OB HESI Questions and Answers A+
Graded (2025)
What .is .the .primary .function .of .uterine .contraction .after .the .delivery .of .the .infant
.and .placenta? .- .CORRECT .ANSWER-
Name .4 .tocolytics .- .CORRECT .ANSWER-1. .Indometacin
2. .Nifedipine
3. .Magnesium .Sulfate
4. .Terbutaline
Name .the .4 .P's .of .Labor .- .CORRECT .ANSWER-1. .Passageway
2. .Passenger
3. .Powers
4. .Psyche
The .fetus .of .a .pregnant .patient .is .presenting .in .transverse .lie. .After .notifying .the
.HCP .what .should .the . nurse .do? .- .CORRECT .ANSWER-Prepare .to .assist .with
.external .version .or .prep .for .a .cesarean .section .delivery
The .nurse .is .assisting .with .delivery .of .a .pregnant .patient .who .has .been .induced
.and .is .now .in .hypertonic .labor. .The .fetal .heart .rate .drops .suddenly. .What .should
.the .nurse .prepare .to .do? .- .CORRECT .ANSWER-Decrease .oxytocin
A .patient .at .38 .weeks' .gestation .is .reporting .continuous, .heavy .vaginal
.discharge .& .pelvic .pressure. .A . nitrazine .test .confirms .PROM .with . no .sign .of
.infection. .After .being .admitted .which .nursing .intervention .would .be .of .the
.HIGHEST .priority? .- .CORRECT .ANSWER-Administer .antibiotics .per .order
A .nonsmoking .patient, .pregnant .for .the .first .time .at .28 .years .of .age .& .expecting
.twins, .is .at .36 .weeks' .gestation .& .complaining .of .backache .& .painful .uterine
.contractions. .After .examination .the .patient .has .no .cervical .dilation .or .pooling .of
.fluid. .What .is .the .BEST .course .of .action? .- .CORRECT .ANSWER-Send .the .patient
.home .for .bed .rest .& .hydration .with .orders .to .return .if .the .water .breaks .or
.contractions .worsen
A .patient .at .31 .weeks' .gestation .in .preterm .labor .is .given .magnesium .sulfate.
.What .must .the . nurse .report .as .part .of .the .patient's .care? .- .CORRECT .ANSWER-
Respiratory .depression, .hypotension, .absent .tendon .reflexes
, The .fetus .of .a .multigravida .patient .has .died. .Photographs .are .taken .of .the .fetus
.according .to .organizational .policy .& .when .the .patient .is .informed .that .pictures
.are .available, .she .angrily . responds .no .& .bursts .into .tears. .How .should .the .nurse
.respond? .- .CORRECT .ANSWER-Explain .that .the .hospital .will .keep .the .photos .in
.case .she .changes .her .mind.
During .labor .the .fetus .begins .to .deliver .but .instead .of .continuing .to .emerge, .it
.retracts .into .the .vagina. .What .should .the . nurse .try .FIRST? .- .CORRECT
.ANSWER-McRoberts .maneuver
The .membranes .of .a .pregnant .patient .have .ruptured .& .the .umbilical .cord .is
.hanging .out .of .the .vagina. .What .should .the .nurse .do? .- .CORRECT .ANSWER-
Place .the .patient .in .bed, .call .for .help, .& .hold .the .presenting .part .off .of .the .cord
A .pregnant .patient .near .term .has .sustained .blunt .trauma .to .the .abdomen .from .a
.MVC. .The .patient .goes .into .labor .but .then .complains .of .severe .pain .in .the .back
.and .shoulder. .What .should .the . nurse .suspect .is .occurring .with .this .patient? .-
.CORRECT .ANSWER-Uterine .rupture
At .31 .weeks' .gestation, .a .patient .with .a .history .of .preterm .birth .reports .cramps,
.vaginal .pain, .& .low, .dull .backache .accompanied .by .vaginal .discharge .&
.bleeding. .The .cervix .is .2.1 .cm .long; .there .is .fetal .fibronectin .in .her .cervical
.secretions, .& .the .cervix .is .dilated .3 .to .4 .cm. .For .what .should .the .nurse .prepare
.this .patient? .- .CORRECT .ANSWER-Hospitalization, .tocolytic .therapy, .& . IM
.corticosteroids
After .12 .hours .of .active .labor, .a .pregnant .patient .is .only .dilated .6 .cm. .What
.should .the .nurse .consider .doing .for .this .patient? .- .CORRECT .ANSWER-
Reassess .the .fetal .presentation .and .position
A .patient .whose .membranes .have .prematurely .ruptured .is .discharged .to .home
.care. .Which .action .should .the .nurse .include .in .the .patient's .teaching .plan? .-
.CORRECT .ANSWER-Monitoring .temperature .twice .a .day
The .nurse .is .concerned .that .a .pregnant .patient .is .at .risk .for .preterm .labor. .What
.medical .risk .factors .did .the .nurse . most .likely .assess .in .this .patient? .- .CORRECT
.ANSWER-Obesity .
