OB NURS 306 PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ A nurse is caring for a client who is pregnant with a male child and
expresses concern to the nurse about the possibility of the child having
hemophilia. The client is a carrier of the gene mutation for this condition.
Which of the following percentages represents the chance that the child will
have this disorder?
A. 25%
B. 50%
C. 75%
D. 100%.
Answer: B. 50% Hemophilia A is an X-linked recessive inheritance
disorder, which means that female clients who are carriers have a 50%
chance of passing the gene mutation to their children. If the child is female,
she will be a carrier. If the child is male, he will have the disorder. This is
because male children inherit an X chromosome from their biological
mothers and a Y chromosome from their biological fathers. If the male child
has the gene mutation on 1 of his X chromosomes, it will cause the disorder
even though it is on a copy of the gene.
◍ A nurse is assisting with an amniocentesis for a client who is Rh-negative.
Which of the following actions should the nurse take following the
procedure?
A. Send a sample of amniotic fluid to the laboratory to screen the client for
chlamydia
B. Send a sample of amniotic fluid to the laboratory to test for an elevated
Rh-negative titer
, C. Administer immune globulin to the client to prevent fetal
isoimmunization
D. Administer intravenous antibiotics to prevent an infection.
Answer: C. Administer immune globulin to the client to prevent fetal
isoimmunization Because the client is Rh-negative, Rh immune globulin is
administered after the procedure to prevent fetal isoimmunization or help
ensure maternal antibodies will not form against any placental red blood
cells that might have accidentally been released into the maternal
bloodstream during the procedure.
◍ A nurse is teaching a client during the client's first prenatal visit. Which of
the following instructions should the nurse include?
A. "A fetal stethoscope can first detect your baby's heart rate at 22 weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks.".
Answer: C. "A Doppler device can detect your baby's heart rate at 12
weeks."
◍ s/s of severe pre-eclampsia.
Answer: blurred vision
◍ during nonstress test, FHR is 130 w/o accelerations.
Answer: when to use an acoustic stim on abdomen for 3 seconds
◍ A nurse is caring for a client who is pregnant and whose last menstrual
period (LMP) began on April 8. Using Naegele's rule, which of the
following dates would be the client's estimated date of birth (EDB)?
A. July 15
B. July 11
C. January 11
D. January 15.
Answer: D. January 15
◍ A nurse is caring for a client who is in labor. The client asks the nurse,
"Why are you pressing on my abdomen?" Which of the following responses
, should the nurse make?A) "I can determine your baby's heart rate."B) "I can
confirm that you have sufficient fluid around your baby."C) "I can confirm
that your baby moves with simulation."D) "I can determine the position of
your baby.".
Answer: D) I can determine the position of your baby.Explanation:
Palpation of the abdomen can determine which fetal part is in the uterine
fundus and where the back of the fetus is. Palpating the lower abdomen will
help determine whether the fetus's head is down or if another extremity is
the presenting part.
◍ possible complications following amniocentesis.
Answer: hemorrhage
◍ when to hold terbutaline (to prevent preterm labor).
Answer: maternal hypotension
◍ a cause of abruptio placenta.
Answer: recent cocaine use
◍ postpartum client with hypovolemic shock.
Answer: massage fundus to expel clots and promote contractions
◍ medication for herpes simplex virus type two.
Answer: Acyclovir
◍ A nurse is teaching a client about breastfeeding. Which of the following
client statements indicates an understanding of the teaching?A) "I should
consume about 700 extra calories a day while breastfeeding."B) "I will
introduce bottle feeding of pumped breast milk when the baby is 2 weeks
old."C) "I may notice increased cramping when I am feeding my baby."D)
"I will place my baby on a strict feeding schedule to help establish a good
feeding schedule.".
Answer: C) "I may notice increased cramping when I am feeding my
baby."Explanation: An increase in uterine cramping while breastfeeding can
be due to the release of oxytocin. A patient only needs 500 calories a day in
breastfeeding. Artificial nipples shouldn't be introduced until 3-4 weeks
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ A nurse is caring for a client who is pregnant with a male child and
expresses concern to the nurse about the possibility of the child having
hemophilia. The client is a carrier of the gene mutation for this condition.
