OB final exam & HESI 2026 Questions
and Answers
The nurse should be concerned after the assessment finding on what during a
magnesium sulfate infusion for preeclampsia?
A. a sleepy, sedated effect
B. a respiratory rate of 10 bpm
C. DTR of 2+
D. absence of ankle clonus - Correct answer-B should alert the nurse for
respiratory depression. The other findings are considered normal.
the most common medical complication of pregnancy - Correct answer-
hypertension
preeclampsia results in what - Correct answer-decreased function of organs
(placenta, liver, kidneys, brain) due to vasospasms diminishing the diameter of
blood vessels .
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,a woman being treated with magnesium sulfate should be considered to be treated
successfully if... - Correct answer-no seizures occur
Mag is a CNS depressant, NOT an antihypertensive medication
antidote for magnesium sulfate - Correct answer-calcium gluconate
HELLP syndrome - Correct answer-Hemolysis
Elevated Liver enzymes
Low Platelets
A pregnant woman who is at 21 weeks of gestation has an elevated blood pressure
of 140/98. Past medical history reveals that the woman has been treated for
hypertension. On the basis of this information, the nurse would classify this patient
as having: - Correct answer-superimposed preeclampsia
positive ankle clonus indicates... - Correct answer-hyperactivity and is a cause for
concern
which antihypertensive medication would cause a pregnant woman to have a false
positive Coombs test? - Correct answer-methyldopa (aldomet)
lab values for preeclampsia - Correct answer-elevated hemoglobin
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,elevated LDH
decreased platelets (below 100,000)
increased BUN
the most important cause of perinatal loss in diabetic pregnancy is... - Correct
answer-congenital malformations
hypothyroidism in mother could cause - Correct answer-miscarriage
preeclampsia and hypertension
placental abruption
stillbirth
low birth weight, premature
A patient who is pregnant already has Type 2 diabetes with a hemoglobin A1c
value of 7. The nurse would categorize this patient as having: - Correct answer-
pregestational DM
priority assessment for pregnant woman experiencing nausea and vomiting -
Correct answer-ketonuria
A pregnant woman has maternal phenylketonuria (PKU) and is interested in
whether or not she will be able to breastfeed her baby. Which reaction by the nurse
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, indicates accurate information? - Correct answer-the patient should be advised to
not breastfeed the infant because her breast milk will contain large amounts of
phenylalanine
what interventions would the nurse anticipate to be ordered by the physician for a
patient in a thyroid storm during delivery? - Correct answer-administer oxygen
antipyretics
PTU
preeclampsia protein levels - Correct answer-mild: 1+ on dipstick (0.3-2 g/24
hours)
severe: 3+ dipstick (more than 5 g/24 hr)
mag toxicity - Correct answer-flushing
sweating
hypotension
depressed DTR
respiratory depression
creatinine levels of severe preeclampsia - Correct answer-elevated (above 1.2)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
and Answers
The nurse should be concerned after the assessment finding on what during a
magnesium sulfate infusion for preeclampsia?
A. a sleepy, sedated effect
B. a respiratory rate of 10 bpm
C. DTR of 2+
D. absence of ankle clonus - Correct answer-B should alert the nurse for
respiratory depression. The other findings are considered normal.
the most common medical complication of pregnancy - Correct answer-
hypertension
preeclampsia results in what - Correct answer-decreased function of organs
(placenta, liver, kidneys, brain) due to vasospasms diminishing the diameter of
blood vessels .
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,a woman being treated with magnesium sulfate should be considered to be treated
successfully if... - Correct answer-no seizures occur
Mag is a CNS depressant, NOT an antihypertensive medication
antidote for magnesium sulfate - Correct answer-calcium gluconate
HELLP syndrome - Correct answer-Hemolysis
Elevated Liver enzymes
Low Platelets
A pregnant woman who is at 21 weeks of gestation has an elevated blood pressure
of 140/98. Past medical history reveals that the woman has been treated for
hypertension. On the basis of this information, the nurse would classify this patient
as having: - Correct answer-superimposed preeclampsia
positive ankle clonus indicates... - Correct answer-hyperactivity and is a cause for
concern
which antihypertensive medication would cause a pregnant woman to have a false
positive Coombs test? - Correct answer-methyldopa (aldomet)
lab values for preeclampsia - Correct answer-elevated hemoglobin
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,elevated LDH
decreased platelets (below 100,000)
increased BUN
the most important cause of perinatal loss in diabetic pregnancy is... - Correct
answer-congenital malformations
hypothyroidism in mother could cause - Correct answer-miscarriage
preeclampsia and hypertension
placental abruption
stillbirth
low birth weight, premature
A patient who is pregnant already has Type 2 diabetes with a hemoglobin A1c
value of 7. The nurse would categorize this patient as having: - Correct answer-
pregestational DM
priority assessment for pregnant woman experiencing nausea and vomiting -
Correct answer-ketonuria
A pregnant woman has maternal phenylketonuria (PKU) and is interested in
whether or not she will be able to breastfeed her baby. Which reaction by the nurse
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, indicates accurate information? - Correct answer-the patient should be advised to
not breastfeed the infant because her breast milk will contain large amounts of
phenylalanine
what interventions would the nurse anticipate to be ordered by the physician for a
patient in a thyroid storm during delivery? - Correct answer-administer oxygen
antipyretics
PTU
preeclampsia protein levels - Correct answer-mild: 1+ on dipstick (0.3-2 g/24
hours)
severe: 3+ dipstick (more than 5 g/24 hr)
mag toxicity - Correct answer-flushing
sweating
hypotension
depressed DTR
respiratory depression
creatinine levels of severe preeclampsia - Correct answer-elevated (above 1.2)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
