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HESI Case Study: OB Practice Exam
Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A laboring client asks why she is experiencing back pain with each contraction. What is the likely cause?✔✔The fetus is in an occiput posterior position.
A client at 36 weeks reports sudden gush of fluid from the vagina. What is the nurse’s priority action?✔✔Assess fetal heart rate.
A client who is 28 weeks pregnant reports blurred vision and swelling in her hands. What complication should the nurse suspect?✔✔Preeclampsia.
A client at 40 weeks gestation has meconium-stained amniotic fluid. What is the nurse’s initial concern?✔✔Risk of neonatal respiratory distress due to aspiration.
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A postpartum client reports severe perineal pain unrelieved by standard analgesics. What should the nurse assess for?✔✔Hematoma formation.
A client in labor is receiving oxytocin. The fetal heart rate shows late decelerations. What is the nurse’s first intervention?✔✔Stop the oxytocin infusion.
A client at 32 weeks with placenta previa begins vaginal bleeding. What action is most appropriate?✔✔Place the client on bed rest and avoid vaginal exams.
A newborn is delivered with poor tone and weak respiratory effort. What is the nurse’s priority?✔✔Initiate neonatal resuscitation.
A postpartum mother reports chills, fever, and foul-smelling lochia. What complication should be suspected?✔✔Endometritis.
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A client at 39 weeks reports sudden sharp abdominal pain and absent fetal heart tones. What is the likely cause?✔✔Uterine rupture.
A client in active labor complains of rectal pressure and an urge to push, but the cervix is 8 cm dilated. What is the nurse’s best instruction?✔✔Encourage the client to breathe through contractions and avoid pushing.
A client receiving magnesium sulfate for preeclampsia develops decreased reflexes and respiratory depression. What should the nurse administer?✔✔Calcium gluconate.
A postpartum client is breastfeeding and complains of cracked, painful nipples. What teaching is best?✔✔Ensure proper latch and vary breastfeeding positions.
A client at 28 weeks with gestational diabetes has blood sugar of 48 mg/dL. What is the best immediate action?✔✔Give the client a source of fast-acting glucose. 3 / 4
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A mother asks why her newborn needs vitamin K after birth. What is the correct explanation?✔✔Vitamin K prevents bleeding because newborns lack gut bacteria to produce it.
A client in the third trimester reports severe right upper quadrant pain and visual changes. What is the concern?✔✔HELLP syndrome.
A client in early labor requests pain relief without affecting the baby’s breathing. What option is best?✔✔Epidural analgesia.
A client reports bright red vaginal bleeding and abdominal pain at 34 weeks. What condition should the nurse suspect?✔✔Placental abruption.
A mother who recently delivered by cesarean birth is having difficulty bonding with her baby.What is the nurse’s best intervention?✔✔Encourage skin-to-skin contact.
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