OB/Peds HESI Practice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A newborn has a temperature of 36.0°C immediately after birth. What is the priority nursing
intervention?
A. Place the newborn under a cold light
✔✔B. Provide skin-to-skin contact and warm blankets
C. Delay feeding for 1 hour
D. Monitor only
A 2-day-old newborn is feeding poorly and appears lethargic. What should the nurse assess first?
A. Heart rate
B. Temperature
✔✔C. Blood glucose level
D. Weight
A pregnant client at 30 weeks gestation reports sudden swelling of the face and hands. What is
the priority assessment?
1
,A. Encourage hydration
✔✔B. Check blood pressure and assess for preeclampsia
C. Measure fundal height
D. Monitor fetal movement
A postpartum client reports fever, chills, and foul-smelling lochia on day 4. What is the priority
nursing action?
A. Encourage ambulation
B. Apply a perineal pad
✔✔C. Assess for postpartum infection and notify provider
D. Document findings only
A newborn has jaundice on day 3 with a bilirubin of 16 mg/dL. What is the best nursing
intervention?
A. Delay feeding
✔✔B. Encourage frequent breastfeeding and monitor bilirubin
C. Provide only water
D. Prepare for immediate phototherapy
2
,A 28-week gestation client presents with vaginal bleeding but no pain. What condition is most
likely?
A. Placental abruption
✔✔B. Placenta previa
C. Preterm labor
D. Miscarriage
A 1-day-old newborn is observed with nasal flaring, grunting, and chest retractions. What is the
priority nursing action?
A. Document the findings
B. Provide oral glucose
✔✔C. Administer oxygen and notify provider
D. Encourage swaddling
A postpartum client reports severe perineal pain and swelling at the episiotomy site. What is the
priority nursing intervention?
A. Apply warm compress only
✔✔B. Apply cold compress and assess for hematoma
3
, C. Encourage ambulation immediately
D. Document only
A newborn has a heart rate of 80 bpm and weak cry at birth. What is the initial intervention?
A. Swaddle and observe
✔✔B. Provide stimulation and supplemental oxygen
C. Administer vitamin K
D. Place under phototherapy
A client at 36 weeks gestation reports sudden abdominal pain, no fetal movement, and vaginal
spotting. What is the priority nursing action?
A. Monitor vital signs
✔✔B. Assess fetal heart rate and prepare for emergency intervention
C. Encourage hydration
D. Provide analgesics
A 2-day-old newborn presents with persistent vomiting and diarrhea. What is the priority nursing
assessment?
A. Weight only
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A newborn has a temperature of 36.0°C immediately after birth. What is the priority nursing
intervention?
A. Place the newborn under a cold light
✔✔B. Provide skin-to-skin contact and warm blankets
C. Delay feeding for 1 hour
D. Monitor only
A 2-day-old newborn is feeding poorly and appears lethargic. What should the nurse assess first?
A. Heart rate
B. Temperature
✔✔C. Blood glucose level
D. Weight
A pregnant client at 30 weeks gestation reports sudden swelling of the face and hands. What is
the priority assessment?
1
,A. Encourage hydration
✔✔B. Check blood pressure and assess for preeclampsia
C. Measure fundal height
D. Monitor fetal movement
A postpartum client reports fever, chills, and foul-smelling lochia on day 4. What is the priority
nursing action?
A. Encourage ambulation
B. Apply a perineal pad
✔✔C. Assess for postpartum infection and notify provider
D. Document findings only
A newborn has jaundice on day 3 with a bilirubin of 16 mg/dL. What is the best nursing
intervention?
A. Delay feeding
✔✔B. Encourage frequent breastfeeding and monitor bilirubin
C. Provide only water
D. Prepare for immediate phototherapy
2
,A 28-week gestation client presents with vaginal bleeding but no pain. What condition is most
likely?
A. Placental abruption
✔✔B. Placenta previa
C. Preterm labor
D. Miscarriage
A 1-day-old newborn is observed with nasal flaring, grunting, and chest retractions. What is the
priority nursing action?
A. Document the findings
B. Provide oral glucose
✔✔C. Administer oxygen and notify provider
D. Encourage swaddling
A postpartum client reports severe perineal pain and swelling at the episiotomy site. What is the
priority nursing intervention?
A. Apply warm compress only
✔✔B. Apply cold compress and assess for hematoma
3
, C. Encourage ambulation immediately
D. Document only
A newborn has a heart rate of 80 bpm and weak cry at birth. What is the initial intervention?
A. Swaddle and observe
✔✔B. Provide stimulation and supplemental oxygen
C. Administer vitamin K
D. Place under phototherapy
A client at 36 weeks gestation reports sudden abdominal pain, no fetal movement, and vaginal
spotting. What is the priority nursing action?
A. Monitor vital signs
✔✔B. Assess fetal heart rate and prepare for emergency intervention
C. Encourage hydration
D. Provide analgesics
A 2-day-old newborn presents with persistent vomiting and diarrhea. What is the priority nursing
assessment?
A. Weight only
4
