Page 1 of 32
OB HESI Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
. List five signs and symptoms new parents should be taught to report
immediately to a doctor or clinic.
Lethargy, temperature >100° F, vomiting, green stools,refusal of two feeds in a row
Identify the nursing plans and interventions for a woman hospitalized with
hyperemesis gravidarum.
Weigh daily; check urine ketone three times daily; give progressive diet; check FHR
every 8 hours; monitor for electrolyte imbalances.
Describe discharge counseling for a woman after hydatidiform mole
evacuation by D&C.
Prevent pregnancy for 1 year. Return to clinic or MD for monthly hCG levels for 1
year. Postoperative D&C instructions: Call if bright-red vaginal bleeding or foul-
smelling vaginal discharge occurs or temperature spikes over 100.4° F.
What condition should the nurse suspect if a woman of childbearing age
presents to an emergency room with bilateral or unilateral abdominal pain,
with or without bleeding?
Ectopic pregnancy
List three symptoms of abruptio placentae
Abruptio placentae: fetal distress;rigid, boardlike abdomen; pain; dark-red or absent
bleeding
List three symptoms of placenta previa
Previa: pain-free; bright-red vaginal bleeding; normal FHR;soft uterus
. What specific information should the nurse include when teaching about HPV
detection and treatment?
Detection of dry, wartlike growths on vulva or rectum. Need for Pap smear in the
prenatal period. Treatment with laser ablation (cannot use podophyllin during
pregnancy). Associated with cervical carcinoma in mother and respiratory
papillomatosis in neonate.Teach about immunization for females age 9 to 30 with
Gardasil.
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All pregnant women should be taught preterm labor recognition. Describe the
warning symptoms of preterm labor
More than five contractions per hour; cramps; low, dull backache; pelvic pressure;
change in vaginal discharge
. List the factors predisposing a woman to preterm labor.
. Urinary tract infection; overdistention of uterus; diabetes; preeclampsia; cardiac
disease; placenta previa, psychosocial factors such as stress
. When is preterm labor able to be arrested?
Cervix is <4 cm dilated, <50% effacement, and membranes are intact and not
bulging out of the cervical os.
What is the major side effect of beta-adrenergic tocolytic drugs (Terbutaline)?
Tachycardia
. What are the major goals of nursing care related to pregnancy-induced
hypertension with preeclampsia?
Maintenance of uteroplacental perfusion; prevention of seizures; prevention of
complications such as HELLP syndrome, DIC, and abruption
What is the purpose of administering magnesium sulfate?
To prevent seizures by decreasing CNS irritability
What is the main action of magnesium sulfate?
CNS depression (seizure prevention)
What is the antidote for magnesium sulfate?
calcium gluconate
. List the three main assessment findings indicating toxic effects of
magnesium sulfate.
Reduced urinary output, reduced respiratory rate, and decreased reflexes
What are the major symptoms of preeclampsia?
Increase in BP of 30 mm Hg systolic and 15 mm Hg diastolic over previous baseline;
proteinuria (albuminuria); CNS disturbances
What is the priority nursing action after spontaneous or AROM?
Assessment of the FHR
The client in labor is showing late decelerations on the fetal monitor. Which
intervention should the nurse implement first?
1. Notify the healthcare provider (HCP) immediately.
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2. Instruct the client to take slow, deep breaths.
3. Place the client in the left lateral position.
4. Prepare for an immediate delivery of the fetus.
The left lateral position will improve placental blood flow and oxygen supply to the
fetus. This should be the nurse's first intervention.
The charge nurse has received laboratory results for clients on the postpartum
unit. Which client would warrant intervention by the nurse?
1. The client whose white blood cell count is 18,000 mm3.
2. The client whose serum creatinine level is 0.8 mg/dL.
3. The client whose platelet count is 410,000 mm3.
4. The client whose serum glucose level is 280 mg/dL.
This glucose level is elevated, and the nurse should investigate further as to why the
glucose level is abnormal. The normal glucose level is 70 to 120 mg/dL.
The labor and delivery nurse is performing a vaginal examination and
assesses a prolapsed cord. Which intervention should the nurse implement
first?
