HESI OB LATEST 2026 EXAM QUESTIONS AND ANSWERS
GUARANTEE A+
✔✔A client is receiving an oxytocin infusion for induction of labor. When the client
begins active labor, the fetal heart rate (FHR) slows at the onset of several contractions
with subsequent return to baseline before each contraction ends. Which action should
the nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record. - ✔✔Document the finding in the client record.
✔✔A gravid client develops maternal hypotension following regional anesthesia. Which
intervention(s) should the nurse implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status. - ✔✔Administer oxygen.
Increase IV fluids.
Place the client in a lateral position.
Monitor fetal status.
✔✔During an assessment of a multiparous client who delivered an 8-pound 7-ounce
infant 4 hours ago, the nurse notes the client's perineal pad is completely saturated
within 15 minutes. Which action should the nurse implement next?
Perform fundal massage.
Assess blood pressure.
Notify the healthcare provider.
Encourage the client to void. - ✔✔Perform fundal massage.
✔✔The nurse notes a pattern of the fetal heart rate decreasing after each contraction.
Which action should the nurse implement?
Give 10 liters of oxygen via face mask.
Prepare for an emergency cesarean section.
Continue to monitor the fetal heart rate pattern.
Obtain an oral maternal temperature. - ✔✔Give 10 liters of oxygen via face mask.
,✔✔A multiparous client delivered a 7-pound, 10-ounce infant 5 hours ago. Upon fundal
assessment, the nurse determines the uterus is boggy and is displaced above and to
the right of the umbilicus. Which action should the nurse implement next?
Document the color of the lochia.
Observe maternal vital signs.
Assist the client to the bathroom.
Notify the healthcare provider. - ✔✔Assist the client to the bathroom.
✔✔A client at 35 weeks gestation visits the clinic for a prenatal check-up. Which
disclosure by the client warrants further assessment by the nurse?
Periodic abdominal pain.
Ankle edema in the afternoon.
Backache with prolonged standing.
Shortness of breath when climbing stairs. - ✔✔Periodic abdominal pain.
✔✔The nurse observes a male newborn who is displaying a rigid posture with his eyes
tightly closed and grimacing as he is crying after an invasive procedure. The baby's
blood pressure is elevated on the vital signs monitor. Which action should the nurse
implement?
Obtain a serum glucose level.
Give the infant medication for pain.
Feed the newborn 1 ounce of formula.
Request a genetic consultation. - ✔✔Give the infant medication for pain.
✔✔A client with asthma who is 8 hours postdelivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer?
Oxytocin.
Ibuprofen.
Fentanyl.
Hemabate. - ✔✔Oxytocin.
✔✔A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks gestation.
What is her gravida number?
3.
4.
2.
1. - ✔✔4.
, ✔✔Which nursing intervention best enhances maternal-infant bonding during the fourth
stage of labor?
Brighten the lighting so the mother can view the infant.
Complete the newborn assessment as quickly as possible.
Provide positive reinforcement for maternal care of the infant.
Encourage early initiation of breast or formula feeding. - ✔✔Encourage early initiation of
breast or formula feeding.
✔✔A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin for epilepsy, has a history of irregular periods, is under stress at work, and
has not been sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
Having an irregular menstrual cycle.
Using an anticonvulsant for epilepsy.
Taking the pregnancy test too early.
Being under too much stress at work. - ✔✔Using an anticonvulsant for epilepsy.
✔✔A newborn infant is jaundiced due to Rh incompatibility. Which finding is most
important for the nurse to report to the healthcare provider?
Bruising.
Oral intake.
Hemoglobin.
Bilirubin. - ✔✔Bilirubin.
✔✔The nurse is planning for the care of a 30-year-old primigravida with pre-gestational
diabetes. Which is the most important factor affecting this client's pregnancy outcome?
Mother's age.
Amount of insulin required prenatally.
Degree of glycemic control during pregnancy.
Number of years since diabetes was diagnosed. - ✔✔Degree of glycemic control during
pregnancy.
✔✔A client in active labor at 39 weeks gestation tells the nurse she feels a wet
sensation on the perineum. The nurse notices pale, straw-colored fluid with small white
particles. After reviewing the fetal monitor strip for fetal distress, which action should the
nurse implement?
Escort the client to the bathroom.
