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RN45 OB Practice HESI Assessment Exam 2025Review Questions PRACTICE GRADED
A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
The most important intervention is placing the newborn to the mother's breast. This
action serves two purposes as it will help contract the uterus thus preventing a
postpartum hemorrhage and avoid infant "cold-stress" because skin to skin will
maintain the infant's thermoregulation.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
D. At 30-weeks gestation.
At 30 weeks gestation.
The couple is most interested in childbirth toward the end of the pregnancy when
they are psychologically ready for the termination of the pregnancy, and the birth of
their child is an immediate concern.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) would be
A. November 22.
B. November 8.
C. December 22.
D. October 22.
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November 22.
The RN correctly applied N gele's rule for estimating the due date by counting back 3
months from the first day of the last menstrual period (January, December,
November) and adding 7 days (15+7=22).
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."
"There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair"
The anterior fontanel or "large soft spot" has a strong epidermal membrane present,
which can be touched. The posterior fontanel closes at 8-12 weeks. Providing this
information to the client will alleviate her anxiety related to knowledge deficit
A client at 8-weeks gestation ask the nurse about the risk for a congenital
heart defect (CHD) in her baby. Which response best explains when a CHD
may occur?
A. It depends on what the causative factors are for a CHD.
B. We don't really know what or when CHDs occur.
C. They usually occur in the first trimester of pregnancy.
D. The heart develops in the third to fifth weeks after conception.
The heart develops in the 3rd to 5th weeks after conception.
The cardiovascular system is the first organ system to develop and function in the
embryo. The blood vessel and blood formation begin in the 3rd week and the heart is
developmentally complete in the 5th week. Regardless of etiological factors, the
heart is vulnerable during its period of development.
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Which behavior should the nurse anticipate for a new mother with an
uncomplicated vaginal birth on the third postpartum day?
A. Request help with ambulation and perineal care.
B. Exhibit interest in learning more about infant care.
C. Sleep most of the time when the baby is not present.
D. Be very excited and talkative about the birth experience.
Exhibit interest in learning more about infant care.
By the 3rd postpartum day, the new mother should start to "take hold" of caring for
her infant by asking questions about infant care and initiating care of her infant. This
client should be independent with self-care. Excessive sleeping is more indicative of
immediate post-delivery behavior when the new mother is tired from the process of
labor. Being excited and talkative about the birth is more characteristic of "taking in"
behavior- seen in the first 24-48hrs after delivery.
A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. What action should the
nurse implement at this time?
A. Ask to meet with the client and infant without family members present.
B. Do a brief assessment for only the infant while family members are present.
C. Observe interactions of family members with the newborn and each other.
D. Reschedule the visit so that the mother and infant can be assessed
privately.
Observe interactions of family members with the newborn and each other.
An opportunity to assess the emotional adjustment of individual family members to
birth and lifestyle changes is presented, so the nurse should first observe the
interaction of the family members. Privacy to assess the mother should be assured
(A and D), but evaluation of the family dynamics provides essential data about
mother-child bonding and should be determined at this time.
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
A. Shallow with an irregular rhythm.
B. Chest breathing with nasal flaring.
C. Diaphragmatic with chest retraction.
RN45 OB Practice HESI Assessment Exam 2025Review Questions PRACTICE GRADED
A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
The most important intervention is placing the newborn to the mother's breast. This
action serves two purposes as it will help contract the uterus thus preventing a
postpartum hemorrhage and avoid infant "cold-stress" because skin to skin will
maintain the infant's thermoregulation.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
D. At 30-weeks gestation.
At 30 weeks gestation.
The couple is most interested in childbirth toward the end of the pregnancy when
they are psychologically ready for the termination of the pregnancy, and the birth of
their child is an immediate concern.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that
her last menstrual period began on February 15, and that previously her
periods were regular. Her pregnancy test is positive. This client's expected
date of delivery (EDD) would be
A. November 22.
B. November 8.
C. December 22.
D. October 22.
, Page 2 of 22
November 22.
The RN correctly applied N gele's rule for estimating the due date by counting back 3
months from the first day of the last menstrual period (January, December,
November) and adding 7 days (15+7=22).
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."
"There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair"
The anterior fontanel or "large soft spot" has a strong epidermal membrane present,
which can be touched. The posterior fontanel closes at 8-12 weeks. Providing this
information to the client will alleviate her anxiety related to knowledge deficit
A client at 8-weeks gestation ask the nurse about the risk for a congenital
heart defect (CHD) in her baby. Which response best explains when a CHD
may occur?
A. It depends on what the causative factors are for a CHD.
B. We don't really know what or when CHDs occur.
C. They usually occur in the first trimester of pregnancy.
D. The heart develops in the third to fifth weeks after conception.
The heart develops in the 3rd to 5th weeks after conception.
The cardiovascular system is the first organ system to develop and function in the
embryo. The blood vessel and blood formation begin in the 3rd week and the heart is
developmentally complete in the 5th week. Regardless of etiological factors, the
heart is vulnerable during its period of development.
, Page 3 of 22
Which behavior should the nurse anticipate for a new mother with an
uncomplicated vaginal birth on the third postpartum day?
A. Request help with ambulation and perineal care.
B. Exhibit interest in learning more about infant care.
C. Sleep most of the time when the baby is not present.
D. Be very excited and talkative about the birth experience.
Exhibit interest in learning more about infant care.
By the 3rd postpartum day, the new mother should start to "take hold" of caring for
her infant by asking questions about infant care and initiating care of her infant. This
client should be independent with self-care. Excessive sleeping is more indicative of
immediate post-delivery behavior when the new mother is tired from the process of
labor. Being excited and talkative about the birth is more characteristic of "taking in"
behavior- seen in the first 24-48hrs after delivery.
A client who is stable has family members present when the nurse enters the
birthing suite to assess the mother and newborn. What action should the
nurse implement at this time?
A. Ask to meet with the client and infant without family members present.
B. Do a brief assessment for only the infant while family members are present.
C. Observe interactions of family members with the newborn and each other.
D. Reschedule the visit so that the mother and infant can be assessed
privately.
Observe interactions of family members with the newborn and each other.
An opportunity to assess the emotional adjustment of individual family members to
birth and lifestyle changes is presented, so the nurse should first observe the
interaction of the family members. Privacy to assess the mother should be assured
(A and D), but evaluation of the family dynamics provides essential data about
mother-child bonding and should be determined at this time.
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply.)
A. Shallow with an irregular rhythm.
B. Chest breathing with nasal flaring.
C. Diaphragmatic with chest retraction.
