2025 HESI OB Exam 1Questions with Complete Solutions-
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A client at 37 weeks gestation presents to labor and delivery with contractionsevery two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibitingsymptoms of which
condition?
German measles
herpes simplex virus
1. syphilis
genital warts
4. A client who had her first baby three months ago and is breastfeeding her infanttells the nurse that she is
currently using the same diaphragm that she used before becoming pregnant. Which information should the
nurse provide this client?
Use alternative form of birth control until new diaphragm can beobtained.
7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hourlabor. What is the priority
nursing action for this client?
Observe for signs of uterine hemorrhage
At 0600 while admitting a woman for a scheduled repeat cesarean section (C- Section),
the client tells the nurse that she drank a cup a coffee at 0400 because shewanted to avoid
getting a headache. Which action should the nurse take first?
Inform the anesthesia care provider
The nurse is caring for a postpartum client who is exhibiting symptoms of aspinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
, The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14ounces, has
a head circumference of 13 inches, and a chest circumference of 10 inches. Based on
these physical findings, assessment for which condition has the highest priority?
Hypoglycemia
9. 12.
the nurse is caring for a 35 week gestation infant delivered by cesarean section2 hours
ago. the nurse observes the infants respiratory rate is 72 breaths minute with nasal
flaring, grunting, and retractions. the nuse should recognize these finding indicate
which complication?
- B – transient tachypnea of the newborn (double check this answer)
13.
A primipara client at 42 weeks gestation is admitted for induction. within onehour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated,
contractions are occuring every 1 minute with a 75 second duration. whenurse stops the
oxytocin and starts oxygen. after 30 minutes of uterine rest, the contractions are
occuring every 5 minutes with 20 second duration. which intervention should the nurse
implement?
A primigravida arrives at the observation unit of the maternity unit because shethinks
she is in labor. the nurse applies the external fetal heart monitorand determines
A primigravida client with gestational hypertension and bishop score of 3 isscheduled
for induction of labor. the nurse administers misoprostol at 0700 then
100% Guaranteed Success
A client at 37 weeks gestation presents to labor and delivery with contractionsevery two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibitingsymptoms of which
condition?
German measles
herpes simplex virus
1. syphilis
genital warts
4. A client who had her first baby three months ago and is breastfeeding her infanttells the nurse that she is
currently using the same diaphragm that she used before becoming pregnant. Which information should the
nurse provide this client?
Use alternative form of birth control until new diaphragm can beobtained.
7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hourlabor. What is the priority
nursing action for this client?
Observe for signs of uterine hemorrhage
At 0600 while admitting a woman for a scheduled repeat cesarean section (C- Section),
the client tells the nurse that she drank a cup a coffee at 0400 because shewanted to avoid
getting a headache. Which action should the nurse take first?
Inform the anesthesia care provider
The nurse is caring for a postpartum client who is exhibiting symptoms of aspinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
, The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14ounces, has
a head circumference of 13 inches, and a chest circumference of 10 inches. Based on
these physical findings, assessment for which condition has the highest priority?
Hypoglycemia
9. 12.
the nurse is caring for a 35 week gestation infant delivered by cesarean section2 hours
ago. the nurse observes the infants respiratory rate is 72 breaths minute with nasal
flaring, grunting, and retractions. the nuse should recognize these finding indicate
which complication?
- B – transient tachypnea of the newborn (double check this answer)
13.
A primipara client at 42 weeks gestation is admitted for induction. within onehour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated,
contractions are occuring every 1 minute with a 75 second duration. whenurse stops the
oxytocin and starts oxygen. after 30 minutes of uterine rest, the contractions are
occuring every 5 minutes with 20 second duration. which intervention should the nurse
implement?
A primigravida arrives at the observation unit of the maternity unit because shethinks
she is in labor. the nurse applies the external fetal heart monitorand determines
A primigravida client with gestational hypertension and bishop score of 3 isscheduled
for induction of labor. the nurse administers misoprostol at 0700 then
