HESI OB RETAKE 2023- 2024 QUESTIONS WITH CORRECT ANSWERS
Vaginal examinations reveal that a laboring client cervix is dilated 2cm, 70% effaced, with presenting part at -2
station. The client tells the nurse " I need my epidural now! This hurts!" The nurse response to the client should be
based on which information.
ANSWER Administering an epidural at this point would slow the labor process.
The client will need to be catheterized before the epidural can be administered. A client who is HIV+ is receiving
zidovudine during labor. Which information should the nurse provide to the client?
ANSWER This treatment helps prevent transmission of the virus to the fetus.
A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm). The nurse
notes that this infant has no molding, and was at breech presentation delivery by c section. What action should the
nurse take based on these data?
ANSWER Record the finding on the chart. They are within normal limits.
A three hour old newborn of a gestational diabetic mother who is asymptomatic and successful breastfed after birth,
heel stick glucose level is 36 mg/dL. Which intervention should the nurse do first?
ANSWER Assist the mother to breastfeed the infant
The nurse is caring for a female client, a primigravida with preeclampsia. Finding include +2 proteinuria, BP 172/112
mmHg, Facial and hand sweating, complaints of blurry vision, and a severe frontal headache. Which medication
should the nurse anticipate for this client?
ANSWER Magnesium sulfate
When planning care for a laboring client, the nurse identifies the need to withhold solid foods while the client is in
labor. What is the most important reason for this nursing intervention?
ANSWER An increase risk for aspiration can occur if general analgesic is needed.
Which action should the nurse take if an infant, who wa born yesterday weighing 7.5 lbs
, ANSWER Inform and assure the mother that this is normal weight loss.
A client at 20 week gestation comes to the antepartum clinic complaining of vaginal warts. HPV What information
should the nurse provide?
ANSWER The client should be treated with acyclovir.
At 34 weeks gestation, a primigravida is assessing at her bimonthly clinic visit. Which assessment finding is important
for the nurse to report to the HCP.
ANSWER Weight gain of 7 lbs
A client in preterm labor has had an infusion of magnesium sulfate running 8 hrs. Current assessment finding are: RR
14 bpm, UOP 24
ANSWER The finding indicate potential toxicity to magnesium sulfate and close follow up is indicated.
the nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which intervention has the highest
priority.
ANSWER Assess the infant for jaundice every 8 hours
The charge nurse working on a postpartum unit is making assignments for a staff consisting of a nurse, practical
nurse and 2 unlicensed assistive personnel. which client should the charge nurse assign to the practical nurse?
ANSWER A multagraida who delivered during c section 20 min ago and needs her vital signs taken.
The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks gestation. Which
prenatal lab assessment, prescribed at 28-weeks, should the nurse includes
ANSWER One-hour glucose screen
A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse
to provide the mother?
ANSWER Your baby was given an injection of vitamin K to prevent bleeding
Vaginal examinations reveal that a laboring client cervix is dilated 2cm, 70% effaced, with presenting part at -2
station. The client tells the nurse " I need my epidural now! This hurts!" The nurse response to the client should be
based on which information.
ANSWER Administering an epidural at this point would slow the labor process.
The client will need to be catheterized before the epidural can be administered. A client who is HIV+ is receiving
zidovudine during labor. Which information should the nurse provide to the client?
ANSWER This treatment helps prevent transmission of the virus to the fetus.
A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm). The nurse
notes that this infant has no molding, and was at breech presentation delivery by c section. What action should the
nurse take based on these data?
ANSWER Record the finding on the chart. They are within normal limits.
A three hour old newborn of a gestational diabetic mother who is asymptomatic and successful breastfed after birth,
heel stick glucose level is 36 mg/dL. Which intervention should the nurse do first?
ANSWER Assist the mother to breastfeed the infant
The nurse is caring for a female client, a primigravida with preeclampsia. Finding include +2 proteinuria, BP 172/112
mmHg, Facial and hand sweating, complaints of blurry vision, and a severe frontal headache. Which medication
should the nurse anticipate for this client?
ANSWER Magnesium sulfate
When planning care for a laboring client, the nurse identifies the need to withhold solid foods while the client is in
labor. What is the most important reason for this nursing intervention?
ANSWER An increase risk for aspiration can occur if general analgesic is needed.
Which action should the nurse take if an infant, who wa born yesterday weighing 7.5 lbs
, ANSWER Inform and assure the mother that this is normal weight loss.
A client at 20 week gestation comes to the antepartum clinic complaining of vaginal warts. HPV What information
should the nurse provide?
ANSWER The client should be treated with acyclovir.
At 34 weeks gestation, a primigravida is assessing at her bimonthly clinic visit. Which assessment finding is important
for the nurse to report to the HCP.
ANSWER Weight gain of 7 lbs
A client in preterm labor has had an infusion of magnesium sulfate running 8 hrs. Current assessment finding are: RR
14 bpm, UOP 24
ANSWER The finding indicate potential toxicity to magnesium sulfate and close follow up is indicated.
the nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which intervention has the highest
priority.
ANSWER Assess the infant for jaundice every 8 hours
The charge nurse working on a postpartum unit is making assignments for a staff consisting of a nurse, practical
nurse and 2 unlicensed assistive personnel. which client should the charge nurse assign to the practical nurse?
ANSWER A multagraida who delivered during c section 20 min ago and needs her vital signs taken.
The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks gestation. Which
prenatal lab assessment, prescribed at 28-weeks, should the nurse includes
ANSWER One-hour glucose screen
A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse
to provide the mother?
ANSWER Your baby was given an injection of vitamin K to prevent bleeding
