HESI RN OB
NEW FILE TESTED 2022
55 Questions & Answers
, 1. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visist,. Which assessment
finding
is important for the nurse to report to the hcp?
D. Weight gain of 7 pounds
2. A newborn infant is receiving immunization prior to discharge. Which action should the nurse
implement?
D. Obtain signed consent from the mother for administration of hepatitis B vaccine
3. A multiparous woman at 38-weeks gestation with a history of rapid progression of labor is admitted
for induction due to signs and symptoms of preeclampsia. One hour after the Pitocin infusion is
initiated, she complains of a headache. Her contractions are occurring every 1 to 2 minutes, lasting 60 to
75 seconds, and a vaginal exam indicates that her cervix is 90% effaced and dialted to 6 cm. What
intervention is most important for the nurse to implement?
C. Prepare for immediate delivery
4. Which topic is most important for the nurse to include in a nutrition teaching program for pregnant
teenagers?
B. Iron-deficieny anemia
5. The nurse is assessing a 38- week gestation newborn infant immediately following a vaginal birth.
Which assessment finding best indicates that the infant is transitioning well to extra-uterine life?
B. Cries vigorously when stimulated
6. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heartrate
pattern that falls and rises abruptly with a “V” shaped appearance. What action should the nurse take
first?
D. Change the maternal position
7. A 32- week primigravida who is in preterm labor receives a prescription for an infusion of D5W 500 ml
with magnesium sulfate 20 grams at 1 gram/hour. How many ml/hour should the nurse program the
infusion pump?
ANS: 25 ml
8. During the admission of a newborn, the nurse identifies a localized swelling that does not cross the
suture line on the posterior area of the parietal bone. What action should the nurse implement?
D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT CROSS THE SL & IS MORE
CRITICAL)
NEW FILE TESTED 2022
55 Questions & Answers
, 1. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visist,. Which assessment
finding
is important for the nurse to report to the hcp?
D. Weight gain of 7 pounds
2. A newborn infant is receiving immunization prior to discharge. Which action should the nurse
implement?
D. Obtain signed consent from the mother for administration of hepatitis B vaccine
3. A multiparous woman at 38-weeks gestation with a history of rapid progression of labor is admitted
for induction due to signs and symptoms of preeclampsia. One hour after the Pitocin infusion is
initiated, she complains of a headache. Her contractions are occurring every 1 to 2 minutes, lasting 60 to
75 seconds, and a vaginal exam indicates that her cervix is 90% effaced and dialted to 6 cm. What
intervention is most important for the nurse to implement?
C. Prepare for immediate delivery
4. Which topic is most important for the nurse to include in a nutrition teaching program for pregnant
teenagers?
B. Iron-deficieny anemia
5. The nurse is assessing a 38- week gestation newborn infant immediately following a vaginal birth.
Which assessment finding best indicates that the infant is transitioning well to extra-uterine life?
B. Cries vigorously when stimulated
6. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heartrate
pattern that falls and rises abruptly with a “V” shaped appearance. What action should the nurse take
first?
D. Change the maternal position
7. A 32- week primigravida who is in preterm labor receives a prescription for an infusion of D5W 500 ml
with magnesium sulfate 20 grams at 1 gram/hour. How many ml/hour should the nurse program the
infusion pump?
ANS: 25 ml
8. During the admission of a newborn, the nurse identifies a localized swelling that does not cross the
suture line on the posterior area of the parietal bone. What action should the nurse implement?
D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT CROSS THE SL & IS MORE
CRITICAL)
