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HESI Practice Quiz OB Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A new mother is afraid to touch her baby's head for fear of hurting the "large
soft spot." Which explanation should the nurse give to this anxious client?
A. "Some care is required when touching the large soft area on top of your
baby's head until the bones fuse together."
B. "That's just an 'old wives' tale' so don't worry, you can't harm your baby's
head by touching the soft spot."
C. "The soft spot will disappear within 6 weeks and is very unlikely to cause
any problems for your baby."
D. "There's a strong, tough membrane there to protect the baby so you need
not be afraid to wash or comb his/her hair."
D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
(D) provides correct information and attempts to alleviate anxiety related to
knowledge deficit. The anterior fontanel or "large soft spot" has a strong epidermal
membrane present, which can be touched (A). (B) dismisses the client's concerns.
The anterior fontanel normally closes at 12 to 18 months of age, not 6 weeks (C).
The posterior fontanel closes at 8 to 12 weeks of age.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose?
A. Detect cardiovascular disorders.
B. Screen for neural tube defects.
C. Monitor the placental functioning.
D. Assess for maternal pre-eclampsia.
B. Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevated AFP may
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indicate an increased rish of neural tube defects (B) such as anencephaly and spinal
bifida. AFP does not apply in (A, C, or D).
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
A. Notify the pediatrician immediately.
B. Suction the infant's nares, then the oral cavity.
C. Check the infant's oxygen saturation rate.
D. Position the infant on the right side.
C. Check the infant's oxygen saturation rate.
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information (C). The pediatrician should be notified if
the oxygen saturation rate is below 90% (A). The infant is not demonstrating signs of
an obstructed airway, but if suctioning was required, the oral cavity should be
suctioned first to prevent the infant from aspirating pharyngeal secretions (B). (D)
facilitates drainage from the mouth and promotes emptying into the small intestine,
but at this time, this intervention is not as high a priority as (C).
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is
requesting an epidural for pain relief. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement.
B. White blood cell count of 12,000/mm3.
C. Hemoglobin of 12 mg/dl and hematocrit of 38%.
D. A platelet count of 67,000/mm3.
D. A platelet count of 67,000/mm3.
Thrombocytopenia (low platelet count) (D) should be reported to the healthcare
provider because it places the client at risk for bleeding when an epidural is
administered. (A, B, and C) are within the normal parameters for a client in active
labor and is not contraindicated for the placement of an epidural.
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on
the thorax, back, and abdomen. What action should the nurse implement?
A.Notify the healthcare provider.
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B.Move the newborn to an isolation nursery.
C.Document the finding in the infant's record.
D.Obtain a culture of the vesicles.
C.Document the finding in the infant's record.
Erythema toxicum (or erythema neonatorum) is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in the infant's
record (C), and requires no further action (A, B, and D).
A client at 32-weeks' gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding would indicate that therapeutic drug
level has been achieved?
A.4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16. D.A decreased body
temperature.
C.A decrease in respiratory rate from 24 to 16.
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate (C) indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.) (A) indicates high CNS irritability. Urinary output must be
monitored when administering magnesium sulfate and should be at least 30 ml per
hour. (B) indicates that the magnesium sulfate is not at a toxic level but does not
indicate that a therapeutic level has been achieved. (D) is not specifically related to
magnesium sulfate. (The therapeutic level of magnesium sulfate for a PIH client is
4.8 to 9.6 mg/dl.)
A healthcare provider informs the charge nurse of a labor and delivery unit
that a client is coming to the unit with suspected abruptio placentae. What
findings should the charge nurse expect the client to demonstrate? (Select all
that apply.)
a. Dark, red vaginal bleeding.
b. Lower back pain.
c. Premature rupture of membranes.
d. Increased uterine irritability.
HESI Practice Quiz OB Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
A new mother is afraid to touch her baby's head for fear of hurting the "large
soft spot." Which explanation should the nurse give to this anxious client?
A. "Some care is required when touching the large soft area on top of your
baby's head until the bones fuse together."
B. "That's just an 'old wives' tale' so don't worry, you can't harm your baby's
head by touching the soft spot."
C. "The soft spot will disappear within 6 weeks and is very unlikely to cause
any problems for your baby."
D. "There's a strong, tough membrane there to protect the baby so you need
not be afraid to wash or comb his/her hair."
D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
(D) provides correct information and attempts to alleviate anxiety related to
knowledge deficit. The anterior fontanel or "large soft spot" has a strong epidermal
membrane present, which can be touched (A). (B) dismisses the client's concerns.
The anterior fontanel normally closes at 12 to 18 months of age, not 6 weeks (C).
The posterior fontanel closes at 8 to 12 weeks of age.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose?
A. Detect cardiovascular disorders.
B. Screen for neural tube defects.
C. Monitor the placental functioning.
D. Assess for maternal pre-eclampsia.
B. Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevated AFP may
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indicate an increased rish of neural tube defects (B) such as anencephaly and spinal
bifida. AFP does not apply in (A, C, or D).
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What
action should the nurse take first?
A. Notify the pediatrician immediately.
B. Suction the infant's nares, then the oral cavity.
C. Check the infant's oxygen saturation rate.
D. Position the infant on the right side.
C. Check the infant's oxygen saturation rate.
When possible, the nurse should first obtain measurable objective data; an oxygen
saturation rate provides such information (C). The pediatrician should be notified if
the oxygen saturation rate is below 90% (A). The infant is not demonstrating signs of
an obstructed airway, but if suctioning was required, the oral cavity should be
suctioned first to prevent the infant from aspirating pharyngeal secretions (B). (D)
facilitates drainage from the mouth and promotes emptying into the small intestine,
but at this time, this intervention is not as high a priority as (C).
A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is
requesting an epidural for pain relief. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A. Cervical dilation of 5 cm with 90% effacement.
B. White blood cell count of 12,000/mm3.
C. Hemoglobin of 12 mg/dl and hematocrit of 38%.
D. A platelet count of 67,000/mm3.
D. A platelet count of 67,000/mm3.
Thrombocytopenia (low platelet count) (D) should be reported to the healthcare
provider because it places the client at risk for bleeding when an epidural is
administered. (A, B, and C) are within the normal parameters for a client in active
labor and is not contraindicated for the placement of an epidural.
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on
the thorax, back, and abdomen. What action should the nurse implement?
A.Notify the healthcare provider.
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B.Move the newborn to an isolation nursery.
C.Document the finding in the infant's record.
D.Obtain a culture of the vesicles.
C.Document the finding in the infant's record.
Erythema toxicum (or erythema neonatorum) is a newborn rash that is commonly
referred to as "flea bites," but is a normal finding that is documented in the infant's
record (C), and requires no further action (A, B, and D).
A client at 32-weeks' gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding would indicate that therapeutic drug
level has been achieved?
A.4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16. D.A decreased body
temperature.
C.A decrease in respiratory rate from 24 to 16.
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate (C) indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.) (A) indicates high CNS irritability. Urinary output must be
monitored when administering magnesium sulfate and should be at least 30 ml per
hour. (B) indicates that the magnesium sulfate is not at a toxic level but does not
indicate that a therapeutic level has been achieved. (D) is not specifically related to
magnesium sulfate. (The therapeutic level of magnesium sulfate for a PIH client is
4.8 to 9.6 mg/dl.)
A healthcare provider informs the charge nurse of a labor and delivery unit
that a client is coming to the unit with suspected abruptio placentae. What
findings should the charge nurse expect the client to demonstrate? (Select all
that apply.)
a. Dark, red vaginal bleeding.
b. Lower back pain.
c. Premature rupture of membranes.
d. Increased uterine irritability.
