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OB Hesi 2021 Questions with all the correct answers
1. The nrse is planning discharge teaching for a patient who had an evacuation of gestational
trophoblastic disease (GTD) two days ago. Which information is most important for the nrse
to include in this patient’s teaching plan?
Oral contraceptive use for at least one year.
2. The nrse is planning care for a patient at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus
from developing respiratory distress syndrome?
Betamethasone (Celestone) 12 mg deep IM.
3. The nrse places one hand above the symphysis while massaging the fundus of a multiparous
patient whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant.
Which information should the nrse provide the patient about this finding?
Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and
a hematocrit of 25.1%. What food should the nrse encourage this patient to include in her
diet?
Chicken.
5. The newborn nrsery admission protocol includes a prescription for phytonadione (Vitamin
K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2
mg/ml. How many ml should the nrse administer?
0.3
6. The nrse is preparing to administer methylergonovine maleate (Methergine) to a postpartum
patient. Based on what assessment finding should the nrse withhold the drug?
Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nrse applies the external fetal heart monitor and determines that the fetal heart
rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What assessment finding confirms to the nrse that the patient is not labor at this
time?
Contractions decrease with walking.
8. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels
of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
explanation for this finding? The TSH is high because of the low production of T4 by the

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thyroid.
9. A full-term, 24-hour-old infant in the nrsery regurgitates and suddenly turns cyanotic.
What should the nrse do first?
Stimulate the infant to cry.
10. At 6-weeks gestation, the rubella titer of a patient indicates she is non-immune. When is
the best time to administer a rubella vaccine to this patient?
Early postpartum, within 72 hours of delivery.
11. A patient is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most
important for the nrse to obtain each time the infusion rate is increased?
Contraction pattern.
12. One day after vaginal delivery of a full-term baby, a postpartum patient’s white
blood cell count is 15,000/mm3. What action should the nrse take first?
Check the differential, since the WBC is normal for this patient.
13. A patient delivers a viable infant, but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the healthcare provider of the
patient’s condition, what information is most important for the nrse to provide?
Maternal blood pressure.
14. A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when supporting the parents of a child
with this anomaly?
Offer information about ultrasonography and genotyping to determine sex assignment.
15. During a 26-week gestation prenatal exam, a patient reports occasional dizziness and
lightheadness when she is lying down. What intervention is best for the nrse to recommend to
this patient.
Elevate the head with two pillows while sleeping.
16. The current vital signs for a primipara who delivered vaginally during the previous shift are:
temperature
100.4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure
130/74. What action should the nrse implement?
Document the vital signs in the record.
17. A 4-day postpartum patient calls the clinic and reports that her nipples are so sore that she
does not know if she can continue to breastfeed her infant. What instruction is best for the
nrse to provide?
Apply hot packs just before each feeding.
18. A loading dose of terbutaline (Bretine) 250 mcg IV is prescribed for a patient in preterm

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OB Hesi 2021 Questions with all the correct answers The nrse is planning discharge teaching for a patient who had an evacuation of gestational 1. trophoblastic disease (GTD) two days ago. Which information is most important for the nrse to include in this patient’s teaching plan? Oral contraceptive use for at least one year. 2. The nrse is planning care for a patient at 30-weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? Betamethasone (Celestone) 12 mg deep IM. The nrse places one hand above the symphysis while massaging the fundus of a multiparous 3. patient whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nrse provide the patient about this finding? Both the lower uterine segment and the fundus must be massaged. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and 4. a hematocrit of 25.1%. What food should the nrse encourage this patient to include in her diet? Chicken. The newborn nrsery admission protocol includes a prescription for phytonadione (Vitamin ...
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