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OB HESI Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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OB HESI Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A newborn is jittery, irritable, and has a high-pitched cry. What condition should the nurse suspect? Neonatal withdrawal syndrome. A client in the third trimester reports sudden swelling of hands and face. What complication should be suspected? Preeclampsia. A postpartum woman has a firm fundus but continues to have heavy vaginal bleeding. What is the likely cause? Vaginal or cervical laceration. A client who delivered 2 hours ago has saturated a perineal pad in 15 minutes. What should the nurse do first? Massage the fundus and assess uterine tone. 2 A client at 34 weeks reports severe right upper quadrant pain and visual disturbances. What is this most concerning for? HELLP syndrome. A newborn has a soft, swollen area on the scalp that crosses suture lines. What condition is this? Caput succedaneum. A postpartum client with mastitis asks if she should stop breastfeeding. What is the best advice? Continue breastfeeding on both breasts unless an abscess is present. A woman in labor is receiving oxytocin. The nurse notes contractions lasting 120 seconds. What should the nurse do? Stop oxytocin infusion immediately. A postpartum client with an episiotomy reports severe pain unrelieved by medication. What should the nurse assess for? Presence of a hematoma. 3 A newborn has yellow skin at 36 hours of life. What should the nurse suspect? Physiologic jaundice. A client at 28 weeks reports painless, bright red vaginal bleeding. What should the nurse suspect? Placenta previa. A newborn has retractions, nasal flaring, and grunting. What is the likely problem? Respiratory distress syndrome. A woman in labor reports feeling a sudden gush of fluid from the vagina. What is the priority action? Assess fetal heart rate. A postpartum woman reports burning with urination, frequency, and urgency. What complication is suspected? Urinary tract infection. 4 What is the primary function of uterine contraction after the delivery of the infant and placenta? The primary function of uterine contraction after delivery is to compress blood vessels at the placental site, preventing hemorrhage and promoting hemostasis. A client in active labor has variable decelerations on the fetal monitor. What intervention should the nurse attempt first? Reposition the client. A newborn has a white, cheesy substance covering the skin. What is this called? Vernix caseosa. A client in early pregnancy complains of morning nausea. What is the best dietary advice? Eat small, frequent meals throughout the day. A postpartum client has a temperature of 38.5°C (101.3°F) and foul-smelling lochia. What complication is suspected? Endometritis.

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OB HESI Study Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified

A newborn is jittery, irritable, and has a high-pitched cry. What condition should the nurse

suspect?


✔✔ Neonatal withdrawal syndrome.




A client in the third trimester reports sudden swelling of hands and face. What complication

should be suspected?


✔✔ Preeclampsia.




A postpartum woman has a firm fundus but continues to have heavy vaginal bleeding. What is

the likely cause?


✔✔ Vaginal or cervical laceration.




A client who delivered 2 hours ago has saturated a perineal pad in 15 minutes. What should the

nurse do first?


✔✔ Massage the fundus and assess uterine tone.



1

,A client at 34 weeks reports severe right upper quadrant pain and visual disturbances. What is

this most concerning for?


✔✔ HELLP syndrome.




A newborn has a soft, swollen area on the scalp that crosses suture lines. What condition is this?


✔✔ Caput succedaneum.




A postpartum client with mastitis asks if she should stop breastfeeding. What is the best advice?


✔✔ Continue breastfeeding on both breasts unless an abscess is present.




A woman in labor is receiving oxytocin. The nurse notes contractions lasting 120 seconds. What

should the nurse do?


✔✔ Stop oxytocin infusion immediately.




A postpartum client with an episiotomy reports severe pain unrelieved by medication. What

should the nurse assess for?


✔✔ Presence of a hematoma.



2

, A newborn has yellow skin at 36 hours of life. What should the nurse suspect?


✔✔ Physiologic jaundice.




A client at 28 weeks reports painless, bright red vaginal bleeding. What should the nurse suspect?


✔✔ Placenta previa.




A newborn has retractions, nasal flaring, and grunting. What is the likely problem?


✔✔ Respiratory distress syndrome.




A woman in labor reports feeling a sudden gush of fluid from the vagina. What is the priority

action?


✔✔ Assess fetal heart rate.




A postpartum woman reports burning with urination, frequency, and urgency. What complication

is suspected?


✔✔ Urinary tract infection.




3

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