OB HESI Exam- Possible Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
A client at 30 weeks gestation reports sudden swelling in the face and hands and complains of
headache. What is the priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify the provider
C. Measure fundal height
D. Teach fetal kick counts
A postpartum client reports soaking more than one pad per hour with bright red bleeding. What
is the priority intervention?
A. Encourage ambulation
✔✔B. Assess uterine tone and massage the fundus
C. Document the bleeding
D. Apply perineal pad only
A client in labor reports contractions every 2 minutes with fetal heart rate showing late
decelerations. What should the nurse do first?
1
,A. Administer pain medication
✔✔B. Reposition client, give oxygen, and notify provider
C. Encourage slow breathing
D. Continue monitoring
A client at 36 weeks gestation reports sudden gush of fluid from the vagina. What is the priority
nursing action?
A. Measure fundal height
✔✔B. Assess fetal heart rate and note time of rupture
C. Prepare for immediate delivery
D. Encourage bed rest
A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching
should the nurse provide?
A. Monitor only if feeling symptoms
B. Check blood sugar once a week
✔✔C. Teach fingerstick technique, target levels, and importance of diet
D. Skip insulin on low-glucose days
2
, A newborn at 3 hours of age has a heart rate of 85 bpm and weak cry. What is the priority
nursing intervention?
A. Swaddle the newborn
✔✔B. Stimulate and provide supplemental oxygen
C. Place under phototherapy
D. Administer vitamin K
A client in labor reports severe back pain. What non-pharmacologic intervention can the nurse
suggest?
A. Apply cold packs to the abdomen
B. Administer IV opioids immediately
✔✔C. Encourage ambulation, position changes, and counter-pressure
D. Limit movement and keep supine
A client at 32 weeks gestation reports pruritus and dark urine. What condition should the nurse
suspect?
A. Urinary tract infection
B. Hyperemesis gravidarum
3
and Answers | Latest Version |
2025/2026 | Correct & Verified
A client at 30 weeks gestation reports sudden swelling in the face and hands and complains of
headache. What is the priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify the provider
C. Measure fundal height
D. Teach fetal kick counts
A postpartum client reports soaking more than one pad per hour with bright red bleeding. What
is the priority intervention?
A. Encourage ambulation
✔✔B. Assess uterine tone and massage the fundus
C. Document the bleeding
D. Apply perineal pad only
A client in labor reports contractions every 2 minutes with fetal heart rate showing late
decelerations. What should the nurse do first?
1
,A. Administer pain medication
✔✔B. Reposition client, give oxygen, and notify provider
C. Encourage slow breathing
D. Continue monitoring
A client at 36 weeks gestation reports sudden gush of fluid from the vagina. What is the priority
nursing action?
A. Measure fundal height
✔✔B. Assess fetal heart rate and note time of rupture
C. Prepare for immediate delivery
D. Encourage bed rest
A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching
should the nurse provide?
A. Monitor only if feeling symptoms
B. Check blood sugar once a week
✔✔C. Teach fingerstick technique, target levels, and importance of diet
D. Skip insulin on low-glucose days
2
, A newborn at 3 hours of age has a heart rate of 85 bpm and weak cry. What is the priority
nursing intervention?
A. Swaddle the newborn
✔✔B. Stimulate and provide supplemental oxygen
C. Place under phototherapy
D. Administer vitamin K
A client in labor reports severe back pain. What non-pharmacologic intervention can the nurse
suggest?
A. Apply cold packs to the abdomen
B. Administer IV opioids immediately
✔✔C. Encourage ambulation, position changes, and counter-pressure
D. Limit movement and keep supine
A client at 32 weeks gestation reports pruritus and dark urine. What condition should the nurse
suspect?
A. Urinary tract infection
B. Hyperemesis gravidarum
3
