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HESI Practice Test OB 2025-26 |
Comprehensive Key Questions With
Correct Answers
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based
on these assessment findings, what intervention should the nurse implement?
A. insert an internal fetal monitor
B. assess for cervical changes q1h
C. monitor for bleeding from IV sites
D. perform Leopold's maneuvers-correct-answer-C. monitor for bleeding from IV
sites. This client is presenting with signs of placental abruption. Disseminated
intravascular coagulation (DIC) is a complication of placental abruptio,
characterized by abnormal bleeding.
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 bpm and respirations of 20 breaths/min. What action
should the nurse perform next?
A. initiate positive pressure ventilation
B. intervene after the one minute Apgar is assessed
C. initiate CPR on the infant
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D. assess the infant's blood glucose level-correct-answer-A. initiate positive
pressure ventilation because the infant's vital signs are not within the normal
range and oxygen deprivation leads to cardiac depression in infants. The normal
newborn pulse is 100-160 bpm and respirations are 40-60 breaths/minute.
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure?
A. a gravida 6, para 5 who is 38 years of age an in early labor
B. a 37 week primigravida who presents at 100% effacement, 3 cm cervical
dilation and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilation and a 0 station admitted for
induction of labor due to post dates
D. A 40-wk primigravida who is at 6 cm dilation and the presenting part is not
engaged-correct-answer-D. A 40-wk primigravida who is at 6 cm dilation and the
presenting part is not engaged. When the presenting part is ballottable, it is
floating out of the pelvis. In such a situation, the cord can descent before the fetus
causing a prolapsed cord, which is an emergency situation.
The nurse is providing discharge for a client who is 24 hours postpartum. The
nurse explains to the client that her vaginal discharge will change from red to pink
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
B. go to bed and assume a knee-chest position
C. massage the uterus and go to the emergency room
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d. do not worry as this is a normal occurance-correct-answer-A. reduce activity
level and notify the healthcare provider
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 bpm and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM x 1. What action should the nurse take
immediately?
A. give the medication as prescribed and monitor for efficacy
B. encourage the client to breast feed rather than bottle feed
C. have the client empty her bladder and then massage the fundus
D. call the healthcare provider to question the prescription-correct-answer-D. call
the healthcare provider to question the prescription. Methergine is
contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription.
A client at 32 weeks gestation is diagnosed with preeclampsia. Which assessment
is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. periorbital edema
C. epigastric pain
D. decreased urine output-correct-answer-C. epigastric pain. Epigastric pain is
indicative of an edematous liver or pancreas which is an early warning sign of an
impending convulsion (eclampsia) and requires immediate attention.
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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 nurse to ask this client?
A. "Which symptom did you experience first?"
B. "Are you eating large amounts of salty foods?"
C. "Have you visited a foreign country recently?"
D. "Do you have a history of rheumatic fever?"-correct-answer-D. "Do you have a
history of rheumatic fever?" Clients with a history of rheumatic fever may develop
mitral valve prolapse, which increases the risk for cardiac decompensation due to
the increased blood volume that occurs during pregnancy, so obtaining
information about this client's health history is a priority.
A couple has been trying to conceive for 9 months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive a child?
A. Exercise regimen of both partners includes running 4 miles each morning
B. history of having sexual intercourse 2-3x/wk.
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to decrease friction-correct-
answer-D. They use lubricants with each sexual encounter to decrease friction.
The use of lubricants has the potential to affect fertility because some lubricants
interfere with sperm motility.
HESI Practice Test OB 2025-26 |
Comprehensive Key Questions With
Correct Answers
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based
on these assessment findings, what intervention should the nurse implement?
A. insert an internal fetal monitor
B. assess for cervical changes q1h
C. monitor for bleeding from IV sites
D. perform Leopold's maneuvers-correct-answer-C. monitor for bleeding from IV
sites. This client is presenting with signs of placental abruption. Disseminated
intravascular coagulation (DIC) is a complication of placental abruptio,
characterized by abnormal bleeding.
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 bpm and respirations of 20 breaths/min. What action
should the nurse perform next?
A. initiate positive pressure ventilation
B. intervene after the one minute Apgar is assessed
C. initiate CPR on the infant
,2|Page
D. assess the infant's blood glucose level-correct-answer-A. initiate positive
pressure ventilation because the infant's vital signs are not within the normal
range and oxygen deprivation leads to cardiac depression in infants. The normal
newborn pulse is 100-160 bpm and respirations are 40-60 breaths/minute.
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure?
A. a gravida 6, para 5 who is 38 years of age an in early labor
B. a 37 week primigravida who presents at 100% effacement, 3 cm cervical
dilation and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilation and a 0 station admitted for
induction of labor due to post dates
D. A 40-wk primigravida who is at 6 cm dilation and the presenting part is not
engaged-correct-answer-D. A 40-wk primigravida who is at 6 cm dilation and the
presenting part is not engaged. When the presenting part is ballottable, it is
floating out of the pelvis. In such a situation, the cord can descent before the fetus
causing a prolapsed cord, which is an emergency situation.
The nurse is providing discharge for a client who is 24 hours postpartum. The
nurse explains to the client that her vaginal discharge will change from red to pink
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
B. go to bed and assume a knee-chest position
C. massage the uterus and go to the emergency room
,3|Page
d. do not worry as this is a normal occurance-correct-answer-A. reduce activity
level and notify the healthcare provider
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 bpm and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM x 1. What action should the nurse take
immediately?
A. give the medication as prescribed and monitor for efficacy
B. encourage the client to breast feed rather than bottle feed
C. have the client empty her bladder and then massage the fundus
D. call the healthcare provider to question the prescription-correct-answer-D. call
the healthcare provider to question the prescription. Methergine is
contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription.
A client at 32 weeks gestation is diagnosed with preeclampsia. Which assessment
is most indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. periorbital edema
C. epigastric pain
D. decreased urine output-correct-answer-C. epigastric pain. Epigastric pain is
indicative of an edematous liver or pancreas which is an early warning sign of an
impending convulsion (eclampsia) and requires immediate attention.
, 4|Page
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 nurse to ask this client?
A. "Which symptom did you experience first?"
B. "Are you eating large amounts of salty foods?"
C. "Have you visited a foreign country recently?"
D. "Do you have a history of rheumatic fever?"-correct-answer-D. "Do you have a
history of rheumatic fever?" Clients with a history of rheumatic fever may develop
mitral valve prolapse, which increases the risk for cardiac decompensation due to
the increased blood volume that occurs during pregnancy, so obtaining
information about this client's health history is a priority.
A couple has been trying to conceive for 9 months without success. Which
information obtained from the clients is most likely to have an impact on the
couple's ability to conceive a child?
A. Exercise regimen of both partners includes running 4 miles each morning
B. history of having sexual intercourse 2-3x/wk.
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to decrease friction-correct-
answer-D. They use lubricants with each sexual encounter to decrease friction.
The use of lubricants has the potential to affect fertility because some lubricants
interfere with sperm motility.
