OB/Maternity HESI Assignment Exam
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A pregnant client at 32 weeks gestation reports sudden, painless vaginal bleeding. What is the
priority nursing action?
A. Assess fetal heart rate
✔✔B. Place the client on bed rest and notify the provider
C. Encourage ambulation
D. Apply perineal pads only
A client in labor has a blood pressure of 160/100 mmHg and 3+ proteinuria. Which action is
most important?
A. Administer oxytocin
B. Encourage ambulation
✔✔C. Assess for signs of preeclampsia complications
D. Offer oral fluids
A postpartum client reports heavy vaginal bleeding 2 hours after delivery. What should the nurse
do first?
1
,A. Document the amount
✔✔B. Assess fundal firmness and massage if needed
C. Encourage the client to ambulate
D. Notify dietary services
A client at 28 weeks gestation presents with severe right upper quadrant pain and nausea. What is
the priority action?
A. Provide antiemetic medication
✔✔B. Assess for HELLP syndrome and notify provider
C. Encourage oral hydration
D. Schedule routine labs next week
A nurse is teaching a pregnant client about fetal movement monitoring. Which instruction is
correct?
A. Count fetal movements once per week
✔✔B. Count fetal kicks at the same time daily and report decreased movement
C. Only report movement during labor
D. Track movement only when feeling unwell
2
,A client is receiving magnesium sulfate for preeclampsia. Which assessment requires immediate
intervention?
A. Deep tendon reflexes 2+
B. Respiratory rate 16/min
✔✔C. Urine output < 30 mL/hr
D. Heart rate 88 bpm
A laboring client requests pain relief. Which nonpharmacologic method is appropriate?
A. Administer IV opioids immediately
✔✔B. Encourage breathing techniques and position changes
C. Provide an epidural without consent
D. Suggest bed rest only
A client at 36 weeks gestation reports clear fluid leakage from the vagina. Which action should
the nurse take first?
A. Provide perineal pads
✔✔B. Assess for rupture of membranes and perform nitrazine test
3
, C. Encourage ambulation
D. Document and wait
A nurse notes a fetal heart rate of 180 bpm with regular contractions. What is the priority action?
A. Reassess in 30 minutes
✔✔B. Assess for maternal fever, fetal distress, or early labor
C. Notify dietary services
D. Encourage the client to rest
A postpartum client is experiencing urinary retention. What is the safest nursing intervention?
A. Insert an indwelling catheter immediately
✔✔B. Assist the client to void using privacy and positioning
C. Restrict fluids
D. Wait until next scheduled assessment
A laboring client has a BP of 90/50 mmHg and fetal bradycardia. What is the priority
intervention?
A. Continue monitoring
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A pregnant client at 32 weeks gestation reports sudden, painless vaginal bleeding. What is the
priority nursing action?
A. Assess fetal heart rate
✔✔B. Place the client on bed rest and notify the provider
C. Encourage ambulation
D. Apply perineal pads only
A client in labor has a blood pressure of 160/100 mmHg and 3+ proteinuria. Which action is
most important?
A. Administer oxytocin
B. Encourage ambulation
✔✔C. Assess for signs of preeclampsia complications
D. Offer oral fluids
A postpartum client reports heavy vaginal bleeding 2 hours after delivery. What should the nurse
do first?
1
,A. Document the amount
✔✔B. Assess fundal firmness and massage if needed
C. Encourage the client to ambulate
D. Notify dietary services
A client at 28 weeks gestation presents with severe right upper quadrant pain and nausea. What is
the priority action?
A. Provide antiemetic medication
✔✔B. Assess for HELLP syndrome and notify provider
C. Encourage oral hydration
D. Schedule routine labs next week
A nurse is teaching a pregnant client about fetal movement monitoring. Which instruction is
correct?
A. Count fetal movements once per week
✔✔B. Count fetal kicks at the same time daily and report decreased movement
C. Only report movement during labor
D. Track movement only when feeling unwell
2
,A client is receiving magnesium sulfate for preeclampsia. Which assessment requires immediate
intervention?
A. Deep tendon reflexes 2+
B. Respiratory rate 16/min
✔✔C. Urine output < 30 mL/hr
D. Heart rate 88 bpm
A laboring client requests pain relief. Which nonpharmacologic method is appropriate?
A. Administer IV opioids immediately
✔✔B. Encourage breathing techniques and position changes
C. Provide an epidural without consent
D. Suggest bed rest only
A client at 36 weeks gestation reports clear fluid leakage from the vagina. Which action should
the nurse take first?
A. Provide perineal pads
✔✔B. Assess for rupture of membranes and perform nitrazine test
3
, C. Encourage ambulation
D. Document and wait
A nurse notes a fetal heart rate of 180 bpm with regular contractions. What is the priority action?
A. Reassess in 30 minutes
✔✔B. Assess for maternal fever, fetal distress, or early labor
C. Notify dietary services
D. Encourage the client to rest
A postpartum client is experiencing urinary retention. What is the safest nursing intervention?
A. Insert an indwelling catheter immediately
✔✔B. Assist the client to void using privacy and positioning
C. Restrict fluids
D. Wait until next scheduled assessment
A laboring client has a BP of 90/50 mmHg and fetal bradycardia. What is the priority
intervention?
A. Continue monitoring
4