1. Place the client in the Trendelenburg position.
2. Ask the father to leave the delivery room.
3. Request the client not to push during contractions.
4. Prepare the client for an emergency C-section.
1. A prolapsed cord is an emergency situation because the prolapsed cord could
compromise the fetus's blood supply. Placing the client in the Trendelenburg position
will cause the fetus to reverse back into the uterus, which will take the pressure off
the umbilical cord. The safety of the fetus is priority.
Which priority intervention should the nurse implement for the 38-week
gestation client who is receiving epidural anesthesia?
1. Place the client in the fetal position.
2. Assess the client's respiratory rate.
3. Pre-hydrate the client with intravenous fluid.
4. Ensure the client has been NPO for 4 hours
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2. If the anesthesia ascends the spinal cord the client will quit breathing; therefore,
this is the priority intervention.
The nurse instructed the unlicensed assistive personnel (UAP) to provide a
sitz bath to the postpartum client with hemorrhoids. Which priority
intervention should the nurse implement?
1. Document the sitz bath in the client's nurse's notes.
2. Follow-up to ensure the UAP gave the sitz bath.
3. Assess the client's hemorrhoids every 4 hours.
4. Discuss the importance of not getting constipated.
The most important intervention for the nurse to do when delegating a task is to
follow up to ensure it was done.
The client in labor is diagnosed with pregnancy-induced hypertension and has
preeclampsia. Which interventions should the nurse implement? Select all that
apply.
1. Monitor the intravenous (IV) magnesium sulfate.
2. Check the client's telemetry monitor.
3. Assess the client's deep tendon reflexes.
4. Administer furosemide (Lasix) intravenous push (IVP).
5. Notify the nursery when delivery is imminent or has occurred.
1, 3, and 5 are correct.
1. Magnesium sulfate, a uterine relaxant, is the drug of choice to help prevent
seizures. The medication relaxes smooth muscles and reduces vasoconstriction,
thus promoting circulation to the vital organs of the mother and increasing placental
circulation to the fetus
3. The deep tendon reflexes are monitored to determine the effectiveness of the
magnesium sulfate.
5. The nursery should be notified of the delivery so it will be prepared for the
neonate. Because the client is in labor, the baby will be born within a reasonable
time frame
OB HESI Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
. List five signs and symptoms new parents should be taught to report
immediately to a doctor or clinic.
Lethargy, temperature >100° F, vomiting, green stools,refusal of two feeds in a row
Identify the nursing plans and interventions for a woman hospitalized with
hyperemesis gravidarum.
Weigh daily; check urine ketone three times daily; give progressive diet; check FHR
every 8 hours; monitor for electrolyte imbalances.
Describe discharge counseling for a woman after hydatidiform mole
evacuation by D&C.
Prevent pregnancy for 1 year. Return to clinic or MD for monthly hCG levels for 1
year. Postoperative D&C instructions: Call if bright-red vaginal bleeding or foul-
smelling vaginal discharge occurs or temperature spikes over 100.4° F.
What condition should the nurse suspect if a woman of childbearing age
presents to an emergency room with bilateral or unilateral abdominal pain,
with or without bleeding?
Ectopic pregnancy
List three symptoms of abruptio placentae
Abruptio placentae: fetal distress;rigid, boardlike abdomen; pain; dark-red or absent
bleeding
List three symptoms of placenta previa
Previa: pain-free; bright-red vaginal bleeding; normal FHR;soft uterus
. What specific information should the nurse include when teaching about HPV
detection and treatment?
Detection of dry, wartlike growths on vulva or rectum. Need for Pap smear in the
prenatal period. Treatment with laser ablation (cannot use podophyllin during
pregnancy). Associated with cervical carcinoma in mother and respiratory
papillomatosis in neonate.Teach about immunization for females age 9 to 30 with
Gardasil.
, Page 2 of 32
All pregnant women should be taught preterm labor recognition. Describe the
warning symptoms of preterm labor
More than five contractions per hour; cramps; low, dull backache; pelvic pressure;
change in vaginal discharge
. List the factors predisposing a woman to preterm labor.
. Urinary tract infection; overdistention of uterus; diabetes; preeclampsia; cardiac
disease; placenta previa, psychosocial factors such as stress
. When is preterm labor able to be arrested?
Cervix is <4 cm dilated, <50% effacement, and membranes are intact and not
bulging out of the cervical os.
