HESI OB PEDS EXAM 2026 TEST BANK
(REVISED) 2 VERSIONS EACH WITH
QUESTIONS WITH VERIFIED CORRECT
ANSWERS/A+ GRADE
A newborn with a respiratory rate of 40 breaths/minute at one minute after birth
is demonstrating cyanosis of the hands and feet. What actions should the nurse
take?
a. Assist with intubation.
b. Assess bowel sounds.
c. Rub the infant's back.
d. Continue to monitor. - Correct Answer-d. Continue to monitor.
Twelve hours after the birth of a healthy infant the mother complains of feeling
constant vaginal pressure. The nurse determines the fundus is firm, and at
midline, with moderate, rubra lochia. Which action should the nurse take?
a. Apply a fresh pad and check in one hour.
b. Inspect client's perineal and rectal areas.
c. Check the suprapubic area for distention.
d. Instruct the client to take a warm sitz bath. - Correct Answer-b. Inspect client's
perineal and rectal areas.
A client who is 24 weeks gestation arrives at the clinic reporting swollen hands.
On examination, the nurse notes the client has had a rapid weight gain over six
weeks. Which action should the nurse implement next?
a. Examine the client for pedal edema.
b. Observe and time the client's contractions.
c. Obtain the client's blood pressure
d. Review the previous blood pressure in the chart. - Correct Answer-c. Obtain the
client's blood pressure
1
,A primiparous woman presents in labor with the following labs: hemoglobin 10.9
g/dL (109 g/L), hematocrit 29% (0.29), hepatitis surface antigen positive, group B
Streptococcus positive, and rubella non-immune. Which intervention should the
nurse implement?
a. Transfuse two units of packed red blood cells.
b. Administer ampicillin 2 grams intravenously.
c. Inject hepatitis B immune globulin 0.5 mL.
d. Give measles, mumps, rubella vaccine 0.5 mL. - Correct Answer-a. Transfuse
two units of packed red blood cells.
The nurse working in an antepartal clinic measures a 38 cm fundal height on a
client who is at 30 weeks gestation by dates. Which action is most important for
the nurse to take?
a. Record the findings so that an on-going assessment can be properly evaluated.
b. Ask the client to return to the clinic next week for reassessment of fundal
height.
c. Obtain a prescription for an ultrasound and schedule it as soon as possible.
d. Explain to the client that this finding could indicate she has a twin pregnancy. -
Correct Answer-c. Obtain a prescription for an ultrasound and schedule it as soon
as possible.
The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 min after delivering a 7 pound
10 ounce infant. Which information should the nurse provide the client about this
finding?
a. Both the lower uterine segment and the fundus must be massaged.
b. The uterus should be firm to prevent intrauterine infection.
c. A firm uterus prevents the endometrial lining from being sloughed.
d. Clots may form inside a boggy uterus and need to be expelled. - Correct
Answer-a. Both the lower uterine segment and the fundus must be massaged.
A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant.
Which information should the nurse provide prior to discharge?
a. Continue prenatal vitamins with B12 while breastfeeding.
b. Avoid using lanolin-based nipple cream or ointment.
2
,c. Weight the baby weekly to evaluate the newborn's growth.
d. Offer iron-fortified supplemental formula daily. - Correct Answer-a. Continue
prenatal vitamins with B12 while breastfeeding.
A client at 34 weeks gestation comes to the birthing center complaining of vaginal
bleeding that began one hour ago. The nurse's assessment reveals approximately
30 mL of bright red vaginal bleeding, fetal heart rate of 130 to 140 beats/minute,
no contractions, and no complaints of pain. What is the most likely cause of this
client's bleeding?
a. Normal bloody shows indication of labor.
b. Placenta previa.
c. A ruptured blood vessel in the vaginal vault.
d. Abruptio placenta. - Correct Answer-b. Placenta previa.
A 38 week primigravida is admitted to labor and delivery after a non-reactive
result on a non-stress test (NST). The nurse begins a contraction stress test (CST)
with an oxytocin infusion. Which finding is most important for the nurse to report
to the healthcare provider?
a. Spontaneous rupture of membranes.
b. Absences of uterine contractions within 20 minutes.
c. A pattern of fetal late decelerations.
d. Fetal heart rate accelerations with fetal movement. - Correct Answer-c. A
pattern of fetal late decelerations.
