Peds & OB HESI LATEST UPDATE
2025-2026 WITH QUESTIONS AND
WELL-DETAILLED ANSWERS
ALREADY A GRADED /PASS
,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
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
, 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
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.
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x
chromosome, therefore, usually affects male offspring. What is the chance for a
pregnant woman carrier her offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
2025-2026 WITH QUESTIONS AND
WELL-DETAILLED ANSWERS
ALREADY A GRADED /PASS
,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
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
, 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
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.
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x
chromosome, therefore, usually affects male offspring. What is the chance for a
pregnant woman carrier her offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
