HESI RN: OB - Test Bank Questions

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HESI RN: OB - Test Bank Questions

and Answers | Latest Version | 2025/2026 | Correct & Verified

A client at 35 weeks gestation reports sudden, painless vaginal bleeding. What is the priority nursing assessment?

• Measure fundal height

✔✔B. Assess for placenta previa and monitor fetal heart rate

• Encourage ambulation
• Administer pain medication

A postpartum client reports severe perineal pain with swelling and discoloration. What should the nurse do first?

• Encourage the client to ambulate

✔✔B. Assess for perineal hematoma and apply cold compress

• Document findings
• Apply warm sitz bath immediately

A client in active labor develops contractions every 1.5 minutes lasting 90 seconds with late decelerations on the fetal monitor. What is the priority intervention? 1 / 4

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• Encourage deep breathing
• Continue monitoring

✔✔C. Stop oxytocin, reposition client, administer oxygen, and notify provider

• Provide analgesics

A pregnant client at 28 weeks gestation reports swelling in the face and hands with headache and visual disturbances. What should the nurse assess first?

• Fundal height

✔✔B. Blood pressure and signs of preeclampsia

• Fetal kick counts
• Hydration status

A client with gestational diabetes asks how often to check blood sugar at home. What is the correct teaching?

• Check weekly
• Only check if symptomatic

✔✔C. Teach fingerstick technique, target levels, and dietary management

• Skip insulin on low-glucose days 2 / 4

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A newborn at 1 hour of life has a heart rate of 85 bpm with weak cry. What is the immediate nursing action?

• Swaddle the newborn

✔✔B. Provide stimulation and supplemental oxygen

• Administer vitamin K
• Delay feeding

A client in labor complains of severe lower back pain with contractions. What non- pharmacologic intervention should the nurse suggest?

• Keep the client supine
• Administer IV opioids immediately

✔✔C. Encourage position changes, ambulation, and counter-pressure

• Apply cold packs to the abdomen

A client at 36 weeks gestation reports sudden abdominal pain and absence of fetal movement.What is the priority action?

• Provide analgesics

✔✔B. Assess fetal heart rate and prepare for emergency evaluation 3 / 4

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• Encourage rest
• Perform fundal massage

A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority nursing assessment?

• Encourage ambulation

✔✔B. Assess uterine tone and massage fundus

• Document only
• Apply perineal pad

A client at 40 weeks gestation reports contractions every 3 minutes. What should the nurse do next?

• Prepare for induction
• Encourage walking

✔✔C. Assess cervical dilation and effacement

• Monitor vital signs only

A client receiving oxytocin has contractions lasting 90 seconds every 1–2 minutes. What is the priority nursing intervention?

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