OB Hesi Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A pregnant client at 30 weeks gestation reports persistent headache, visual disturbances, and
swelling in her hands and face. What is the priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify the healthcare provider
C. Advise over-the-counter pain medication
D. Monitor fetal movement only
A client in labor at 39 weeks gestation reports intense back pain with contractions. What non-
pharmacologic intervention can the nurse implement?
A. Administer IV opioids immediately
✔✔B. Encourage position changes, counter-pressure, and ambulation
C. Apply ice packs to the abdomen
D. Keep the client in supine position
A postpartum client on day 3 reports large clots and heavy bleeding. What is the nurse’s priority
intervention?
1
,A. Document bleeding and reassess in 2 hours
✔✔B. Massage the fundus and assess for uterine atony
C. Encourage the client to ambulate
D. Apply a perineal pad only
A client at 36 weeks gestation presents with sudden gush of fluid and reports feeling fetal parts
moving low in the pelvis. What is the priority nursing assessment?
A. Assess maternal blood pressure and pulse
✔✔B. Check fetal heart rate and evaluate for cord prolapse
C. Prepare the client for immediate vaginal delivery
D. Measure fundal height
A breastfeeding client reports nipple cracks and pain. What is the best nursing action?
A. Advise switching to formula
✔✔B. Assess latch technique and provide education on positioning
C. Apply alcohol-based disinfectant
D. Limit feeding to once every 4 hours
2
,A client at 32 weeks gestation reports pruritus, dark urine, and fatigue. What condition should the
nurse suspect?
A. Gestational diabetes
✔✔B. Intrahepatic cholestasis of pregnancy
C. Hyperemesis gravidarum
D. Urinary tract infection
A newborn at 2 hours of age has a heart rate of 85 bpm and weak cry. What is the priority
nursing action?
A. Administer vitamin K
✔✔B. Provide stimulation and supplemental oxygen as needed
C. Place under phototherapy
D. Swaddle and monitor only
A client in labor has late decelerations on the fetal monitor. What is the first nursing
intervention?
A. Encourage the client to push
✔✔B. Reposition client, give oxygen, and notify the provider
C. Increase IV fluids without repositioning
3
, D. Continue monitoring only
A postpartum client reports a temperature of 38.5°C on day 2. What should the nurse do first?
A. Document temperature
B. Encourage hydration
✔✔C. Assess for infection and notify provider if indicated
D. Administer antipyretics only
A client at 28 weeks gestation reports decreased fetal movement. What should the nurse instruct?
A. Monitor fetal heart rate at next appointment
✔✔B. Perform non-stress test or instruct on daily kick counts
C. Advise rest and return home
D. Encourage increased fluid intake only
A client with gestational diabetes is unsure how to monitor blood glucose. What is the best
nursing teaching?
A. Monitor blood sugar only if feeling symptoms
B. Check fingerstick glucose once weekly
4
Version | 2025/2026 | Correct & Verified
A pregnant client at 30 weeks gestation reports persistent headache, visual disturbances, and
swelling in her hands and face. What is the priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify the healthcare provider
C. Advise over-the-counter pain medication
D. Monitor fetal movement only
A client in labor at 39 weeks gestation reports intense back pain with contractions. What non-
pharmacologic intervention can the nurse implement?
A. Administer IV opioids immediately
✔✔B. Encourage position changes, counter-pressure, and ambulation
C. Apply ice packs to the abdomen
D. Keep the client in supine position
A postpartum client on day 3 reports large clots and heavy bleeding. What is the nurse’s priority
intervention?
1
,A. Document bleeding and reassess in 2 hours
✔✔B. Massage the fundus and assess for uterine atony
C. Encourage the client to ambulate
D. Apply a perineal pad only
A client at 36 weeks gestation presents with sudden gush of fluid and reports feeling fetal parts
moving low in the pelvis. What is the priority nursing assessment?
A. Assess maternal blood pressure and pulse
✔✔B. Check fetal heart rate and evaluate for cord prolapse
C. Prepare the client for immediate vaginal delivery
D. Measure fundal height
A breastfeeding client reports nipple cracks and pain. What is the best nursing action?
A. Advise switching to formula
✔✔B. Assess latch technique and provide education on positioning
C. Apply alcohol-based disinfectant
D. Limit feeding to once every 4 hours
2
,A client at 32 weeks gestation reports pruritus, dark urine, and fatigue. What condition should the
nurse suspect?
A. Gestational diabetes
✔✔B. Intrahepatic cholestasis of pregnancy
C. Hyperemesis gravidarum
D. Urinary tract infection
A newborn at 2 hours of age has a heart rate of 85 bpm and weak cry. What is the priority
nursing action?
A. Administer vitamin K
✔✔B. Provide stimulation and supplemental oxygen as needed
C. Place under phototherapy
D. Swaddle and monitor only
A client in labor has late decelerations on the fetal monitor. What is the first nursing
intervention?
A. Encourage the client to push
✔✔B. Reposition client, give oxygen, and notify the provider
C. Increase IV fluids without repositioning
3
, D. Continue monitoring only
A postpartum client reports a temperature of 38.5°C on day 2. What should the nurse do first?
A. Document temperature
B. Encourage hydration
✔✔C. Assess for infection and notify provider if indicated
D. Administer antipyretics only
A client at 28 weeks gestation reports decreased fetal movement. What should the nurse instruct?
A. Monitor fetal heart rate at next appointment
✔✔B. Perform non-stress test or instruct on daily kick counts
C. Advise rest and return home
D. Encourage increased fluid intake only
A client with gestational diabetes is unsure how to monitor blood glucose. What is the best
nursing teaching?
A. Monitor blood sugar only if feeling symptoms
B. Check fingerstick glucose once weekly
4
