Page 1 of 27
Hesi OBPractice Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the
last three weeks. Which assessment finding indicates to the nurse that the
drug is effective?
Slowly increasing urinary output over the last week.
Respiratory rate changes from the 40s to the 60s.
Changes in apical heart rate from the 180s to the 140s.
Change in indirect bilirubin from 12 mg/dl to 8 mg/dl.
Submit
Change in indirect bilirubin from 12 mg/dl to 8 mg/dl.
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
Blood glucose level of 45 mg/dl.
Blood pressure of 82/45 mmHg.
Non-bulging anterior fontanel.
Central cyanosis when crying.
Central cyanosis when crying.
When explaining "postpartum blues" to a client who is 1 day postpartum,
which symptoms should the nurse include in the teaching plan? (Select all that
apply.)
Select all that apply
Mood swings.
Panic attacks.
Tearfulness.
Decreased need for sleep.
Disinterest in the infant.
, Page 2 of 27
Mood swings, Tearfulness
The nurse attempts to help an unmarried teenager deal with her feelings
following a spontaneous abortion at 8-weeks gestation. What type of
emotional response should the nurse anticipate?
Grief related to her perceptions about the loss of this child.
Relief of ambivalent feelings experienced with this pregnancy.
Shock because she may not have realized that she was pregnant.
Guilt because she had not followed her healthcare provider's instructions.
Relief of ambivalent feelings experienced with this pregnancy.
A client at 28-weeks gestation calls the antepartal clinic 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?
Come to the clinic today for an ultrasound.
Go immediately to the emergency room.
Lie on your left side for about one hour and see if the bleeding stops.
Bring a urine specimen to the lab tomorrow to determine if you have a urinary
tract infection.
Go immediately to the emergency room.
A client with gestational hypertension is in active labor and receiving an
infusion of magnesium sulfate. Which is the most important drug the nurse
should have available for signs of potential toxicity?
Oxytocin (PItocin).
Calcium gluconate.
Terbutaline (Brethine).
Naloxone (Narcan).
Calcium gluconate.
A female client with insulin-dependent diabetes arrives at the clinic seeking a
plan to get pregnant in approximately 6 months. She tells the nurse that she
wants to have an uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
, Page 3 of 27
"Your current dose of Insulin should be maintained throughout your
pregnancy."
"Maintain blood sugar levels in a constant range within normal limits during
pregnancy."
"The course and outcome of your pregnancy is not an achievable goal with
diabetes."
"Expect an increase in insulin dosages by 5 units/week during the first
trimester."
Submit
"Maintain blood sugar levels in a constant range within normal limits during
pregnancy."
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness?
Wear a cotton bra.
Increase nursing time gradually.
Correctly place the infant on the breast.
Manually express a small amount of milk before nursing.
Submit
Correctly place the infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn
during the first hour of transition using the Ballard (Dubowitz) scale. Based on
this assessment, the nurse determines that the neonate has a maturity rating
of 40-weeks. What findings should the nurse identify to determine if the
neonate is small for gestational age (SGA)? (Select all that apply.)
Select all that apply
Admission weight of 4 pounds, 15 ounces ( 2244 grams).
Head to heel length of 17 inches (42.5 cm).
Frontal occipital circumference of 12.5 inches (31.25 cm).
Skin smooth with visible veins and abundant vernix.
Anterior plantar crease and smooth heel surfaces.
Hesi OBPractice Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the
last three weeks. Which assessment finding indicates to the nurse that the
drug is effective?
Slowly increasing urinary output over the last week.
Respiratory rate changes from the 40s to the 60s.
Changes in apical heart rate from the 180s to the 140s.
Change in indirect bilirubin from 12 mg/dl to 8 mg/dl.
Submit
Change in indirect bilirubin from 12 mg/dl to 8 mg/dl.
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider?
Blood glucose level of 45 mg/dl.
Blood pressure of 82/45 mmHg.
Non-bulging anterior fontanel.
Central cyanosis when crying.
Central cyanosis when crying.
When explaining "postpartum blues" to a client who is 1 day postpartum,
which symptoms should the nurse include in the teaching plan? (Select all that
apply.)
Select all that apply
Mood swings.
Panic attacks.
Tearfulness.
Decreased need for sleep.
Disinterest in the infant.
, Page 2 of 27
Mood swings, Tearfulness
The nurse attempts to help an unmarried teenager deal with her feelings
following a spontaneous abortion at 8-weeks gestation. What type of
emotional response should the nurse anticipate?
Grief related to her perceptions about the loss of this child.
Relief of ambivalent feelings experienced with this pregnancy.
Shock because she may not have realized that she was pregnant.
Guilt because she had not followed her healthcare provider's instructions.
Relief of ambivalent feelings experienced with this pregnancy.
A client at 28-weeks gestation calls the antepartal clinic 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?
Come to the clinic today for an ultrasound.
Go immediately to the emergency room.
Lie on your left side for about one hour and see if the bleeding stops.
Bring a urine specimen to the lab tomorrow to determine if you have a urinary
tract infection.
Go immediately to the emergency room.
A client with gestational hypertension is in active labor and receiving an
infusion of magnesium sulfate. Which is the most important drug the nurse
should have available for signs of potential toxicity?
Oxytocin (PItocin).
Calcium gluconate.
Terbutaline (Brethine).
Naloxone (Narcan).
Calcium gluconate.
A female client with insulin-dependent diabetes arrives at the clinic seeking a
plan to get pregnant in approximately 6 months. She tells the nurse that she
wants to have an uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
, Page 3 of 27
"Your current dose of Insulin should be maintained throughout your
pregnancy."
"Maintain blood sugar levels in a constant range within normal limits during
pregnancy."
"The course and outcome of your pregnancy is not an achievable goal with
diabetes."
"Expect an increase in insulin dosages by 5 units/week during the first
trimester."
Submit
"Maintain blood sugar levels in a constant range within normal limits during
pregnancy."
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness?
Wear a cotton bra.
Increase nursing time gradually.
Correctly place the infant on the breast.
Manually express a small amount of milk before nursing.
Submit
Correctly place the infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn
during the first hour of transition using the Ballard (Dubowitz) scale. Based on
this assessment, the nurse determines that the neonate has a maturity rating
of 40-weeks. What findings should the nurse identify to determine if the
neonate is small for gestational age (SGA)? (Select all that apply.)
Select all that apply
Admission weight of 4 pounds, 15 ounces ( 2244 grams).
Head to heel length of 17 inches (42.5 cm).
Frontal occipital circumference of 12.5 inches (31.25 cm).
Skin smooth with visible veins and abundant vernix.
Anterior plantar crease and smooth heel surfaces.
