1 | Page
PEDS & OB HESI 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
Monitoring for fetal position is important because the mother
cannot tell you she has back pain, which is the cardinal sign of
persistant posterior fetal position. Why do the regional blocks,
especially epidural and caudal, often result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - correct answer- D.
Regional blocks, especially epidural and caudal, often result in
assisted delivery due to inability to push effectively in the 2nd
stage.
Early detection of rheumatoid arthritis can decrease the amount
of bone and joint destruction and often the disease will go into
remission. What activity recommendations should the nurse
provide a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain
lessens
D. Perform exercises slowly and smoothly - correct answer- D.
A nurse should advise the client to perform exercises slowly
and smoothly so that no extra pain occurs
,2 | Page
A patient who is 32 weeks gestation has the following
symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid
abdomen and severe pain. What is the difference between
abruptio placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in
the third trimester
B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the
third trimester - correct answer- D.
The nurse must use knowledge base to diffferentiate betewwn
abruptia placentae from placenta previa.
A patient who is 32 weeks gestation is experiencing dark red
vaginal bleeding and the nurse determines the FHR to be 100
bpm and her abdomen is rigid and board like. What action
should the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - correct answer- A.
The nurse should immediately notify the healthcare provider
and no abdominal or vaginal manipulation or exams should be
done. Administer O2 per face mask and monitor for bleeding at
IV sites and gums due to the increased risk of DIC
,3 | Page
A nurse must use knowledge base to differentiate between
abruptio placentae from plaventa previa. What assessments
should be done in case of a patient suspected of abruptio
placentae or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased
risk of DIC - correct answer- D.
Patients with abruptio placentae or placventa previa should
have No abdominal or vaginal manipulation. No Leopold's
maneuvers. No vaginal exams. No rectal exams, enemas, or
suppositories. No internal monitoring
A patient suspected of abruptio placentae or placenta previa
should be monitorized for bleeding at IV sites and gums due to
increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - correct answer- A.
DIC is related to fetal demise, infection/sepis, pregnancy-
induced hypertension ( Preeclampsia) and abruptio placentae.
Cervical carcinoma is related to podophyllin
, 4 | Page
If a child is on oral iron medication, the family should be taught
by the nurse how it should be administered. Out of the following
options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth
- correct answer- C.
Iron can be fatal in severe overdose and as a result, it should
be kept away from children. Also, do not give with dairy
products.
In autosomal recessive disease, both parents must be
hererozygous, or carriers of the recessive trait, for the disease
to be expressed in their offspring. If both parents are
heterozygous, what is the chance the baby to have the disease
as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - correct answer- C.
With each pregnancy, there is a 1:4 chance of the infant having
the disease.
PEDS & OB HESI 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
Monitoring for fetal position is important because the mother
cannot tell you she has back pain, which is the cardinal sign of
persistant posterior fetal position. Why do the regional blocks,
especially epidural and caudal, often result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - correct answer- D.
Regional blocks, especially epidural and caudal, often result in
assisted delivery due to inability to push effectively in the 2nd
stage.
Early detection of rheumatoid arthritis can decrease the amount
of bone and joint destruction and often the disease will go into
remission. What activity recommendations should the nurse
provide a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain
lessens
D. Perform exercises slowly and smoothly - correct answer- D.
A nurse should advise the client to perform exercises slowly
and smoothly so that no extra pain occurs
,2 | Page
A patient who is 32 weeks gestation has the following
symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid
abdomen and severe pain. What is the difference between
abruptio placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in
the third trimester
B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the
third trimester - correct answer- D.
The nurse must use knowledge base to diffferentiate betewwn
abruptia placentae from placenta previa.
A patient who is 32 weeks gestation is experiencing dark red
vaginal bleeding and the nurse determines the FHR to be 100
bpm and her abdomen is rigid and board like. What action
should the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - correct answer- A.
The nurse should immediately notify the healthcare provider
and no abdominal or vaginal manipulation or exams should be
done. Administer O2 per face mask and monitor for bleeding at
IV sites and gums due to the increased risk of DIC
,3 | Page
A nurse must use knowledge base to differentiate between
abruptio placentae from plaventa previa. What assessments
should be done in case of a patient suspected of abruptio
placentae or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased
risk of DIC - correct answer- D.
Patients with abruptio placentae or placventa previa should
have No abdominal or vaginal manipulation. No Leopold's
maneuvers. No vaginal exams. No rectal exams, enemas, or
suppositories. No internal monitoring
A patient suspected of abruptio placentae or placenta previa
should be monitorized for bleeding at IV sites and gums due to
increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - correct answer- A.
DIC is related to fetal demise, infection/sepis, pregnancy-
induced hypertension ( Preeclampsia) and abruptio placentae.
Cervical carcinoma is related to podophyllin
, 4 | Page
If a child is on oral iron medication, the family should be taught
by the nurse how it should be administered. Out of the following
options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth
- correct answer- C.
Iron can be fatal in severe overdose and as a result, it should
be kept away from children. Also, do not give with dairy
products.
In autosomal recessive disease, both parents must be
hererozygous, or carriers of the recessive trait, for the disease
to be expressed in their offspring. If both parents are
heterozygous, what is the chance the baby to have the disease
as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - correct answer- C.
With each pregnancy, there is a 1:4 chance of the infant having
the disease.
