Page 1 of 32
Peds OB HESI Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
Which of the following would lead the nurse to suspect cold stress syndrome
in a newborn with a temperature of 96.5 F?
1. Blood glucose of 50 mg/dL
2. Acrocyanosis
3. Tachypnea
4. Oxygen saturation of 96%
3.
Babies who have cold stress syndrome will develop respiratory distress. One
symptom of the distress is tachypnea
Four babies are in the newborn nursery. The nurse pages the neonatologist to
see the baby who exhibits which of the following?
1. Intracostal retraction
2. Erythema toxicum
3. Pseudostrabismus
4. Vernix caseosa
1.
Intracostal retractions are symptomatic of respiratory distress syndrome
A baby is grunting in the neonatal nursery. Which of the following actions by
the nurse is appropriate?
1. Place pacifier in the baby's mouth
2. Check the babies diaper
3. Have the mother feed the baby
4. Assess the respiratory rate
4.
Grunting is often accompanied by tachypnea, another sign of respiratory distress
A 1 day old neonate, 32 weeks gestation, is in an overhead warmer. The nurse
assesses the morning axillary temperature as 96.9 F. Which of the following
could explain this assessment finding?
, Page 2 of 32
1. This is a normal temperature for a preterm neonate
2. Axillary temperatures are not valid for preterm babies
3. The supply of brown adipose tissue is incomplete
4. Conduction heat loss is pronounced in the baby
3.
Preterm babies are born with an insufficient supply of brown adipose tissue that is
needed for thermogenesis, or heat generation
A 6 month old child developed kernicterus immediatedly after birth. Which of
the following test should be done to determine whether or not this child has
developed andy sequelae to the illness?
1. Blood urea nitrogen and serum creatinine
2. Alkaline phosphatase and bilirubin
3. Hearing testing and vision assessment
4. Peak expiratory flow and blood gass assessments
3.
Because the central nervous system may have been damaged by the high bilirubin
levels, testing of the senses as well as motor and cognitive assessment are
aappropriate
A baby with hemolytic jaundice is being treated with fluorescent phototherapy.
To provide safe newborn care, which of the following actions should the nurse
perform?
1. Cover the baby's eyes with eye pads
2. Turn the lights on for ten minutes every hour
3. Clothe the baby in a shirt and diaper only
4. Tightly swaddle the baby in a baby blanket
1.
When phototherapy is administered, the baby's eyes must be protected from the light
source
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
, Page 3 of 32
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage
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
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
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the third trimester
D.
The nurse must use knowledge base to diffferentiate betewwn abruptia placentae
from placenta previa.
A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding
and the nurse determines the FHR to be 100 bpm and her abdomen is rigid and
board like. What action should the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam
, Page 4 of 32
A.
The nurse should immediately notify the healthcare provider and no abdominal or
vaginal manipulation or exams should be done. Administer O2 per face mask and
monitor for bleeding at IV sites and gums due to the increased risk of DIC
A nurse must use knowledge base to differentiate between abruptio placentae
from plaventa previa. What assessments should be done in case of a patient
suspected of abruptio placentae or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC
D.
Patients with abruptio placentae or placventa previa should have No abdominal or
vaginal manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams,
enemas, or suppositories. No internal monitoring
A patient suspected of abruptio placentae or placenta previa should be
monitorized for bleeding at IV sites and gums due to increased risk of DIC.
What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension
A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension (
Preeclampsia) and abruptio placentae. Cervical carcinoma is related to podophyllin
If a child is on oral iron medication, the family should be taught by the nurse
how it should be administered. Out of the following options, what oral iron
administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth
Peds OB HESI Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
Which of the following would lead the nurse to suspect cold stress syndrome
in a newborn with a temperature of 96.5 F?
1. Blood glucose of 50 mg/dL
2. Acrocyanosis
3. Tachypnea
4. Oxygen saturation of 96%
3.
Babies who have cold stress syndrome will develop respiratory distress. One
symptom of the distress is tachypnea
Four babies are in the newborn nursery. The nurse pages the neonatologist to
see the baby who exhibits which of the following?
1. Intracostal retraction
2. Erythema toxicum
3. Pseudostrabismus
4. Vernix caseosa
1.
Intracostal retractions are symptomatic of respiratory distress syndrome
A baby is grunting in the neonatal nursery. Which of the following actions by
the nurse is appropriate?
1. Place pacifier in the baby's mouth
2. Check the babies diaper
3. Have the mother feed the baby
4. Assess the respiratory rate
4.
Grunting is often accompanied by tachypnea, another sign of respiratory distress
A 1 day old neonate, 32 weeks gestation, is in an overhead warmer. The nurse
assesses the morning axillary temperature as 96.9 F. Which of the following
could explain this assessment finding?
, Page 2 of 32
1. This is a normal temperature for a preterm neonate
2. Axillary temperatures are not valid for preterm babies
3. The supply of brown adipose tissue is incomplete
4. Conduction heat loss is pronounced in the baby
3.
Preterm babies are born with an insufficient supply of brown adipose tissue that is
needed for thermogenesis, or heat generation
A 6 month old child developed kernicterus immediatedly after birth. Which of
the following test should be done to determine whether or not this child has
developed andy sequelae to the illness?
1. Blood urea nitrogen and serum creatinine
2. Alkaline phosphatase and bilirubin
3. Hearing testing and vision assessment
4. Peak expiratory flow and blood gass assessments
3.
Because the central nervous system may have been damaged by the high bilirubin
levels, testing of the senses as well as motor and cognitive assessment are
aappropriate
A baby with hemolytic jaundice is being treated with fluorescent phototherapy.
To provide safe newborn care, which of the following actions should the nurse
perform?
1. Cover the baby's eyes with eye pads
2. Turn the lights on for ten minutes every hour
3. Clothe the baby in a shirt and diaper only
4. Tightly swaddle the baby in a baby blanket
1.
When phototherapy is administered, the baby's eyes must be protected from the light
source
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
, Page 3 of 32
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage
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
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
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the third trimester
D.
The nurse must use knowledge base to diffferentiate betewwn abruptia placentae
from placenta previa.
A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding
and the nurse determines the FHR to be 100 bpm and her abdomen is rigid and
board like. What action should the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam
, Page 4 of 32
A.
The nurse should immediately notify the healthcare provider and no abdominal or
vaginal manipulation or exams should be done. Administer O2 per face mask and
monitor for bleeding at IV sites and gums due to the increased risk of DIC
A nurse must use knowledge base to differentiate between abruptio placentae
from plaventa previa. What assessments should be done in case of a patient
suspected of abruptio placentae or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC
D.
Patients with abruptio placentae or placventa previa should have No abdominal or
vaginal manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams,
enemas, or suppositories. No internal monitoring
A patient suspected of abruptio placentae or placenta previa should be
monitorized for bleeding at IV sites and gums due to increased risk of DIC.
What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension
A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension (
Preeclampsia) and abruptio placentae. Cervical carcinoma is related to podophyllin
If a child is on oral iron medication, the family should be taught by the nurse
how it should be administered. Out of the following options, what oral iron
administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth
