OB Hesi Naxlex Questions and Answers

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OB Hesi Naxlex Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A pregnant client at 37 weeks gestation reports sudden gush of fluid. What is the priority nursing assessment?

• Measure fundal height

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

• Encourage ambulation
• Administer IV fluids

A postpartum client reports severe perineal pain and swelling. What is the priority intervention?

• Encourage ambulation

✔✔B. Apply cold compress and assess for hematoma

• Administer analgesics only
• Document findings

A client in active labor has contractions every 2 minutes lasting 80 seconds with late decelerations on fetal monitor. What should the nurse do first? 1 / 4

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• Administer pain medication

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

• Encourage deep breathing
• Continue monitoring

A client at 32 weeks gestation reports facial swelling and headache. What is the priority nursing action?

• Measure fundal height

✔✔B. Assess for preeclampsia and notify provider

• Encourage hydration
• Teach fetal kick counts

A client with gestational diabetes is unsure about monitoring blood sugar. What is essential teaching?

• Check blood sugar once a week
• Skip insulin on low-glucose days

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

• Monitor only when symptomatic 2 / 4

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

• Swaddle the newborn

✔✔B. Stimulate and provide supplemental oxygen

• Administer vitamin K
• Prepare for phototherapy

A laboring client reports severe back pain. What non-pharmacologic method can the nurse suggest?

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

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

• Keep client supine

A client at 36 weeks gestation reports sudden abdominal pain with no 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

• Apply perineal pad only
• Document amount of bleeding

A client at 39 weeks gestation reports regular contractions every 3 minutes. What is the next nursing action?

• Prepare for induction
• Encourage walking

✔✔C. Assess cervical dilation and effacement

• Assess vital signs only

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

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