HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!
A client at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright
red. She further states that she is not experiencing any uterine contractions or
abdominal pain. Which instruction should the nurse provide?
A. Come to the clinic today for an ultrasound
B. Go immediately to the emergency room
C. Lie on your left side for about one hour and see if the bleeding stops
D. Bring a urine sample to the lab tomorrow to determine if you have a UTI
Correct Answer: A
Third trimester painless bleeding is characteristic of a placental previa. Bright
red bleeding may be intermittent, occur in gushes, or be continuous
Bleeding that is sudden and accompanied by intense uterine pain indicates
placental abruption, which IS life threatening
An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest that he
discuss his concerns with the childbirth education nurse
B. Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed
C. Ask him to observe his wife's behavior carefully for the next few weeks and
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, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
report any similar behavior to the nurse
D. Let him know that these are normal maternal/fetal bonding behaviors which
occur once the mother feels fetal movement
Correct Answer: D
These behaviors are positive maternal/fetal bonding
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
A. Insert an internal fetal monitor
B. Assess for cervical changes q1h
C. Monitor bleeding from IV sites
D. Perform Leopold's maneuvers
Correct Answer: D
The client is presenting with signs of placental abruption so monitoring bleeding
from peripheral IV sites is priority.
WHY? Disseminated intravascular coagulation (DIC) is a complication of PA
characterized by abnormal bleeding
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart
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, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
Correct Answer: B
Dorsiflexinfg the foot by pushing the sole of the foot forward or by standing is
the best means of relieving leg cramps
Which maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time?
A. She eagerly reaches for the infant, undresses the infant, and examines the
infant completely
B. Her arms and hands receive the infant and she then traces the infant's profile
with her fingertips
C. Her arms and hands receive the infant and she then cuddles the infant to her
own body
D. She eagerly reaches for the infant and then holds the infant to her own body
Correct Answer: B
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in (B)
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-ecplamsia
Correct Answer: B
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevation may
indicate neural tube defect
3|Page
, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
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 spot 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"
C. "The soft spot will disappear within 6 weeks and if 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 their hair"
Correct Answer: D
Provides correct information and relieves any anxiety
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her last
menstrual period was January 8. The nurse correctly calculates that the woman's
next fertile period is
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7
Correct Answer: C
Ovulation occurs 14 days before the first day of the menstrual period.
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason for
implementing this nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the
4|Page
HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!
A client at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright
red. She further states that she is not experiencing any uterine contractions or
abdominal pain. Which instruction should the nurse provide?
A. Come to the clinic today for an ultrasound
B. Go immediately to the emergency room
C. Lie on your left side for about one hour and see if the bleeding stops
D. Bring a urine sample to the lab tomorrow to determine if you have a UTI
Correct Answer: A
Third trimester painless bleeding is characteristic of a placental previa. Bright
red bleeding may be intermittent, occur in gushes, or be continuous
Bleeding that is sudden and accompanied by intense uterine pain indicates
placental abruption, which IS life threatening
An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest that he
discuss his concerns with the childbirth education nurse
B. Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed
C. Ask him to observe his wife's behavior carefully for the next few weeks and
1|Page
, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
report any similar behavior to the nurse
D. Let him know that these are normal maternal/fetal bonding behaviors which
occur once the mother feels fetal movement
Correct Answer: D
These behaviors are positive maternal/fetal bonding
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and
uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
A. Insert an internal fetal monitor
B. Assess for cervical changes q1h
C. Monitor bleeding from IV sites
D. Perform Leopold's maneuvers
Correct Answer: D
The client is presenting with signs of placental abruption so monitoring bleeding
from peripheral IV sites is priority.
WHY? Disseminated intravascular coagulation (DIC) is a complication of PA
characterized by abnormal bleeding
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart
2|Page
, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
Correct Answer: B
Dorsiflexinfg the foot by pushing the sole of the foot forward or by standing is
the best means of relieving leg cramps
Which maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time?
A. She eagerly reaches for the infant, undresses the infant, and examines the
infant completely
B. Her arms and hands receive the infant and she then traces the infant's profile
with her fingertips
C. Her arms and hands receive the infant and she then cuddles the infant to her
own body
D. She eagerly reaches for the infant and then holds the infant to her own body
Correct Answer: B
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in (B)
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-ecplamsia
Correct Answer: B
Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevation may
indicate neural tube defect
3|Page
, HESI OB FINAL EXAM/HESI OB PRACTICE EXAM NEWEST ACTUAL EXAM
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 spot 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"
C. "The soft spot will disappear within 6 weeks and if 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 their hair"
Correct Answer: D
Provides correct information and relieves any anxiety
The nurse is counseling a woman who wants to become pregnant. The woman
tells the nurse that she has a 36-day menstrual cycle and the first day of her last
menstrual period was January 8. The nurse correctly calculates that the woman's
next fertile period is
A. January 14-15
B. January 22-23
C. January 30-31
D. February 6-7
Correct Answer: C
Ovulation occurs 14 days before the first day of the menstrual period.
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason for
implementing this nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the
4|Page