Diabetes
Dehydration
High .blood .pressure
While .in .labor .a .patient .with .a .prior .history .of .cesarean .birth .complains .of .light-
headedness .& .dizziness. .The .nurse .assess .the .patient .& .notes .an .increase .in
.pulse .& .decrease .in .blood .pressure .from . the .vital .signs .15 .min .prior. .What
.might .the .nurse .consider .as .a .possible .cause .for .the .symptoms? .- .CORRECT
.ANSWER-Uterine . rupture
Graded (2025)
What .is .the .primary .function .of .uterine .contraction .after .the .delivery .of .the .infant
.and .placenta? .- .CORRECT .ANSWER-
Name .4 .tocolytics .- .CORRECT .ANSWER-1. .Indometacin
2. .Nifedipine
3. .Magnesium .Sulfate
4. .Terbutaline
Name .the .4 .P's .of .Labor .- .CORRECT .ANSWER-1. .Passageway
2. .Passenger
3. .Powers
4. .Psyche
The .fetus .of .a .pregnant .patient .is .presenting .in .transverse .lie. .After .notifying .the
.HCP .what .should .the . nurse .do? .- .CORRECT .ANSWER-Prepare .to .assist .with
.external .version .or .prep .for .a .cesarean .section .delivery
The .nurse .is .assisting .with .delivery .of .a .pregnant .patient .who .has .been .induced
.and .is .now .in .hypertonic .labor. .The .fetal .heart .rate .drops .suddenly. .What .should
.the .nurse .prepare .to .do? .- .CORRECT .ANSWER-Decrease .oxytocin
A .patient .at .38 .weeks' .gestation .is .reporting .continuous, .heavy .vaginal
.discharge .& .pelvic .pressure. .A . nitrazine .test .confirms .PROM .with . no .sign .of
.infection. .After .being .admitted .which .nursing .intervention .would .be .of .the
.HIGHEST .priority? .- .CORRECT .ANSWER-Administer .antibiotics .per .order
A .nonsmoking .patient, .pregnant .for .the .first .time .at .28 .years .of .age .& .expecting
.twins, .is .at .36 .weeks' .gestation .& .complaining .of .backache .& .painful .uterine
.contractions. .After .examination .the .patient .has .no .cervical .dilation .or .pooling .of
.fluid. .What .is .the .BEST .course .of .action? .- .CORRECT .ANSWER-Send .the .patient
.home .for .bed .rest .& .hydration .with .orders .to .return .if .the .water .breaks .or
.contractions .worsen
A .patient .at .31 .weeks' .gestation .in .preterm .labor .is .given .magnesium .sulfate.
.What .must .the . nurse .report .as .part .of .the .patient's .care? .- .CORRECT .ANSWER-
Respiratory .depression, .hypotension, .absent .tendon .reflexes
, The .fetus .of .a .multigravida .patient .has .died. .Photographs .are .taken .of .the .fetus
.according .to .organizational .policy .& .when .the .patient .is .informed .that .pictures
.are .available, .she .angrily . responds .no .& .bursts .into .tears. .How .should .the .nurse
.respond? .- .CORRECT .ANSWER-Explain .that .the .hospital .will .keep .the .photos .in
.case .she .changes .her .mind.
During .labor .the .fetus .begins .to .deliver .but .instead .of .continuing .to .emerge, .it
.retracts .into .the .vagina. .What .should .the . nurse .try .FIRST? .- .CORRECT
.ANSWER-McRoberts .maneuver
The .membranes .of .a .pregnant .patient .have .ruptured .& .the .umbilical .cord .is
.hanging .out .of .the .vagina. .What .should .the .nurse .do? .- .CORRECT .ANSWER-
Place .the .patient .in .bed, .call .for .help, .& .hold .the .presenting .part .off .of .the .cord
A .pregnant .patient .near .term .has .sustained .blunt .trauma .to .the .abdomen .from .a
.MVC. .The .patient .goes .into .labor .but .then .complains .of .severe .pain .in .the .back
.and .shoulder. .What .should .the . nurse .suspect .is .occurring .with .this .patient? .-
.CORRECT .ANSWER-Uterine .rupture
At .31 .weeks' .gestation, .a .patient .with .a .history .of .preterm .birth .reports .cramps,
.vaginal .pain, .& .low, .dull .backache .accompanied .by .vaginal .discharge .&
.bleeding. .The .cervix .is .2.1 .cm .long; .there .is .fetal .fibronectin .in .her .cervical
.secretions, .& .the .cervix .is .dilated .3 .to .4 .cm. .For .what .should .the .nurse .prepare
.this .patient? .- .CORRECT .ANSWER-Hospitalization, .tocolytic .therapy, .& . IM
.corticosteroids
After .12 .hours .of .active .labor, .a .pregnant .patient .is .only .dilated .6 .cm. .What
.should .the .nurse .consider .doing .for .this .patient? .- .CORRECT .ANSWER-
Reassess .the .fetal .presentation .and .position
A .patient .whose .membranes .have .prematurely .ruptured .is .discharged .to .home
.care. .Which .action .should .the .nurse .include .in .the .patient's .teaching .plan? .-
.CORRECT .ANSWER-Monitoring .temperature .twice .a .day
The .nurse .is .concerned .that .a .pregnant .patient .is .at .risk .for .preterm .labor. .What
.medical .risk .factors .did .the .nurse . most .likely .assess .in .this .patient? .- .CORRECT
.ANSWER-Obesity .
Diabetes
Dehydration
High .blood .pressure
While .in .labor .a .patient .with .a .prior .history .of .cesarean .birth .complains .of .light-
headedness .& .dizziness. .The .nurse .assess .the .patient .& .notes .an .increase .in
.pulse .& .decrease .in .blood .pressure .from . the .vital .signs .15 .min .prior. .What
.might .the .nurse .consider .as .a .possible .cause .for .the .symptoms? .- .CORRECT
.ANSWER-Uterine . rupture
