OB Hesi Naxlex Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
A pregnant client at 37 weeks gestation reports sudden gush of fluid. What is the priority nursing
assessment?
A. Measure fundal height
✔✔B. Assess fetal heart rate and note time of rupture
C. Encourage ambulation
D. Administer IV fluids
A postpartum client reports severe perineal pain and swelling. What is the priority intervention?
A. Encourage ambulation
✔✔B. Apply cold compress and assess for hematoma
C. Administer analgesics only
D. Document findings
A client in active labor has contractions every 2 minutes lasting 80 seconds with late
decelerations on fetal monitor. What should the nurse do first?
1
,A. Administer pain medication
✔✔B. Reposition client, give oxygen, and notify provider
C. Encourage deep breathing
D. Continue monitoring
A client at 32 weeks gestation reports facial swelling and headache. What is the priority nursing
action?
A. Measure fundal height
✔✔B. Assess for preeclampsia and notify provider
C. Encourage hydration
D. Teach fetal kick counts
A client with gestational diabetes is unsure about monitoring blood sugar. What is essential
teaching?
A. Check blood sugar once a week
B. Skip insulin on low-glucose days
✔✔C. Teach fingerstick technique, target levels, and diet management
D. Monitor only when symptomatic
2
,A newborn at 1 hour 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. Prepare for phototherapy
A laboring client reports severe back pain. What non-pharmacologic method can the nurse
suggest?
A. Administer IV opioids immediately
B. Apply cold packs to the abdomen
✔✔C. Encourage ambulation, position changes, and counter-pressure
D. Keep client supine
A client at 36 weeks gestation reports sudden abdominal pain with no fetal movement. What is
the priority action?
A. Provide analgesics
✔✔B. Assess fetal heart rate and prepare for emergency evaluation
3
, C. Encourage rest
D. Perform fundal massage
A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority
nursing assessment?
A. Encourage ambulation
✔✔B. Assess uterine tone and massage fundus
C. Apply perineal pad only
D. Document amount of bleeding
A client at 39 weeks gestation reports regular contractions every 3 minutes. What is the next
nursing action?
A. Prepare for induction
B. Encourage walking
✔✔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 action?
4
| Latest Version | 2025/2026 | Correct &
Verified
A pregnant client at 37 weeks gestation reports sudden gush of fluid. What is the priority nursing
assessment?
A. Measure fundal height
✔✔B. Assess fetal heart rate and note time of rupture
C. Encourage ambulation
D. Administer IV fluids
A postpartum client reports severe perineal pain and swelling. What is the priority intervention?
A. Encourage ambulation
✔✔B. Apply cold compress and assess for hematoma
C. Administer analgesics only
D. Document findings
A client in active labor has contractions every 2 minutes lasting 80 seconds with late
decelerations on fetal monitor. What should the nurse do first?
1
,A. Administer pain medication
✔✔B. Reposition client, give oxygen, and notify provider
C. Encourage deep breathing
D. Continue monitoring
A client at 32 weeks gestation reports facial swelling and headache. What is the priority nursing
action?
A. Measure fundal height
✔✔B. Assess for preeclampsia and notify provider
C. Encourage hydration
D. Teach fetal kick counts
A client with gestational diabetes is unsure about monitoring blood sugar. What is essential
teaching?
A. Check blood sugar once a week
B. Skip insulin on low-glucose days
✔✔C. Teach fingerstick technique, target levels, and diet management
D. Monitor only when symptomatic
2
,A newborn at 1 hour 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. Prepare for phototherapy
A laboring client reports severe back pain. What non-pharmacologic method can the nurse
suggest?
A. Administer IV opioids immediately
B. Apply cold packs to the abdomen
✔✔C. Encourage ambulation, position changes, and counter-pressure
D. Keep client supine
A client at 36 weeks gestation reports sudden abdominal pain with no fetal movement. What is
the priority action?
A. Provide analgesics
✔✔B. Assess fetal heart rate and prepare for emergency evaluation
3
, C. Encourage rest
D. Perform fundal massage
A postpartum client on day 2 reports heavy vaginal bleeding with clots. What is the priority
nursing assessment?
A. Encourage ambulation
✔✔B. Assess uterine tone and massage fundus
C. Apply perineal pad only
D. Document amount of bleeding
A client at 39 weeks gestation reports regular contractions every 3 minutes. What is the next
nursing action?
A. Prepare for induction
B. Encourage walking
✔✔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 action?
4
