HESI OB 2021
1) 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 LPN/LVN 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?
C. Increase the rate of IV fluids.
2) During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have
D. a higher rate of congenital anomalies.
3) Which action should the LPN/LVN implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take
immediately?
D. Call the healthcare provider to question the prescription.
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
LPN/LVN to ask this client?
D. Do you have a history of rheumatic fever?
12) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical
heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action should
the LPN/LVN perform next?
A. Initiate positive pressure ventilation
, 13) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the LPN/LVN document in
this client's record?
D. 3-1-1-0-3.
16)The nurse is providing discharge teaching for a client who is 24 hours postpartum. The
nurse explains to the client that her vaginal discharge will change from red to pink and
then to white. The client asks, "What if I start having red bleeding after it changes?" What
should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
18) A pregnant client tells the LPN/LVN that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
B. May 9, 2007.
20) The LPN/LVN is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
(Select all that apply.)
C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
21) The LPN/LVN should explain to a 30-year-old gravida client that alpha fetoprotein
testing is recommended for which purpose?
B. Screen for neural tube defects.
25) A 38-week primigravida who works as a secretary and sits at a computer 8 hours each
day tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling of blood in the lower extremities?
C. Move about every hour.
26) During a prenatal visit, the nurse discusses with a client the effects of smoking on the
fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have:
B. lower birth weight
1) 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 LPN/LVN 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?
C. Increase the rate of IV fluids.
2) During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have
D. a higher rate of congenital anomalies.
3) Which action should the LPN/LVN implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take
immediately?
D. Call the healthcare provider to question the prescription.
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
LPN/LVN to ask this client?
D. Do you have a history of rheumatic fever?
12) Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical
heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What action should
the LPN/LVN perform next?
A. Initiate positive pressure ventilation
, 13) A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her
childbearing history, the client indicates that she has delivered premature twins, one full-
term baby, and has had no abortions. Which GTPAL should the LPN/LVN document in
this client's record?
D. 3-1-1-0-3.
16)The nurse is providing discharge teaching for a client who is 24 hours postpartum. The
nurse explains to the client that her vaginal discharge will change from red to pink and
then to white. The client asks, "What if I start having red bleeding after it changes?" What
should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
18) A pregnant client tells the LPN/LVN that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
B. May 9, 2007.
20) The LPN/LVN is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's bedside?
(Select all that apply.)
C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
21) The LPN/LVN should explain to a 30-year-old gravida client that alpha fetoprotein
testing is recommended for which purpose?
B. Screen for neural tube defects.
25) A 38-week primigravida who works as a secretary and sits at a computer 8 hours each
day tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling of blood in the lower extremities?
C. Move about every hour.
26) During a prenatal visit, the nurse discusses with a client the effects of smoking on the
fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to
produce infants who have:
B. lower birth weight
