OB Hesi Study Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A pregnant client in the third trimester reports sudden swelling of the face and hands. What
should the nurse suspect?
A. Normal pregnancy changes
✔✔B. Preeclampsia
C. Dehydration
D. Gestational diabetes
A client in active labor requests frequent position changes. Why is this encouraged?
A. To prevent uterine rupture
✔✔B. To promote fetal descent and maternal comfort
C. To shorten the second stage of labor only
D. To eliminate the need for pain medication
A client at 36 weeks presents with painless vaginal bleeding. What is the priority action?
A. Perform a vaginal exam
1
,✔✔B. Place the client on bed rest and notify the provider
C. Administer oxytocin immediately
D. Encourage ambulation
During postpartum assessment, a nurse finds a firm fundus but heavy vaginal bleeding. What is
the likely cause?
A. Uterine atony
✔✔B. Vaginal or cervical laceration
C. Retained placenta
D. Infection
A nurse cares for a laboring client with meconium-stained amniotic fluid. What is the priority
action?
A. Continue labor without intervention
✔✔B. Prepare for neonatal resuscitation at delivery
C. Delay delivery until fluid clears
D. Administer antibiotics
2
,A postpartum client reports a sudden gush of blood when standing. What is the best explanation?
A. Hemorrhage
✔✔B. Normal pooling of blood in the vagina
C. Retained placenta
D. Uterine rupture
A laboring client is experiencing back labor. What intervention is most effective?
A. Administering oxygen
✔✔B. Applying firm counterpressure to the sacrum
C. Encouraging flat supine position
D. Giving cold fluids
A newborn has a respiratory rate of 70 breaths per minute, grunting, and nasal flaring. What
should the nurse do first?
A. Swaddle the newborn
✔✔B. Notify the provider and prepare oxygen support
C. Feed the newborn
D. Place skin-to-skin with the mother only
3
, A client asks why folic acid is prescribed during pregnancy. What is the best response?
A. To reduce morning sickness
✔✔B. To prevent neural tube defects
C. To increase iron absorption
D. To prevent constipation
A client at 39 weeks in labor reports feeling a sudden urge to push. What is the nurse’s priority?
A. Leave to notify the provider
✔✔B. Assess cervical dilation immediately
C. Encourage the client to resist pushing
D. Start an IV bolus
A client with severe preeclampsia is on magnesium sulfate. Which finding requires immediate
action?
A. Warm flushing sensation
✔✔B. Respiratory rate of 10 breaths/min
C. Slightly decreased reflexes
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A pregnant client in the third trimester reports sudden swelling of the face and hands. What
should the nurse suspect?
A. Normal pregnancy changes
✔✔B. Preeclampsia
C. Dehydration
D. Gestational diabetes
A client in active labor requests frequent position changes. Why is this encouraged?
A. To prevent uterine rupture
✔✔B. To promote fetal descent and maternal comfort
C. To shorten the second stage of labor only
D. To eliminate the need for pain medication
A client at 36 weeks presents with painless vaginal bleeding. What is the priority action?
A. Perform a vaginal exam
1
,✔✔B. Place the client on bed rest and notify the provider
C. Administer oxytocin immediately
D. Encourage ambulation
During postpartum assessment, a nurse finds a firm fundus but heavy vaginal bleeding. What is
the likely cause?
A. Uterine atony
✔✔B. Vaginal or cervical laceration
C. Retained placenta
D. Infection
A nurse cares for a laboring client with meconium-stained amniotic fluid. What is the priority
action?
A. Continue labor without intervention
✔✔B. Prepare for neonatal resuscitation at delivery
C. Delay delivery until fluid clears
D. Administer antibiotics
2
,A postpartum client reports a sudden gush of blood when standing. What is the best explanation?
A. Hemorrhage
✔✔B. Normal pooling of blood in the vagina
C. Retained placenta
D. Uterine rupture
A laboring client is experiencing back labor. What intervention is most effective?
A. Administering oxygen
✔✔B. Applying firm counterpressure to the sacrum
C. Encouraging flat supine position
D. Giving cold fluids
A newborn has a respiratory rate of 70 breaths per minute, grunting, and nasal flaring. What
should the nurse do first?
A. Swaddle the newborn
✔✔B. Notify the provider and prepare oxygen support
C. Feed the newborn
D. Place skin-to-skin with the mother only
3
, A client asks why folic acid is prescribed during pregnancy. What is the best response?
A. To reduce morning sickness
✔✔B. To prevent neural tube defects
C. To increase iron absorption
D. To prevent constipation
A client at 39 weeks in labor reports feeling a sudden urge to push. What is the nurse’s priority?
A. Leave to notify the provider
✔✔B. Assess cervical dilation immediately
C. Encourage the client to resist pushing
D. Start an IV bolus
A client with severe preeclampsia is on magnesium sulfate. Which finding requires immediate
action?
A. Warm flushing sensation
✔✔B. Respiratory rate of 10 breaths/min
C. Slightly decreased reflexes
4
