OB Exam 1 Ques ons and answers | Updated RATED A+
| 2026 | NEW
A 22 yr old client has come to the clinic because her menstrual period is 10 days late. She tells
the nurse "I'm sure I'm pregnant because my period is late and my breasts are tender" Which of
the following responses by the nurse would be most accurate?
A. "those are posi!ve signs of pregnancy"
B. "those are presump!ve signs of pregnancy"
C. "those are probable signs of pregnancy"
D. "those are nega!ve signs of pregnancy"
B. Breast tenderness and missed menses are presump!ve signs. Other presump!ve signs
include: N/V, fa!gue, urinary frequency and quickening
A client delivered a term infant 7 hours ago. Which of the following postpartum assessment
findings indicate normal postpartum progression?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with moderate lochia rubra
B. Firm fundus at the umbilicus and midline with moderate rubra
C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the right side with moderate
lochia rubra
D. So2 fundus at 1-2 fingerbreadths below umbilicus with severe lochia rubra
A. Within 12 hours, fundus can rise to approx. 1 cm above the umbilicus. The fundus descends
1-2 cm every 24 hours. Located about halfway between umbilicus and symphysis pubis, not
longer palpable a2er 2 weeks, returned to pre-pregnant state by 6 weeks pp
A client delivered at 39 weeks 6 hours ago. Upon assessment, the nurse palpated a so2, boggy
fundus deviated to the le2 side. Which ac!on of the nurse would be most appropriate?
A. Massage the fundus un!l firm
B. Call HCP immediately
C. Assist woman to the restroom
D. Increase Pitocin per HCP order
C. A distended bladder can impede uterine contrac!ons which can lead to uterine atony which
may lead to pp hemorrhage if we don't intervene
*KEY WORDS: deviated to the le) side*
,A client is in ac!ve labor at term with cervical findings of 7/80/-1. The FHR baseline is 130bpm.
Four early decelera!ons were noted within the last hour. Which of the following nursing ac!ons
would be most appropriate?
A. Posi!on client on her back so the monitor gives more accurate results
B. perform vaginal exam
C. turn client on her le2 side
D. document and con!nue to monitor both FHR and laboring women
D. early decelera!ons indicate head compression. It is benign and no interven!ons are needed.
just document and con!nue monitoring
*KNOW VEAL CHOP*
The nurse gives a 35 yr old primigravida client a RhoGAM injec!on for her 28th week of
pregnancy. Which of the following client situa!ons requires the nurse to take this ac!on.
A. Rh + mother and Rh - father
B. Rh - mother and Rh + father
C. Rh + mother and Rh + father
D. Rh - mother and Rh - father
B. RhoGAM is only needed if the mother is Rh- and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to have a Rh+ baby
A client has just started the third state of labor. Which of the following nursing ac!ons have
priority at this !me?
A. Encourage the client to push
B. Administer Pitocin
C. Place baby skin to skin on mom
D. Assess maternal vital signs Q1hr
C. skin to skin contact is contributes to mother and baby bonding
*KEY WORDS: just started*
pitocin is administered a2er the placenta is delivered at the end of stage 3, maternal vital signs
are assessed Q15min a2er delivery for first 2 hours. Then hourly assessments are done
A client's first day of her LMP was July 18, 2015. Which of the following should the nurse tell the
client is her EDB?
A. April 18, 2016
B. May 23, 2016
, C. April 25, 2016
D. March 25, 2016
C.
A primigravida woman delivered her baby boy 12 hours ago. She acquired a 3rd degree midline
episiotomy during labor. She expresses moderate discomfort and a pain level of 2 out of 10.
Which of the following nursing interven!on would be most appropriate?
A. Instruct pa!ent to apply ice packs to the perinium
B. Encourage a sitz bath
C. Call provider
D. Give ordered acetaminophen (Tylenol) for prophylaxis
A. During first 24 hours, ice packs decrease edema forma!on and increase comfort, a2er first 24
hours a2er birth prn to provide anesthe!c effect
A woman admiLed in your OB unit, currently on her 2nd pregnancy for this delivery states she
wants to try vaginal birth rather than rather than C/S which she had for her first pregnancy.
What is the priority ac!on the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam
C. You have to look at the UTERINE incision, not the abdominal one, the only way to do that is to
look at the chart
*ABDOMINAL INCISION AND UTERINE INCISION MIGHT NOT MATCH*
classic ver!cal incision labor is contraindicated - risk for uterine rupture!
transverse incision vaginal delivery is possible
What statement from the postpartum pt about DVT precau!ons requires further teaching?
A. "I need the change posi!ons frequently in bed and avoid prolonged flexed knee posi!ons
B. "I will let my husband massage my legs for pain relief"
C. "I can keep breasPeeding while I'm on heparin"
D "I will evaluate my legs and apply moist heat to decrease discomfort"
B. rubbing the affected area could cause clots to be dislodged
| 2026 | NEW
A 22 yr old client has come to the clinic because her menstrual period is 10 days late. She tells
the nurse "I'm sure I'm pregnant because my period is late and my breasts are tender" Which of
the following responses by the nurse would be most accurate?
