OB Exam 2 Test Bank PREP
OB EXAM 2 TEST BANK PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A woman gave birth to a 7-pound, 3-ounce infant boy 2 hours ago. The nurse
determines that the womans bladder is distended because her fundus is now 3 cm
above the umbilicus and to the right of the midline. In the immediate postpartum
period, the most serious consequence likely to occur from bladder distention is:
a. Urinary tract infection.
b. Excessive uterine bleeding.
c. A ruptured bladder.
d. Bladder wall atony. - Correct Answer-ANS: B
Excessive bleeding can occur immediately after birth if the bladder becomes
distended because it pushes the uterus up and to the side and prevents it from
contracting firmly. A urinary tract infection may result from overdistention of the
bladder, but it is not the most serious consequence. A ruptured bladder may result
from a severely overdistended bladder. However, vaginal bleeding most likely
would occur before the bladder reaches this level of overdistention. Bladder
distention may result from bladder wall atony. The most serious concern
associated with bladder distention is excessive uterine bleeding.
The nurse caring for the postpartum woman understands that breast
engorgement is caused by:
a. Overproduction of colostrum.
b. Accumulation of milk in the lactiferous ducts.
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, OB Exam 2 Test Bank PREP
c. Hyperplasia of mammary tissue.
d. Congestion of veins and lymphatics. - Correct Answer-ANS: D
Breast engorgement is caused by the temporary congestion of veins and
lymphatics, not by overproduction of colostrum, overproduction of milk, or
hyperplasia of mammary tissue.
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was
vaginal, and the estimated blood loss (EBL) was approximately 1500 mL. When
assessing the womans vital signs, the nurse would be concerned to see:
a. Temperature 37.9 C, heart rate 120, respirations 20, blood pressure (BP) 90/50.
b. Temperature 37.4 C, heart rate 88, respirations 36, BP 126/68.
c. Temperature 38 C, heart rate 80, respirations 16, BP 110/80.
d. Temperature 36.8 C, heart rate 60, respirations 18, BP 140/90. - Correct
Answer-ANS: A
An EBL of 1500 mL with tachycardia and hypotension suggests hypovolemia
caused by excessive blood loss. An increased respiratory rate of 36 may be
secondary to pain from the birth. Temperature may increase to 38 C during the
first 24 hours as a result of the dehydrating effects of labor. A BP of 140/90 is
slightly elevated, which may be caused by the use of oxytocic medications.
Which statement by a newly delivered woman indicates that she knows what to
expect about her menstrual activity after childbirth?
a. My first menstrual cycle will be lighter than normal and then will get heavier
every month thereafter.
b. My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles.
c. I will not have a menstrual cycle for 6 months after childbirth.
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d. My first menstrual cycle will be heavier than normal and then will be light for
several months after. - Correct Answer-ANS: B
My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles is an accurate statement and
indicates her understanding of her expected menstrual activity. She can expect her
first menstrual cycle to be heavier than normal (which occurs by 3 months after
childbirth), and
the volume of her subsequent cycles will return to prepregnant levels within three
or four cycles.
The interval between the birth of the newborn and the return of the reproductive
organs to their normal nonpregnant state is called the:
a. Involutionary period because of what happens to the uterus.
b. Lochia period because of the nature of the vaginal discharge.
c. Mini-tri period because it lasts only 3 to 6 weeks.
d. Puerperium, or fourth trimester of pregnancy. - Correct Answer-ANS: D
The puerperium, also called the fourth trimester or the postpartum period of
pregnancy, lasts about 3 to 6 weeks. Involution marks the end of the puerperium,
or the fourth trimester of pregnancy. Lochia refers to the various vaginal
discharges during the puerperium, or fourth trimester of pregnancy.
The self-destruction of excess hypertrophied tissue in the uterus is called:
a. Autolysis.
c. Afterpain.
b. Subinvolution.
d. Diastasis. - Correct Answer-ANS: A
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Autolysis is caused by a decrease in hormone levels. Subinvolution is failure of the
uterus to return to a nonpregnant state. Afterpain is caused by uterine cramps 2 to
3 days after birth. Diastasis refers to the separation of muscles.
With regard to the postpartum uterus, nurses should be aware that:
a. At the end of the third stage of labor it weighs approximately 500 g.
b. After 2 weeks postpartum it should not be palpable abdominally.
c. After 2 weeks postpartum it weighs 100 g.
d. It returns to its original (prepregnancy) size by 6 weeks postpartum. - Correct
Answer-ANS: B
After 2 weeks postpartum, the uterus should not be palpable abdominally;
however, it has not yet returned to its original size. At the end of the third stage of
labor, the uterus weighs approximately 1000 g. It takes 6 full weeks for the uterus
to return to its original size. After 2 weeks postpartum the uterus weighs about
350 g, not
its original size. The normal self-destruction of excess hypertrophied tissue
accounts for the slight increase in uterine size after each pregnancy.