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes,
reports that her insulin needs have decreased since the birth of her child. Which
action should the nurse implement?
a. Inform her that a decreased need for insulin occurs while breastfeeding.
b. Advise the client to breastfeed more frequently.
c. Counsel her to increase her caloric intake.
d. Schedule an appointment for the client with the diabetic nurse educator. -
Correct Answer-a. Inform her that a decreased need for insulin occurs while
breastfeeding.
Which fetal heart rate pattern requires immediate nursing intervention?
3
, a. An increase in the fetal heart rate to 180 that quickly returns to baseline.
b. A fetal heart rate deceleration that mirrors the contraction.
c. A decrease in the fetal heart rate that occurs after the peak of a contraction.
d. A fetal heart rate deceleration that occurs at the acme of the contraction. -
Correct Answer-c. A decrease in the fetal heart rate that occurs after the peak of a
contraction.
A multiparous client at 28 weeks gestation is admitted to labor and delivery with
a complaint of contractions 5 minutes apart. While the client is in the bathroom
changing into a hospital gown, the nurse hears the baby crying. Which action
should the nurse take first?
a. Push the call light for help.
b. Turn on the infant warmer.
c. Notify a healthcare provider.
d. Inspect the client's perineum. - Correct Answer-a. Push the call light for help.
The nurse is scheduling a client with gestational diabetes for an amniocentesis
because the fetus has an estimated weight of 8 pounds at 36 weeks gestation.
This amniocentesis is being performed to obtain which information?
a. Gender of the fetus.
b. Fetal lung maturity.
c. Presence of a neural tube defect.
d. Chromosomal abnormalities. - Correct Answer-b. Fetal lung maturity.
A multiparous client at 36 hours postpartum reports increased bleeding and
cramping. On examination, the nurse finds the uterine fundus 2 cm above the
umbilicus. Which action should the nurse take first?
a. Call the healthcare provider.
b. Administer ibuprofen 800 mg by mouth.
c. Encourage the client to void.
d. Increase the intravenous fluid to 150 mL/hour. - Correct Answer-a. Call the
healthcare provider.
The healthcare provider prescribes a maintenance dose of magnesium sulfate 2
grams per hour intravenously (IV) for client with preeclampsia. The IV bag
4
(REVISED) 2 VERSIONS EACH WITH
QUESTIONS WITH VERIFIED CORRECT
ANSWERS/A+ GRADE
A newborn with a respiratory rate of 40 breaths/minute at one minute after birth
is demonstrating cyanosis of the hands and feet. What actions should the nurse
take?
a. Assist with intubation.
b. Assess bowel sounds.
c. Rub the infant's back.
d. Continue to monitor. - Correct Answer-d. Continue to monitor.
Twelve hours after the birth of a healthy infant the mother complains of feeling
constant vaginal pressure. The nurse determines the fundus is firm, and at
midline, with moderate, rubra lochia. Which action should the nurse take?
a. Apply a fresh pad and check in one hour.
b. Inspect client's perineal and rectal areas.
c. Check the suprapubic area for distention.
d. Instruct the client to take a warm sitz bath. - Correct Answer-b. Inspect client's
perineal and rectal areas.
A client who is 24 weeks gestation arrives at the clinic reporting swollen hands.
On examination, the nurse notes the client has had a rapid weight gain over six
weeks. Which action should the nurse implement next?
a. Examine the client for pedal edema.
b. Observe and time the client's contractions.
c. Obtain the client's blood pressure
d. Review the previous blood pressure in the chart. - Correct Answer-c. Obtain the
client's blood pressure
1
,A primiparous woman presents in labor with the following labs: hemoglobin 10.9
g/dL (109 g/L), hematocrit 29% (0.29), hepatitis surface antigen positive, group B
Streptococcus positive, and rubella non-immune. Which intervention should the
nurse implement?
a. Transfuse two units of packed red blood cells.
b. Administer ampicillin 2 grams intravenously.
c. Inject hepatitis B immune globulin 0.5 mL.
d. Give measles, mumps, rubella vaccine 0.5 mL. - Correct Answer-a. Transfuse
two units of packed red blood cells.
