HESI Practice Test OB WITH CORRECT
ANSWERHESI Practice Test OB WITH CORRECT
ANSWERHESI Practice Test OB WITH CORRECT
ANSWERHESI Practice Test OB WITH CORRECT
ANSWERHESI Practice Test OB WITH CORRECT
ANSWER
A 23 year old client who is receiving Medicaid is pregnant with her first child. Based on
knowledge of the statistics related to infant mortality, which plan should the nurse
implement with this client?
A. refer the client to a social worker to arrange for home care
B. recommend prenatal care from an obstetrician, not a nurse midwife
C. teach the client why keeping prenatal care appointments is important
D. Advise the client that neonatal intensive care may be needed - CORRECT
ANSWERS-C. teach the client why keeping prenatal care appointments is important
A 24-hour old newborn has a pink papular rash with vesicles superimposed on the
thorax, back and abdomen. What action should the nurse implement?
A. notify the healthcare provider
B. move the newborn to an isolation nursery
C. document the finding in the infant's record
D. obtain a culture of the vesicles - CORRECT ANSWERS-C. document the finding in
the infant's record. Erythema Toxicum (or erythema neonatorium) is a newborn rash
that is commonly referred to as "flea bites." but is a normal finding that is documented in
the infant's record and requires no further action.
A 26-year old, gravida 2, para 1 client is admitted to the hospital at 28 weeks gestation
in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25mg SQ to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?
A. drowsiness and bradycardia
B. depressed reflexes and increased respirations
C. tachycardia and a feeling of nervousness
D. a flushed, warm feeling and a dry mouth - CORRECT ANSWERS-C. tachycardia and
a feeling of nervousness
A 30 year old gravida 2, para 1 client is admitted to the hospital at 26 weeks gestation in
preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg SQ. Which
assessment is the highest priority for the nurse to monitor during the adminstration of
this drug?
,A. maternal blood pressure and respirations
B. maternal and fetal heart rates
C. hourly urinary output
D. deep tendon reflexes - CORRECT ANSWERS-B. maternal and fetal heart rates
A 30 year old gravida, 2 para 1 client is admitted to the hospital at 26 weeks gestation in
preterm labor. She is started on an IV solution of terbutaline (Brethine). Which
assessment is the highest priority for the nurse to monitor during the administration of
this drug?
A. maternal blood pressure and respirations
B. maternal and fetal heart rates
C. hourly urinary output
D. deep tendon reflexes - CORRECT ANSWERS-B. maternal and fetal heart rates
A 30-year old multiparous woman who has a 3 year old boy and a newborn girl tells the
nurse, "My son is so jealous of my daughter. I don't know who I'll ever manage both
children when I get home." How should the nurse respond?
A. "Tell the older child that he is a big boy now and should love his new sister."
B. "Ask friends and relatives not to bring gifts to the older sibling because you do not
want to spoil him."
C. "Let the older child stay with his grandparents for the first 6 weeks to allow him to
adjust to the newborn."
D. "Regression in behaviors in the older child is a typical reaction so he needs attention
at this time." - CORRECT ANSWERS-D. "Regression in behaviors in the older child is a
typical reaction so he needs attention at this time." Preschool-aged children frequently
regress in habits or behaviors, such as toileting and sleep habits, as a method of
seeking attention so the parents should distribute their attention between the children
and include the preschooler during infant care.
A 35-year old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the nurse
that the client is experiencing magnesium sulfate toxicity?
A. deep tendon reflexes 2+
B. blood pressure 140/90
C. respiratory rate 18/min
D. urine output 90 mL/4 hours - CORRECT ANSWERS-A. deep tendon reflexes 2+
A 38-week primagravida who works as a secretary and sits at a computer 8 hours each
day tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling of blood in the lower extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing - CORRECT ANSWERS-C. Move about every hour
, A 4 week old premature infant has been receiving epoetin alfa (Epogen) for the last 3
weeks. Which assessment finding indicates to the nurse that the drug is effective?
A. slowly increasing urinary output over the last week
B. respiratory rate changes from the 40s to the 60s.
C. changes in apical heart rate from the 180s to the 140s
D. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - CORRECT ANSWERS-A.
slowly increasing urinary output over the last week
A 40 week gestation primigravada client is being induced with an oxytocin (pitocin)
secondary infusion and complains pain in her lower back. Which intervention should the
nurse implement?
A. discontinue the oxytocin (Pitocin) infusion
B. place the client in a semi-Fowler's position
C. inform the healthcare provider
D. apply firm pressure on the sacral area. - CORRECT ANSWERS-D. apply firm
pressure on the sacral area
A 42 week gestational client is receiving an intraenous infusion of oxytocin (pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for which
pattern of contractions?
A. transition labor with contractions every 2 minutes, lasting 90 seconds each.
B. early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 2-3 minutes, lasting 70-80 seconds each -
CORRECT ANSWERS-A. transition labor with contractions every 2 minutes, lasting 90
seconds each. When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin infusion should be
discontinued because placental perfusion is impeded.
A client at 28 weeks gestation calls the antepartal clinical 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.
What 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 specimen to the lab tomorrow to determine if you have a urinary tract
infection - CORRECT ANSWERS-A. come to the clinic today for an ultrasound. Third
trimester painless bleeding is characteristic of a placenta previa. Bright red bleeding
may be intermittent, occur in gushes, or be continuous. Rarely is the first incidence life-
threatening, nor cause for hypovolemic shock. Diagnosis is confirmed by
transabdominal ultrasound.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
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