What is the major side effect of beta-adrenergic tocolytic drugs (Terbutaline)?
Tachycardia
. What are the major goals of nursing care related to pregnancy-induced
hypertension with preeclampsia?
Maintenance of uteroplacental perfusion; prevention of seizures; prevention of
complications such as HELLP syndrome, DIC, and abruption
What is the purpose of administering magnesium sulfate?
To prevent seizures by decreasing CNS irritability
What is the main action of magnesium sulfate?
CNS depression (seizure prevention)
What is the antidote for magnesium sulfate?
calcium gluconate
. List the three main assessment findings indicating toxic effects of
magnesium sulfate.
Reduced urinary output, reduced respiratory rate, and decreased reflexes
What are the major symptoms of preeclampsia?
Increase in BP of 30 mm Hg systolic and 15 mm Hg diastolic over previous baseline;
proteinuria (albuminuria); CNS disturbances
What is the priority nursing action after spontaneous or AROM?
Assessment of the FHR
The client in labor is showing late decelerations on the fetal monitor. Which
intervention should the nurse implement first?
1. Notify the healthcare provider (HCP) immediately.
, Page 3 of 32
2. Instruct the client to take slow, deep breaths.
3. Place the client in the left lateral position.
4. Prepare for an immediate delivery of the fetus.
The left lateral position will improve placental blood flow and oxygen supply to the
fetus. This should be the nurse's first intervention.
The charge nurse has received laboratory results for clients on the postpartum
unit. Which client would warrant intervention by the nurse?
1. The client whose white blood cell count is 18,000 mm3.
2. The client whose serum creatinine level is 0.8 mg/dL.
3. The client whose platelet count is 410,000 mm3.
4. The client whose serum glucose level is 280 mg/dL.
This glucose level is elevated, and the nurse should investigate further as to why the
glucose level is abnormal. The normal glucose level is 70 to 120 mg/dL.
The labor and delivery nurse is performing a vaginal examination and
assesses a prolapsed cord. Which intervention should the nurse implement
first?
1. Place the client in the Trendelenburg position.
2. Ask the father to leave the delivery room.
3. Request the client not to push during contractions.
4. Prepare the client for an emergency C-section.
1. A prolapsed cord is an emergency situation because the prolapsed cord could
compromise the fetus's blood supply. Placing the client in the Trendelenburg position
will cause the fetus to reverse back into the uterus, which will take the pressure off
the umbilical cord. The safety of the fetus is priority.
Which priority intervention should the nurse implement for the 38-week
gestation client who is receiving epidural anesthesia?
1. Place the client in the fetal position.
2. Assess the client's respiratory rate.
3. Pre-hydrate the client with intravenous fluid.
4. Ensure the client has been NPO for 4 hours
, Page 4 of 32
2. If the anesthesia ascends the spinal cord the client will quit breathing; therefore,
this is the priority intervention.
The nurse instructed the unlicensed assistive personnel (UAP) to provide a
sitz bath to the postpartum client with hemorrhoids. Which priority
intervention should the nurse implement?
1. Document the sitz bath in the client's nurse's notes.
2. Follow-up to ensure the UAP gave the sitz bath.
3. Assess the client's hemorrhoids every 4 hours.
4. Discuss the importance of not getting constipated.
The most important intervention for the nurse to do when delegating a task is to
follow up to ensure it was done.
The client in labor is diagnosed with pregnancy-induced hypertension and has
preeclampsia. Which interventions should the nurse implement? Select all that
apply.
1. Monitor the intravenous (IV) magnesium sulfate.
2. Check the client's telemetry monitor.
3. Assess the client's deep tendon reflexes.
4. Administer furosemide (Lasix) intravenous push (IVP).
5. Notify the nursery when delivery is imminent or has occurred.
1, 3, and 5 are correct.
1. Magnesium sulfate, a uterine relaxant, is the drug of choice to help prevent
seizures. The medication relaxes smooth muscles and reduces vasoconstriction,
thus promoting circulation to the vital organs of the mother and increasing placental
circulation to the fetus
3. The deep tendon reflexes are monitored to determine the effectiveness of the
magnesium sulfate.
5. The nursery should be notified of the delivery so it will be prepared for the
neonate. Because the client is in labor, the baby will be born within a reasonable
time frame
