OB HESI Exam- Possible Exam 2026
Questions and Answers
The amniotic membranes of a client in active labor spontaneously rupture. The
fluid is greenish brown with a foul odor. What action is a priority for the nurse?
A. Evaluate the labor pattern.
B. Administer oxygen.
C. Place the client into the knee-chest position.
D. Apply internal fetal heart monitor and note the time of membrane rupture -
Correct answer-ANS: D
Rationale:
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, In the presence of greenish brown amniotic fluid, the fetal heart rate should be
monitored continuously using an internal fetal heart rate monitor, and the time of
membrane rupture should be noted since birth should occur within 24 hours of the
rupture of membranes.
A primigravida in labor has complete cervical dilatation. Contractions are
occurring every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the
nurse determines that birth is imminent because what has occurred?
A. An increase in bloody show
B. Perineum is bulging.
C. Perineum is flattened.
D. Crowning - Correct answer-ANS: D
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
Questions and Answers
The amniotic membranes of a client in active labor spontaneously rupture. The
fluid is greenish brown with a foul odor. What action is a priority for the nurse?
A. Evaluate the labor pattern.
B. Administer oxygen.
C. Place the client into the knee-chest position.
D. Apply internal fetal heart monitor and note the time of membrane rupture -
Correct answer-ANS: D
Rationale:
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, In the presence of greenish brown amniotic fluid, the fetal heart rate should be
monitored continuously using an internal fetal heart rate monitor, and the time of
membrane rupture should be noted since birth should occur within 24 hours of the
rupture of membranes.
A primigravida in labor has complete cervical dilatation. Contractions are
occurring every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the
nurse determines that birth is imminent because what has occurred?
A. An increase in bloody show
B. Perineum is bulging.
C. Perineum is flattened.
D. Crowning - Correct answer-ANS: D
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
