HESI OB PEDS EXAM 2026 COMPREHENSIVE
STUDY GUIDE SOLVED QUESTION SET
◉ The nurse is educating client who has been diagnosed with
pregnancy-induced hypertension (PIH) and placed on a sodium
restriction. Which statement by the client indicates that the teaching has
been effective?
A. "I should avoid eating potato chips."
B. "I should limit sodium intake to correct my hypotension."
C. "Too much sodium can cause central nervous system malformations."
D. "Consuming canned foods will help reduce my sodium levels.".
Answer: A. "I should avoid eating potato chips."
Sodium restriction is often not necessary for pregnant clients, unless
they are at an increase risk of pregnancy-induced hypertension (PIH).
Teaching has been effective when the client states that she should avoid
potato chips, which are high in sodium and low in nutrients.
◉ The nurse is discussing risks associated with urinary changes during
pregnancy with a group of nursing students. Which information should
the nurse share with the students?
A. Increased urinary stagnation causes urinary tract infections
B. Increased urinary frequency causes sodium depletion
,C. Decreased nocturia causes sodium increases
D. Decreased urine output decreases blood pressure. Answer: A.
Increased urinary stagnation causes urinary tract infections
Clients will experience urinary changes throughout pregnancy.
Stagnation of urine due to anatomical changes due to the enlarging
uterus placing pressure on the bladder increases maternal risk of urinary
tract infections.
◉ The nurse is caring for a pregnant client who also has a school-age
child. The client is concerned about preparing the child to be an older
sibling. Which should the nurse recognize as the most effective strategy
for helping the older sibling adapt?
A. Show the child where and how to touch the baby
B. Involve the child in bringing the baby home
C. Encourage the child to interact with the baby
D. Feed the baby separately from the child. Answer: A. Show the child
where and how to touch the baby
The school-age child generally takes a more specific, or clinical interest
in the mother's pregnancy. Showing the child where and how to touch
the baby is one way to help the older child adapt to the new sibling.
, ◉ The nurse is examining a client who believes she is pregnant. Which
presumptive sign should the nurse recognize as a possible indication of
pregnancy?
A. Urinary frequency
B. Breast changes
C. Amenorrhea
D. Quickening. Answer: A. Urinary frequency
Presumptive signs of pregnancy include quickening, amenorrhea, breast
changes, and urinary frequency. The nurse should recognize that urinary
frequency can be a sign of pregnancy because the hCG hormone
increases the blood flow to the kidneys during pregnancy and the
pressure of the enlarging uterus on the bladder during the first trimester.
◉ The nurse has administered Rh immune globulin to a client. The nurse
should report which adverse effect of this medication to the health care
immediately?
A. Muscle pain
B. Insomnia
C. Bradycardia
D. Hypertension. Answer: D. Hypertension
STUDY GUIDE SOLVED QUESTION SET
◉ The nurse is educating client who has been diagnosed with
pregnancy-induced hypertension (PIH) and placed on a sodium
restriction. Which statement by the client indicates that the teaching has
been effective?
A. "I should avoid eating potato chips."
B. "I should limit sodium intake to correct my hypotension."
C. "Too much sodium can cause central nervous system malformations."
D. "Consuming canned foods will help reduce my sodium levels.".
Answer: A. "I should avoid eating potato chips."
Sodium restriction is often not necessary for pregnant clients, unless
they are at an increase risk of pregnancy-induced hypertension (PIH).
Teaching has been effective when the client states that she should avoid
potato chips, which are high in sodium and low in nutrients.
◉ The nurse is discussing risks associated with urinary changes during
pregnancy with a group of nursing students. Which information should
the nurse share with the students?
A. Increased urinary stagnation causes urinary tract infections
B. Increased urinary frequency causes sodium depletion
,C. Decreased nocturia causes sodium increases
D. Decreased urine output decreases blood pressure. Answer: A.
Increased urinary stagnation causes urinary tract infections
Clients will experience urinary changes throughout pregnancy.
Stagnation of urine due to anatomical changes due to the enlarging
uterus placing pressure on the bladder increases maternal risk of urinary
tract infections.
◉ The nurse is caring for a pregnant client who also has a school-age
child. The client is concerned about preparing the child to be an older
sibling. Which should the nurse recognize as the most effective strategy
for helping the older sibling adapt?
A. Show the child where and how to touch the baby
B. Involve the child in bringing the baby home
C. Encourage the child to interact with the baby
D. Feed the baby separately from the child. Answer: A. Show the child
where and how to touch the baby
The school-age child generally takes a more specific, or clinical interest
in the mother's pregnancy. Showing the child where and how to touch
the baby is one way to help the older child adapt to the new sibling.
, ◉ The nurse is examining a client who believes she is pregnant. Which
presumptive sign should the nurse recognize as a possible indication of
pregnancy?
A. Urinary frequency
B. Breast changes
C. Amenorrhea
D. Quickening. Answer: A. Urinary frequency
Presumptive signs of pregnancy include quickening, amenorrhea, breast
changes, and urinary frequency. The nurse should recognize that urinary
frequency can be a sign of pregnancy because the hCG hormone
increases the blood flow to the kidneys during pregnancy and the
pressure of the enlarging uterus on the bladder during the first trimester.
◉ The nurse has administered Rh immune globulin to a client. The nurse
should report which adverse effect of this medication to the health care
immediately?
A. Muscle pain
B. Insomnia
C. Bradycardia
D. Hypertension. Answer: D. Hypertension
