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HESI OB/Maternity Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A pregnant client at 28 weeks’ gestation reports sudden swelling of the face and hands. What is the nurse’s priority action?
- Apply cold compresses
- Encourage increased fluid intake
- Document and monitor
✔✔B. Assess for signs of preeclampsia
A client in labor has a fetal heart rate of 180 bpm with minimal variability. What should the nurse do first?
- Continue routine monitoring
- Prepare for immediate delivery
- Notify family
✔✔C. Reposition the client and provide oxygen
A postpartum client is experiencing heavy vaginal bleeding one hour after delivery. What is the first nursing action? 1 / 4
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- Encourage ambulation
- Monitor vital signs later
- Document the observation
✔✔B. Massage the fundus
A client at 36 weeks’ gestation reports painless, bright red vaginal bleeding. Which condition should the nurse suspect?
- Placental abruption
- Labor onset
- Urinary tract infection
✔✔B. Placenta previa
A client is 32 weeks pregnant and reports headache, visual disturbances, and right upper quadrant pain. What is the priority nursing assessment?
- Fundal height
- Fetal movement
- Maternal weight 2 / 4
✔✔C. Blood pressure and proteinuria
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A client is receiving oxytocin for labor induction. The nurse notes contractions every 1 minute lasting 90 seconds. What is the best action?
- Increase the oxytocin rate
- Document and continue
- Encourage the client to ambulate
✔✔C. Stop the oxytocin and notify the provider
A postpartum client complains of a warm, tender, swollen calf. What should the nurse do first?
- Encourage ambulation
- Apply warm compresses
- Massage the calf
✔✔C. Assess for signs of deep vein thrombosis
A client is experiencing early labor and asks about pain management. Which response is most appropriate?
- “You must endure the pain.”
✔✔B. “We can discuss options including epidural or medications.” 3 / 4
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- “Pain medication is not allowed until active labor.”
- “Breathing exercises are the only option.”
A newborn’s Apgar score at 1 minute is 5. What is the nurse’s priority action?
- Document the score
- Call the pediatrician
- Monitor every 15 minutes
✔✔B. Provide immediate resuscitation measures
A client at 20 weeks’ gestation reports decreased fetal movement. What should the nurse do first?
- Advise the client to rest
- Schedule the next appointment
- Document and wait
✔✔B. Assess fetal heart rate and movement
A client is in active labor with epidural anesthesia and reports a sudden drop in blood pressure.What is the immediate nursing intervention?
- Continue monitoring
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