OB PEDS HESI EXIT EXAM 2024 /2025 VERSION 1, 2, 3 AND 4
ACTUAL EXAM EACH VERSION CONTAINS 110 QUESTIONS AND
CORRECT ANSWERS
,A woman who is 6 weeks pregnant has the following maternal history: a 2 yr old healthey
daughter, a miscarriage at 10 weeks, 3 years ago and an elective abortion at 6 weeks, 5 years
ago. Describe gravidity and parity in this case.
A. gravida 1, para 4
B. gravida 2, para 4
C. gravida 4, para 1
D. gravida 4, para 2 - ANSWER-C.
With this pregnancy, the woman is a gravida 4, para 1 ( only 1 delivery after 20 weeks geatation)
The first day of a womans last normal menstrual period was October 17. By using Nagele's rule,
what is the EDB?
A. July 10
B. July 24
C. June 10
D. June 24 - ANSWER-B.
If the first day of a womans last normal menstrual period was October 17, her EDB using
Nagele's rule is July 24. Count back 3 months and add 7 days ( Always give February 28 days)
At approximately 28 - 32 weeks gestation, the maximum plasma volume increase of 25 - 40%
occurs, resulting in normal hemodilution of pregnancy and Hct values of 32 - 42%. What does
Hct in reality represent, even if its values may look "good"?
A. Pregnancy induced hyperglycemia
B. Pregnancy induced hypoglycemia
C. Pregnancy induced hypertension
D. pregnancy induced hypotension - ANSWER-C.
High Hct values may look "good" but in reality represent pregnancy induced hypertension and
depleted vascular space
A 22 year old primigravida at 12 weeks gestation has a high Hgb of 9.6 g/dl and a Hct of 31%
and she has gained 3 pounds during the first trimester, even if the gain of 3.5 to 5 pounds during
,the first trimester is recommended. Taking into consideration that the client is anemic, what
supplements should be recommended to her?
A. Potassium
B. Magnesium
C. Iron
D. Calcium - ANSWER-C.
For the anemic pregnant client, supplemental iron and a diet high in iron is needed
As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava and aorta).
What position is best for increasing perfucion according to the latest research?
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position - ANSWER-B.
Recent research indicated that the knee chest position is best for increasing perfusion and that
the sid lying position (either left or right side lying) is the second most disirable position to
increase perfusion. Prior to this research, the left side lying position was usually encouraged
Fetal well being is determined by assessing fundal height, fetal heart tones/rate, fetal
movement and uterine activity (contractions). What do changes in fetal heart rate indicate?
A. Leukorrhea
B. Compromised blood flow to the fetus
C. Fluid discharge from vagina
D. Change in fetal movement - ANSWER-B.
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action! What is the normal FHR in a pregnant
woman?
A. 150 - 180 bpm
, B. 160 - 190 bpm
C. 110 - 160 bpm
D. 120 - 150 bpm - ANSWER-C.
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action! Remember, the normal FHR is 110 to 160
bpm.
Monitoring for fetal position is important because the mother cannot tell you she has back pain,
which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks,
especially epidural and caudal, often result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - ANSWER-D.
Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability
to push effectively in the 2nd stage.
Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction
and often the disease will go into remission. What activity recommendations should the nurse
provide a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain lessens
D. Perform exercises slowly and smoothly - ANSWER-D.
A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain
occurs
A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding,
100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio
placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the third trimester
B. Abruptio placentae: occurs in the second trimester
ACTUAL EXAM EACH VERSION CONTAINS 110 QUESTIONS AND
CORRECT ANSWERS
,A woman who is 6 weeks pregnant has the following maternal history: a 2 yr old healthey
daughter, a miscarriage at 10 weeks, 3 years ago and an elective abortion at 6 weeks, 5 years
ago. Describe gravidity and parity in this case.
A. gravida 1, para 4
B. gravida 2, para 4
C. gravida 4, para 1
D. gravida 4, para 2 - ANSWER-C.
With this pregnancy, the woman is a gravida 4, para 1 ( only 1 delivery after 20 weeks geatation)
The first day of a womans last normal menstrual period was October 17. By using Nagele's rule,
what is the EDB?
A. July 10
B. July 24
C. June 10
D. June 24 - ANSWER-B.
If the first day of a womans last normal menstrual period was October 17, her EDB using
Nagele's rule is July 24. Count back 3 months and add 7 days ( Always give February 28 days)
At approximately 28 - 32 weeks gestation, the maximum plasma volume increase of 25 - 40%
occurs, resulting in normal hemodilution of pregnancy and Hct values of 32 - 42%. What does
Hct in reality represent, even if its values may look "good"?
A. Pregnancy induced hyperglycemia
B. Pregnancy induced hypoglycemia
C. Pregnancy induced hypertension
D. pregnancy induced hypotension - ANSWER-C.
High Hct values may look "good" but in reality represent pregnancy induced hypertension and
depleted vascular space
A 22 year old primigravida at 12 weeks gestation has a high Hgb of 9.6 g/dl and a Hct of 31%
and she has gained 3 pounds during the first trimester, even if the gain of 3.5 to 5 pounds during
,the first trimester is recommended. Taking into consideration that the client is anemic, what
supplements should be recommended to her?
A. Potassium
B. Magnesium
C. Iron
D. Calcium - ANSWER-C.
For the anemic pregnant client, supplemental iron and a diet high in iron is needed
As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava and aorta).
What position is best for increasing perfucion according to the latest research?
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position - ANSWER-B.
Recent research indicated that the knee chest position is best for increasing perfusion and that
the sid lying position (either left or right side lying) is the second most disirable position to
increase perfusion. Prior to this research, the left side lying position was usually encouraged
Fetal well being is determined by assessing fundal height, fetal heart tones/rate, fetal
movement and uterine activity (contractions). What do changes in fetal heart rate indicate?
A. Leukorrhea
B. Compromised blood flow to the fetus
C. Fluid discharge from vagina
D. Change in fetal movement - ANSWER-B.
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action! What is the normal FHR in a pregnant
woman?
A. 150 - 180 bpm
, B. 160 - 190 bpm
C. 110 - 160 bpm
D. 120 - 150 bpm - ANSWER-C.
Changes in fetal heart rate are the first and most important indicator of compromised blood
flow to the fetus, and these changes require action! Remember, the normal FHR is 110 to 160
bpm.
Monitoring for fetal position is important because the mother cannot tell you she has back pain,
which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks,
especially epidural and caudal, often result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - ANSWER-D.
Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability
to push effectively in the 2nd stage.
Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction
and often the disease will go into remission. What activity recommendations should the nurse
provide a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain lessens
D. Perform exercises slowly and smoothly - ANSWER-D.
A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain
occurs
A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding,
100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio
placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the third trimester
B. Abruptio placentae: occurs in the second trimester
