HESI RN OB Version 2 with 55 questions and correct answers
1. Vaginal examination reveals that a laboring client’s cervix is dilated to 2 cm, 70%
effaced, with the presenting part at -2 station. The client tells the nurse “I need my
epidural now! This hurts!” The nurse’s response to the client should be based on which
information?
Administering an epidural at this point would slow the labor process
The client should be dilated to at least 8 cm before receiving an epidural
The baby needs to be at 0 station before an epidural can be administered
2. The client will need to be catheterized before the epidural can be administered
A client who is HIV+ is receiving zidovudine during labor. Which information should the nurse
provide to the client?
a. This treatment helps prevent transmission of the virus to the fetus
b. The drug treats fungal infections associated with HIV
c. The medication is given for treatment of chorioamnionitis
d. This intervention helps to prevent HIV complications in the mother
3. A newborn’s head circumference is 12 inches (30.5cm), and his chest measurement is 13
inches (33 cm). The nurse notes that this infant has no molding, and was a breech presentation
delivered by c-section. What action should the nurse take based on these data?
a. Notify the pediatrician immediately. These findings support the possibility of
hydrocephalus
b. Record the findings on the chart. They are within normal limits
c. No action needs to be taken. It is normal for an infant born by c-section to have a small
head circumference
d. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal
4. A three-hour-old newborn of a gestational diabetic mother who is asymptomatic and successful
breastfed shortly after birth, heel stick glucose level is 36 mg/dL. Which intervention should the
nurse do first?
A. Give IV 10% dextrose in water
B. Initiate formula feeding
C. Assist the mother to breastfeed the infant
D. Provide 1.125 oz (34 mL) of oral glucose
5. The nurse is caring for a female client, a primigravida with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision, and a
severe frontal headache. Which medication should the nurse anticipate for this client?
Magnesium sulfate
pg. 1
, 6. When planning care for a laboring client , the nurse identifies the need to withhold solid foods
while the client is in labor . What is the most important reason for this nursing intervention ?
A. Gastric emptying time decreases during labor
B. Nausea occurs from analgesic used during labor
C. An increased risk for aspiration can occur if general analgesic is needed
D. Autonomic nervous system stimulation during labor decreases peristalsis
7. Which action should the nurse take if an infant, who was born yesterday weighing 7.5lbs
(3,317grams) weights 7 lbs. (3,175grams) today.
A. Monitor the stool and urine output of the neonate for the last 24 hours
b.Inform and assure the mother that this is a normal weight loss
c.Encourages the mother to increase the frequency of breastfeeding.
d.After verifying the accuracy of the weight, notify the healthcare provider
8. A client at 20-weeks gestation comes to the antepartal clinic complaining of vaginal warts
(HPV). What information should the nurse provide this client?
This client should be treated with acyclovir
9. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visit,. Which
assessment finding is important for the nurse to report to the hcp?
A. increased appetite
B. FHR of 110bpm
C. funds below the xiphoid process
D. weight gain of 7lbs
10. A client in preterm labor has had an infusion of magnesium sulfate running for 8 hours.
Current assessment findings are: RR 14 bpm, UOP 25 mL/hr, DTR +3, and magnesium level 8
mEq/L. Based on these assessment findings, what conclusion should the nurse reach?
These findings are WNL and require routine follow-up
The findings indicate potential toxicity to the magnesium sulfate and close follow-up is
indicated
The primary IV fluids should be increased to assist in increasing the low UOP
All findings are outside of acceptable range and should be reported to the healthcare
provider immediately
The nurse notes that a newborn at 24 hours of age has a large cephalhematoma. Which
intervention has the highest priority?
Assess the infant for jaundice every 8 hours
pg. 2
1. Vaginal examination reveals that a laboring client’s cervix is dilated to 2 cm, 70%
effaced, with the presenting part at -2 station. The client tells the nurse “I need my
epidural now! This hurts!” The nurse’s response to the client should be based on which
information?
Administering an epidural at this point would slow the labor process
The client should be dilated to at least 8 cm before receiving an epidural
The baby needs to be at 0 station before an epidural can be administered
2. The client will need to be catheterized before the epidural can be administered
A client who is HIV+ is receiving zidovudine during labor. Which information should the nurse
provide to the client?
a. This treatment helps prevent transmission of the virus to the fetus
b. The drug treats fungal infections associated with HIV
c. The medication is given for treatment of chorioamnionitis
d. This intervention helps to prevent HIV complications in the mother
3. A newborn’s head circumference is 12 inches (30.5cm), and his chest measurement is 13
inches (33 cm). The nurse notes that this infant has no molding, and was a breech presentation
delivered by c-section. What action should the nurse take based on these data?
a. Notify the pediatrician immediately. These findings support the possibility of
hydrocephalus
b. Record the findings on the chart. They are within normal limits
c. No action needs to be taken. It is normal for an infant born by c-section to have a small
head circumference
d. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal
4. A three-hour-old newborn of a gestational diabetic mother who is asymptomatic and successful
breastfed shortly after birth, heel stick glucose level is 36 mg/dL. Which intervention should the
nurse do first?
A. Give IV 10% dextrose in water
B. Initiate formula feeding
C. Assist the mother to breastfeed the infant
D. Provide 1.125 oz (34 mL) of oral glucose
5. The nurse is caring for a female client, a primigravida with preeclampsia. Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision, and a
severe frontal headache. Which medication should the nurse anticipate for this client?
Magnesium sulfate
pg. 1
, 6. When planning care for a laboring client , the nurse identifies the need to withhold solid foods
while the client is in labor . What is the most important reason for this nursing intervention ?
A. Gastric emptying time decreases during labor
B. Nausea occurs from analgesic used during labor
C. An increased risk for aspiration can occur if general analgesic is needed
D. Autonomic nervous system stimulation during labor decreases peristalsis
7. Which action should the nurse take if an infant, who was born yesterday weighing 7.5lbs
(3,317grams) weights 7 lbs. (3,175grams) today.
A. Monitor the stool and urine output of the neonate for the last 24 hours
b.Inform and assure the mother that this is a normal weight loss
c.Encourages the mother to increase the frequency of breastfeeding.
d.After verifying the accuracy of the weight, notify the healthcare provider
8. A client at 20-weeks gestation comes to the antepartal clinic complaining of vaginal warts
(HPV). What information should the nurse provide this client?
This client should be treated with acyclovir
9. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visit,. Which
assessment finding is important for the nurse to report to the hcp?
A. increased appetite
B. FHR of 110bpm
C. funds below the xiphoid process
D. weight gain of 7lbs
10. A client in preterm labor has had an infusion of magnesium sulfate running for 8 hours.
Current assessment findings are: RR 14 bpm, UOP 25 mL/hr, DTR +3, and magnesium level 8
mEq/L. Based on these assessment findings, what conclusion should the nurse reach?
These findings are WNL and require routine follow-up
The findings indicate potential toxicity to the magnesium sulfate and close follow-up is
indicated
The primary IV fluids should be increased to assist in increasing the low UOP
All findings are outside of acceptable range and should be reported to the healthcare
provider immediately
The nurse notes that a newborn at 24 hours of age has a large cephalhematoma. Which
intervention has the highest priority?
Assess the infant for jaundice every 8 hours
pg. 2
