OB HESI Exam- Possible Questions

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OB HESI Exam- Possible Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client at 30 weeks gestation reports sudden swelling in the face and hands and complains of headache. What is the priority nursing action?

• Encourage rest and hydration

✔✔B. Assess for preeclampsia and notify the provider

• Measure fundal height
• Teach fetal kick counts

A postpartum client reports soaking more than one pad per hour with bright red bleeding. What is the priority intervention?

• Encourage ambulation

✔✔B. Assess uterine tone and massage the fundus

• Document the bleeding
• Apply perineal pad only

A client in labor reports contractions every 2 minutes with fetal heart rate showing late decelerations. What should the nurse do first? 1 / 3

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• Administer pain medication

✔✔B. Reposition client, give oxygen, and notify provider

• Encourage slow breathing
• Continue monitoring

A client at 36 weeks gestation reports sudden gush of fluid from the vagina. What is the priority nursing action?

• Measure fundal height

✔✔B. Assess fetal heart rate and note time of rupture

• Prepare for immediate delivery
• Encourage bed rest

A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching should the nurse provide?

• Monitor only if feeling symptoms
• Check blood sugar once a week

✔✔C. Teach fingerstick technique, target levels, and importance of diet

• Skip insulin on low-glucose days 2 / 3

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A newborn at 3 hours of age has a heart rate of 85 bpm and weak cry. What is the priority nursing intervention?

• Swaddle the newborn

✔✔B. Stimulate and provide supplemental oxygen

• Place under phototherapy
• Administer vitamin K

A client in labor reports severe back pain. What non-pharmacologic intervention can the nurse suggest?

• Apply cold packs to the abdomen
• Administer IV opioids immediately

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

• Limit movement and keep supine

A client at 32 weeks gestation reports pruritus and dark urine. What condition should the nurse suspect?

• Urinary tract infection
• Hyperemesis gravidarum
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