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Obstetrics Practice Exam: Questions and Answers with Rationales, Exams of Nursing

Chamberlain College of NursingNursing

Practice questions and answers on obstetrics, covering prenatal care, fetal development, labor stages, and pregnancy complications. Rationales for correct answers are included, aiding students preparing for obstetrics exams. The questions address maternal and fetal health, nursing interventions, and patient education, offering a comprehensive review of obstetric care concepts. This resource enhances understanding and critical thinking for effective obstetrics practice, covering fetal heart rate monitoring, labor stages, and potential pregnancy complications. The questions address maternal and fetal health, nursing interventions, and patient education, offering a comprehensive review of obstetric care concepts. This resource enhances understanding and critical thinking for effective obstetrics practice.

Typology: Exams

2024/2025

Available from 07/26/2025

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HESI OB Practice Exam 2025-2026 WITH COMPLETE QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS WITH Rationales 100%
GUARANTEED 2025- 2026 HESI OB Practice Exam CHAMBERLAIN
1. At 10 weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villavilla sampling (CVS) procedure. What assessment
finding requires immediate intervention?
A. Uterine cramping.
B. Intermittent nausea.
C. Systolic blood pressure < 100 mmHg.
D. Abdominal tenderness.
A. Uterine cramping.
2. 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?
A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. During pregnancy a woman is especially sensitive to body functions.
D. The growing uterus is putting pressure on the bladder.
D. The growing uterus is putting pressure on the bladder.
3. The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate of 48 breaths/minute. Based on
these findings, which action should the nurse take first?
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Download Obstetrics Practice Exam: Questions and Answers with Rationales and more Exams Nursing in PDF only on Docsity!

HESI OB Practice Exam 2025 - 2026 WITH COMPLETE QUESTIONS AND

CORRECTLY WELL DEFINED ANSWERS WITH Rationales 100%

GUARANTEED 2025- 2026 HESI OB Practice Exam CHAMBERLAIN

  1. At 10 weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villavilla sampling (CVS) procedure. What assessment finding requires immediate intervention? A. Uterine cramping. B. Intermittent nausea. C. Systolic blood pressure < 100 mmHg. D. Abdominal tenderness. A. Uterine cramping.
  2. 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? A. The client may have a bladder or kidney infection. B. Bladder capacity increases during pregnancy. C. During pregnancy a woman is especially sensitive to body functions. D. The growing uterus is putting pressure on the bladder. D. The growing uterus is putting pressure on the bladder.
  3. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate of 48 breaths/minute. Based on these findings, which action should the nurse take first?

A. Notify the pediatrician of the infant's vital signs. B. Encourage the infant to take the breast or sugar water. C. Assess the infant's blood glucose level. D. Check the infant's arterial blood gases. C. Assess the infant's blood glucose level.

  1. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation indicates 85%. What is the priority nursing intervention? A. Evaluate the blood pH. B. Begin humidified oxygen via hood. C. Place the infant under a radiant warmer. D. Stimulate infant crying. B. Begin humidified oxygen via hood.
  2. When assessing a newborn infant's heart rate, which technique is most important for the nurse to use? A. Count the heart rate for at least one full minute. B. Quiet the infant before counting the heart rate. C. Palpate the umbilical cord. D. Listen at the apex of the heart. A. Count the heart rate for at least one full minute.
  1. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect (CHD) in her baby. Which response best explains when a CHD may occur? A. They usually occur in the first trimester pregnancy. B. The heart develops in the third to fifth weeks after conception. C. It depends on what the causative factors are for a CHD. D. We don't really know what or when CHDs occur. B. The heart develops in the third to fifth weeks after conception. 10 A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. What information should the nurse provide? A. The interaction between the mother's voice and the fetus's response ensures bonding. B. The healthcare provider should address her concerns about her baby's hearing function. C. The fetus in utero is capable of hearing and does respond to the mother's voice. D. Many women imagine what their baby is like by interpreting fetal movements. C. The fetus in utero is capable of hearing and does respond to the mother's voice.
  2. A client at 25 - weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby jumped in response to the noise. What information should the nurse provide? A. Report the fetus's behavior to the healthcare provider. B. The fetus can respond to sound by 24-weeks gestation. C. This is a demonstration of the fetus's acoustical reflex.

D. It is a coincidence the fetus responded at the same time. B. The fetus can respond to sound by 24-weeks gestation.

  1. A woman, whose pregnancy is confirm, asks the nurse what the function of the placenta is in early pregnancy. What information supports the explanation that the nurse should provide? A. Produces nutrients for fetal nutrition. B. Forms a protective, impenetrable barrier. C. Secretes both estrogen and progesterone. D. Excretes prolactin and insulin. C. Secretes both estrogen and progesterone.
  2. Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks gestation? A. Decrease in blood pressure. B. Increase in red blood cell production. C. Decrease in pulse rate. D. Increase in heart sounds (S1, S2). C. Decrease in pulse rate.
  3. A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and has not been sleeping well. The clients physical examination and ultrasound do not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive pregnancy test results?

