HESI OB/Maternity Practice Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
A pregnant client at 28 weeks’ gestation reports sudden swelling of the face and hands. What is
the nurse’s priority action?
A. Apply cold compresses
✔✔B. Assess for signs of preeclampsia
C. Encourage increased fluid intake
D. Document and monitor
A client in labor has a fetal heart rate of 180 bpm with minimal variability. What should the nurse
do first?
A. Continue routine monitoring
B. Prepare for immediate delivery
✔✔C. Reposition the client and provide oxygen
D. Notify family
A postpartum client is experiencing heavy vaginal bleeding one hour after delivery. What is the
first nursing action?
1
,A. Encourage ambulation
✔✔B. Massage the fundus
C. Monitor vital signs later
D. Document the observation
A client at 36 weeks’ gestation reports painless, bright red vaginal bleeding. Which condition
should the nurse suspect?
A. Placental abruption
✔✔B. Placenta previa
C. Labor onset
D. Urinary tract infection
A client is 32 weeks pregnant and reports headache, visual disturbances, and right upper quadrant
pain. What is the priority nursing assessment?
A. Fundal height
B. Fetal movement
✔✔C. Blood pressure and proteinuria
D. Maternal weight
2
,A client is receiving oxytocin for labor induction. The nurse notes contractions every 1 minute
lasting 90 seconds. What is the best action?
A. Increase the oxytocin rate
B. Document and continue
✔✔C. Stop the oxytocin and notify the provider
D. Encourage the client to ambulate
A postpartum client complains of a warm, tender, swollen calf. What should the nurse do first?
A. Encourage ambulation
B. Apply warm compresses
✔✔C. Assess for signs of deep vein thrombosis
D. Massage the calf
A client is experiencing early labor and asks about pain management. Which response is most
appropriate?
A. “You must endure the pain.”
✔✔B. “We can discuss options including epidural or medications.”
3
, C. “Pain medication is not allowed until active labor.”
D. “Breathing exercises are the only option.”
A newborn’s Apgar score at 1 minute is 5. What is the nurse’s priority action?
A. Document the score
✔✔B. Provide immediate resuscitation measures
C. Call the pediatrician
D. Monitor every 15 minutes
A client at 20 weeks’ gestation reports decreased fetal movement. What should the nurse do first?
A. Advise the client to rest
✔✔B. Assess fetal heart rate and movement
C. Schedule the next appointment
D. Document and wait
A client is in active labor with epidural anesthesia and reports a sudden drop in blood pressure.
What is the immediate nursing intervention?
A. Continue monitoring
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
A pregnant client at 28 weeks’ gestation reports sudden swelling of the face and hands. What is
the nurse’s priority action?
A. Apply cold compresses
✔✔B. Assess for signs of preeclampsia
C. Encourage increased fluid intake
D. Document and monitor
A client in labor has a fetal heart rate of 180 bpm with minimal variability. What should the nurse
do first?
A. Continue routine monitoring
B. Prepare for immediate delivery
✔✔C. Reposition the client and provide oxygen
D. Notify family
A postpartum client is experiencing heavy vaginal bleeding one hour after delivery. What is the
first nursing action?
1
,A. Encourage ambulation
✔✔B. Massage the fundus
C. Monitor vital signs later
D. Document the observation
A client at 36 weeks’ gestation reports painless, bright red vaginal bleeding. Which condition
should the nurse suspect?
A. Placental abruption
✔✔B. Placenta previa
C. Labor onset
D. Urinary tract infection
A client is 32 weeks pregnant and reports headache, visual disturbances, and right upper quadrant
pain. What is the priority nursing assessment?
A. Fundal height
B. Fetal movement
✔✔C. Blood pressure and proteinuria
D. Maternal weight
2
,A client is receiving oxytocin for labor induction. The nurse notes contractions every 1 minute
lasting 90 seconds. What is the best action?
A. Increase the oxytocin rate
B. Document and continue
✔✔C. Stop the oxytocin and notify the provider
D. Encourage the client to ambulate
A postpartum client complains of a warm, tender, swollen calf. What should the nurse do first?
A. Encourage ambulation
B. Apply warm compresses
✔✔C. Assess for signs of deep vein thrombosis
D. Massage the calf
A client is experiencing early labor and asks about pain management. Which response is most
appropriate?
A. “You must endure the pain.”
✔✔B. “We can discuss options including epidural or medications.”
3
, C. “Pain medication is not allowed until active labor.”
D. “Breathing exercises are the only option.”
A newborn’s Apgar score at 1 minute is 5. What is the nurse’s priority action?
A. Document the score
✔✔B. Provide immediate resuscitation measures
C. Call the pediatrician
D. Monitor every 15 minutes
A client at 20 weeks’ gestation reports decreased fetal movement. What should the nurse do first?
A. Advise the client to rest
✔✔B. Assess fetal heart rate and movement
C. Schedule the next appointment
D. Document and wait
A client is in active labor with epidural anesthesia and reports a sudden drop in blood pressure.
What is the immediate nursing intervention?
A. Continue monitoring
4
