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HESI RN OB - Test Bank – 2025 Exam 2 2025Review Questions PRACTICE GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
The nurse is assessing a 38- week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extra-uterine life?
A. Flexion of all four extremities
B. Cries vigorously when stimulated
C. Heart rate of 22 beats/minute
D. A positive Babinki reflex
B. Cries vigorously when stimulated
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heartrate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position
D. Change the maternal position
A 32- week primigravida who is in preterm labor receives a prescription for an
infusion of D5W 500 ml with magnesium sulfate 20 grams at 1 gram/hour. How
many ml/hour should the nurse program the infusion pump?
ANS: 25 ml
During the admission of a newborn, the nurse identifies a localized swelling
that does not cross the suture line on the posterior area of the parietal bone.
What action should the nurse implement?
A. Assess neurological vital signs every 4 hours
B. Apply direct pressure to the caput succedaneum (THIS ONE CROSSES THE
SUTURE LINES)
C. Submit a request for a stat CT scan of the head
D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT
CROSS THE SL & IS MORE CRITICAL)
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D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT CROSS
THE SL & IS MORE CRITICAL)
One hour after delivery, the nurse is unable to palpate the uterine fundus of a
client who had an epidural and notes a large amount of lochia on the perineal
pad. The nurse massages at the umbilicus and obtains current vital signs.
Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
B. Increase the rate of the oxytocin infusion
At 40-week gestation, a laboring client who is lying is a supine position tells
the nurse that she has finally found a comfortable position. What action
should the nurse take? A. Place a pillow under the client's head and knees.
B. Place a wedge under the client's right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.
B. Place a wedge under the client's right hip.
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to
the postpartum room to help change the newborns diaper. As the mother
begins the diaper change, the newborn spits up the breast milk.
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
What action should the nurse implement first?
B. Turn the newborn to the side and bulb suction the mouth and nares
A young adult female presents at the emergency center with acute lower
abdominal pain. Which assessment finding is most important for the nurse to
report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a "9" on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.
HESI RN OB - Test Bank – 2025 Exam 2 2025Review Questions PRACTICE GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
The nurse is assessing a 38- week gestation newborn infant immediately
following a vaginal birth. Which assessment finding best indicates that the
infant is transitioning well to extra-uterine life?
A. Flexion of all four extremities
B. Cries vigorously when stimulated
C. Heart rate of 22 beats/minute
D. A positive Babinki reflex
B. Cries vigorously when stimulated
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heartrate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position
D. Change the maternal position
A 32- week primigravida who is in preterm labor receives a prescription for an
infusion of D5W 500 ml with magnesium sulfate 20 grams at 1 gram/hour. How
many ml/hour should the nurse program the infusion pump?
ANS: 25 ml
During the admission of a newborn, the nurse identifies a localized swelling
that does not cross the suture line on the posterior area of the parietal bone.
What action should the nurse implement?
A. Assess neurological vital signs every 4 hours
B. Apply direct pressure to the caput succedaneum (THIS ONE CROSSES THE
SUTURE LINES)
C. Submit a request for a stat CT scan of the head
D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT
CROSS THE SL & IS MORE CRITICAL)
, Page 2 of 14
D. Notify the pediatrician of the cephalhematoma (THIS ONE DOES NOT CROSS
THE SL & IS MORE CRITICAL)
One hour after delivery, the nurse is unable to palpate the uterine fundus of a
client who had an epidural and notes a large amount of lochia on the perineal
pad. The nurse massages at the umbilicus and obtains current vital signs.
Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
B. Increase the rate of the oxytocin infusion
At 40-week gestation, a laboring client who is lying is a supine position tells
the nurse that she has finally found a comfortable position. What action
should the nurse take? A. Place a pillow under the client's head and knees.
B. Place a wedge under the client's right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.
B. Place a wedge under the client's right hip.
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to
the postpartum room to help change the newborns diaper. As the mother
begins the diaper change, the newborn spits up the breast milk.
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
What action should the nurse implement first?
B. Turn the newborn to the side and bulb suction the mouth and nares
A young adult female presents at the emergency center with acute lower
abdominal pain. Which assessment finding is most important for the nurse to
report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a "9" on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.