OB HESI practice 2025
A multiparous client has been in labor for 8 hours when her membranes rupture. Which action
should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - ANSWER Assess the fetal heart rate
and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken. While
inspecting the client's perineum, the nurse notes the umbilical cord protruding from the vagina.
Which action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - ANSWER Place the client in the knee-chest
position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should
the nurse take?
,Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - ANSWER Observe the mother
for other bonding behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this client?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - ANSWER The growing uterus is
putting pressure on the bladder.
Which nursing action should be implemented when intermittently gavage-feeding a preterm
infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - ANSWER Allow the formula to flow by gravity.
,A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner.
How should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - ANSWER Abstinence
is strongly recommended throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - ANSWER Avoid
alcohol because it is excreted in breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action should
the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
, Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant warmer. -
ANSWER Gently rub the infant's feet or back to stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn and the other is recovering in an intensive care nursery.
As the nurse provides assistance to the bathroom, the client, softly crying, states, "I wish my
baby could have lived." Which response is best for the nurse to provide?
"Don't be sad. You'll need to be strong to care for your healthy baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your minister?" - ANSWER "I
am sorry for your loss. Do you want to talk about it?"
A client in the first stage of active labor is using a shallow pattern of rapid breaths that is twice
the normal adult breathing rate. The client reports feeling light-headed and dizzy, and she states
that her fingers are tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing. - ANSWER Help her breathe into a paper bag.
A multiparous client has been in labor for 8 hours when her membranes rupture. Which action
should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - ANSWER Assess the fetal heart rate
and pattern.
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken. While
inspecting the client's perineum, the nurse notes the umbilical cord protruding from the vagina.
Which action should the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline. - ANSWER Place the client in the knee-chest
position.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should
the nurse take?
,Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers. - ANSWER Observe the mother
for other bonding behaviors.
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this client?
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to body functions.
The growing uterus is putting pressure on the bladder. - ANSWER The growing uterus is
putting pressure on the bladder.
Which nursing action should be implemented when intermittently gavage-feeding a preterm
infant?
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe. - ANSWER Allow the formula to flow by gravity.
,A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner.
How should the nurse respond to the client?
During the second trimester beer can be consumed without harm to the fetus.
Wine can be consumed several times a week after the first trimester.
Only one drink with the evening meal is not harmful to the fetus.
Abstinence is strongly recommended throughout the pregnancy. - ANSWER Abstinence
is strongly recommended throughout the pregnancy.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the - ANSWER Avoid
alcohol because it is excreted in breast milk.
A preterm infant with an apnea monitor experiences an episode of apnea. Which action should
the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
, Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respirations and place in the radiant warmer. -
ANSWER Gently rub the infant's feet or back to stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn and the other is recovering in an intensive care nursery.
As the nurse provides assistance to the bathroom, the client, softly crying, states, "I wish my
baby could have lived." Which response is best for the nurse to provide?
"Don't be sad. You'll need to be strong to care for your healthy baby."
"Do you want to go to the nursery and see your baby?"
"I am sorry for your loss. Do you want to talk about it?"
"It is always sad to lose a baby. Would you like me to call your minister?" - ANSWER "I
am sorry for your loss. Do you want to talk about it?"
A client in the first stage of active labor is using a shallow pattern of rapid breaths that is twice
the normal adult breathing rate. The client reports feeling light-headed and dizzy, and she states
that her fingers are tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing. - ANSWER Help her breathe into a paper bag.
