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

OB HESI Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client at 30 weeks gestation reports headache, blurred vision, and swelling in hands and face. What is the priority nursing action? A. Encourage rest and fluids B. Assess for preeclampsia and notify provider C. Measure fundal height D. Instruct client on kick counts A postpartum client reports heavy vaginal bleeding with passage of clots 3 hours after delivery. What should the nurse do first? A. Apply perineal pad only B. Encourage ambulation C. Massage the fundus and assess for lacerations or retained placenta D. Document the bleeding A client in labor receives oxytocin and develops contractions lasting 90 seconds every 1–2 minutes with late decelerations. What is the priority nursing intervention? 2 A. Encourage deep breathing B. Stop the infusion and notify provider C. Administer pain medication D. Place client in Trendelenburg position A newborn is assessed 1 hour after birth with heart rate 80 bpm and weak cry. What is the immediate nursing action? A. Administer vitamin K B. Swaddle the newborn C. Provide stimulation and supplemental oxygen D. Apply phototherapy A client at 36 weeks gestation reports sudden gush of fluid from the vagina. What is the priority nursing assessment? A. Measure fundal height B. Assess fetal heart rate and note time of rupture C. Encourage hydration D. Prepare for delivery immediately 3 A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching is essential? A. Monitor only if symptomatic B. Check once a week C. Teach fingerstick technique, target glucose levels, and diet management D. Skip insulin on low-glucose days A client in labor reports severe back pain with contractions. What non-pharmacologic method should the nurse suggest? A. Apply cold packs to the abdomen B. Limit movement and keep supine C. Encourage ambulation, position changes, and counter-pressure D. Administer IV opioids immediately A postpartum client reports nipple pain and cracks while breastfeeding. What is the priority nursing intervention? A. Encourage formula feeding B. Apply alcohol to nipples 4 C. Assess latch technique and provide positioning education D. Limit feeding duration A newborn has a temperature of 36.0°C at 2 hours of life. What is the priority nursing action? A. Delay feeding B. Reassess in 12 hours C. Provide skin-to-skin contact, warm blankets, and monitor D. Apply cold compress A client at 32 weeks gestation reports severe pruritus and dark urine. What condition should the nurse suspect? A. Urinary tract infection B. Gestational diabetes C. Intrahepatic cholestasis of pregnancy D. Hyperemesis gravidarum A client in labor has variable decelerations on fetal monitoring. What is the priority nursing intervention? 5 A. Continue monitoring only B. Encourage Valsalva maneuver C. Reposition client, provide oxygen, and notify provider D. Administer IV fluids immediately