OB HESI Questions and Answers

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

A pregnant client at 30 weeks gestation reports severe headache, visual disturbances, and swelling of hands and face. What is the priority nursing action?

• Encourage rest and hydration

✔✔B. Assess for preeclampsia and notify provider

• Teach fetal kick counts
• Monitor blood sugar

A postpartum client reports bright red vaginal bleeding and passage of large clots 3 hours after delivery. What is the first nursing intervention?

• Encourage ambulation

✔✔B. Massage the fundus and assess uterine tone

• Apply perineal pad and document
• Administer analgesics

A client in labor has a blood pressure of 88/56 mmHg and HR 120 bpm after epidural anesthesia.What should the nurse do first? 1 / 4

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• Administer oxygen

✔✔B. Reposition client to left lateral and increase IV fluids

• Encourage deep breathing
• Prepare for emergency delivery

A newborn at 2 hours of life has a heart rate of 75 bpm and weak cry. What is the priority nursing action?

• Swaddle the newborn

✔✔B. Stimulate and provide supplemental oxygen

• Administer vitamin K
• Delay feeding

A client at 36 weeks gestation presents with sudden abdominal pain and no fetal movement.What is the priority assessment?

• Encourage hydration

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

• Administer analgesics
• Measure fundal height 2 / 4

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

• Apply warm sitz bath immediately

✔✔B. Apply cold compress and assess for hematoma

• Encourage ambulation
• Document findings only

A client with gestational diabetes is unsure how to monitor blood glucose at home. What is the best teaching?

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

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

• Monitor only if symptoms appear

A client in labor develops variable decelerations on fetal monitor. What is the priority nursing intervention?

• Continue monitoring
• Encourage Valsalva maneuver 3 / 4

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✔✔C. Reposition client, administer oxygen, and notify provider

• Administer IV fluids only

A breastfeeding client reports nipple pain and cracks. What is the priority nursing action?

• Encourage formula feeding
• Apply alcohol to nipples

✔✔C. Assess latch and provide teaching on proper positioning

• Limit feeding duration

A newborn at 24 hours old shows jaundice with a bilirubin of 14 mg/dL. What is the priority intervention?

• Delay feeding

✔✔B. Encourage frequent breastfeeding and monitor bilirubin

• Administer IV fluids only
• Prepare for immediate phototherapy

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

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