Page 1 of 55
OB HESI/FINAL Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
The nurse in the newborn nursery is preparing to complete an initial
assessment on a newborn infant who was just admitted to the nursery. The
nurse should place a warm blanket on the examining table to prevent heat loss
in the infant caused by which method?
A. Radiation
B. Convection
C. Conduction
D. Evaporation
Correct Answer: C
Heat loss occurs by four different mechanisms. In conduction, heat loss occurs when
the infant is on a cold surface, such as a table. Radiation occurs when heat from the
body surface radiates to the surrounding environment. In convection, air moving
across the infant's skin transfers heat to the air. Evaporation of moisture from a wet
body surface dissipates heat along with the moisture.
The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a
contraction?
A. Variability
B. Accelerations
C. Early decelerations
D. Variable decelerations
Correct Answer: D
Variable decelerations occur if the umbilical cord becomes compressed, reducing
blood flow between the placenta and the fetus. Variability refers to fluctuations in the
, Page 2 of 55
baseline fetal heart rate. Accelerations are a reassuring sign and usually occur with
fetal movement. Early decelerations result from pressure on the fetal head during a
contraction.
The health care provider prescribes patching for a child with strabismus of the
right eye, and the nurse instructs the mother regarding this procedure. What
should the nurse include in the instructions?
A. Place the patch on both eyes.
B. Place the patch on the left eye.
C. Place the patch on the right eye.
D. Alternate the patch from the right to the left eye hourly.
Correct Answer: B
Patching may be used in the treatment of strabismus ( AKA lazy eye) to strengthen
the weak eye. In this treatment, the better functioning eye is patched. This
encourages the child to use the weaker eye. It is most successful when done during
the preschool years. The schedule for patching is individualized and is prescribed by
the ophthalmologist.
The nurse is caring for an infant with a diagnosis of bladder exstrophy. To
protect the exposed bladder tissue, the nurse should plan which intervention?
A. Cover the bladder with petroleum jelly gauze.
B. Cover the bladder with a nonadhering plastic wrap.
C. Apply sterile distilled water dressings over the bladder mucosa.
D. Keep the bladder tissue dry by covering it with dry sterile gauze.
Correct Answer: B
In bladder exstrophy, the bladder is exposed and external to the body. In this
disorder, one must take care to protect the exposed bladder tissue from drying, while
allowing the drainage of urine. This is accomplished best by covering the bladder
with a nonadhering plastic wrap. The use of petroleum jelly gauze should be avoided
because this type of dressing can dry out, adhere to the mucosa, and damage the
delicate tissue when removed. Dry sterile dressings and dressings soaked in
solutions (that can dry out) also damage the mucosa when removed.
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A client who delivered an infant an hour ago tells the nurse the she feels wet
underneath her buttock. The nurse notes that the perineal pad is saturated and
the client is lying in a 6-inch diameter pool of blood. Which action should the
nurse implement first?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
Correct Answer: C
A firm uterus is needed to control bleeding from the placental site of attachment on
the uterine wall. The nurse should FIRST assess for firmness and massage the
fundus as indicated.
A woman who thinks she could be pregnant calls her neighbor, who is a nurse,
to ask when she should use a home pregnancy test. Which response is
appropriate?
A. "A home pregnancy test can be used right after your first missed period."
B. "These tests are most accurate after you missed your second period."
C "Home pregnancy tests often give false positives and should not be
trusted."
D. "The test can provide accurate information when used right after ovulation."
Correct Answer: A
Home urine test are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6-8 days after conception. Best detected at
2 weeks gestation or immediately after first missed period.
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)
A. Mood swings
B. Panic attacks
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C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant
Correct Answers: A,C
"Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings, teaefulness, feeling low,
emotional, and fatigued.
B,D, and E indicate "Postpartum Depression"
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. HR is
84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2 mg IM x 1. Which action
should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
D. Call the HP to question the prescription
Correct Answer: D
Methergine is contraindicated for clients with elevated BP, so the nurse should
contact the HP and question the prescription.
The nurse should encourage the laboring patient to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
C. the cervix is completely dilated
C. the cervix is completely effaced
Correct Answer: C
Pushing begins with the second stage of labor (i.e. when the cervix is completely
dilated at 10 cm). Pushing before this point could case the cervix to become
edematous = operative delivery.
