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NCLEX OB EXAM 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
Which of the following tasks may be delegated to the nursing
assistant?
a. checking the cervix of the patient who is less likely to deliver
soon
b. administering oxygen to the mother who has decreasing
oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and
putting it in the chart - correct answer-C- When working in L&D
the UAP can help with ADLs. They cannot be delegated tasks that
require formulating a care plan, taking off orders, or administering
medications
Which of the following situations would most likely warrant contact
with a physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain - correct answer-C. When caring
for postpartum patients, the nurse must be familiar with what
, Page | 2
conditions are common occurrences following delivery and what
situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is
boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe
headache when she sits up in bed. The physician has instructed
the patient that she will need a blood patch. Which best describes
this procedure?
A. Removing blood from a vein in the patient and injecting it into
the epidural space in the back
B. Placement of a large bandage over the site of the epidural
insertion.
C. Replacement of the epidural catheter into the same space for
long-term control
D. Placement of a nerve block in the spinal column at the location
of the affected epidural space - correct answer-A- When CSF
leaks out of the epidural space a severe headache in the patient
can occur. A blood patch can be performed by a physician to
close the site. The small amount of blood is withdrawn from the
mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know
how to breastfeed
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B. 27 yr old diabetic patient who delivered her second child
yesterday and needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has
developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast
before the physician comes to dismiss her - correct answer-C. A
patient with a hematoma is at risk of hemorrhage and the nurse
should assess her first
On the first following delivery, the physician ordered a hemoglobin
level for the patient; the result was 9.9 g/dL. The physician did not
list any other orders in the patient's chart since that time. Which
response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for
the patient
B. ask the physician about the hemoglobin level when he comes
in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result -
correct answer-B. A postpartum patient is at risk of hemorrhage
following delivery; often the physician will order a hemoglobin
level 1-2 days after delivery to check the mother's risk status. A
level of 9.9 g/dL is lower than normal for a female patient, but is
not necessarily low enough to warrant a blood transfusion.
, Page | 4
The patient's medical record states that she tested positive for
group B Streptococcus infection. which of the following
precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary - correct answer-B- B.
Streptococcus can be transferred to the baby during delivery to
cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not
given until the mother is in labor to reduce the chance that she will
pass the infection to her child
When reviewing information about infant care, the nurse should
explain that the postpartum client should call the physician if her
infant developed which of the following conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - correct answer-D- If a baby has
dry mouth or dry mucous membranes, he or she could be
dehydrated and not getting enough to eat.
NCLEX OB EXAM 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
Which of the following tasks may be delegated to the nursing
assistant?
a. checking the cervix of the patient who is less likely to deliver
soon
b. administering oxygen to the mother who has decreasing
oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and
putting it in the chart - correct answer-C- When working in L&D
the UAP can help with ADLs. They cannot be delegated tasks that
require formulating a care plan, taking off orders, or administering
medications
Which of the following situations would most likely warrant contact
with a physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain - correct answer-C. When caring
for postpartum patients, the nurse must be familiar with what
, Page | 2
conditions are common occurrences following delivery and what
situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is
boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe
headache when she sits up in bed. The physician has instructed
the patient that she will need a blood patch. Which best describes
this procedure?
A. Removing blood from a vein in the patient and injecting it into
the epidural space in the back
B. Placement of a large bandage over the site of the epidural
insertion.
C. Replacement of the epidural catheter into the same space for
long-term control
D. Placement of a nerve block in the spinal column at the location
of the affected epidural space - correct answer-A- When CSF
leaks out of the epidural space a severe headache in the patient
can occur. A blood patch can be performed by a physician to
close the site. The small amount of blood is withdrawn from the
mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know
how to breastfeed
, Page | 3
B. 27 yr old diabetic patient who delivered her second child
yesterday and needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has
developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast
before the physician comes to dismiss her - correct answer-C. A
patient with a hematoma is at risk of hemorrhage and the nurse
should assess her first
On the first following delivery, the physician ordered a hemoglobin
level for the patient; the result was 9.9 g/dL. The physician did not
list any other orders in the patient's chart since that time. Which
response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for
the patient
B. ask the physician about the hemoglobin level when he comes
in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result -
correct answer-B. A postpartum patient is at risk of hemorrhage
following delivery; often the physician will order a hemoglobin
level 1-2 days after delivery to check the mother's risk status. A
level of 9.9 g/dL is lower than normal for a female patient, but is
not necessarily low enough to warrant a blood transfusion.
, Page | 4
The patient's medical record states that she tested positive for
group B Streptococcus infection. which of the following
precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary - correct answer-B- B.
Streptococcus can be transferred to the baby during delivery to
cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not
given until the mother is in labor to reduce the chance that she will
pass the infection to her child
When reviewing information about infant care, the nurse should
explain that the postpartum client should call the physician if her
infant developed which of the following conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - correct answer-D- If a baby has
dry mouth or dry mucous membranes, he or she could be
dehydrated and not getting enough to eat.
