HESI OB PRACTICE EXAM 2024-2025 BRANDNEW!! 120+ QUESTIONS AND
CORRECT ANSWERS//ALREADY GRADED A+
What information should the nurse include about perineal self-care for a client who is 24 hours
postdelivery?
Use cool water to decrease swelling of the perineum.
Perineal care should be done at least twice per day.
Reapply ice packs to the perineum after each voiding.
Spray warm water from front to back using a squeeze bottle. - answer-Spray warm water from front to
back using a squeeze bottle.
A client who is at 24 weeks gestation presents to the emergency department holding her arm and
reporting pain. The client reports she fell down the stairs. Which observation should alert the nurse to a
possible battering situation?
The woman and her partner are having a loud and hostile argument.
The woman avoids eye contact and hesitates while answering questions.
Other parts of her body have injuries that are in different stages of healing.
Examination reveals a fracture to the right humerus and multiple bruises. - answer-Other parts of her
body have injuries in different stages of healing
Which action should the nurse implement to prevent conductive heat loss in a newborn?
Place the infant under a radiant warming system.
Put a blanket on the scale when weighing the infant.
Dry the newborn with a warmed blanket.
Position the crib away from the windows. - answer-Put a blanket on the scale when weighing the infant.
The nurse is caring for a client in active labor and observes V shape decelerations in the fetal heart rate
occurring at the peak of each contraction. Which action should the nurse implement?
Notify the healthcare provider of fetal status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids. - answer-Place the client in a side-lying position.
,A client in labor receives an epidural block. Which intervention should the nurse implement first?
Encourage oral fluids.
Assess contractions.
Monitor blood pressure.
Obtain a radial pulse. - answer-Monitor blood pressure.
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After obtaining the
infant's weight at 4550 grams (10 pounds, 2.5 ounces), which is the priority nursing action?
Assess newborn reflexes for signs of neurological impairment.
Leave the infant in the room with the mother to foster attachment.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Perform a gestational age assessment to determine if the infant is large-for-gestational-age. - answer-
Obtain serum glucose levels frequently while observing closely for signsof hypoglycemia.
A client who is breastfeeding develops engorged breasts on the third postpartum day. Which action
should the nurse recommend to relieve breast engorgement?
Avoid pumping her breasts.
Continue breastfeeding every 2 hours.
Skip a feeding to rest the breasts.
Decrease fluid intake for at least 24 hours. - answer-Continue to breast feed every two hours
Which nonpharmacologic interventions should the nurse implement to provide the most effective
response in decreasing procedural pain in a neonate?
Tactile stimulation.
Commercial warm packs.
Skin-to-skin contact with the parent.
Oral sucrose and nonnutritive sucking. - answer-Oral sucrose and nonnutritive sucking.
, The nurse is teaching a primigravida at 10-weeks gestation about the need to increase her intake of folic
acid. Which explanation should the nurse provide that supports preventative perinatal care?
The risk for neonatal cerebral palsy increases with folic acid deficiencies during pregnancy.
Folic acid can significantly reduce the incidence of intellectual disability.
Adequate folic acid during embryogenesis reduces the incidence of neural tube defects.
The incidence of congenital heart defects is related to folic acid intake deficiencies. - answer-Adequate
folic acid during embryogenesis reduces the incidence of neural tube defects
The nurse assesses a high-risk neonate under a radiant warmer who has an umbilical catheter and
identifies that the neonate's feet are blanched. Which nursing action should be implemented?
Place socks on the infant.
Elevate the feet 15 degrees.
Wrap feet loosely in a prewarmed blanket.
Report findings to the healthcare provider. - answer-Report findings to the healthcare provider.
Which action should the nurse implement with the family when an infant is born with anencephaly?
Ensure that measures to facilitate the attachment process are offered.
Prepare the family to explore ways to cope with the imminent death of the infant.
Inform the family about multiple corrective surgical procedures that will be needed.
Provide emotional support to facilitate the consideration of fetal organ donation. - answer-Prepare the
family to explore ways to cope with the imminent death of the infant.
A client delivers her first infant and asks the nurse if her skin changes from pregnancy are permanent.
Which change should the nurse tell the client will remain after pregnancy?
Pruritus.
Chloasma.
Vascular spiders.
Striae gravidarum. - answer-Striae gravidarum.
Which finding in the medical history of a postpartum client should the nurse withhold the administration
of a routine standing order for methylergonovine maleate?
CORRECT ANSWERS//ALREADY GRADED A+
What information should the nurse include about perineal self-care for a client who is 24 hours
postdelivery?
Use cool water to decrease swelling of the perineum.
Perineal care should be done at least twice per day.
Reapply ice packs to the perineum after each voiding.
Spray warm water from front to back using a squeeze bottle. - answer-Spray warm water from front to
back using a squeeze bottle.
A client who is at 24 weeks gestation presents to the emergency department holding her arm and
reporting pain. The client reports she fell down the stairs. Which observation should alert the nurse to a
possible battering situation?
The woman and her partner are having a loud and hostile argument.
The woman avoids eye contact and hesitates while answering questions.
Other parts of her body have injuries that are in different stages of healing.
Examination reveals a fracture to the right humerus and multiple bruises. - answer-Other parts of her
body have injuries in different stages of healing
Which action should the nurse implement to prevent conductive heat loss in a newborn?
Place the infant under a radiant warming system.
Put a blanket on the scale when weighing the infant.
Dry the newborn with a warmed blanket.
Position the crib away from the windows. - answer-Put a blanket on the scale when weighing the infant.
The nurse is caring for a client in active labor and observes V shape decelerations in the fetal heart rate
occurring at the peak of each contraction. Which action should the nurse implement?
Notify the healthcare provider of fetal status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids. - answer-Place the client in a side-lying position.
,A client in labor receives an epidural block. Which intervention should the nurse implement first?
Encourage oral fluids.
Assess contractions.
Monitor blood pressure.
Obtain a radial pulse. - answer-Monitor blood pressure.
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After obtaining the
infant's weight at 4550 grams (10 pounds, 2.5 ounces), which is the priority nursing action?
Assess newborn reflexes for signs of neurological impairment.
Leave the infant in the room with the mother to foster attachment.
Obtain serum glucose levels frequently while observing closely for signs of hypoglycemia.
Perform a gestational age assessment to determine if the infant is large-for-gestational-age. - answer-
Obtain serum glucose levels frequently while observing closely for signsof hypoglycemia.
A client who is breastfeeding develops engorged breasts on the third postpartum day. Which action
should the nurse recommend to relieve breast engorgement?
Avoid pumping her breasts.
Continue breastfeeding every 2 hours.
Skip a feeding to rest the breasts.
Decrease fluid intake for at least 24 hours. - answer-Continue to breast feed every two hours
Which nonpharmacologic interventions should the nurse implement to provide the most effective
response in decreasing procedural pain in a neonate?
Tactile stimulation.
Commercial warm packs.
Skin-to-skin contact with the parent.
Oral sucrose and nonnutritive sucking. - answer-Oral sucrose and nonnutritive sucking.
, The nurse is teaching a primigravida at 10-weeks gestation about the need to increase her intake of folic
acid. Which explanation should the nurse provide that supports preventative perinatal care?
The risk for neonatal cerebral palsy increases with folic acid deficiencies during pregnancy.
Folic acid can significantly reduce the incidence of intellectual disability.
Adequate folic acid during embryogenesis reduces the incidence of neural tube defects.
The incidence of congenital heart defects is related to folic acid intake deficiencies. - answer-Adequate
folic acid during embryogenesis reduces the incidence of neural tube defects
The nurse assesses a high-risk neonate under a radiant warmer who has an umbilical catheter and
identifies that the neonate's feet are blanched. Which nursing action should be implemented?
Place socks on the infant.
Elevate the feet 15 degrees.
Wrap feet loosely in a prewarmed blanket.
Report findings to the healthcare provider. - answer-Report findings to the healthcare provider.
Which action should the nurse implement with the family when an infant is born with anencephaly?
Ensure that measures to facilitate the attachment process are offered.
Prepare the family to explore ways to cope with the imminent death of the infant.
Inform the family about multiple corrective surgical procedures that will be needed.
Provide emotional support to facilitate the consideration of fetal organ donation. - answer-Prepare the
family to explore ways to cope with the imminent death of the infant.
A client delivers her first infant and asks the nurse if her skin changes from pregnancy are permanent.
Which change should the nurse tell the client will remain after pregnancy?
Pruritus.
Chloasma.
Vascular spiders.
Striae gravidarum. - answer-Striae gravidarum.
Which finding in the medical history of a postpartum client should the nurse withhold the administration
of a routine standing order for methylergonovine maleate?
