HESI RN OB Questions and Correct Answers
Review/ RN HESI OB Obstetrics Exam Prep
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a
home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that
the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
1
, b. joint pain
c. a persistent cold
d. organomegaly
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood
pressure drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant parents, the nurse plans to include information about when
the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month
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
2
Review/ RN HESI OB Obstetrics Exam Prep
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a
home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that
the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
1
, b. joint pain
c. a persistent cold
d. organomegaly
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood
pressure drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant parents, the nurse plans to include information about when
the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month
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
2