The nurse working in an antepartal clinic measures a 38 cm fundal height on a
client who is at 30 weeks gestation by dates. Which action is most important for
the nurse to take?
a. Record the findings so that an on-going assessment can be properly evaluated.
b. Ask the client to return to the clinic next week for reassessment of fundal
height.
c. Obtain a prescription for an ultrasound and schedule it as soon as possible.
d. Explain to the client that this finding could indicate she has a twin pregnancy. -
Correct Answer-c. Obtain a prescription for an ultrasound and schedule it as soon
as possible.
The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 min after delivering a 7 pound
10 ounce infant. Which information should the nurse provide the client about this
finding?
a. Both the lower uterine segment and the fundus must be massaged.
b. The uterus should be firm to prevent intrauterine infection.
c. A firm uterus prevents the endometrial lining from being sloughed.
d. Clots may form inside a boggy uterus and need to be expelled. - Correct
Answer-a. Both the lower uterine segment and the fundus must be massaged.
A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant.
Which information should the nurse provide prior to discharge?
a. Continue prenatal vitamins with B12 while breastfeeding.
b. Avoid using lanolin-based nipple cream or ointment.
2
,c. Weight the baby weekly to evaluate the newborn's growth.
d. Offer iron-fortified supplemental formula daily. - Correct Answer-a. Continue
prenatal vitamins with B12 while breastfeeding.
A client at 34 weeks gestation comes to the birthing center complaining of vaginal
bleeding that began one hour ago. The nurse's assessment reveals approximately
30 mL of bright red vaginal bleeding, fetal heart rate of 130 to 140 beats/minute,
no contractions, and no complaints of pain. What is the most likely cause of this
client's bleeding?
a. Normal bloody shows indication of labor.
b. Placenta previa.
c. A ruptured blood vessel in the vaginal vault.
d. Abruptio placenta. - Correct Answer-b. Placenta previa.
A 38 week primigravida is admitted to labor and delivery after a non-reactive
result on a non-stress test (NST). The nurse begins a contraction stress test (CST)
with an oxytocin infusion. Which finding is most important for the nurse to report
to the healthcare provider?
a. Spontaneous rupture of membranes.
b. Absences of uterine contractions within 20 minutes.
c. A pattern of fetal late decelerations.
d. Fetal heart rate accelerations with fetal movement. - Correct Answer-c. A
pattern of fetal late decelerations.
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes,
reports that her insulin needs have decreased since the birth of her child. Which
action should the nurse implement?
a. Inform her that a decreased need for insulin occurs while breastfeeding.
b. Advise the client to breastfeed more frequently.
c. Counsel her to increase her caloric intake.
d. Schedule an appointment for the client with the diabetic nurse educator. -
Correct Answer-a. Inform her that a decreased need for insulin occurs while
breastfeeding.
Which fetal heart rate pattern requires immediate nursing intervention?
3
, a. An increase in the fetal heart rate to 180 that quickly returns to baseline.
b. A fetal heart rate deceleration that mirrors the contraction.
c. A decrease in the fetal heart rate that occurs after the peak of a contraction.
d. A fetal heart rate deceleration that occurs at the acme of the contraction. -
Correct Answer-c. A decrease in the fetal heart rate that occurs after the peak of a
contraction.
A multiparous client at 28 weeks gestation is admitted to labor and delivery with
a complaint of contractions 5 minutes apart. While the client is in the bathroom
changing into a hospital gown, the nurse hears the baby crying. Which action
should the nurse take first?
a. Push the call light for help.
b. Turn on the infant warmer.
c. Notify a healthcare provider.
d. Inspect the client's perineum. - Correct Answer-a. Push the call light for help.
The nurse is scheduling a client with gestational diabetes for an amniocentesis
because the fetus has an estimated weight of 8 pounds at 36 weeks gestation.
This amniocentesis is being performed to obtain which information?
a. Gender of the fetus.
b. Fetal lung maturity.
c. Presence of a neural tube defect.
d. Chromosomal abnormalities. - Correct Answer-b. Fetal lung maturity.
A multiparous client at 36 hours postpartum reports increased bleeding and
cramping. On examination, the nurse finds the uterine fundus 2 cm above the
umbilicus. Which action should the nurse take first?
a. Call the healthcare provider.
b. Administer ibuprofen 800 mg by mouth.
c. Encourage the client to void.
d. Increase the intravenous fluid to 150 mL/hour. - Correct Answer-a. Call the
healthcare provider.
The healthcare provider prescribes a maintenance dose of magnesium sulfate 2
grams per hour intravenously (IV) for client with preeclampsia. The IV bag
4
