8/22/25, 7:31 PM OB HESI
2025-2026 OB HESI Study GUIDE exam complete
questions and accurate detailed answers \verified
100% \latest update
A 40 week gestation D. apply firm pressure to sacral area
primigravida client is being
induced with an ocytocin
secondary infusion and
complains of pain in her
lower back. Which
intervention should the
nurse implement?
A. Discontinue the oxytocin
infusion
D. apply firm pressure to
sacral area
A client with gestational htn B. calcium gluconate
is an active labor and
receiving an infusion of
magnesium sulfate. Which
drug should the nurse
available for signs of
potential toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9
1/51
,8/22/25, 7:31 PM OB HESI
A healthcare provider A. dark,red vaginal bleeding
informs the charge nurse of D. increased uterine irritability
a labor and delivery unit F. Rigid abdomen
that a
client is coming to the unit
suspected abruptio
placentae. What findings
should the charge nurse
expect the client to
demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of
membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen
A client is admitted with Onset of uterine contractions.
the diagnosis of total
placenta previa. Which
finding is most important
for the nurse to report to
the
healthcare provider
immediately. A.heart
rate of 100 beats min
B. variable fetal HR
C. Onset of uterine
contractions
D. Burning on urination
2/51
,8/22/25, 7:31 PM OB HESI
A multigravida client arrives A. complete sterile vag exam
at the L&D unit and tells the
nurse that her bag of
water has broken. The
nurse identifies the
presence of meconium
fluid on the perineum and
determines the fetal HR is
between 140 and 150
beats/min. What action
should the nurse implement
next?
A. complete sterile vag exam
B. take maternal temp every 2
hrs
C. Prepare for an immediate
cesarean bitrh
D. Obtain sterile suction
equipment
Immediately after birth a A. Initiate positive pressure ventilation
newborn infant is
suctioned, dried and
placed under a
radiant warmer. The infant has
spontaneous respirations and
the nurse assesses an
apical HR of 80 beats/minute
and
respirations of 20
breaths/min. What action
should be performed
next?
A. Initiate positive pressure
ventilation
C. Initiate CPR on the infant
3/51
, 8/22/25, 7:31 PM OB HESI
A pregnant woman comes to D. 3-1-1-0-3
the prenatal clinic for an
initial visit. In reviewing
her
childbearing hx, the client
indicates that she has
delivered premature twins,
one full term baby and has
had no abortions.
Which GTPAL should the
nurse document in this
client's record?
A. 3-1-2-0-3
D. 3-1-1-0-3
The healthcare provider A. gestational diabetes
prescribes
terbutaline for a client in
preterm labor. Before
initating this prescription, it
is most important for the
nurse to assess the client
for which of condition.
A. gestational diabetes
B. Elevated BP
A 4 week old premature C. changes in apica HR from the 180 to the 140
infant has been receiving
epoetin alfa for the last 3
weeks. WHich assessment
finding indicates to the
nurse that the drug is
effective.
A. slowly increasing urinary
output over the last week
B. rr changes from 40s to the
60s
C. changes in apical HR from
the 180 to the 140
D. Change in indirect bilirubin
from 12mg/dl to 8mg/dl.
4/51
2025-2026 OB HESI Study GUIDE exam complete
questions and accurate detailed answers \verified
100% \latest update
A 40 week gestation D. apply firm pressure to sacral area
primigravida client is being
induced with an ocytocin
secondary infusion and
complains of pain in her
lower back. Which
intervention should the
nurse implement?
A. Discontinue the oxytocin
infusion
D. apply firm pressure to
sacral area
A client with gestational htn B. calcium gluconate
is an active labor and
receiving an infusion of
magnesium sulfate. Which
drug should the nurse
available for signs of
potential toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9
1/51
,8/22/25, 7:31 PM OB HESI
A healthcare provider A. dark,red vaginal bleeding
informs the charge nurse of D. increased uterine irritability
a labor and delivery unit F. Rigid abdomen
that a
client is coming to the unit
suspected abruptio
placentae. What findings
should the charge nurse
expect the client to
demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of
membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen
A client is admitted with Onset of uterine contractions.
the diagnosis of total
placenta previa. Which
finding is most important
for the nurse to report to
the
healthcare provider
immediately. A.heart
rate of 100 beats min
B. variable fetal HR
C. Onset of uterine
contractions
D. Burning on urination
2/51
,8/22/25, 7:31 PM OB HESI
A multigravida client arrives A. complete sterile vag exam
at the L&D unit and tells the
nurse that her bag of
water has broken. The
nurse identifies the
presence of meconium
fluid on the perineum and
determines the fetal HR is
between 140 and 150
beats/min. What action
should the nurse implement
next?
A. complete sterile vag exam
B. take maternal temp every 2
hrs
C. Prepare for an immediate
cesarean bitrh
D. Obtain sterile suction
equipment
Immediately after birth a A. Initiate positive pressure ventilation
newborn infant is
suctioned, dried and
placed under a
radiant warmer. The infant has
spontaneous respirations and
the nurse assesses an
apical HR of 80 beats/minute
and
respirations of 20
breaths/min. What action
should be performed
next?
A. Initiate positive pressure
ventilation
C. Initiate CPR on the infant
3/51
, 8/22/25, 7:31 PM OB HESI
A pregnant woman comes to D. 3-1-1-0-3
the prenatal clinic for an
initial visit. In reviewing
her
childbearing hx, the client
indicates that she has
delivered premature twins,
one full term baby and has
had no abortions.
Which GTPAL should the
nurse document in this
client's record?
A. 3-1-2-0-3
D. 3-1-1-0-3
The healthcare provider A. gestational diabetes
prescribes
terbutaline for a client in
preterm labor. Before
initating this prescription, it
is most important for the
nurse to assess the client
for which of condition.
A. gestational diabetes
B. Elevated BP
A 4 week old premature C. changes in apica HR from the 180 to the 140
infant has been receiving
epoetin alfa for the last 3
weeks. WHich assessment
finding indicates to the
nurse that the drug is
effective.
A. slowly increasing urinary
output over the last week
B. rr changes from 40s to the
60s
C. changes in apical HR from
the 180 to the 140
D. Change in indirect bilirubin
from 12mg/dl to 8mg/dl.
4/51