Offer the client a bed pan.
GUARANTEE A+
✔✔A client is receiving an oxytocin infusion for induction of labor. When the client
begins active labor, the fetal heart rate (FHR) slows at the onset of several contractions
with subsequent return to baseline before each contraction ends. Which action should
the nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record. - ✔✔Document the finding in the client record.
✔✔A gravid client develops maternal hypotension following regional anesthesia. Which
intervention(s) should the nurse implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status. - ✔✔Administer oxygen.
Increase IV fluids.
Place the client in a lateral position.
Monitor fetal status.
✔✔During an assessment of a multiparous client who delivered an 8-pound 7-ounce
infant 4 hours ago, the nurse notes the client's perineal pad is completely saturated
within 15 minutes. Which action should the nurse implement next?
Perform fundal massage.
Assess blood pressure.
Notify the healthcare provider.
Encourage the client to void. - ✔✔Perform fundal massage.
✔✔The nurse notes a pattern of the fetal heart rate decreasing after each contraction.
Which action should the nurse implement?
Give 10 liters of oxygen via face mask.
Prepare for an emergency cesarean section.
Continue to monitor the fetal heart rate pattern.
Obtain an oral maternal temperature. - ✔✔Give 10 liters of oxygen via face mask.
,✔✔A multiparous client delivered a 7-pound, 10-ounce infant 5 hours ago. Upon fundal
assessment, the nurse determines the uterus is boggy and is displaced above and to
the right of the umbilicus. Which action should the nurse implement next?
Document the color of the lochia.
Observe maternal vital signs.
Assist the client to the bathroom.
Notify the healthcare provider. - ✔✔Assist the client to the bathroom.
✔✔A client at 35 weeks gestation visits the clinic for a prenatal check-up. Which
disclosure by the client warrants further assessment by the nurse?
Periodic abdominal pain.
Ankle edema in the afternoon.
Backache with prolonged standing.
Shortness of breath when climbing stairs. - ✔✔Periodic abdominal pain.
✔✔The nurse observes a male newborn who is displaying a rigid posture with his eyes
tightly closed and grimacing as he is crying after an invasive procedure. The baby's
blood pressure is elevated on the vital signs monitor. Which action should the nurse
implement?
Obtain a serum glucose level.
Give the infant medication for pain.
Feed the newborn 1 ounce of formula.
Request a genetic consultation. - ✔✔Give the infant medication for pain.
✔✔A client with asthma who is 8 hours postdelivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer?
Oxytocin.
Ibuprofen.
Fentanyl.
Hemabate. - ✔✔Oxytocin.
✔✔A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks gestation.
What is her gravida number?
3.
4.
2.
1. - ✔✔4.
, ✔✔Which nursing intervention best enhances maternal-infant bonding during the fourth
stage of labor?
Brighten the lighting so the mother can view the infant.
Complete the newborn assessment as quickly as possible.
Provide positive reinforcement for maternal care of the infant.
Encourage early initiation of breast or formula feeding. - ✔✔Encourage early initiation of
breast or formula feeding.
✔✔A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin for epilepsy, has a history of irregular periods, is under stress at work, and
has not been sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
Having an irregular menstrual cycle.
Using an anticonvulsant for epilepsy.
Taking the pregnancy test too early.
Being under too much stress at work. - ✔✔Using an anticonvulsant for epilepsy.
✔✔A newborn infant is jaundiced due to Rh incompatibility. Which finding is most
important for the nurse to report to the healthcare provider?
Bruising.
Oral intake.
Hemoglobin.
Bilirubin. - ✔✔Bilirubin.
✔✔The nurse is planning for the care of a 30-year-old primigravida with pre-gestational
diabetes. Which is the most important factor affecting this client's pregnancy outcome?
Mother's age.
Amount of insulin required prenatally.
Degree of glycemic control during pregnancy.
Number of years since diabetes was diagnosed. - ✔✔Degree of glycemic control during
pregnancy.
✔✔A client in active labor at 39 weeks gestation tells the nurse she feels a wet
sensation on the perineum. The nurse notices pale, straw-colored fluid with small white
particles. After reviewing the fetal monitor strip for fetal distress, which action should the
nurse implement?
Escort the client to the bathroom.
Offer the client a bed pan.