With regard to afterbirth pains, nurses should be aware that these pains are:
a. Caused by mild, continuous contractions for the duration of the postpartum
period.
b. More common in first-time mothers.
c. More noticeable in births in which the uterus was overdistended.
d. Alleviated somewhat when the mother breastfeeds. - Correct Answer-ANS: C
A large baby or multiple babies overdistend the uterus. The cramping that causes
afterbirth pains arises from periodic, vigorous contractions and relaxations, which
4|Page
OB EXAM 2 TEST BANK PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A woman gave birth to a 7-pound, 3-ounce infant boy 2 hours ago. The nurse
determines that the womans bladder is distended because her fundus is now 3 cm
above the umbilicus and to the right of the midline. In the immediate postpartum
period, the most serious consequence likely to occur from bladder distention is:
a. Urinary tract infection.
b. Excessive uterine bleeding.
c. A ruptured bladder.
d. Bladder wall atony. - Correct Answer-ANS: B
Excessive bleeding can occur immediately after birth if the bladder becomes
distended because it pushes the uterus up and to the side and prevents it from
contracting firmly. A urinary tract infection may result from overdistention of the
bladder, but it is not the most serious consequence. A ruptured bladder may result
from a severely overdistended bladder. However, vaginal bleeding most likely
would occur before the bladder reaches this level of overdistention. Bladder
distention may result from bladder wall atony. The most serious concern
associated with bladder distention is excessive uterine bleeding.
The nurse caring for the postpartum woman understands that breast
engorgement is caused by:
a. Overproduction of colostrum.
b. Accumulation of milk in the lactiferous ducts.
1|Page
, OB Exam 2 Test Bank PREP
c. Hyperplasia of mammary tissue.
d. Congestion of veins and lymphatics. - Correct Answer-ANS: D
Breast engorgement is caused by the temporary congestion of veins and
lymphatics, not by overproduction of colostrum, overproduction of milk, or
hyperplasia of mammary tissue.
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was
vaginal, and the estimated blood loss (EBL) was approximately 1500 mL. When
assessing the womans vital signs, the nurse would be concerned to see:
a. Temperature 37.9 C, heart rate 120, respirations 20, blood pressure (BP) 90/50.
b. Temperature 37.4 C, heart rate 88, respirations 36, BP 126/68.
c. Temperature 38 C, heart rate 80, respirations 16, BP 110/80.
d. Temperature 36.8 C, heart rate 60, respirations 18, BP 140/90. - Correct
Answer-ANS: A
An EBL of 1500 mL with tachycardia and hypotension suggests hypovolemia
caused by excessive blood loss. An increased respiratory rate of 36 may be
secondary to pain from the birth. Temperature may increase to 38 C during the
first 24 hours as a result of the dehydrating effects of labor. A BP of 140/90 is
slightly elevated, which may be caused by the use of oxytocic medications.
Which statement by a newly delivered woman indicates that she knows what to
expect about her menstrual activity after childbirth?
a. My first menstrual cycle will be lighter than normal and then will get heavier
every month thereafter.
b. My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles.
c. I will not have a menstrual cycle for 6 months after childbirth.
2|Page
, OB Exam 2 Test Bank PREP
d. My first menstrual cycle will be heavier than normal and then will be light for
several months after. - Correct Answer-ANS: B
My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles is an accurate statement and
indicates her understanding of her expected menstrual activity. She can expect her
first menstrual cycle to be heavier than normal (which occurs by 3 months after
childbirth), and
the volume of her subsequent cycles will return to prepregnant levels within three
or four cycles.
The interval between the birth of the newborn and the return of the reproductive
organs to their normal nonpregnant state is called the:
a. Involutionary period because of what happens to the uterus.
b. Lochia period because of the nature of the vaginal discharge.
c. Mini-tri period because it lasts only 3 to 6 weeks.
d. Puerperium, or fourth trimester of pregnancy. - Correct Answer-ANS: D
The puerperium, also called the fourth trimester or the postpartum period of
pregnancy, lasts about 3 to 6 weeks. Involution marks the end of the puerperium,
or the fourth trimester of pregnancy. Lochia refers to the various vaginal
discharges during the puerperium, or fourth trimester of pregnancy.
The self-destruction of excess hypertrophied tissue in the uterus is called:
a. Autolysis.
c. Afterpain.
b. Subinvolution.
d. Diastasis. - Correct Answer-ANS: A
3|Page
, OB Exam 2 Test Bank PREP
Autolysis is caused by a decrease in hormone levels. Subinvolution is failure of the
uterus to return to a nonpregnant state. Afterpain is caused by uterine cramps 2 to
3 days after birth. Diastasis refers to the separation of muscles.
With regard to the postpartum uterus, nurses should be aware that:
a. At the end of the third stage of labor it weighs approximately 500 g.
b. After 2 weeks postpartum it should not be palpable abdominally.
c. After 2 weeks postpartum it weighs 100 g.
d. It returns to its original (prepregnancy) size by 6 weeks postpartum. - Correct
Answer-ANS: B
After 2 weeks postpartum, the uterus should not be palpable abdominally;
however, it has not yet returned to its original size. At the end of the third stage of
labor, the uterus weighs approximately 1000 g. It takes 6 full weeks for the uterus
to return to its original size. After 2 weeks postpartum the uterus weighs about
350 g, not
its original size. The normal self-destruction of excess hypertrophied tissue
accounts for the slight increase in uterine size after each pregnancy.
With regard to afterbirth pains, nurses should be aware that these pains are:
a. Caused by mild, continuous contractions for the duration of the postpartum
period.
b. More common in first-time mothers.
c. More noticeable in births in which the uterus was overdistended.
d. Alleviated somewhat when the mother breastfeeds. - Correct Answer-ANS: C
A large baby or multiple babies overdistend the uterus. The cramping that causes
afterbirth pains arises from periodic, vigorous contractions and relaxations, which
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