OB HESI PRACTICE 2025 EXAM
QUESTIONS WITH COMPLETE
ANSWERS
While assessing a newborn the nurse observes diffuse edema of the soft tissues of
the scalp that cross the suture lines. How should the nurse document this finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum. - ANSWER-Caput succedaneum.
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. Which
action should the nurse implement next?
Determine the firmness of the fundus.
Give oxytocin intravenously.
Inform the healthcare provider of the bleeding.
Assess the vital signs for indicators of shock - ANSWER-Determine the firmness of
the fundus.
A nulliparous client telephones the labor and delivery unit to report that she is in
labor. Which action should the nurse implement?
Emphasize that food and fluid intake should stop.
Tell the client to stay home until her membranes rupture.
Ask the client to describe why she thinks she is in labor.
Suggest the client come to the hospital for labor evaluation. - ANSWER-Ask the
client to describe why she thinks she is in labor.
Which prescription should the nurse administer to a newborn to reduce
complications related to birth trauma?
Silver nitrate.
Erythromycin.
Ceftriaxone.
Vitamin K. - ANSWER-Vitamin K
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
Shallow with an irregular rhythm.
Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Abdominal with synchronous chest movements.
Rate of 58 breaths per minute.
Grunting is heard with a stethoscope. - ANSWER-Chest breathing with nasal flaring.
,Diaphragmatic with chest retraction.
Grunting heard with a stethoscope.
Which finding indicates to the nurse that a 4-day-old infant is receiving adequate
breast milk?
Gains 1 to 2 ounces per week.
Saturates 6 to 8 diapers per day.
Rests for 6 hours between feedings.
Defecates at least once per 24 hours. - ANSWER-Saturates 6 to 8 diapers per day.
When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart rate.
Listen at the apex of the heart.
Count the heart rate for at least one full minute.
Palpate the umbilical cord. - ANSWER-Count the heart rate for at least one full
minute.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
Inform the mother that the injection was prescribed by the healthcare provider.
Explore the mother's concerns about the infant receiving an injection of vitamin K.
Explain that vitamin K is required by state law and compliance is mandatory.
Remind the mother that all babies receive this shot and it is relatively painless. -
ANSWER-Explore the mother's concern about the infant receiving an injection of
vitamin K.
A preeclamptic client has developed severe features which include pulmonary
edema. While awaiting transport to the intensive care unit, what should the nurse
assess?
Assess fetal response.
Note any complaint of sudden chest pain.
Monitor for signs of impaired gas exchange.
Observe for maternal blood pressure changes. - ANSWER-Monitor for signs of
impaired gas exchange.
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. Which action should the nurse implement
at this time?
-Ask to meet with the client and infant without family members present.
-Do a brief assessment for only the infant while family members are present.
-Observe interactions of family members with the newborn and each other.
-Reschedule the visit so that the mother and infant can be assessed privately. -
ANSWER-Observe interactions of family members with the newborn and each other.
, A client at 25 weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the
nurse provide?
This is a demonstration of the fetus's acoustical reflex.
The fetus can respond to sound by 24 weeks gestation.
It is a coincidence the fetus responded at the same time.
Report the fetus's behavior to the healthcare provider. - ANSWER-The fetus can
respond to sound by 24-weeks gestation.
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most important
for the client to understand?
Plan for a possible cesarean birth.
Arrange for home uterine monitoring.
Make arrangements for care at home.
Report uterine cramping or low backache. - ANSWER-Report uterine cramping or
low backache.
A client at 28 weeks gestation is concerned about her weight gain of 17 pounds.
What information should the nurse provide this client?
It is not necessary to keep such a close watch on weight gain.
Try to exercise more because too much weight has been gained.
Increase the calories in your diet to gain more weight per week.
The weight gain is acceptable for the number of weeks pregnant. - ANSWER-The
weight gain is acceptable for the number of weeks pregnant.
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide?
The kidneys and renal function are not fully developed.
Warmth promotes sleep so the infant will grow quickly.
A large body surface area favors heat loss to the environment.
The thick layer of subcutaneous fat is inadequate for insulation. - ANSWER-A large
body surface area favors heat loss to the environment.
Which procedure evaluates the effect of fetal movement on fetal heart activity?
Sonography.
Contraction test.
Biophysical profile.
Non-stress test (NST). - ANSWER-Non-stress test
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back, and abdomen. Which
action should the nurse implement next?