A. "those are posi!ve signs of pregnancy"
B. "those are presump!ve signs of pregnancy"
C. "those are probable signs of pregnancy"
D. "those are nega!ve signs of pregnancy"
B. Breast tenderness and missed menses are presump!ve signs. Other presump!ve signs
include: N/V, fa!gue, urinary frequency and quickening
A client delivered a term infant 7 hours ago. Which of the following postpartum assessment
findings indicate normal postpartum progression?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with moderate lochia rubra
B. Firm fundus at the umbilicus and midline with moderate rubra
C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the right side with moderate
lochia rubra
D. So2 fundus at 1-2 fingerbreadths below umbilicus with severe lochia rubra
A. Within 12 hours, fundus can rise to approx. 1 cm above the umbilicus. The fundus descends
1-2 cm every 24 hours. Located about halfway between umbilicus and symphysis pubis, not
longer palpable a2er 2 weeks, returned to pre-pregnant state by 6 weeks pp
A client delivered at 39 weeks 6 hours ago. Upon assessment, the nurse palpated a so2, boggy
fundus deviated to the le2 side. Which ac!on of the nurse would be most appropriate?
A. Massage the fundus un!l firm
B. Call HCP immediately
C. Assist woman to the restroom
D. Increase Pitocin per HCP order
C. A distended bladder can impede uterine contrac!ons which can lead to uterine atony which
may lead to pp hemorrhage if we don't intervene
*KEY WORDS: deviated to the le) side*
,A client is in ac!ve labor at term with cervical findings of 7/80/-1. The FHR baseline is 130bpm.
Four early decelera!ons were noted within the last hour. Which of the following nursing ac!ons
would be most appropriate?
A. Posi!on client on her back so the monitor gives more accurate results
B. perform vaginal exam
C. turn client on her le2 side
D. document and con!nue to monitor both FHR and laboring women
D. early decelera!ons indicate head compression. It is benign and no interven!ons are needed.
just document and con!nue monitoring
*KNOW VEAL CHOP*
The nurse gives a 35 yr old primigravida client a RhoGAM injec!on for her 28th week of
pregnancy. Which of the following client situa!ons requires the nurse to take this ac!on.
A. Rh + mother and Rh - father
B. Rh - mother and Rh + father
C. Rh + mother and Rh + father
D. Rh - mother and Rh - father
B. RhoGAM is only needed if the mother is Rh- and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to have a Rh+ baby
A client has just started the third state of labor. Which of the following nursing ac!ons have
priority at this !me?
A. Encourage the client to push
B. Administer Pitocin
C. Place baby skin to skin on mom
D. Assess maternal vital signs Q1hr
C. skin to skin contact is contributes to mother and baby bonding
*KEY WORDS: just started*
pitocin is administered a2er the placenta is delivered at the end of stage 3, maternal vital signs
are assessed Q15min a2er delivery for first 2 hours. Then hourly assessments are done
A client's first day of her LMP was July 18, 2015. Which of the following should the nurse tell the
client is her EDB?
A. April 18, 2016
B. May 23, 2016
, C. April 25, 2016
D. March 25, 2016
C.
A primigravida woman delivered her baby boy 12 hours ago. She acquired a 3rd degree midline
episiotomy during labor. She expresses moderate discomfort and a pain level of 2 out of 10.
Which of the following nursing interven!on would be most appropriate?
A. Instruct pa!ent to apply ice packs to the perinium
B. Encourage a sitz bath
C. Call provider
D. Give ordered acetaminophen (Tylenol) for prophylaxis
A. During first 24 hours, ice packs decrease edema forma!on and increase comfort, a2er first 24
hours a2er birth prn to provide anesthe!c effect
A woman admiLed in your OB unit, currently on her 2nd pregnancy for this delivery states she
wants to try vaginal birth rather than rather than C/S which she had for her first pregnancy.
What is the priority ac!on the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam
C. You have to look at the UTERINE incision, not the abdominal one, the only way to do that is to
look at the chart
*ABDOMINAL INCISION AND UTERINE INCISION MIGHT NOT MATCH*
classic ver!cal incision labor is contraindicated - risk for uterine rupture!
transverse incision vaginal delivery is possible
What statement from the postpartum pt about DVT precau!ons requires further teaching?
A. "I need the change posi!ons frequently in bed and avoid prolonged flexed knee posi!ons
B. "I will let my husband massage my legs for pain relief"
C. "I can keep breasPeeding while I'm on heparin"
D "I will evaluate my legs and apply moist heat to decrease discomfort"
B. rubbing the affected area could cause clots to be dislodged