A. "Gestational diabetes is prevented by eating protein." B. "Protein helps the fetus grow while I am pregnant." C. "My baby will develop strong teeth after he is born." D. "Anemia is averted by consuming enough protein." B. "Protein helps the fetus grow while I am pregnant."

  1. 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? A. Only one drink with the evening meal is not harmful to the fetus. B. Wine can be consumed several times a week after the first trimester. C. During second trimester beer can be consumed without harm to the fetus. D. Abstinence is strongly recommended throughout the pregnancy. D. Abstinence is strongly recommended throughout the pregnancy.
  2. A female client who wants to delivery at home asks the nurse to explain the role of a nurse-midwife in providing obstetric care. What information should the nurse provide? A. Natural childbirth without analgesia is used to manage pain during labor. B. And obstetrician should also follow the client during pregnancy. C. Birth in the home setting is the preference for using a midwife for delivery. D. The pregnancy should progress normally and be considered low risk. D. The pregnancy should progress normally and be considered low risk.
  1. When discussing birth in a home setting with a group of pregnant women, which situation should the nurse include about the safety of a home birth? A. Medical back up should be available quickly in case of complications. B. The women's extended family should be allowed to attend the home birth. C. Only the woman and her midwife should be present during the delivery. D. The woman should live no more than 15 minutes from the hospital. A. Medical back up should be available quickly in case of complications.
  2. The nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provide examples of different positional techniques used during the second stage of labor. Which position should the nurse address that provides the best advantage of gravity during delivery? A. Walking. B. Squatting. C. Kneeling. D. Lithotomy. B. Squatting.
  3. 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 complains of feeling light-headed, dizzy, and states that her fingers are tingling. What action should the nurse implement? A. Notify the healthcare provider. B. Administer oxygen via nasal cannula. C. Help her breathe into a paper bag. D. Tell the client to slow her breathing.

B. Document the characteristics of the fluid. C. Notify the client's primary healthcare provider. D. Assess the fetal heart rate and pattern. D. Assess the fetal heart rate and pattern.

  1. Which action should the nurse implement when caring for a newborn immediately after birth? A. Administer eye prophylaxis and vitamin K. B. Foster parent-newborn attachment. C. Dry the newborn and wrapping in a blanket. D. Keep the newborn's airway clear. D. Keep the newborn's airway clear.
  2. During an assessment of a multiparous client who delivered an 8-lb 7-oz infant 4 hours ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes. What action should the nurse implement next? A. Encourage the client to avoid. B. Perform fundal massage. C. Notify the healthcare provider. D. Assess blood pressure. B. Perform fundal massage.
  3. The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? (Select all that apply.)

A. Grunting heard with a stethoscope. B. Diaphragmatic with chest retraction. C. Abdominal with synchronous chest movements. D. Shallow with an irregular rhythm. E. Chest breathing with nasal flaring. F. Rate of 58 breaths per minute. A. Grunting heard with a stethoscope. B. Diaphragmatic with chest retraction. E. Chest breathing with nasal flaring.

  1. What action should the nurse implement when caring for a newborn receiving phototherapy? A. Reposition every 6 hours. B. Apply an oil-based lotion to the skin. C. Limit the intake of formula. D. Place an eyeshield over the eyes. D. Place an eyeshield over the eyes.
  2. Which finding indicates to the nurse that a 4-day-old infant is receiving adequate breast milk? A. Gains 1 to 2 ounces per week. B. Defecates at least once per 24 hours. C. Saturates 6 to 8 diapers per day. D. Rests for 6 hours between feedings. C. Saturates 6 to 8 diapers per day.

A. Degree of glycemic control during pregnancy.

  1. A client with asthma who is 8-hours post-delivery is experiencing postpartum hemorrhage. Which prescription should the nurse administer? A. Oxytocin (Pitocin). B. Ibuprofen (Motrin). C. Fentanyl (Sublimaze). D. Hemabate (Carboprost). A. Oxytocin (Pitocin).
  2. The nurse is assisting with the insertion of a pulmonary artery catheter (PAC)for a client at 32-weeks gestation who has severe preeclampsia with edema. As the PAC enters the right ventricle, what is the priority nursing assessment? A. Observe for maternal blood pressure changes. B. Assess fetal response to the procedure. C. Monitor for premature ventricular contractions. D. Note to any complaint of sudden chest pain. C. Monitor for premature ventricular contractions.
  3. A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse assess first for signs of internal hemorrhage? A. Changes in fetal heart rate patterns.