QUESTIONS WITH COMPLETE
ANSWERS
While assessing a newborn the nurse observes diffuse edema of the soft tissues of
the scalp that cross the suture lines. How should the nurse document this finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum. - ANSWER-Caput succedaneum.
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. Which
action should the nurse implement next?
Determine the firmness of the fundus.
Give oxytocin intravenously.
Inform the healthcare provider of the bleeding.
Assess the vital signs for indicators of shock - ANSWER-Determine the firmness of
the fundus.
A nulliparous client telephones the labor and delivery unit to report that she is in
labor. Which action should the nurse implement?
Emphasize that food and fluid intake should stop.
Tell the client to stay home until her membranes rupture.
Ask the client to describe why she thinks she is in labor.
Suggest the client come to the hospital for labor evaluation. - ANSWER-Ask the
client to describe why she thinks she is in labor.
Which prescription should the nurse administer to a newborn to reduce
complications related to birth trauma?
Silver nitrate.
Erythromycin.
Ceftriaxone.
Vitamin K. - ANSWER-Vitamin K
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
Shallow with an irregular rhythm.
Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Abdominal with synchronous chest movements.
Rate of 58 breaths per minute.
Grunting is heard with a stethoscope. - ANSWER-Chest breathing with nasal flaring.
,Diaphragmatic with chest retraction.
Grunting heard with a stethoscope.
Which finding indicates to the nurse that a 4-day-old infant is receiving adequate
breast milk?
Gains 1 to 2 ounces per week.
Saturates 6 to 8 diapers per day.
Rests for 6 hours between feedings.
Defecates at least once per 24 hours. - ANSWER-Saturates 6 to 8 diapers per day.
When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart rate.
Listen at the apex of the heart.
Count the heart rate for at least one full minute.
Palpate the umbilical cord. - ANSWER-Count the heart rate for at least one full
minute.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
Inform the mother that the injection was prescribed by the healthcare provider.
Explore the mother's concerns about the infant receiving an injection of vitamin K.
Explain that vitamin K is required by state law and compliance is mandatory.
Remind the mother that all babies receive this shot and it is relatively painless. -
ANSWER-Explore the mother's concern about the infant receiving an injection of
vitamin K.
A preeclamptic client has developed severe features which include pulmonary
edema. While awaiting transport to the intensive care unit, what should the nurse
assess?
Assess fetal response.
Note any complaint of sudden chest pain.
Monitor for signs of impaired gas exchange.
Observe for maternal blood pressure changes. - ANSWER-Monitor for signs of
impaired gas exchange.
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. Which action should the nurse implement
at this time?
-Ask to meet with the client and infant without family members present.
-Do a brief assessment for only the infant while family members are present.
-Observe interactions of family members with the newborn and each other.
-Reschedule the visit so that the mother and infant can be assessed privately. -
ANSWER-Observe interactions of family members with the newborn and each other.
, A client at 25 weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the
nurse provide?
This is a demonstration of the fetus's acoustical reflex.
The fetus can respond to sound by 24 weeks gestation.
It is a coincidence the fetus responded at the same time.
Report the fetus's behavior to the healthcare provider. - ANSWER-The fetus can
respond to sound by 24-weeks gestation.
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most important
for the client to understand?
Plan for a possible cesarean birth.
Arrange for home uterine monitoring.
Make arrangements for care at home.
Report uterine cramping or low backache. - ANSWER-Report uterine cramping or
low backache.
A client at 28 weeks gestation is concerned about her weight gain of 17 pounds.
What information should the nurse provide this client?
It is not necessary to keep such a close watch on weight gain.
Try to exercise more because too much weight has been gained.
Increase the calories in your diet to gain more weight per week.
The weight gain is acceptable for the number of weeks pregnant. - ANSWER-The
weight gain is acceptable for the number of weeks pregnant.
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide?
The kidneys and renal function are not fully developed.
Warmth promotes sleep so the infant will grow quickly.
A large body surface area favors heat loss to the environment.
The thick layer of subcutaneous fat is inadequate for insulation. - ANSWER-A large
body surface area favors heat loss to the environment.
Which procedure evaluates the effect of fetal movement on fetal heart activity?
Sonography.
Contraction test.
Biophysical profile.
Non-stress test (NST). - ANSWER-Non-stress test
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back, and abdomen. Which
action should the nurse implement next?