Which of the following percentages represents the chance that the child will
have this disorder?
A. 25%
B. 50%
C. 75%
D. 100%.
Answer: B. 50% Hemophilia A is an X-linked recessive inheritance
disorder, which means that female clients who are carriers have a 50%
chance of passing the gene mutation to their children. If the child is female,
she will be a carrier. If the child is male, he will have the disorder. This is
because male children inherit an X chromosome from their biological
mothers and a Y chromosome from their biological fathers. If the male child
has the gene mutation on 1 of his X chromosomes, it will cause the disorder
even though it is on a copy of the gene.
◍ A nurse is assisting with an amniocentesis for a client who is Rh-negative.
Which of the following actions should the nurse take following the
procedure?
A. Send a sample of amniotic fluid to the laboratory to screen the client for
chlamydia
B. Send a sample of amniotic fluid to the laboratory to test for an elevated
Rh-negative titer
, C. Administer immune globulin to the client to prevent fetal
isoimmunization
D. Administer intravenous antibiotics to prevent an infection.
Answer: C. Administer immune globulin to the client to prevent fetal
isoimmunization Because the client is Rh-negative, Rh immune globulin is
administered after the procedure to prevent fetal isoimmunization or help
ensure maternal antibodies will not form against any placental red blood
cells that might have accidentally been released into the maternal
bloodstream during the procedure.
◍ A nurse is teaching a client during the client's first prenatal visit. Which of
the following instructions should the nurse include?
A. "A fetal stethoscope can first detect your baby's heart rate at 22 weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks.".
Answer: C. "A Doppler device can detect your baby's heart rate at 12
weeks."
◍ s/s of severe pre-eclampsia.
Answer: blurred vision
◍ during nonstress test, FHR is 130 w/o accelerations.
Answer: when to use an acoustic stim on abdomen for 3 seconds
◍ A nurse is caring for a client who is pregnant and whose last menstrual
period (LMP) began on April 8. Using Naegele's rule, which of the
following dates would be the client's estimated date of birth (EDB)?
A. July 15
B. July 11
C. January 11
D. January 15.
Answer: D. January 15
◍ A nurse is caring for a client who is in labor. The client asks the nurse,
"Why are you pressing on my abdomen?" Which of the following responses
, should the nurse make?A) "I can determine your baby's heart rate."B) "I can
confirm that you have sufficient fluid around your baby."C) "I can confirm
that your baby moves with simulation."D) "I can determine the position of
your baby.".
Answer: D) I can determine the position of your baby.Explanation:
Palpation of the abdomen can determine which fetal part is in the uterine
fundus and where the back of the fetus is. Palpating the lower abdomen will
help determine whether the fetus's head is down or if another extremity is
the presenting part.
◍ possible complications following amniocentesis.
Answer: hemorrhage
◍ when to hold terbutaline (to prevent preterm labor).
Answer: maternal hypotension
◍ a cause of abruptio placenta.
Answer: recent cocaine use
◍ postpartum client with hypovolemic shock.
Answer: massage fundus to expel clots and promote contractions
◍ medication for herpes simplex virus type two.
Answer: Acyclovir
◍ A nurse is teaching a client about breastfeeding. Which of the following
client statements indicates an understanding of the teaching?A) "I should
consume about 700 extra calories a day while breastfeeding."B) "I will
introduce bottle feeding of pumped breast milk when the baby is 2 weeks
old."C) "I may notice increased cramping when I am feeding my baby."D)
"I will place my baby on a strict feeding schedule to help establish a good
feeding schedule.".
Answer: C) "I may notice increased cramping when I am feeding my
baby."Explanation: An increase in uterine cramping while breastfeeding can
be due to the release of oxytocin. A patient only needs 500 calories a day in
breastfeeding. Artificial nipples shouldn't be introduced until 3-4 weeks
