OB HESI V2 Questions and Answers

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OB HESI V2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client at 37 weeks gestation reports sudden, painless vaginal bleeding. What is the priority nursing assessment?

• Measure fundal height

✔✔B. Assess fetal heart rate and prepare for placenta previa evaluation

• Encourage hydration
• Monitor vital signs only

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

• Provide warm sitz bath immediately

✔✔B. Apply cold compress and assess for hematoma

• Encourage ambulation
• Document findings only

A client in labor has contractions every 2 minutes lasting 80 seconds and fetal heart rate shows late decelerations. What should the nurse do first? 1 / 4

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• Administer analgesics

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

• Encourage deep breathing
• Continue monitoring

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

• Encourage rest and hydration

✔✔B. Assess for preeclampsia and notify provider

• Measure fundal height
• Teach fetal kick counts

A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching is essential?

• Check blood sugar once a week
• Skip insulin if feeling low

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

• Monitor only if symptomatic 2 / 4

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A newborn at 3 hours 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
• Place under phototherapy

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

• Apply cold packs to abdomen
• Administer IV opioids immediately

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

• Limit movement and keep supine

A client at 36 weeks gestation reports sudden abdominal pain and no fetal movement. What is the priority action?

• Encourage rest

✔✔B. Assess fetal heart rate and prepare for emergency evaluation 3 / 4

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• Provide pain medication
• Perform fundal massage

A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority nursing assessment?

• Apply a perineal pad only

✔✔B. Assess uterine tone and massage the fundus

• Document amount of bleeding
• Encourage ambulation

A client at 40 weeks gestation reports contractions every 3 minutes. What is the next nursing action?

• Encourage walking
• Prepare for induction immediately

✔✔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 intervention?

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