3/9/26, 8:02
AM
HESI EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
D A 30-year-old multiparous woman who has a 3-year-
old boy and a newborn girl tells the nurse, "My son is
so jealous of my daughter, I don't know how I'll ever
manage both children when I get home." How should the
nurse respond?
A. "Tell the older child that he is a big boy now and should
love his new sister."
B. "Ask friends and relatives not to bring gifts to the
older sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the
first six weeks to allow him to adjust to the newborn."
D. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time."
A A vaginally delivered infant of an HIV positive
mother is admitted to the newborn nursery. What
intervention should the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D.Administer vitamin K
A 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
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,3/9/26, 8:02
AM
A A pregnany client with mitral stenosis Class III is
prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is
best for the nurse to provide this client?
A. "Complete bedrest decreases oxygen needs and
demands on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only
way we can make sure that will happen."
C. "I know you're upset. Would you like to talk about
some things you could do while in bed?"
D. "Labor is difficult and you need to use this time to
rest before you have to assume all child-caring
duties."
CDF 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
C. A sterile glove
D.An amnihook
E. Sterile vaginal speculum
F. Lubricant
D The nurse is preparing to give an enema to a
laboring client. Which client requires the most
caution when carrying out this procedure?
A. A gravida 6. para 5 who is 38 years of age and in early
labor
B. A 37-week primigravida who presents at 100%
effacement, 3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation
and a 0 station admitted for induction of labor due to
post dates
D.A 40-week primigravida who is at 6 cm cervical
dilatation and the presenting part is not engaged
D A primigravida client who is 5 cm dilated, 90%
effaced, and at 0 station is requesting an epidural
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,3/9/26, 8:02
AM
for pain relief. Which assessment finding is most
important for the nurse to report to the
healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B.White blood cell count of 12,000/mm3
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D.A platelet count of 67,000/mm3
D The nurse is calculating the estimated date of
confinement (EDC) using Ngele's rule for a client whose
last menstrual period started on December 1. Which
date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8
https://quizlet.com/503438585/ob-hesi-practice-questions- 3/32
flash-cards/
, 3/9/26, 8:02
AM
ABC The nurse is performing a gestational age assessment
on a full-term newborn during the first hour of transition
using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a
maturity rating of 40-weeks. What findings should the
nurse identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm)
C. Frontal occipital circumference of 12.5 inches (31.25 cm)
D. Skin smooth with visible veins and abundant vernix
E. Anterior plantar crease and smooth heel surfaces
F. full flexion of all extremities in resting supine position
C The nurse is assessing the umbilical cord of a
newborn. Which finding constitutes a normal
finding?
A. Two vessels; one artery and one vein
B. Two vessels; two arteries and no veins
C. Three vessels; two arteries and one vein
D.Three vessels; two veins and one artery
A A full term infant is admitted to the newborn nursery.
After careful assessment, the nurse suspects that the
infant may have an esophageal atresia. Which
symptoms is this newborn likely to exhibit?
A. Choking, coughing, and cyanosis
B. Projectile vomiting and cyanosis
C. Apneic spells and grunting
D. Scaphoid abdomen and anorexia
A A women with Type 2 diabetes mellitus becomes
pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for
the nurse to implement?
A. Describe diet changes that can improve the
management of her diabetes
B. Inform the client that oral hypoglycemic agents
are teratogenic during pregnancy
https://quizlet.com/503438585/ob-hesi-practice-questions- 4/32
flash-cards/
AM
HESI EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
D A 30-year-old multiparous woman who has a 3-year-
old boy and a newborn girl tells the nurse, "My son is
so jealous of my daughter, I don't know how I'll ever
manage both children when I get home." How should the
nurse respond?
A. "Tell the older child that he is a big boy now and should
love his new sister."
B. "Ask friends and relatives not to bring gifts to the
older sibling because you do not want to spoil him."
C. "Let the older child stay with his grandparents for the
first six weeks to allow him to adjust to the newborn."
D. "Regression in behaviors in the older child is a typical
reaction so he needs attention at this time."
A A vaginally delivered infant of an HIV positive
mother is admitted to the newborn nursery. What
intervention should the nurse perform first?
A. Bathe the infant with an antimicrobial soap
B. Measure the head and chest circumference
C. Obtain the infant's footprints
D.Administer vitamin K
A 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
https://quizlet.com/503438585/ob-hesi-practice-questions- 1/32
flash-cards/
,3/9/26, 8:02
AM
A A pregnany client with mitral stenosis Class III is
prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is
best for the nurse to provide this client?
A. "Complete bedrest decreases oxygen needs and
demands on the heart muscle tissue."
B. "We want your baby to be healthy, and this is the only
way we can make sure that will happen."
C. "I know you're upset. Would you like to talk about
some things you could do while in bed?"
D. "Labor is difficult and you need to use this time to
rest before you have to assume all child-caring
duties."
CDF 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
C. A sterile glove
D.An amnihook
E. Sterile vaginal speculum
F. Lubricant
D The nurse is preparing to give an enema to a
laboring client. Which client requires the most
caution when carrying out this procedure?
A. A gravida 6. para 5 who is 38 years of age and in early
labor
B. A 37-week primigravida who presents at 100%
effacement, 3 cm dilatation, and a -1 station
C. A gravida 2, para 1 who is at 1 cm cervical dilatation
and a 0 station admitted for induction of labor due to
post dates
D.A 40-week primigravida who is at 6 cm cervical
dilatation and the presenting part is not engaged
D A primigravida client who is 5 cm dilated, 90%
effaced, and at 0 station is requesting an epidural
https://quizlet.com/503438585/ob-hesi-practice-questions- 2/32
flash-cards/
,3/9/26, 8:02
AM
for pain relief. Which assessment finding is most
important for the nurse to report to the
healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement
B.White blood cell count of 12,000/mm3
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D.A platelet count of 67,000/mm3
D The nurse is calculating the estimated date of
confinement (EDC) using Ngele's rule for a client whose
last menstrual period started on December 1. Which
date is most accurate?
A. August 1
B. August 10
C. September 3
D. September 8
https://quizlet.com/503438585/ob-hesi-practice-questions- 3/32
flash-cards/
, 3/9/26, 8:02
AM
ABC The nurse is performing a gestational age assessment
on a full-term newborn during the first hour of transition
using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a
maturity rating of 40-weeks. What findings should the
nurse identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)
A. Admission weight of 4 pounds, 15 ounces (2244 grams)
B. Head to heel length of 17 inches (42.5 cm)
C. Frontal occipital circumference of 12.5 inches (31.25 cm)
D. Skin smooth with visible veins and abundant vernix
E. Anterior plantar crease and smooth heel surfaces
F. full flexion of all extremities in resting supine position
C The nurse is assessing the umbilical cord of a
newborn. Which finding constitutes a normal
finding?
A. Two vessels; one artery and one vein
B. Two vessels; two arteries and no veins
C. Three vessels; two arteries and one vein
D.Three vessels; two veins and one artery
A A full term infant is admitted to the newborn nursery.
After careful assessment, the nurse suspects that the
infant may have an esophageal atresia. Which
symptoms is this newborn likely to exhibit?
A. Choking, coughing, and cyanosis
B. Projectile vomiting and cyanosis
C. Apneic spells and grunting
D. Scaphoid abdomen and anorexia
A A women with Type 2 diabetes mellitus becomes
pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for
the nurse to implement?
A. Describe diet changes that can improve the
management of her diabetes
B. Inform the client that oral hypoglycemic agents
are teratogenic during pregnancy
https://quizlet.com/503438585/ob-hesi-practice-questions- 4/32
flash-cards/
