HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an
axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additional
finding should the PN observe in the newborn? - (ANSWER)Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents about the purpose of instilling
erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - (ANSWER)Prophylactic treatment
for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal infection? -
(ANSWER)Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean section. On the
second postpartum day, the client reports having a constipated stool that is greenish-black in color.
Which action should the practical nurse (PN) implement? - (ANSWER)Record color and consistency of
the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She asks
what she should be concerned about during the weeks before her first visit. Which signs and symptoms
should the practical nurse (PN) tell the client to report immediately to the healthcare provider? (select
all that apply) - (ANSWER)A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6
pound and 15 ounces. Which action should the practical nurse take? - (ANSWER)Document the weight
loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
(ANSWER)Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurse
implement at this time? - (ANSWER)Assess the fetal heart rate (FHR) and pattern.
,HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just
given birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is most
important for the PN to implement? - (ANSWER)Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? - (ANSWER)A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-ounce
newborn and determines the client's bladder is distended. Which additional finding should the PN
report to the charge nurse? - (ANSWER)Excessive bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 F
under the radiant heat warmer. Which rationale supports the PN's action? - (ANSWER)The newborn's
thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a client
during the first postpartum week? - (ANSWER)Implement strict medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin (RhoGam) after delivery? -
(ANSWER)The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain
to a client in the first trimester? (Select all that apply.) - (ANSWER)A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health clinic
for a prenatal appointment. The client's weight today is 129 pounds. What action should the practical
nurse (PN) implement? - (ANSWER)Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
preeclampsia. Which information is most important for the PN reinforce with the client? -
(ANSWER)Notify the clinic if any vision changes are experienced.
,HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle collision (MVC).
The client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client? - (ANSWER)Obtain a biophysical
profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going into labor soon?"
Which sign should the PN provide that is a common sign? - (ANSWER)Burst of energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)
she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm and
in early labor. What action should the practical nurse (PN) implement when the client groans with each
contraction? - (ANSWER)Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep every day.
What information should the PN provide? - (ANSWER)A newborn sleeps most of the day and gradually
will have increasing periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU) test is
positive. What type of treatment should the PN tell the mother will be required? - (ANSWER)Lifelong
dietary management.
The practical nurse (PN) is discussing aspects of newborn hygiene with the new parents as they prepare
for discharge. Which information should the PN provide? - (ANSWER)Create a draft-free environment
when bathing the baby.
A mother who is preparing for discharge begins asking the practical nurse (PN) questions about bottle
feeding her infant. What information should the PN reinforce? - (ANSWER)Burp the newborn
periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What action is
most important for the practical nurse (PN) to implement? - (ANSWER)Monitor for signs of
hypoglycemia.
, HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
A young adult female comes to the health clinic to confirm a positive home pregnancy test. After
determining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB)
should the practical nurse (PN) calculate? - (ANSWER)May 12
The practical nurse (PN) quickly moves the crib of a male newborn and notices that his legs flex. arms
fan out, and then return toward his midline. What action should the PN implement? -
(ANSWER)Document the newborn demonstrates a Moro reflex.
Which finding for a 2-week-old infant should the practical nurse (PN) report to the healthcare provider?
- (ANSWER)Yellowish tinge around the eyes.
Which intervention should the practical nurse (PN) provide a neonate during hospitalization? -
(ANSWER)Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which information should the
practical nurse (PN) provide? - (ANSWER)Physiologic jaundice occurs from a normal reduction in red
blood cells.
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst - (ANSWER)Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation becomes marginal despite compensatory
adjustments, and the signs of decompensated shock become pronounced, such as tachycardia and
narrowing pulse pressure (A). (The difference between systolic and diastolic blood pressure), which
should be reported immediately. (B,C, and D) are not as significant as (A).
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an
axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additional
finding should the PN observe in the newborn? - (ANSWER)Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents about the purpose of instilling
erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - (ANSWER)Prophylactic treatment
for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal infection? -
(ANSWER)Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean section. On the
second postpartum day, the client reports having a constipated stool that is greenish-black in color.
Which action should the practical nurse (PN) implement? - (ANSWER)Record color and consistency of
the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She asks
what she should be concerned about during the weeks before her first visit. Which signs and symptoms
should the practical nurse (PN) tell the client to report immediately to the healthcare provider? (select
all that apply) - (ANSWER)A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6
pound and 15 ounces. Which action should the practical nurse take? - (ANSWER)Document the weight
loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? -
(ANSWER)Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurse
implement at this time? - (ANSWER)Assess the fetal heart rate (FHR) and pattern.
,HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just
given birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is most
important for the PN to implement? - (ANSWER)Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? - (ANSWER)A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-ounce
newborn and determines the client's bladder is distended. Which additional finding should the PN
report to the charge nurse? - (ANSWER)Excessive bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 F
under the radiant heat warmer. Which rationale supports the PN's action? - (ANSWER)The newborn's
thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a client
during the first postpartum week? - (ANSWER)Implement strict medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin (RhoGam) after delivery? -
(ANSWER)The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain
to a client in the first trimester? (Select all that apply.) - (ANSWER)A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health clinic
for a prenatal appointment. The client's weight today is 129 pounds. What action should the practical
nurse (PN) implement? - (ANSWER)Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
preeclampsia. Which information is most important for the PN reinforce with the client? -
(ANSWER)Notify the clinic if any vision changes are experienced.
,HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle collision (MVC).
The client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client? - (ANSWER)Obtain a biophysical
profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going into labor soon?"
Which sign should the PN provide that is a common sign? - (ANSWER)Burst of energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)
she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm and
in early labor. What action should the practical nurse (PN) implement when the client groans with each
contraction? - (ANSWER)Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep every day.
What information should the PN provide? - (ANSWER)A newborn sleeps most of the day and gradually
will have increasing periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU) test is
positive. What type of treatment should the PN tell the mother will be required? - (ANSWER)Lifelong
dietary management.
The practical nurse (PN) is discussing aspects of newborn hygiene with the new parents as they prepare
for discharge. Which information should the PN provide? - (ANSWER)Create a draft-free environment
when bathing the baby.
A mother who is preparing for discharge begins asking the practical nurse (PN) questions about bottle
feeding her infant. What information should the PN reinforce? - (ANSWER)Burp the newborn
periodically during the feeding.
An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What action is
most important for the practical nurse (PN) to implement? - (ANSWER)Monitor for signs of
hypoglycemia.
, HESI OB PEDS EXAM QUESTIONS AND ANSWERS 2025
A young adult female comes to the health clinic to confirm a positive home pregnancy test. After
determining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB)
should the practical nurse (PN) calculate? - (ANSWER)May 12
The practical nurse (PN) quickly moves the crib of a male newborn and notices that his legs flex. arms
fan out, and then return toward his midline. What action should the PN implement? -
(ANSWER)Document the newborn demonstrates a Moro reflex.
Which finding for a 2-week-old infant should the practical nurse (PN) report to the healthcare provider?
- (ANSWER)Yellowish tinge around the eyes.
Which intervention should the practical nurse (PN) provide a neonate during hospitalization? -
(ANSWER)Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which information should the
practical nurse (PN) provide? - (ANSWER)Physiologic jaundice occurs from a normal reduction in red
blood cells.
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst - (ANSWER)Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation becomes marginal despite compensatory
adjustments, and the signs of decompensated shock become pronounced, such as tachycardia and
narrowing pulse pressure (A). (The difference between systolic and diastolic blood pressure), which
should be reported immediately. (B,C, and D) are not as significant as (A).
