ACTUAL FINAL HESI OB PEDS EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS 2025 GRADED A+
DETAILED ANSWERS CERTIFICATION TEST
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥ An off-duty nurse finds a woman in a supermarket parking lot
delivering an infant while her husband is screaming for someone to help
his wife. Which intervention has the highest priority?
A.Use thread to tie off the umbilical cord.
B.Provide privacy for the woman.
C.Reassure the husband and keep him calm.
D.Put the newborn to the breast immediately. Answer: D.Put the
newborn to the breast immediately.
Rationale: Putting the newborn to the breast will help contract the uterus
and prevent a postpartum hemorrhage. This intervention has the highest
priority. Option A is not necessary; the infant can be transported attached
,to the placenta. Option B is an important psychosocial need but does not
have the priority of option D. Although the husband is an important part
of family-centered care, he is not the most important concern at this
time.
⩥ The nurse calls a client who is 4 days postpartum to follow up about
her transition with her newborn son at home. The woman tells the nurse,
"I don't know what is wrong. I love my son, but I feel so let down. I
seem to cry for no reason!" Which adjustment phase should the nurse
determine the client is experiencing?
A.Taking-in phase
B.Postpartum blues
C.Attachment difficulty
D.Letting-go phase. Answer: B.Postpartum blues
Rationale: During the postpartum period, when serum hormone levels
fall, women are emotionally labile, often crying easily for no apparent
reason. This phase is commonly called postpartum blues, which peaks
around the fifth postpartum day. The taking-in phase is the period
following birth when the mother focuses on her own psychological
needs; typically, this period lasts for 24 hours. Crying is not a
maladaptive attachment response. It indicates a normal physical and
,emotional response. The letting-go phase is when the mother sees the
child as a separate individual.
⩥ Which findings are of most concern to the nurse when caring for a
woman in the first trimester of pregnancy? (Select all that apply.)
A.Cramping with bright red spotting
B.Extreme tenderness of the breast
C.Lack of tenderness of the breast
D.Increased amounts of discharge
E.Increased right-side flank pain. Answer: A.Cramping with bright red
spotting
C.Lack of tenderness of the breast
E.Increased right-side flank pain
Rationale: Options A and C are signs of a possible miscarriage.
Cramping with bright red bleeding is a sign that the client's menstrual
cycle is about to begin. A decrease of tenderness in the breast is a sign
that hormone levels have declined and that a miscarriage is imminent.
Option E could be a sign of an ectopic pregnancy, which could be fatal if
, not discovered in time before rupture. Options B and D are normal signs
during the first trimester of a pregnancy.
⩥ On admission to the prenatal clinic, a client tells the nurse that her last
menstrual period began on February 15 and that previously her periods
were regular (28-day cycle). Her pregnancy test is positive. What is this
client's expected date of birth (EDB)?
A.November 22
B.November 8
C.December 22
D.October 22. Answer: A.November 22
Rationale: Option A correctly applies the Nägele rule for estimating the
due date by counting back 3 months from the first day of the last
menstrual period (January, December, November) and adding 7 days (15
+ 7 = 22). Options B, C, and D are not calculated correctly.
⩥ A newborn infant, diagnosed with developmental dysplasia of the hip
(DDH), is being prepared for discharge. Which nursing intervention
should be included in this infant's discharge teaching plan?
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS 2025 GRADED A+
DETAILED ANSWERS CERTIFICATION TEST
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥ An off-duty nurse finds a woman in a supermarket parking lot
delivering an infant while her husband is screaming for someone to help
his wife. Which intervention has the highest priority?
A.Use thread to tie off the umbilical cord.
B.Provide privacy for the woman.
C.Reassure the husband and keep him calm.
D.Put the newborn to the breast immediately. Answer: D.Put the
newborn to the breast immediately.
Rationale: Putting the newborn to the breast will help contract the uterus
and prevent a postpartum hemorrhage. This intervention has the highest
priority. Option A is not necessary; the infant can be transported attached
,to the placenta. Option B is an important psychosocial need but does not
have the priority of option D. Although the husband is an important part
of family-centered care, he is not the most important concern at this
time.
⩥ The nurse calls a client who is 4 days postpartum to follow up about
her transition with her newborn son at home. The woman tells the nurse,
"I don't know what is wrong. I love my son, but I feel so let down. I
seem to cry for no reason!" Which adjustment phase should the nurse
determine the client is experiencing?
A.Taking-in phase
B.Postpartum blues
C.Attachment difficulty
D.Letting-go phase. Answer: B.Postpartum blues
Rationale: During the postpartum period, when serum hormone levels
fall, women are emotionally labile, often crying easily for no apparent
reason. This phase is commonly called postpartum blues, which peaks
around the fifth postpartum day. The taking-in phase is the period
following birth when the mother focuses on her own psychological
needs; typically, this period lasts for 24 hours. Crying is not a
maladaptive attachment response. It indicates a normal physical and
,emotional response. The letting-go phase is when the mother sees the
child as a separate individual.
⩥ Which findings are of most concern to the nurse when caring for a
woman in the first trimester of pregnancy? (Select all that apply.)
A.Cramping with bright red spotting
B.Extreme tenderness of the breast
C.Lack of tenderness of the breast
D.Increased amounts of discharge
E.Increased right-side flank pain. Answer: A.Cramping with bright red
spotting
C.Lack of tenderness of the breast
E.Increased right-side flank pain
Rationale: Options A and C are signs of a possible miscarriage.
Cramping with bright red bleeding is a sign that the client's menstrual
cycle is about to begin. A decrease of tenderness in the breast is a sign
that hormone levels have declined and that a miscarriage is imminent.
Option E could be a sign of an ectopic pregnancy, which could be fatal if
, not discovered in time before rupture. Options B and D are normal signs
during the first trimester of a pregnancy.
⩥ On admission to the prenatal clinic, a client tells the nurse that her last
menstrual period began on February 15 and that previously her periods
were regular (28-day cycle). Her pregnancy test is positive. What is this
client's expected date of birth (EDB)?
A.November 22
B.November 8
C.December 22
D.October 22. Answer: A.November 22
Rationale: Option A correctly applies the Nägele rule for estimating the
due date by counting back 3 months from the first day of the last
menstrual period (January, December, November) and adding 7 days (15
+ 7 = 22). Options B, C, and D are not calculated correctly.
⩥ A newborn infant, diagnosed with developmental dysplasia of the hip
(DDH), is being prepared for discharge. Which nursing intervention
should be included in this infant's discharge teaching plan?
