OB HESI 2024 EXAM Q&A
1) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever? - Answer-D. Do you have a history of
rheumatic fever?
1) The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations
are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement. - Answer-D. Ask the client if she
has felt any fetal movement
1) A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Answer-A. Patellar reflex 4+
1) The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP
110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Answer-C. Monitor bleeding from IV sites
1) A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion?
,A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Answer-A. 3+ deep tendon reflexes and
hyperclonus
1) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action
should the nurse perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
D. Assess the infant's blood glucose level. - Answer-A. Initiate positive pressure
ventilation
1) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the nurse document in this
client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Answer-D. 3-1-1-0-3
1) The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess
the client for which condition?
A. Gestational diabetes.
B. Elevated blood pressure.
C. Urinary tract infection.
D. Swelling in lower extremities. - Answer-A. Gestational Diabetes
1) A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
A. Slowly increasing urinary output over the last week.
B. Respiratory rate changes from the 40s to the 60s.
C. Changes in apical heart rate from the 180s to the 140s.
D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl. - Answer-C. Changes in apical
heart rate from the 180's to the 140's
, 1) The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to pink
and then to white. The client asks, "What if I start having red bleeding after it changes?"
What should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
B. Go to bed and assume a knee-chest position.
C. Massage the uterus and go to the emergency room.
D. Do not worry as this is a normal occurrence. - Answer-A. Reduce activity level and
notify the healthcare provider.
1) A couple has been trying to conceive for nine months without success. Which
information obtained from the clients is most likely to have an impact
on the couple's ability to conceive a child?
A. Exercise regimen of both partners includes running four miles each morning.
B. History of having sexual intercourse 2 to 3 times per week.
C. The woman's menstrual period occurs every 35 days.
D. They use lubricants with each sexual encounter to decrease friction. - Answer-D.
They use lubricants with each sexual encounter to decrease friction
1) A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
A. April 25, 2007.
B. May 9, 2007.
C. May 29, 2007.
D. June 2, 2007. - Answer-B. May 9, 2007
1) A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important for
the nurse to obtain?
A. Gravidity and parity.
B. Time and amount of last oral intake.
C. Date of last normal menstrual period.
D. Frequency and intensity of contractions. - Answer-Date of last normal menstrual
period
1) The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
(Select all that apply.)
A. Litmus paper.
B. Fetal scalp electrode.
1) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever? - Answer-D. Do you have a history of
rheumatic fever?
1) The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations
are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement. - Answer-D. Ask the client if she
has felt any fetal movement
1) A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. - Answer-A. Patellar reflex 4+
1) The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP
110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. - Answer-C. Monitor bleeding from IV sites
1) A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion?
,A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. - Answer-A. 3+ deep tendon reflexes and
hyperclonus
1) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action
should the nurse perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
D. Assess the infant's blood glucose level. - Answer-A. Initiate positive pressure
ventilation
1) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the nurse document in this
client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. - Answer-D. 3-1-1-0-3
1) The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess
the client for which condition?
A. Gestational diabetes.
B. Elevated blood pressure.
C. Urinary tract infection.
D. Swelling in lower extremities. - Answer-A. Gestational Diabetes
1) A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
A. Slowly increasing urinary output over the last week.
B. Respiratory rate changes from the 40s to the 60s.
C. Changes in apical heart rate from the 180s to the 140s.
D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl. - Answer-C. Changes in apical
heart rate from the 180's to the 140's
, 1) The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to pink
and then to white. The client asks, "What if I start having red bleeding after it changes?"
What should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
B. Go to bed and assume a knee-chest position.
C. Massage the uterus and go to the emergency room.
D. Do not worry as this is a normal occurrence. - Answer-A. Reduce activity level and
notify the healthcare provider.
1) A couple has been trying to conceive for nine months without success. Which
information obtained from the clients is most likely to have an impact
on the couple's ability to conceive a child?
A. Exercise regimen of both partners includes running four miles each morning.
B. History of having sexual intercourse 2 to 3 times per week.
C. The woman's menstrual period occurs every 35 days.
D. They use lubricants with each sexual encounter to decrease friction. - Answer-D.
They use lubricants with each sexual encounter to decrease friction
1) A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
A. April 25, 2007.
B. May 9, 2007.
C. May 29, 2007.
D. June 2, 2007. - Answer-B. May 9, 2007
1) A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important for
the nurse to obtain?
A. Gravidity and parity.
B. Time and amount of last oral intake.
C. Date of last normal menstrual period.
D. Frequency and intensity of contractions. - Answer-Date of last normal menstrual
period
1) The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
(Select all that apply.)
A. Litmus paper.
B. Fetal scalp electrode.
