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OB/Peds HESI Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A newborn has a temperature of 36.0°C immediately after birth. What is the priority nursing intervention?
- Place the newborn under a cold light
- Delay feeding for 1 hour
- Monitor only
✔✔B. Provide skin-to-skin contact and warm blankets
A 2-day-old newborn is feeding poorly and appears lethargic. What should the nurse assess first?
- Heart rate
- Temperature
- Weight
✔✔C. Blood glucose level
A pregnant client at 30 weeks gestation reports sudden swelling of the face and hands. What is the priority assessment? 1 / 4
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- Encourage hydration
- Measure fundal height
- Monitor fetal movement
✔✔B. Check blood pressure and assess for preeclampsia
A postpartum client reports fever, chills, and foul-smelling lochia on day 4. What is the priority nursing action?
- Encourage ambulation
- Apply a perineal pad
- Document findings only
✔✔C. Assess for postpartum infection and notify provider
A newborn has jaundice on day 3 with a bilirubin of 16 mg/dL. What is the best nursing intervention?
- Delay feeding
- Provide only water
- Prepare for immediate phototherapy 2 / 4
✔✔B. Encourage frequent breastfeeding and monitor bilirubin
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A 28-week gestation client presents with vaginal bleeding but no pain. What condition is most likely?
- Placental abruption
- Preterm labor
- Miscarriage
✔✔B. Placenta previa
A 1-day-old newborn is observed with nasal flaring, grunting, and chest retractions. What is the priority nursing action?
- Document the findings
- Provide oral glucose
- Encourage swaddling
✔✔C. Administer oxygen and notify provider
A postpartum client reports severe perineal pain and swelling at the episiotomy site. What is the priority nursing intervention?
- Apply warm compress only
✔✔B. Apply cold compress and assess for hematoma 3 / 4
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- Encourage ambulation immediately
- Document only
A newborn has a heart rate of 80 bpm and weak cry at birth. What is the initial intervention?
- Swaddle and observe
- Administer vitamin K
- Place under phototherapy
✔✔B. Provide stimulation and supplemental oxygen
A client at 36 weeks gestation reports sudden abdominal pain, no fetal movement, and vaginal spotting. What is the priority nursing action?
- Monitor vital signs
- Encourage hydration
- Provide analgesics
✔✔B. Assess fetal heart rate and prepare for emergency intervention
A 2-day-old newborn presents with persistent vomiting and diarrhea. What is the priority nursing assessment?
- Weight only
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