OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
On admission to the prenatal clinic, a 23-year old woman tells the nurse
that her last menstrual period began on February 15, and that previously
her periods were regular. Her pregnancy test is positive. This client's
expected date of delivery (EDD) would be
A. November 22
B. November 8
C. December 22
D. October 22 - ANSWER-A. November 22
The nurse is counseling a woman who wants to become pregnant. The
woman tells the nurse that she has a 36-day menstrual cycle and the first
day of her last menstrual period was January 8. The nurse correctly
calculates that the woman's next fertile period will be
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7 - ANSWER-B. January 30-31. This woman can expect
her next period to begin 36 days from the first day of her last menstrual
period - the cycle begins at the first day of the cycle and continues to the
first day of the next cycle. Her next period would, therefore, began on
February 13. Ovulation occurs 14 days before the first day of the
menstrual period. Therefore, ovulation for this woman would occur
January 31.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A client at 32 weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to
control symptoms. Which assessment finding would indicate that
therapeutic drug level has been achieved?
A. 4+ reflexes
B. urinary output of 50 mL per hour
C. a decrease in respiratory rate from 24 to 16
D. a decreased body temperature - ANSWER-C. a decrease in
respiratory rate from 24 to 16
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
will the nurse take?
A. notify the healthcare provider or anesthesiologist immediately.
B. continue to assess the blood pressure q5 minutes
C. place the woman in a lateral position
D. turn off the continuous epidural - ANSWER-C. place the woman in a
lateral position. The nurse should immediately turn the woman to a
lateral position, place a pillow or wedge under the right hip to deflect the
uterus, increase the rate of the main line IV infusion, and administer
oxygen by face mask at 10-12 L/min. If the blood pressure remains low,
especially if it further decreases ,the anesthesiologist/healthcare provider
should be notified immediately. Turning off the continuous epidural may
also be warranted, but such action is based on hospital protocol.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A client at 28 weeks gestation calls the antepartal clinical and states that
she is experiencing a small amount of vaginal bleeding which she
describes as bright red. She further states that she is not experiencing
any uterine contractions or abdominal pain. What instruction should the
nurse provide?
A. come to the clinic today for an ultrasound
B. go immediately to the emergency room
C. lie on your left side for about one hour and see if the bleeding stops
D. bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection - ANSWER-A. come to the clinic today for an
ultrasound. Third trimester painless bleeding is characteristic of a
placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening,
nor cause for hypovolemic shock. Diagnosis is confirmed by
transabdominal ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivery
an infant while her husband is screaming for someone to help his wife.
Which intervention has the highest priority?
A. use a thread to tie off the umbilical cord.
B. provide as much privacy as possible for the woman.
C. reassure the husband and try to keep him calm
D. put the newborn to breast. - ANSWER-D. put the newborn to breast.
Putting the newborn to breast will help contract the uterus and prevent a
postpartum hemorrhage - this intervention has the highest priority.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A pregnant client with mitral stenosis Class III is prescribed complete
bedrest. The client asks the nurse, "Why must I stay in bed all the time?"
Which response is best for the nurse to provide the client?
A. "Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can
make sure that will happen."
C. "I know you're upset. Would you like to talk about some things you
could do while in bed."
D. "Labor is difficult and you need to use this time to rest before you
have to assume all child-caring duties." - ANSWER-A. "Complete
bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The nurse is teaching care of the newborn to a group of prospective
parents and describes the need for administering antibiotic ointment into
the eyes of the newborn. Which infectious organism will this treatment
prevent from harming the infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis - ANSWER-C. Gonorrhea. Erythromycin ointment is
instilled into the lower conjunctiva of each eye within 2 hours after birth
to prevent ophthalmica neonatorum, and infection caused by gonorrhea,
and including conjunctivitis,, an infection caused by chlamydia. The
infant may be exposed to these bacteria when passing through the birth
canal.
