HESI RN: OB - TEST BANK QUESTIONS
WITH COMPLETE ANSWERS
A client delivers a viable infant but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the hcp of the clients condition,
what information is most important for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed - Answer-B. Maternal Blood pressure
The nurse is caring for a newborn infant who was recently diagnosed with congenital
heart defect. Which assessment finding warrants immediate intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
D. Increased respiratory rate - Answer-C. Bluish tinge to the tongue
A client who delivered a healthy newborn an hour ago asks the nurse when can she go
home. Which information is most important for the nurse to provide the client?
A. When there is no significant vaginal bleeding
B. When ambulating to void does not cause dizziness
C. After the vitamin K injection is given to the baby
D. After the baby no longer demonstrates acrocyanosis - Answer-A. When there is no
significant vaginal bleeding
A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding
and no contractions are noted on the external monitor. Which intervention should the
nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID - Answer-A. Weight perineal pads
The nurse is performing a gestational age assessment on a full-term newborn during
the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment,
the nurse determines that the neonate has a maturity rating of 40-weeks. What findings
should the nurse identify to determine if the neonate is small for gestational age (SGA)?
(Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.5 inches (31.25 cm).
D. Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces.
, F. Full flexion of all extremities in resting supine position - Answer-A. Admission weight
of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.5 inches (31.25 cm).
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal
warts (human papillomavirus). What information should the nurse provide this client?
A. Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered - Answer-A. Treatment options,
while limited due to the pregnancy, are available
One week after missing her menstrual period, a woman performs an OTC pregnancy
test and it is positive. Which hormone is responsible for producing the positive result? A.
Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Aplha - Answer-C. Human chorionic gonadotrophin
A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What
information should the nurse provide prior to discharge?
A. Avoid using lanolin-based nipple cream or ointment
B. Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth - Answer-B. Continue
prenatal vitamins with B12 while breast feeding
Four clients arrive on the labor and delivery unit at the same time. Which client should
the nurse assess first?
A. A 3-week multigravida with a prescription for serial blood pressures.
B. A 39-week primigravida with biophysical profile score of 5 out of 8.
C. A 38- week primigravida who reports contractions occurring every 10 minutes.
D. A 41-week multigravida who is scheduled induction of labor today. - Answer-B. A 39-
week primigravida with biophysical profile score of 5 out of 8.
A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most important for the
nurse to report to the health care provider?
A. Fetal heart rate of 162 beats/minute
B. Trace of protein in the urine
C. Positive fetal hemoglobin test
D. Mild contractions every 10 minutes - Answer-C. Positive fetal hemoglobin test
WITH COMPLETE ANSWERS
A client delivers a viable infant but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the hcp of the clients condition,
what information is most important for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed - Answer-B. Maternal Blood pressure
The nurse is caring for a newborn infant who was recently diagnosed with congenital
heart defect. Which assessment finding warrants immediate intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
D. Increased respiratory rate - Answer-C. Bluish tinge to the tongue
A client who delivered a healthy newborn an hour ago asks the nurse when can she go
home. Which information is most important for the nurse to provide the client?
A. When there is no significant vaginal bleeding
B. When ambulating to void does not cause dizziness
C. After the vitamin K injection is given to the baby
D. After the baby no longer demonstrates acrocyanosis - Answer-A. When there is no
significant vaginal bleeding
A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding
and no contractions are noted on the external monitor. Which intervention should the
nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID - Answer-A. Weight perineal pads
The nurse is performing a gestational age assessment on a full-term newborn during
the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment,
the nurse determines that the neonate has a maturity rating of 40-weeks. What findings
should the nurse identify to determine if the neonate is small for gestational age (SGA)?
(Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.5 inches (31.25 cm).
D. Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces.
, F. Full flexion of all extremities in resting supine position - Answer-A. Admission weight
of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.5 inches (31.25 cm).
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal
warts (human papillomavirus). What information should the nurse provide this client?
A. Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered - Answer-A. Treatment options,
while limited due to the pregnancy, are available
One week after missing her menstrual period, a woman performs an OTC pregnancy
test and it is positive. Which hormone is responsible for producing the positive result? A.
Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Aplha - Answer-C. Human chorionic gonadotrophin
A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What
information should the nurse provide prior to discharge?
A. Avoid using lanolin-based nipple cream or ointment
B. Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth - Answer-B. Continue
prenatal vitamins with B12 while breast feeding
Four clients arrive on the labor and delivery unit at the same time. Which client should
the nurse assess first?
A. A 3-week multigravida with a prescription for serial blood pressures.
B. A 39-week primigravida with biophysical profile score of 5 out of 8.
C. A 38- week primigravida who reports contractions occurring every 10 minutes.
D. A 41-week multigravida who is scheduled induction of labor today. - Answer-B. A 39-
week primigravida with biophysical profile score of 5 out of 8.
A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most important for the
nurse to report to the health care provider?
A. Fetal heart rate of 162 beats/minute
B. Trace of protein in the urine
C. Positive fetal hemoglobin test
D. Mild contractions every 10 minutes - Answer-C. Positive fetal hemoglobin test
