OB HESI Practice Exam
A primigravida at 12 weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which Immunizations should the nurse administer at this time?
(Select all that apply)
A. Tetanus
C. Diphtheria
E. Hepatitis B
A gravid client develops maternal hypotension following regional anesthesia. What
interventions should the nurse implement? (Select all that apply)
A. Administer oxygen
B. Increase IV fluids
E. Place the client in a lateral position
F. Monitor fetal status
A client at 29 weeks gestation with possible placental insufficiency is being prepared for
prenatal testing. Information about which diagnostic study should the nurse provide
information to the client?
A. amniocentesis
B. ultrasonography
C. chorionic villus sampling
D. maternal serum alpha-fetoprotein
The mother of a neonate asks the nurse why it is so important to keep the infant warm. What
information should the nurse provide?
A. kidneys and renal function are not fully developed
B. warmth promotes sleep so the infant will grow quickly
C. a large body surface area favors heat loss to the environment
D. thick layer of subcut fat is inadequate for insulation
The nurse observes a new mother avoiding eye contact with her newborn. Which action should
the nurse take?
A. ask mother why she won't look at infant
, B. observe the mother for other attachment behaviors
C. examine the newborns eyes for ability to focus
D. recognize this as a common reaction in new mothers
The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic infant. How
should the nurse document this finding?
A. acrocyanosis
B. mongolian spots
C. erythema toxicum
D. harlequin sign
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the
nurse implement?
A. maintain NPO
B. monitor temp
C. apply skin lotion as prescribed
D. change t-shirt every 3 hours
A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory
distress, tahcycardia, and a cutaneous rash. What nursing intervention should be implemented
first?
A. inform HCP
B. stop the transfusion
C. administer calcium gluconate
D. monitor VS electronically
The nurse assesses a high risk neonate under a radiant warmer who has an umbilical catheter
and identifies that the neonate's feet are blanched. What nursing action should be
implemented?
A. place socks on infant
B. elevate feet 15 degrees
C. wrap feet loosely in prewired blanket
D. report findings to HCP
, What nursing action should be implemented when intermittently gavage-feeding a preterm
infant?
A. allow formula to flow by gravity
B. avoid letting infant suck on tube
C. insert feeding tube through nares
D. apply steady pressure to syringe
Which nonpharmacologic interventions should the nurse implement to provide the most
effective response in decreasing procedural pain in a neonate?
A. tactile stimulation
B. commercial warm packs
C. skin to skin contact with parent
D. oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who was
delivered at 37 weeks gestation. What nursing action should be implemented first?
A. provide tactile stimulation
B. administer flow by 100% oxygen
C. assess the functionality of the monitoring device
D. evaluate the newborns color and respirations
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment
finding requires immediate intervention?
A. uterine cramping
B. abdominal tenderness
C. systolic bp <100 mmHg
D. intermittent nausea
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this client?
A. the client may have a bladder or kidney infection
B. bladder capacity increases during pregnancy
C. during pregnancy a woman is especially sensitive to body functions
D. the growing uterus is putting pressure on the bladder
A primigravida at 12 weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which Immunizations should the nurse administer at this time?
(Select all that apply)
A. Tetanus
C. Diphtheria
E. Hepatitis B
A gravid client develops maternal hypotension following regional anesthesia. What
interventions should the nurse implement? (Select all that apply)
A. Administer oxygen
B. Increase IV fluids
E. Place the client in a lateral position
F. Monitor fetal status
A client at 29 weeks gestation with possible placental insufficiency is being prepared for
prenatal testing. Information about which diagnostic study should the nurse provide
information to the client?
A. amniocentesis
B. ultrasonography
C. chorionic villus sampling
D. maternal serum alpha-fetoprotein
The mother of a neonate asks the nurse why it is so important to keep the infant warm. What
information should the nurse provide?
A. kidneys and renal function are not fully developed
B. warmth promotes sleep so the infant will grow quickly
C. a large body surface area favors heat loss to the environment
D. thick layer of subcut fat is inadequate for insulation
The nurse observes a new mother avoiding eye contact with her newborn. Which action should
the nurse take?
A. ask mother why she won't look at infant
, B. observe the mother for other attachment behaviors
C. examine the newborns eyes for ability to focus
D. recognize this as a common reaction in new mothers
The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic infant. How
should the nurse document this finding?
A. acrocyanosis
B. mongolian spots
C. erythema toxicum
D. harlequin sign
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the
nurse implement?
A. maintain NPO
B. monitor temp
C. apply skin lotion as prescribed
D. change t-shirt every 3 hours
A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory
distress, tahcycardia, and a cutaneous rash. What nursing intervention should be implemented
first?
A. inform HCP
B. stop the transfusion
C. administer calcium gluconate
D. monitor VS electronically
The nurse assesses a high risk neonate under a radiant warmer who has an umbilical catheter
and identifies that the neonate's feet are blanched. What nursing action should be
implemented?
A. place socks on infant
B. elevate feet 15 degrees
C. wrap feet loosely in prewired blanket
D. report findings to HCP
, What nursing action should be implemented when intermittently gavage-feeding a preterm
infant?
A. allow formula to flow by gravity
B. avoid letting infant suck on tube
C. insert feeding tube through nares
D. apply steady pressure to syringe
Which nonpharmacologic interventions should the nurse implement to provide the most
effective response in decreasing procedural pain in a neonate?
A. tactile stimulation
B. commercial warm packs
C. skin to skin contact with parent
D. oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who was
delivered at 37 weeks gestation. What nursing action should be implemented first?
A. provide tactile stimulation
B. administer flow by 100% oxygen
C. assess the functionality of the monitoring device
D. evaluate the newborns color and respirations
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment
finding requires immediate intervention?
A. uterine cramping
B. abdominal tenderness
C. systolic bp <100 mmHg
D. intermittent nausea
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this client?
A. the client may have a bladder or kidney infection
B. bladder capacity increases during pregnancy
C. during pregnancy a woman is especially sensitive to body functions
D. the growing uterus is putting pressure on the bladder
