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OB Hesi/Final Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client at 37 weeks gestation reports sudden abdominal pain and bright red vaginal bleeding.What is the priority nursing action?
- Encourage rest and monitor
- Administer analgesics
- Measure fundal height
✔✔B. Assess fetal heart rate and prepare for possible placental abruption
A postpartum client reports excessive lochia with large clots 3 hours after delivery. What is the most appropriate intervention?
- Document findings only
- Encourage ambulation
- Apply cold compress
✔✔B. Massage the fundus and assess for uterine atony
A client at 36 weeks gestation presents with headache, visual changes, and upper abdominal pain. What condition should the nurse suspect? 1 / 4
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- Hyperemesis gravidarum
- Gestational diabetes
- Placenta previa
✔✔B. Preeclampsia
A newborn has a heart rate of 90 bpm, weak cry, and decreased muscle tone at 1 minute of life.What is the priority nursing intervention?
- Swaddle and monitor
- Administer vitamin K
- Perform routine assessment later
✔✔B. Provide stimulation and supplemental oxygen
A client in labor has contractions every 2 minutes, each lasting 90 seconds, with late decelerations noted on the fetal monitor. What is the first nursing action?
- Administer pain medication
- Encourage deep breathing
- Prepare for delivery 2 / 4
✔✔B. Reposition the client, give oxygen, and notify the provider
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A postpartum client reports breast tenderness, redness, and fever on day 5. What is the most likely cause?
- Engorgement
- Plugged duct
- Normal postpartum changes
✔✔B. Mastitis
A client at 32 weeks gestation reports severe pruritus and dark urine. What is the priority nursing assessment?
- Check blood pressure
- Assess for urinary tract infection
- Encourage hydration
✔✔C. Assess for intrahepatic cholestasis of pregnancy
A client receiving oxytocin for induction develops contractions lasting 100 seconds with a frequency of every 1–2 minutes. What is the priority nursing intervention?
- Increase the infusion rate
✔✔B. Stop the oxytocin and notify the provider 3 / 4
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- Encourage rest
- Administer analgesics
A newborn has jaundice and bilirubin of 18 mg/dL at 48 hours of life. What is the priority nursing action?
- Delay feeding
- Provide only water
- Reassess in 12 hours
✔✔B. Initiate phototherapy and encourage frequent feeding
A client in active labor reports sudden, severe back pain during contractions. What non- pharmacologic intervention can the nurse suggest?
- Apply cold to the abdomen
- Limit movement and keep supine
- Provide IV opioids immediately
✔✔B. Encourage position changes, ambulation, and counter-pressure
A client at 40 weeks gestation presents with rupture of membranes. What is the priority nursing action?
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