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OB Hesi Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A pregnant client at 30 weeks gestation reports persistent headache, visual disturbances, and swelling in her hands and face. What is the priority nursing action?
- Encourage rest and hydration
- Advise over-the-counter pain medication
- Monitor fetal movement only
✔✔B. Assess for preeclampsia and notify the healthcare provider
A client in labor at 39 weeks gestation reports intense back pain with contractions. What non- pharmacologic intervention can the nurse implement?
- Administer IV opioids immediately
- Apply ice packs to the abdomen
- Keep the client in supine position
✔✔B. Encourage position changes, counter-pressure, and ambulation
A postpartum client on day 3 reports large clots and heavy bleeding. What is the nurse’s priority intervention? 1 / 4
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- Document bleeding and reassess in 2 hours
- Encourage the client to ambulate
- Apply a perineal pad only
✔✔B. Massage the fundus and assess for uterine atony
A client at 36 weeks gestation presents with sudden gush of fluid and reports feeling fetal parts moving low in the pelvis. What is the priority nursing assessment?
- Assess maternal blood pressure and pulse
- Prepare the client for immediate vaginal delivery
- Measure fundal height
✔✔B. Check fetal heart rate and evaluate for cord prolapse
A breastfeeding client reports nipple cracks and pain. What is the best nursing action?
- Advise switching to formula
- Apply alcohol-based disinfectant
- Limit feeding to once every 4 hours
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✔✔B. Assess latch technique and provide education on positioning
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A client at 32 weeks gestation reports pruritus, dark urine, and fatigue. What condition should the nurse suspect?
- Gestational diabetes
- Hyperemesis gravidarum
- Urinary tract infection
✔✔B. Intrahepatic cholestasis of pregnancy
A newborn at 2 hours of age has a heart rate of 85 bpm and weak cry. What is the priority nursing action?
- Administer vitamin K
- Place under phototherapy
- Swaddle and monitor only
✔✔B. Provide stimulation and supplemental oxygen as needed
A client in labor has late decelerations on the fetal monitor. What is the first nursing intervention?
- Encourage the client to push
- Increase IV fluids without repositioning 3 / 4
✔✔B. Reposition client, give oxygen, and notify the provider
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- Continue monitoring only
A postpartum client reports a temperature of 38.5°C on day 2. What should the nurse do first?
- Document temperature
- Encourage hydration
- Administer antipyretics only
✔✔C. Assess for infection and notify provider if indicated
A client at 28 weeks gestation reports decreased fetal movement. What should the nurse instruct?
- Monitor fetal heart rate at next appointment
- Advise rest and return home
- Encourage increased fluid intake only
✔✔B. Perform non-stress test or instruct on daily kick counts
A client with gestational diabetes is unsure how to monitor blood glucose. What is the best nursing teaching?
- Monitor blood sugar only if feeling symptoms
- Check fingerstick glucose once weekly
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