Obstetric HESI

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Sample questions from Obstetric HESI

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client at 9 weeks of gestation reports nausea that is worse in the morning. Which instruction should the nurse provide?

   • A.Eat a few crackers before getting out of bed
   • B.Drink a large glass of water with each meal
   • C.Lie flat for 30 minutes after eating
   • D.Avoid eating between meals

   Rationale: Eating dry crackers before rising may help reduce nausea. Large volumes of fluid with meals can worsen gastric distention. Lying flat after eating may aggravate reflux. Small, frequent meals and fluids between meals are useful strategies for early-pregnancy nausea.

2. 2.A client at 28 weeks of gestation reports feeling dizzy when lying on her back. What should the nurse recommend?

   • A.Turn onto her side
   • B.Raise both legs while remaining supine
   • C.Sit upright and restrict fluids
   • D.Lie prone with a pillow under the abdomen

   Rationale: Turning to a side, preferably the left, relieves pressure of the uterus on the vena cava and improves venous return. Raising the legs while remaining supine does not remove that pressure. Fluid restriction does not treat supine hypotensive syndrome. Prone positioning is generally uncomfortable and is not the recommended intervention.

3. 3.A pregnant client asks when fetal movement, or quickening, is usually first felt. Which response is most accurate?

   • A.At about 6 to 8 weeks
   • B.At about 10 to 12 weeks
   • C.At about 16 to 20 weeks
   • D.At about 28 to 30 weeks

   Rationale: Quickening is commonly perceived between 16 and 20 weeks, often earlier in a client who has been pregnant before. Fetal movement may occur before 12 weeks, but it is generally not felt by the pregnant client then. The 6-to-8-week range is too early for typical maternal perception. Waiting until 28 to 30 weeks would be later than expected.

4. 4.A client at 10 weeks of gestation asks what an elevated human chorionic gonadotropin (hCG) level indicates. Which response is best?

   • A.It helps maintain the corpus luteum early in pregnancy
   • B.It causes fetal lung surfactant production
   • C.It triggers milk ejection after birth
   • D.It directly stimulates uterine contractions throughout pregnancy

   Answer and rationale are in the full material.

5. 5.A client at 11 weeks of gestation reports light vaginal spotting but no pain. Which instruction is most appropriate?

   • A.Report the bleeding promptly to the health care provider
   • B.Wait until the next scheduled prenatal visit if the spotting stops
   • C.Insert a tampon to determine the amount of bleeding
   • D.Begin strict bed rest without contacting the provider

   Answer and rationale are in the full material.