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
On admission to the prenatal clinic, a 23-year old woman tells the nurse
that her last menstrual period began on February 15, and that previously
her periods were regular. Her pregnancy test is positive. This client's
expected date of delivery (EDD) would be
A. November 22
B. November 8
C. December 22
D. October 22 - ANSWER-A. November 22
The nurse is counseling a woman who wants to become pregnant. The
woman tells the nurse that she has a 36-day menstrual cycle and the first
day of her last menstrual period was January 8. The nurse correctly
calculates that the woman's next fertile period will be
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7 - ANSWER-B. January 30-31. This woman can expect
her next period to begin 36 days from the first day of her last menstrual
period - the cycle begins at the first day of the cycle and continues to the
first day of the next cycle. Her next period would, therefore, began on
February 13. Ovulation occurs 14 days before the first day of the
menstrual period. Therefore, ovulation for this woman would occur
January 31.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A client at 32 weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to
control symptoms. Which assessment finding would indicate that
therapeutic drug level has been achieved?
A. 4+ reflexes
B. urinary output of 50 mL per hour
C. a decrease in respiratory rate from 24 to 16
D. a decreased body temperature - ANSWER-C. a decrease in
respiratory rate from 24 to 16
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
will the nurse take?
A. notify the healthcare provider or anesthesiologist immediately.
B. continue to assess the blood pressure q5 minutes
C. place the woman in a lateral position
D. turn off the continuous epidural - ANSWER-C. place the woman in a
lateral position. The nurse should immediately turn the woman to a
lateral position, place a pillow or wedge under the right hip to deflect the
uterus, increase the rate of the main line IV infusion, and administer
oxygen by face mask at 10-12 L/min. If the blood pressure remains low,
especially if it further decreases ,the anesthesiologist/healthcare provider
should be notified immediately. Turning off the continuous epidural may
also be warranted, but such action is based on hospital protocol.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A client at 28 weeks gestation calls the antepartal clinical and states that
she is experiencing a small amount of vaginal bleeding which she
describes as bright red. She further states that she is not experiencing
any uterine contractions or abdominal pain. What instruction should the
nurse provide?
A. come to the clinic today for an ultrasound
B. go immediately to the emergency room
C. lie on your left side for about one hour and see if the bleeding stops
D. bring a urine specimen to the lab tomorrow to determine if you have a
urinary tract infection - ANSWER-A. come to the clinic today for an
ultrasound. Third trimester painless bleeding is characteristic of a
placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening,
nor cause for hypovolemic shock. Diagnosis is confirmed by
transabdominal ultrasound.
An off-duty nurse finds a woman in a supermarket parking lot delivery
an infant while her husband is screaming for someone to help his wife.
Which intervention has the highest priority?
A. use a thread to tie off the umbilical cord.
B. provide as much privacy as possible for the woman.
C. reassure the husband and try to keep him calm
D. put the newborn to breast. - ANSWER-D. put the newborn to breast.
Putting the newborn to breast will help contract the uterus and prevent a
postpartum hemorrhage - this intervention has the highest priority.
, OB HESI EXIT EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+
A pregnant client with mitral stenosis Class III is prescribed complete
bedrest. The client asks the nurse, "Why must I stay in bed all the time?"
Which response is best for the nurse to provide the client?
A. "Complete bedrest decreases oxygen needs and demands on the heart
muscle tissue."
B. "We want your baby to be healthy, and this is the only way we can
make sure that will happen."
C. "I know you're upset. Would you like to talk about some things you
could do while in bed."
D. "Labor is difficult and you need to use this time to rest before you
have to assume all child-caring duties." - ANSWER-A. "Complete
bedrest decreases oxygen needs and demands on the heart muscle
tissue."
The nurse is teaching care of the newborn to a group of prospective
parents and describes the need for administering antibiotic ointment into
the eyes of the newborn. Which infectious organism will this treatment
prevent from harming the infant?
A. Herpes
B. Staphylococcus
C. Gonorrhea
D. Syphilis - ANSWER-C. Gonorrhea. Erythromycin ointment is
instilled into the lower conjunctiva of each eye within 2 hours after birth
to prevent ophthalmica neonatorum, and infection caused by gonorrhea,
and including conjunctivitis,, an infection caused by chlamydia. The
infant may be exposed to these bacteria when passing through the birth
canal.
