Page 1 of 57
“OB HESI NAXLEX EXAM “ NEWEST
UPDATED EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
OB Hesi Naxlex
What is the most crucial assessment for the nurse to perform after
administering epidural anesthesia to a patient who is at 40 weeks gestation?
A. Monitor the variability of the fetal heart rate.
B. Assess the level of pain sensation.
C. Check the maternal blood pressure.
D. Determine the station of the presenting part.
C. Check the maternal blood pressure.
Checking the maternal blood pressure is the most crucial assessment after
administering epidural anesthesia15. Epidural anesthesia can cause a drop in blood
pressure, which can lead to complications for both the mother and the baby.
A client at 32 weeks gestation visits the women's health clinic and reports
feeling nauseous and vomiting. Upon examination, the nurse notes that the
client's blood pressure is elevated. What should the nurse do next?
, Page 2 of 57
A. Inspect the client's face for edema.
B. Inquire about a history of cluster headaches.
C. Determine the frequency of headaches.
D. Monitor and time the client's contractions
A. Inspect the client's face for edema.
A client at 32 weeks gestation reporting nausea, vomiting, and elevated blood
pressure could be showing signs of a condition called gestational hypertension or
preeclampsia. This condition can affect the health of both the mother and the baby,
depending on how severe the issue is. Inspecting the client's face for edema is a
relevant next step because swelling in the face, hands, or fingers is a common
symptom of preeclampsia.
The nurse is caring for a postpartum client who is experiencing severe pain
and a sensation of pressure in her perineum. Her uterus is firm, and she has a
moderate flow of lochia. Upon inspection, the nurse discovers that a perineal
hematoma is starting to form. What should the nurse assess first?
A. Heart rate and blood pressure.
B. Urinary output and IV fluid intake.
C. Hemoglobin and hematocrit levels.
D. Abdominal contour and bowel sounds.
A. Heart rate and blood pressure.
A postpartum client experiencing severe pain and a sensation of pressure in her
perineum, along with the formation of a perineal hematoma, is in a potentially serious
situation. The nurse should first assess the client's heart rate and blood pressure.
This is because a perineal hematoma can lead to significant blood loss, which could
cause changes in these vital signs.
A mother inquires about what to use when changing her newborn's diaper.
What should the nurse recommend to this mother?
A. Corn starch powder.
B. Clear water.
C. Talcum powder.
D. Baby lotion.
, Page 3 of 57
B. Clear water.
When changing a newborn's diaper, it is recommended to use clear water for
cleaning. This is because newborns have sensitive skin, and clear water is gentle
and unlikely to cause irritation.
The nurse is preparing to administer magnesium sulfate to a laboring client
whose blood pressure has risen from 110/60 mmHg to 140/90 mmHg. Which
nursing protocol is of the highest priority?
A. Assess deep tendon reflexes (DTRs) every 4 hours.
B. Ensure calcium gluconate is immediately available.
C. Insert a Foley catheter with a urimeter to monitor hourly output.
D. Provide a quiet environment with subdued lighting.
B. Ensure calcium gluconate is immediately available.
When preparing to administer magnesium sulfate to a laboring client with elevated
blood pressure, ensuring that calcium gluconate is immediately available is of the
highest priority. Calcium gluconate is the antidote for magnesium sulfate toxicity, and
having it readily available is crucial in case of an overdose.
A client informs the nurse that she believes she is pregnant. Which sign or
symptom is the best indicator that the client is pregnant?
A. Hegar's sign.
B. Breast tenderness.
C. Amenorrhea.
D. Morning sickness.
C. Amenorrhea.
Amenorrhea, or the absence of menstruation, is often the first and most reliable sign
of pregnancy. If a woman is in her childbearing years and a week or more has
passed without the start of an expected menstrual cycle, she might be pregnant.
A patient in early labor is receiving oxytocin and begins to experience
tachysystolic or tetanic contractions with variable fetal heart decelerations.
What should the nurse do next?
A. Notify the charge nurse about the patient's condition.
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B. Discontinue the oxytocin infusion.
C. Reduce the rate of the oxytocin infusion.
D. Adjust the position of the fetal monitor transducers.
B. Discontinue the oxytocin infusion.
Discontinuing the oxytocin infusion is the correct action. Oxytocin is a hormone that
stimulates uterine contractions during labor. If a patient begins to experience
tachysystolic or tetanic contractions, which are excessively frequent or prolonged
contractions, it could lead to fetal distress. Discontinuing the oxytocin can help
reduce the frequency and intensity of the contractions.
What is the most crucial topic for the nurse to include in a nutrition education
program for pregnant teenagers?
A. Iron-deficiency anemia.
B. Gestational diabetes.
C. High cholesterol.
D. Excessive weight gain
A. Iron-deficiency anemia.
Iron-deficiency anemia is a common nutritional issue among pregnant teenagers.
During pregnancy, the body needs more iron to support the growth and development
of the fetus. Teenagers, who are still growing themselves, may already have lower
iron stores. Therefore, it is crucial to include information about the importance of iron
and how to get enough from the diet in a nutrition education program for pregnant
teenagers.
The nurse is about to administer phytonadione to a newborn. Which statement
by the parents shows they understand why this medication is being given?
A. It stimulates the immune system.
B. It aids an immature liver.
C. It prevents hemorrhagic disorders.
D. It compensates for insufficient dietary intake.
C. It prevents hemorrhagic disorders.
This is the correct statement. Phytonadione is given to newborns to prevent
“OB HESI NAXLEX EXAM “ NEWEST
UPDATED EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
don't miss any practice revision materials contact me +254111429458
OB Hesi Naxlex
What is the most crucial assessment for the nurse to perform after
administering epidural anesthesia to a patient who is at 40 weeks gestation?
