OB Hesi Study Questions and

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

A pregnant client in the third trimester reports sudden swelling of the face and hands. What should the nurse suspect?

• Normal pregnancy changes

✔✔B. Preeclampsia

• Dehydration
• Gestational diabetes

A client in active labor requests frequent position changes. Why is this encouraged?

• To prevent uterine rupture

✔✔B. To promote fetal descent and maternal comfort

• To shorten the second stage of labor only
• To eliminate the need for pain medication

A client at 36 weeks presents with painless vaginal bleeding. What is the priority action?

• Perform a vaginal exam 1 / 4

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✔✔B. Place the client on bed rest and notify the provider

• Administer oxytocin immediately
• Encourage ambulation

During postpartum assessment, a nurse finds a firm fundus but heavy vaginal bleeding. What is the likely cause?

• Uterine atony

✔✔B. Vaginal or cervical laceration

• Retained placenta
• Infection

A nurse cares for a laboring client with meconium-stained amniotic fluid. What is the priority action?

• Continue labor without intervention

✔✔B. Prepare for neonatal resuscitation at delivery

• Delay delivery until fluid clears
• Administer antibiotics
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A postpartum client reports a sudden gush of blood when standing. What is the best explanation?

• Hemorrhage

✔✔B. Normal pooling of blood in the vagina

• Retained placenta
• Uterine rupture

A laboring client is experiencing back labor. What intervention is most effective?

• Administering oxygen

✔✔B. Applying firm counterpressure to the sacrum

• Encouraging flat supine position
• Giving cold fluids

A newborn has a respiratory rate of 70 breaths per minute, grunting, and nasal flaring. What should the nurse do first?

• Swaddle the newborn

✔✔B. Notify the provider and prepare oxygen support

• Feed the newborn
• Place skin-to-skin with the mother only 3 / 4

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A client asks why folic acid is prescribed during pregnancy. What is the best response?

• To reduce morning sickness

✔✔B. To prevent neural tube defects

• To increase iron absorption
• To prevent constipation

A client at 39 weeks in labor reports feeling a sudden urge to push. What is the nurse’s priority?

• Leave to notify the provider

✔✔B. Assess cervical dilation immediately

• Encourage the client to resist pushing
• Start an IV bolus

A client with severe preeclampsia is on magnesium sulfate. Which finding requires immediate action?

• Warm flushing sensation

✔✔B. Respiratory rate of 10 breaths/min

• Slightly decreased reflexes
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