OB HESI/FINAL Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
The nurse in the newborn nursery is preparing to complete an initial
assessment on a newborn infant who was just admitted to the nursery. The
nurse should place a warm blanket on the examining table to prevent heat loss
in the infant caused by which method?
A. Radiation
B. Convection
C. Conduction
D. Evaporation
Correct Answer: C
Heat loss occurs by four different mechanisms. In conduction, heat loss occurs when
the infant is on a cold surface, such as a table. Radiation occurs when heat from the
body surface radiates to the surrounding environment. In convection, air moving
across the infant's skin transfers heat to the air. Evaporation of moisture from a wet
body surface dissipates heat along with the moisture.
The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a
contraction?
A. Variability
B. Accelerations
C. Early decelerations
D. Variable decelerations
Correct Answer: D
Variable decelerations occur if the umbilical cord becomes compressed, reducing
blood flow between the placenta and the fetus. Variability refers to fluctuations in the
, Page 2 of 55
baseline fetal heart rate. Accelerations are a reassuring sign and usually occur with
fetal movement. Early decelerations result from pressure on the fetal head during a
contraction.
The health care provider prescribes patching for a child with strabismus of the
right eye, and the nurse instructs the mother regarding this procedure. What
should the nurse include in the instructions?
A. Place the patch on both eyes.
B. Place the patch on the left eye.
C. Place the patch on the right eye.
D. Alternate the patch from the right to the left eye hourly.
Correct Answer: B
Patching may be used in the treatment of strabismus ( AKA lazy eye) to strengthen
the weak eye. In this treatment, the better functioning eye is patched. This
encourages the child to use the weaker eye. It is most successful when done during
the preschool years. The schedule for patching is individualized and is prescribed by
the ophthalmologist.
The nurse is caring for an infant with a diagnosis of bladder exstrophy. To
protect the exposed bladder tissue, the nurse should plan which intervention?
A. Cover the bladder with petroleum jelly gauze.
B. Cover the bladder with a nonadhering plastic wrap.
C. Apply sterile distilled water dressings over the bladder mucosa.
D. Keep the bladder tissue dry by covering it with dry sterile gauze.
Correct Answer: B
In bladder exstrophy, the bladder is exposed and external to the body. In this
disorder, one must take care to protect the exposed bladder tissue from drying, while
allowing the drainage of urine. This is accomplished best by covering the bladder
with a nonadhering plastic wrap. The use of petroleum jelly gauze should be avoided
because this type of dressing can dry out, adhere to the mucosa, and damage the
delicate tissue when removed. Dry sterile dressings and dressings soaked in
solutions (that can dry out) also damage the mucosa when removed.
, Page 3 of 55
A client who delivered an infant an hour ago tells the nurse the she feels wet
underneath her buttock. The nurse notes that the perineal pad is saturated and
the client is lying in a 6-inch diameter pool of blood. Which action should the
nurse implement first?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
Correct Answer: C
A firm uterus is needed to control bleeding from the placental site of attachment on
the uterine wall. The nurse should FIRST assess for firmness and massage the
fundus as indicated.
A woman who thinks she could be pregnant calls her neighbor, who is a nurse,
to ask when she should use a home pregnancy test. Which response is
appropriate?
A. "A home pregnancy test can be used right after your first missed period."
B. "These tests are most accurate after you missed your second period."
C "Home pregnancy tests often give false positives and should not be
trusted."
D. "The test can provide accurate information when used right after ovulation."
Correct Answer: A
Home urine test are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6-8 days after conception. Best detected at
2 weeks gestation or immediately after first missed period.
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)
A. Mood swings
B. Panic attacks
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C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant
Correct Answers: A,C
"Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings, teaefulness, feeling low,
emotional, and fatigued.
B,D, and E indicate "Postpartum Depression"
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. HR is
84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2 mg IM x 1. Which action
should the nurse take immediately?
A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her fundus
D. Call the HP to question the prescription
Correct Answer: D
Methergine is contraindicated for clients with elevated BP, so the nurse should
contact the HP and question the prescription.
The nurse should encourage the laboring patient to begin pushing when
A. there is only an anterior or posterior lip of cervix left
B. the client describes the need to have a BM
C. the cervix is completely dilated
C. the cervix is completely effaced
Correct Answer: C
Pushing begins with the second stage of labor (i.e. when the cervix is completely
dilated at 10 cm). Pushing before this point could case the cervix to become
edematous = operative delivery.