A. Monitor the variability of the fetal heart rate.
B. Assess the level of pain sensation.
C. Check the maternal blood pressure.
D. Determine the station of the presenting part.
C. Check the maternal blood pressure.
Checking the maternal blood pressure is the most crucial assessment after
administering epidural anesthesia15. Epidural anesthesia can cause a drop in blood
pressure, which can lead to complications for both the mother and the baby.
A client at 32 weeks gestation visits the women's health clinic and reports
feeling nauseous and vomiting. Upon examination, the nurse notes that the
client's blood pressure is elevated. What should the nurse do next?
, Page 2 of 57
A. Inspect the client's face for edema.
B. Inquire about a history of cluster headaches.
C. Determine the frequency of headaches.
D. Monitor and time the client's contractions
A. Inspect the client's face for edema.
A client at 32 weeks gestation reporting nausea, vomiting, and elevated blood
pressure could be showing signs of a condition called gestational hypertension or
preeclampsia. This condition can affect the health of both the mother and the baby,
depending on how severe the issue is. Inspecting the client's face for edema is a
relevant next step because swelling in the face, hands, or fingers is a common
symptom of preeclampsia.
The nurse is caring for a postpartum client who is experiencing severe pain
and a sensation of pressure in her perineum. Her uterus is firm, and she has a
moderate flow of lochia. Upon inspection, the nurse discovers that a perineal
hematoma is starting to form. What should the nurse assess first?
A. Heart rate and blood pressure.
B. Urinary output and IV fluid intake.
C. Hemoglobin and hematocrit levels.
D. Abdominal contour and bowel sounds.
A. Heart rate and blood pressure.
A postpartum client experiencing severe pain and a sensation of pressure in her
perineum, along with the formation of a perineal hematoma, is in a potentially serious
situation. The nurse should first assess the client's heart rate and blood pressure.
This is because a perineal hematoma can lead to significant blood loss, which could
cause changes in these vital signs.
A mother inquires about what to use when changing her newborn's diaper.
What should the nurse recommend to this mother?
A. Corn starch powder.
B. Clear water.
C. Talcum powder.
D. Baby lotion.
, Page 3 of 57
B. Clear water.
When changing a newborn's diaper, it is recommended to use clear water for
cleaning. This is because newborns have sensitive skin, and clear water is gentle
and unlikely to cause irritation.
The nurse is preparing to administer magnesium sulfate to a laboring client
whose blood pressure has risen from 110/60 mmHg to 140/90 mmHg. Which
nursing protocol is of the highest priority?
A. Assess deep tendon reflexes (DTRs) every 4 hours.
B. Ensure calcium gluconate is immediately available.
C. Insert a Foley catheter with a urimeter to monitor hourly output.
D. Provide a quiet environment with subdued lighting.
B. Ensure calcium gluconate is immediately available.
When preparing to administer magnesium sulfate to a laboring client with elevated
blood pressure, ensuring that calcium gluconate is immediately available is of the
highest priority. Calcium gluconate is the antidote for magnesium sulfate toxicity, and
having it readily available is crucial in case of an overdose.
A client informs the nurse that she believes she is pregnant. Which sign or
symptom is the best indicator that the client is pregnant?
A. Hegar's sign.
B. Breast tenderness.
C. Amenorrhea.
D. Morning sickness.
C. Amenorrhea.
Amenorrhea, or the absence of menstruation, is often the first and most reliable sign
of pregnancy. If a woman is in her childbearing years and a week or more has
passed without the start of an expected menstrual cycle, she might be pregnant.
A patient in early labor is receiving oxytocin and begins to experience
tachysystolic or tetanic contractions with variable fetal heart decelerations.
What should the nurse do next?
A. Notify the charge nurse about the patient's condition.
, Page 4 of 57
B. Discontinue the oxytocin infusion.
C. Reduce the rate of the oxytocin infusion.
D. Adjust the position of the fetal monitor transducers.
B. Discontinue the oxytocin infusion.
Discontinuing the oxytocin infusion is the correct action. Oxytocin is a hormone that
stimulates uterine contractions during labor. If a patient begins to experience
tachysystolic or tetanic contractions, which are excessively frequent or prolonged
contractions, it could lead to fetal distress. Discontinuing the oxytocin can help
reduce the frequency and intensity of the contractions.
What is the most crucial topic for the nurse to include in a nutrition education
program for pregnant teenagers?
A. Iron-deficiency anemia.
B. Gestational diabetes.
C. High cholesterol.
D. Excessive weight gain
A. Iron-deficiency anemia.
Iron-deficiency anemia is a common nutritional issue among pregnant teenagers.
During pregnancy, the body needs more iron to support the growth and development
of the fetus. Teenagers, who are still growing themselves, may already have lower
iron stores. Therefore, it is crucial to include information about the importance of iron
and how to get enough from the diet in a nutrition education program for pregnant
teenagers.
The nurse is about to administer phytonadione to a newborn. Which statement
by the parents shows they understand why this medication is being given?
A. It stimulates the immune system.
B. It aids an immature liver.
C. It prevents hemorrhagic disorders.
D. It compensates for insufficient dietary intake.
C. It prevents hemorrhagic disorders.
This is the correct statement. Phytonadione is given to newborns to prevent
