OB HESI PRACTICE TEST QUESTIONS
WITH COMPLETE SOLUTIONS
which assessment finding is most important for the nurse to report to the healthcare
provider when mom requests an epidural?
A. cervical dilation of 5 cm with 90% effacement
B. WBC count of 12,000
C. hemoglobin of 12 and hct of 38%
D. platelet count of 67,000 - Answer-D
thrombocytopenia should be reported to the healthcare provider because it puts the
client at risk for bleeding when an epidural is placed
A client delivers an infant 1 hour ago. She complains of wetness under her butt. Both
pads are completely soaked and there is a 6-inch diameter of pool of blood on them.
Which action should the nurse implement next?
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D. inspect the perineum for lacerations - Answer-C
a firm uterus is needed to control bleeding from the placental site of attachment on the
uterine wall. Assess firmness and massage the fundus if needed
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
implement next?
A. check the hct results
B. administer pain meds
C. increase IV fluids
D. monitor client for contractions - Answer-C
s/s of blood loss --> ectopic pregnancy, which occurs approximately @ 14 weeks when
embryonic growth expands the fallopian tube causing its rupture and can result in
hemorrhage and hypovolemic shock. Increasing the IV fluid rate provides intravascular
fluid to maintain BP
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
A. supplementary iron is more efficiently utilized during pregnancy
B. it is difficult to consumer an additional 18 mg of iron by diet alone
C. iron absorption is decreased in the GI tract during pregnancy
D. iron is needed to prevent megaloblastic anemia in the last trimester - Answer-B
, C is wrong because iron absorption occurs readily during pregnancy and is not
decreased within the GI tract
The nurse discusses the effects of smoking o the fetus. When compared with non-
smokers, mothers who smoke during pregnancy tend to produce infants who have
A. lower apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies - Answer-B
mothers are encouraged not to smoke during pregnancy
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?
WITH COMPLETE SOLUTIONS
which assessment finding is most important for the nurse to report to the healthcare
provider when mom requests an epidural?
A. cervical dilation of 5 cm with 90% effacement
B. WBC count of 12,000
C. hemoglobin of 12 and hct of 38%
D. platelet count of 67,000 - Answer-D
thrombocytopenia should be reported to the healthcare provider because it puts the
client at risk for bleeding when an epidural is placed
A client delivers an infant 1 hour ago. She complains of wetness under her butt. Both
pads are completely soaked and there is a 6-inch diameter of pool of blood on them.
Which action should the nurse implement next?
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D. inspect the perineum for lacerations - Answer-C
a firm uterus is needed to control bleeding from the placental site of attachment on the
uterine wall. Assess firmness and massage the fundus if needed
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
implement next?
A. check the hct results
B. administer pain meds
C. increase IV fluids
D. monitor client for contractions - Answer-C
s/s of blood loss --> ectopic pregnancy, which occurs approximately @ 14 weeks when
embryonic growth expands the fallopian tube causing its rupture and can result in
hemorrhage and hypovolemic shock. Increasing the IV fluid rate provides intravascular
fluid to maintain BP
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
A. supplementary iron is more efficiently utilized during pregnancy
B. it is difficult to consumer an additional 18 mg of iron by diet alone
C. iron absorption is decreased in the GI tract during pregnancy
D. iron is needed to prevent megaloblastic anemia in the last trimester - Answer-B
, C is wrong because iron absorption occurs readily during pregnancy and is not
decreased within the GI tract
The nurse discusses the effects of smoking o the fetus. When compared with non-
smokers, mothers who smoke during pregnancy tend to produce infants who have
A. lower apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies - Answer-B
mothers are encouraged not to smoke during pregnancy
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?
