Nursing MISC OB Hesi Questions & Answers
Latest 2021
1. The nurse is planning discharge teaching for a client who had an
evacuation of gestational trophoblastic disease (GTD) two days ago.
Which information is most important for the nurse to include in this
client’s teaching plan?
Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory distress
syndrome?
Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus
of a multiparous client whose uterine tone is boggy 15 minutes after
delivering a 7 pound 10 ounce infant. Which information should the nurse
provide the client about this finding?
Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of
8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse
encourage this client to include in her diet?
Chicken.
5. The newborn nursery admission protocol includes a prescription for
phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns
upon admission. The ampoule provides 2 mg/ml. How many ml should the
nurse administer?
0.3
6. The nurse is preparing to administer methylergonovine maleate (Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140 beats/minute and the contractions
are occurring irregularly every 10 to 15 minutes. What assessment finding
confirms to the nurse that the client is not labor at this time?
Contractions decrease with walking.
This study source was downloaded by 100000802531269 from CourseHero.com on 03-26-2022 17:41:04 GMT -05:00
https://www.coursehero.com/file/61494592/OB-Hesi-Questionspdf/
, 8. A breastfeeding infant, screened for congenital hypothyroidism, is found to
have low levels of thyroxine (T4) and high levels of thyroid stimulating
hormone (TSH). What is the best explanation for this finding? The TSH is
high because of the low production of T4 by the thyroid.
9. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly
turns cyanotic. What should the nurse do first?
Stimulate the infant to cry.
10. At 6-weeks gestation, the rubella titer of a client indicates she is non-
immune. When is the best time to administer a rubella vaccine to this
client?
Early postpartum, within 72 hours of delivery.
11. A client is receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion
rate is increased?
Contraction pattern.
12. One day after vaginal delivery of a full-term baby, a postpartum
client’s white blood cell count is 15,000/mm3. What action should
the nurse take first?
Check the differential, since the WBC is normal for this client.
This study source was downloaded by 100000802531269 from CourseHero.com on 03-26-2022 17:41:04 GMT -05:00
https://www.coursehero.com/file/61494592/OB-Hesi-Questionspdf/
Latest 2021
1. The nurse is planning discharge teaching for a client who had an
evacuation of gestational trophoblastic disease (GTD) two days ago.
Which information is most important for the nurse to include in this
client’s teaching plan?
Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory distress
syndrome?
Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus
of a multiparous client whose uterine tone is boggy 15 minutes after
delivering a 7 pound 10 ounce infant. Which information should the nurse
provide the client about this finding?
Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of
8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse
encourage this client to include in her diet?
Chicken.
5. The newborn nursery admission protocol includes a prescription for
phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns
upon admission. The ampoule provides 2 mg/ml. How many ml should the
nurse administer?
0.3
6. The nurse is preparing to administer methylergonovine maleate (Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140 beats/minute and the contractions
are occurring irregularly every 10 to 15 minutes. What assessment finding
confirms to the nurse that the client is not labor at this time?
Contractions decrease with walking.
This study source was downloaded by 100000802531269 from CourseHero.com on 03-26-2022 17:41:04 GMT -05:00
https://www.coursehero.com/file/61494592/OB-Hesi-Questionspdf/
, 8. A breastfeeding infant, screened for congenital hypothyroidism, is found to
have low levels of thyroxine (T4) and high levels of thyroid stimulating
hormone (TSH). What is the best explanation for this finding? The TSH is
high because of the low production of T4 by the thyroid.
9. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly
turns cyanotic. What should the nurse do first?
Stimulate the infant to cry.
10. At 6-weeks gestation, the rubella titer of a client indicates she is non-
immune. When is the best time to administer a rubella vaccine to this
client?
Early postpartum, within 72 hours of delivery.
11. A client is receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion
rate is increased?
Contraction pattern.
12. One day after vaginal delivery of a full-term baby, a postpartum
client’s white blood cell count is 15,000/mm3. What action should
the nurse take first?
Check the differential, since the WBC is normal for this client.
This study source was downloaded by 100000802531269 from CourseHero.com on 03-26-2022 17:41:04 GMT -05:00
https://www.coursehero.com/file/61494592/OB-Hesi-Questionspdf/
