stimulate uterine
contractions and C may contract the uterus temporarily and then encourage afterpains
later
A women 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 when resting
B. increase caloric intake by 200-3000 cals/day
C. increase water intake to 8 full glasses/day
D. take prescribed multivitamins and mineral supplements - Answer-D
spontaneous abortions or still birth within the last year should take supplemental
vitamins and minerals, maintain a balanced diet, and drink 8 glasses of water a day
BUT the V&M is the priority teaching
A client in active labor is admitted with preeclampsia. Which assessment finding is most
significant in planning this client's care?
A. patellar reflex 4+
B. BP 158/80
C. 4 hour urine output of 240 ml
D. RR 12/min - Answer-A
4+ reflexes with pregnancy-induced HTN indicated hyper-reflexia --> indication of an
impending seizure
, A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot".
Which explanation should the nurse give this anxious client?
A. some care is required when touching the large soft area on top of the head until the
bones fuse together
B. that just an "old wives tale" so don't worry you cant harm your baby's head by
touching the soft spot
C. the soft spot will disappear within 6 week and is very unlikely to cause any problems
for your baby
D. theres a strong, tough membrane there to protect the baby so you need not be afraid
to wash or comb their hair - Answer-D
correct information and alleviates anxiety
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 ASAP
B. suction the nose then mouth
C. check the O2 sat
D. position the infant on the R side - Answer-C
assess then intervene
call doc if O2 sat <90%
suction mouth THEN nose
D facilitates drainage from the mouth and promotes emptying into the small intestine-
not a high priority at this time
insulin dependent diabetic client wants to get pregnant in 6 months. What education do
you share with this client?
A. your current dose of insulin should be maintained throughout your pregnancy
B. maintain blood sugar levels in a constant range WNL during pregnancy
C. the course and outcome of your pregnancy is not an achievable goal with diabetes
D. expect an increase in insulin dosages by 5 units/week during the first trimester -
Answer-B
maintaining blood sugar WNL during pregnancy will increase the likelihood of a smooth
pregnancy
A breastfeeding mother receives instructions from the nurse. Which instruction is most
effective to prevent nipple soreness?
A. wear a cotton bra
B. increase nursing time gradually
C. correctly place the infant on the breast
D. manually express a small amount of milk before nursing - Answer-C
incorrect positioning is the most common cause of nipple soreness
A helps prevent chafing
If the woman has a 36-day menstrual cycle and the first day of her last period was Jan
8, when is the woman's next fertile period?
