OB HESI FINAL STUDY PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last
trimester
d. supplementary iron is more efficiently utilized during pregnancy.
Answer: b. it is difficult to consume 18 mg of additional iron by diet
alone
◉ When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant Answer: b, d
,◉ The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
a. recognize this is a common reaction in new mothers
b. ask the mother why she won't look at the infant
c. observe the mother for other attachment behaviors
d. examine the newborn's eyes for the ability to focus Answer: c.
observe the mother for other attachment behaviors
◉ A couple concerned because the woman has not been able to
conceive is referred to a HCP for a fertility workup and a
hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent?
a. shoulder pain
b. leg cramps
c. back pain
d. abdominal pain Answer: a. shoulder pain
◉ A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pads are completely saturated and the cline is lying in a 6 in
diameter pool of blood. Which action should the nurse implement
next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
,c. cleanse the perineum
d. palpate the firmness of the fundus Answer: d. palpate the firmness
of the fundus
◉ A 38 week primigravida who works as a secretary and sits at a
computer 8 hrs each day tells the nurse that her feet have begun to
swell. Which instruction would be most effective in preventing
pooling blood in the lower extremities?
a. avoid constrictive clothing
b. move every hour
c. wear support stockings
d. reduce salt in her diet Answer: b. move every hour
◉ The total bilirubin level of a 36 hour breastfeeding newborn is 14
mg/dl. Based on this finding which intervention should the nurse
implement?
a. feed the newborn sterile water hourly
b. assess the newborn's blood glucose level
c. provide phototherapy for 30 mins q8h
d. encourage the mother to breastfeed frequently Answer: c.
encourage the mother to breastfeed frequently
, ◉ A newborn infant is brought to the nursery from the birthing
suite. The nurse notices that the infant is breathing satisfactorily but
appears dusky. What action should the nurse take first?
a. notify the pediatrician immediately
b. position the infant on the right side
c. suction the infant's nares then the oral cavity
d. check the infant's oxygen saturation rate Answer: d. check the
infant's oxygen saturation rate
◉ 28 year old client in active labor complains of cramps in her
leg.What intervention should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. Answer: B. Extend the leg and
dorsiflex the foot.
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling finger and
dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
QUESTIONS AND ANSWERS
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last
trimester
d. supplementary iron is more efficiently utilized during pregnancy.
Answer: b. it is difficult to consume 18 mg of additional iron by diet
alone
◉ When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant Answer: b, d
,◉ The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
a. recognize this is a common reaction in new mothers
b. ask the mother why she won't look at the infant
c. observe the mother for other attachment behaviors
d. examine the newborn's eyes for the ability to focus Answer: c.
observe the mother for other attachment behaviors
◉ A couple concerned because the woman has not been able to
conceive is referred to a HCP for a fertility workup and a
hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent?
a. shoulder pain
b. leg cramps
c. back pain
d. abdominal pain Answer: a. shoulder pain
◉ A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pads are completely saturated and the cline is lying in a 6 in
diameter pool of blood. Which action should the nurse implement
next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
,c. cleanse the perineum
d. palpate the firmness of the fundus Answer: d. palpate the firmness
of the fundus
◉ A 38 week primigravida who works as a secretary and sits at a
computer 8 hrs each day tells the nurse that her feet have begun to
swell. Which instruction would be most effective in preventing
pooling blood in the lower extremities?
a. avoid constrictive clothing
b. move every hour
c. wear support stockings
d. reduce salt in her diet Answer: b. move every hour
◉ The total bilirubin level of a 36 hour breastfeeding newborn is 14
mg/dl. Based on this finding which intervention should the nurse
implement?
a. feed the newborn sterile water hourly
b. assess the newborn's blood glucose level
c. provide phototherapy for 30 mins q8h
d. encourage the mother to breastfeed frequently Answer: c.
encourage the mother to breastfeed frequently
, ◉ A newborn infant is brought to the nursery from the birthing
suite. The nurse notices that the infant is breathing satisfactorily but
appears dusky. What action should the nurse take first?
a. notify the pediatrician immediately
b. position the infant on the right side
c. suction the infant's nares then the oral cavity
d. check the infant's oxygen saturation rate Answer: d. check the
infant's oxygen saturation rate
◉ 28 year old client in active labor complains of cramps in her
leg.What intervention should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. Answer: B. Extend the leg and
dorsiflex the foot.
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling finger and
dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