B. Alteration and maternal blood pressure. C. Complains of abdominal pain. D. Vaginal bleeding. A. Changes in fetal heart rate patterns.

  1. A multigravida client at 40+ weeks gestation is induced by using oxytocin (Pitocin). An intrauterine pressure catheter (IUPC) is in place when the client's membranes rupture after 5 hours of active labor. Which finding should require the nurse to implement further action? A. Oxytocin is infusing at a rate of 30 mU/min. B. Labor has progressed at 1 cm/hr dilation. C. Contractions are lasting 60 to 80 seconds. D. Intensity of contractions is 138 mmHg. D. Intensity of contractions is 138 mmHg.
  2. 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 that the umbilical cord protruding from the vagina. What action should the nurse implement first? A. Give the healthcare provider a status report. B. Administer 10 L of oxygen via face mask. C. Wrap the cord with gauze soaked in saline. D. Place the client in the knee-chest position. D. Place the client in the knee-chest position.
  3. The nurse is caring for a client whose labor is being augmented with oxytocin (Pitocin). Which finding indicates that the nurse should discontinue the oxytocin infusion?
  1. The father of a newborn tells the nurse, "My son just died." How should the nurse respond? A. "I am sorry for your loss." B. "I understand how you feel." C. "There is an angel in heaven." D. "You can have other children." A. "I am sorry for your loss."
  2. A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After obtaining the infant's weight at 4550 grams (9 lbs., 6 oz.), what is the priority nursing action? A. Assess newborn reflexes for signs of neurological impairment. B. Leave the infant in the room with the mother to foster attachment. C. Obtain serum glucose levels frequently while observing for signs of hypoglycemia. D. Perform a gestational age assessment to determine if the infant is large-for-gestational-age. C. Obtain serum glucose levels frequently while observing for signs of hypoglycemia.
  3. An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after a 30 - minute second stage. The nurse identifies petechiae over the face and upper back of the newborn. What information should the nurse provide to parents about this finding? A. Further assessment is indicated. B. An increased blood volume causes broken blood vessels. C. The pinpoint spots are benign and disappear within 48 hours. D. Petechiae occurs with forceps delivery. C. The pinpoint spots are benign and disappear within 48 hours.
  1. Which finding for a client in labor at 41-weeks gestation requires additional assessment by the nurse? A. Score of eight on the biophysical profile. B. One fetal movement noted in an hour. C. Cervix dilated 2 cm and 50% effaced. D. Fetal heart rate of 116 bpm. B. One fetal movement noted in an hour.
  2. A primigravida at 12-weeks gestation who just move to United States indicates she has not received any immunizations. Which immunization(s) should the nurse administer at this time? (Select all that apply.) A. Tetanus. B. Rubella. C. Hepatitis B. D. Chickenpox. E. Diphtheria. A. Tetanus. C. Hepatitis B. E. Diphtheria.
  3. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should the nurse implement? (Select all that apply.) A. Perform a vaginal examination.

D. The kidneys and renal function are not fully developed. C. A large body surface area favors heat loss to the environment.

  1. The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurse take? A. Observe the mother for other attachment behaviors. B. Ask the mother why she won't look at the infant. C. Examine the newborn's eyes for the ability to focus. D. Recognize this as a common reaction in new mothers. A. Observe the mother for other attachment behaviors.
  2. The nurse notes an irregular bluish hue on the sacral area of a 1-day old Hispanic infant. How should the nurse document this finding? A. Harlequin sign. B. Acrocyanosis. C. Erythema toxicum. D. Mongolian spots. D. Mongolian spots.
  3. An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the nurse implement? A. Maintain NPO status. B. Monitor temperature.

C. Apply skin lotion as prescribed. D. Change T-shirt every 3 hours. B. Monitor temperature.

  1. A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory distress, tachycardia, and a cutaneous rash. What nursing intervention should be implemented first? A. Inform the healthcare provider. B. Monitor vital signs electronically. C. Stop the infusion. D. Administer calcium gluconate. C. Stop the infusion.
  2. The nurse assesses a high-risk neonate under a radiant warmer who has an umbilical catheter and identifies that the neonate's feet are blanched. What action should be implemented? A. Elevate feet 15°. B. Place socks on infant. C. Wrap feet loosely in prewarmed blanket. D. Report findings to the healthcare provider. D. Report findings to the healthcare provider.
  3. What nursing action should be implemented when intermittently gavage-feeding a preterm infant? A. Insert feeding tube through nares.