OB HESI V2 Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client at 37 weeks gestation reports sudden, painless vaginal bleeding. What is the priority
nursing assessment?
A. Measure fundal height
✔✔B. Assess fetal heart rate and prepare for placenta previa evaluation
C. Encourage hydration
D. Monitor vital signs only
A postpartum client reports severe perineal pain and swelling. What is the priority intervention?
A. Provide warm sitz bath immediately
✔✔B. Apply cold compress and assess for hematoma
C. Encourage ambulation
D. Document findings only
A client in labor has contractions every 2 minutes lasting 80 seconds and fetal heart rate shows
late decelerations. What should the nurse do first?
1
,A. Administer analgesics
✔✔B. Reposition client, provide oxygen, and notify provider
C. Encourage deep breathing
D. Continue monitoring
A client at 30 weeks gestation reports swelling in hands and face with headache. What is the
priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify provider
C. Measure fundal height
D. Teach fetal kick counts
A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching
is essential?
A. Check blood sugar once a week
B. Skip insulin if feeling low
✔✔C. Teach fingerstick technique, target glucose levels, and diet management
D. Monitor only if symptomatic
2
,A newborn at 3 hours of life has a heart rate of 85 bpm and weak cry. What is the immediate
nursing intervention?
A. Swaddle the newborn
✔✔B. Stimulate and provide supplemental oxygen
C. Administer vitamin K
D. Place under phototherapy
A client in labor reports severe back pain during contractions. What non-pharmacologic method
can the nurse suggest?
A. Apply cold packs to abdomen
B. Administer IV opioids immediately
✔✔C. Encourage position changes, ambulation, and counter-pressure
D. Limit movement and keep supine
A client at 36 weeks gestation reports sudden abdominal pain and no fetal movement. What is the
priority action?
A. Encourage rest
✔✔B. Assess fetal heart rate and prepare for emergency evaluation
3
, C. Provide pain medication
D. Perform fundal massage
A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority
nursing assessment?
A. Apply a perineal pad only
✔✔B. Assess uterine tone and massage the fundus
C. Document amount of bleeding
D. Encourage ambulation
A client at 40 weeks gestation reports contractions every 3 minutes. What is the next nursing
action?
A. Encourage walking
B. Prepare for induction immediately
✔✔C. Assess cervical dilation and effacement
D. Assess vital signs only
A client receiving oxytocin develops contractions lasting 90 seconds every 1–2 minutes. What is
the priority nursing intervention?
4
Latest Version | 2025/2026 | Correct &
Verified
A client at 37 weeks gestation reports sudden, painless vaginal bleeding. What is the priority
nursing assessment?
A. Measure fundal height
✔✔B. Assess fetal heart rate and prepare for placenta previa evaluation
C. Encourage hydration
D. Monitor vital signs only
A postpartum client reports severe perineal pain and swelling. What is the priority intervention?
A. Provide warm sitz bath immediately
✔✔B. Apply cold compress and assess for hematoma
C. Encourage ambulation
D. Document findings only
A client in labor has contractions every 2 minutes lasting 80 seconds and fetal heart rate shows
late decelerations. What should the nurse do first?
1
,A. Administer analgesics
✔✔B. Reposition client, provide oxygen, and notify provider
C. Encourage deep breathing
D. Continue monitoring
A client at 30 weeks gestation reports swelling in hands and face with headache. What is the
priority nursing action?
A. Encourage rest and hydration
✔✔B. Assess for preeclampsia and notify provider
C. Measure fundal height
D. Teach fetal kick counts
A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching
is essential?
A. Check blood sugar once a week
B. Skip insulin if feeling low
✔✔C. Teach fingerstick technique, target glucose levels, and diet management
D. Monitor only if symptomatic
2
,A newborn at 3 hours of life has a heart rate of 85 bpm and weak cry. What is the immediate
nursing intervention?
A. Swaddle the newborn
✔✔B. Stimulate and provide supplemental oxygen
C. Administer vitamin K
D. Place under phototherapy
A client in labor reports severe back pain during contractions. What non-pharmacologic method
can the nurse suggest?
A. Apply cold packs to abdomen
B. Administer IV opioids immediately
✔✔C. Encourage position changes, ambulation, and counter-pressure
D. Limit movement and keep supine
A client at 36 weeks gestation reports sudden abdominal pain and no fetal movement. What is the
priority action?
A. Encourage rest
✔✔B. Assess fetal heart rate and prepare for emergency evaluation
3
, C. Provide pain medication
D. Perform fundal massage
A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority
nursing assessment?
A. Apply a perineal pad only
✔✔B. Assess uterine tone and massage the fundus
C. Document amount of bleeding
D. Encourage ambulation
A client at 40 weeks gestation reports contractions every 3 minutes. What is the next nursing
action?
A. Encourage walking
B. Prepare for induction immediately
✔✔C. Assess cervical dilation and effacement
D. Assess vital signs only
A client receiving oxytocin develops contractions lasting 90 seconds every 1–2 minutes. What is
the priority nursing intervention?
4
