OB PEDS HESI EXIT EXAM 2023 / HESI OB PEDS EXIT EXAM ACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAINS 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

OB PEDS HESI EXIT EXAM 2023 / HESI OB PEDS EXIT

EXAM ACTUAL EXAM VERSION 1, 2, 3 AND 4

ACTUAL EXAM EACH VERSION CONTAINS 55

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

VERSION 1

1) A 30-year-old Primigravida delivers a 9-pound (4082 gram) infant vaginally after a 30-hour

labour. What is the priority nursing action for this client?

A) Encourage direct contact with the infant

B) Assess the blood pressure for hypertension

C) Gently massage fundus every 4 hours

D) Observe for signs of uterine hemorrhage

2) A newborn’s head circumference is 12 inches (30.5 cm) 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 caesarean section. What action should the nurse take based on

these data?

A) Notify the pediatrician immediately. These findingssupport the possibility of

hydrocephalus

B) Record the findings on the chart. They are within normal limits

C) No action need be taken. It is normal for an infant born by caesarean section to have a

small head circumference

D) Call these findings to the attention of the paediatrician. The head/chest ratio is

abnormal.

3) The nurse is caring for a newborn who is 18 inches long. Weighs 4 pounds, 14 ounces (2.2

kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches

(25.4 cm). Based on these physical findings, assessment for which condition hasthe highest

priority.

A) Hyperbilirubinemia

B) Hyperthermia

C) Hypoglycemia

D) Polycythemia

4) At 0600 while admitting a woman for a scheduled repeat caesarean section (C-section) the

client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid

getting a headache. Which action should the nurse take first?

A) Start prescribed IV with lactated Ringers

B) Ensure preoperative lab results are available

C) Contact the client’s obstetrician

D) Inform the anaesthesia care provider

5) A client arrives to the clinic reporting she is unable to conceive for the last year. The

obstetrical history includes a live birth at 28 weeks and one at 22 weeks who lived for 2 days,

and 3 miscarriages in the first trimester. Which GTPAL should the nurse document?

A) G5 P0231

B) G5 P0141

C) G6 P0221

D) G6P0131

6) The nurse is caring for a postpartal client who is exhibiting symptoms of a spinal headache 24

hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the

unit, which action should the nurse perform?

A) Cleanse the spinal injection site

B) Insert an indwelling foley catheter

C) Place procedure equipment at bedside

D) Apply abdominal binder

7) A client at 37 weeks gestation presents to labor and delivery with contractions every 2

minutes. The nurse observes several shallow, small vesicles on her pubis, labia, and

perineum. The nurse should recognize the client is exhibiting symptoms of which condition?

A) Herpessimplex virus

B) Genital warts

C) German measles

D) Syphilis

8) A client who had her first baby three months ago and is breastfeeding her infant tells the

nurse that she is currently using the same diaphragm that she used before becoming

pregnant. Which information should the nurse provide this client?

A) If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use

B) Avoid intercourse during ovulation until the size of the diaphragm has been evaluated

C) After ceasing breastfeeding the diaphragm should be resized

D) Use an alternate form of contraception until a new diaphragm is obtained

9) A client at 35 weeks gestation compliants of a pain whenever the baby moves on assessment

the nurse notes the client’s temperature to be 101.2 F (these 38.4 C) with severe abdominal

or uterine tenderness on palpation. The nurse knows that these findings are indicative of

which condition?

A) Viral infection

B) Abruptio Placenta

C) Chorioamnionitis

D) Round ligament strain

10) A primiparous client delivered via caesarean section 24 hours ago. Which behaviour will the

nurse expect the client to exhibit?

A) Share concerns about partner participation

B) Rest when the baby is sleeping

C) Expresses anxiety about bathing the baby

D) Accepts the birth was not expected

11) The nurse is caring for a 35-week gestation infant delivered by caesarean section 2 hours

ago. The nurse observes the infant respiratory rates breaths/minutes with nasal flaring,

grunting, and retractions. The nurse should recognize these findingsindicate which

complication?

A) Meconium aspiration syndrome

B) Transient tachypnea of the newborn

C) Bronchopulmonary dysplasia

D) Persistent pulmonary hypertension of the newborn

12) At 6-weeks gestation, the rubella titer of a client indicates she is nonimmune. When is the

best time to administer a rubella vaccine to this client?

A) Early postpartum, within 72 hours of delivery

B) Immediately, at 6-weeks gestation, to protect the fetus

C) After the client stops breastfeeding

D) After the client reaches 20-weeks’ gestation

13) A client at 33-weeks gestation is admitted with a moderate amount of vaginal bleeding and

no contractions are noted on the external monitor. Which intervention should the nurse

implement?

A) Ambulate 15 minutes QID.

B) Weigh Daily

C) Weigh perineal pads

D) Measure intake and output

14) An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who

delivered a 7- pound (3,175 gram) infant 12 hours ago is reporting a severe headache. The

client’s blood pressure is 110/70 mm Hg. Respiratory rate is 18 braedths/minute. Heart rate

is 74 beats/minute, and temperature is 987.6 F (37 C). the client’s fundus is firm and one

fingerbreadth above the umbilicus. Which action should the charge nurse implement first?

A) Assign a practical nurse (PN) to reassess the client’s vital signs

B) Notify the healthcare provider of the assessment findings

C) Determine if the client received anaesthesia during delivery

D) Obtain a STAT hemoglobin and hematocrit

15) The nurse is scheduling a client with gestational diabetes for an amniocentesis because the

fetus has an estimated weight of 8 pounds (3629 gram) at 36 weeks gestation. This

announcement is being performed to obtain which information?

A) Chromosomal abnormalities

B) Fetal lung maturity

C) Gender of the fetus

D) Presence of a neural tube defect

16) A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports

that her insulin needs have decreased since the birth of her child. Which action should the

nurse implement?

A) Inform her that a decreased need for insulin occurs while breastfeeding

B) Counsel her to increase her colric intake

C) Schedule an appointment for the client with diabetic nurse educator

D) Advise the client to breastfeed more frequently