PEDS & OB HESI EXAM NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A woman who is 6 weeks pregnant has the following maternal history: a 2 yr old
healthey daughter, a miscarriage at 10 weeks, 3 years ago and an elective abortion
at 6 weeks, 5 years ago. Describe gravidity and parity in this case.
A. gravida 1, para 4
B. gravida 2, para 4
C. gravida 4, para 1
D. gravida 4, para 2
C.
With this pregnancy, the woman is a gravida 4, para 1 ( only 1 delivery after 20
weeks geatation)
The first day of a womans last normal menstrual period was October 17. By using
Nagele's rule, what is the EDB?
A. July 10
B. July 24
C. June 10
D. June 24
B.
If the first day of a womans last normal menstrual period was October 17, her EDB
using Nagele's rule is July 24. Count back 3 months and add 7 days ( Always give
February 28 days)
At approximately 28 - 32 weeks gestation, the maximum plasma volume increase
of 25 - 40% occurs, resulting in normal hemodilution of pregnancy and Hct values
of 32 - 42%. What does Hct in reality represent, even if its values may look
"good"?
A. Pregnancy induced hyperglycemia
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B. Pregnancy induced hypoglycemia
C. Pregnancy induced hypertension
D. pregnancy induced hypotension
C.
High Hct values may look "good" but in reality represent pregnancy induced
hypertension and depleted vascular space
A 22 year old primigravida at 12 weeks gestation has a high Hgb of 9.6 g/dl and a
Hct of 31% and she has gained 3 pounds during the first trimester, even if the gain
of 3.5 to 5 pounds during the first trimester is recommended. Taking into
consideration that the client is anemic, what supplements should be
recommended to her?
A. Potassium
B. Magnesium
C. Iron
D. Calcium
C.
For the anemic pregnant client, supplemental iron and a diet high in iron is
needed
As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava
and aorta). What position is best for increasing perfucion according to the latest
research?
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position
B.
Recent research indicated that the knee chest position is best for increasing
perfusion and that the sid lying position (either left or right side lying) is the
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second most disirable position to increase perfusion. Prior to this research, the
left side lying position was usually encouraged
Fetal well being is determined by assessing fundal height, fetal heart tones/rate,
fetal movement and uterine activity (contractions). What do changes in fetal heart
rate indicate?
A. Leukorrhea
B. Compromised blood flow to the fetus
C. Fluid discharge from vagina
D. Change in fetal movement
B.
Changes in fetal heart rate are the first and most important indicator of
compromised blood flow to the fetus, and these changes require action
Changes in fetal heart rate are the first and most important indicator of
compromised blood flow to the fetus, and these changes require action! What is
the normal FHR in a pregnant woman?
A. 150 - 180 bpm
B. 160 - 190 bpm
C. 110 - 160 bpm
D. 120 - 150 bpm
C.
Changes in fetal heart rate are the first and most important indicator of
compromised blood flow to the fetus, and these changes require action!
Remember, the normal FHR is 110 to 160 bpm.
A 28 year old porgnant woman has the following symptoms: visual disturbance,
persistant vomiting, swelling of face, fingers or sacrum and severe continuous
headache. What do these symptoms most probably indicate?
A. Preeclampsia/eclampsia
B. Dysuria
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C. Chills
D. Fluid discharge from the vagina
A.
Visual distubance, persistant vomiting, swelling of face, fingers or sacrum and
severe continuous headache in pregnant woman possible indications of
preeclampsia/ eclampsia
A nurse should teach the pregnant clients to immediately report any of the
following danger signs because early intervention can optimize maternal and fetal
outcome. Which are the signs of infection in a pregnant woman?
A. FHR 110 - 160 bpm
B. Chills
C. Persistant vomition
D. Visual disturbances
B.
Signs of infection in a pregnant woman are Chills, Dysuria, pain in abdomen, fluid
discharge from vagina, and increased FHR
A pregnant client has a temperature over 100.4 F, Dysuria and fluid discharge from
vagina. What could these signs most probable indicate?
A. Preeclampsia
B. Eclampsia
C. Infection
D. Change in fetal movement
C.
Temperature ofve 100.4 F, Dysuria, and fluid discharge from vagina are signs of
infection.
Most providers prescribe prenatal vitamins to ensure that the client receives and
adequate intake of vitamins. However, only the healthcare provider can prescribe
prenatal vitamins. Whis is the quanity of milk a pregnant woman should drink per
day for ensuring that the daily calcium needs are met?
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