OBMaternity HESI Assignment Exam

1

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

A pregnant client at 32 weeks gestation reports sudden, painless vaginal bleeding. What is the priority nursing action?

• Assess fetal heart rate

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

• Encourage ambulation
• Apply perineal pads only

A client in labor has a blood pressure of 160/100 mmHg and 3+ proteinuria. Which action is most important?

• Administer oxytocin
• Encourage ambulation

✔✔C. Assess for signs of preeclampsia complications

• Offer oral fluids

A postpartum client reports heavy vaginal bleeding 2 hours after delivery. What should the nurse do first? 1 / 4

2

• Document the amount

✔✔B. Assess fundal firmness and massage if needed

• Encourage the client to ambulate
• Notify dietary services

A client at 28 weeks gestation presents with severe right upper quadrant pain and nausea. What is the priority action?

• Provide antiemetic medication

✔✔B. Assess for HELLP syndrome and notify provider

• Encourage oral hydration
• Schedule routine labs next week

A nurse is teaching a pregnant client about fetal movement monitoring. Which instruction is correct?

• Count fetal movements once per week

✔✔B. Count fetal kicks at the same time daily and report decreased movement

• Only report movement during labor
• Track movement only when feeling unwell 2 / 4

3

A client is receiving magnesium sulfate for preeclampsia. Which assessment requires immediate intervention?

• Deep tendon reflexes 2+
• Respiratory rate 16/min

✔✔C. Urine output < 30 mL/hr

• Heart rate 88 bpm

A laboring client requests pain relief. Which nonpharmacologic method is appropriate?

• Administer IV opioids immediately

✔✔B. Encourage breathing techniques and position changes

• Provide an epidural without consent
• Suggest bed rest only

A client at 36 weeks gestation reports clear fluid leakage from the vagina. Which action should the nurse take first?

• Provide perineal pads

✔✔B. Assess for rupture of membranes and perform nitrazine test 3 / 4

4

• Encourage ambulation
• Document and wait

A nurse notes a fetal heart rate of 180 bpm with regular contractions. What is the priority action?

• Reassess in 30 minutes

✔✔B. Assess for maternal fever, fetal distress, or early labor

• Notify dietary services
• Encourage the client to rest

A postpartum client is experiencing urinary retention. What is the safest nursing intervention?

• Insert an indwelling catheter immediately

✔✔B. Assist the client to void using privacy and positioning

• Restrict fluids
• Wait until next scheduled assessment

A laboring client has a BP of 90/50 mmHg and fetal bradycardia. What is the priority intervention?

• Continue monitoring
• / 4