OBSTETRIC NURSING PRACTICE EXAM
2026 FULL QUESTIONS AND DETAILED
SOLUTIONS
●● The nurse is caring for a group of postpartum clients. Which factor
puts a client at increased risk for postpartum hemorrhage?
1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz. Answer: Giving birth to a
baby weighing 9 lb 8 oz
●● A nurse is assessing a postpartum client for signs of hemorrhage by
evaluating the degree of perineal pad saturation. What other parameter
can the nurse use to estimate blood loss in a postpartum client?
1
Odor of the lochia
2
Color of the lochia
,3
Presence of small clots on the pad
4
Time elapsed between pad changes. Answer: Time elapsed between pad
changes
●● The nurse is assessing a newborn immediately after birth. Which
finding indicates normal development in a newborn?
1
A body weight of 3500 g
2
A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference. Answer: A
body weight of 3500
**Normal is between 2700 and 4000**
●● A nurse assessing a newborn reports an asymmetric Moro reflex, and
Erb palsy is diagnosed. What does the nurse understand about the origin
of this problem?
,1
It is acquired in utero.
2
It is a tumor arising from muscle tissue.
3
The cause is an X-linked inheritance pattern.
4
The cause is an injury to the shoulder during birth.. Answer: The cause is
an injury to the shoulder during birth
●● A newborn with a cleft lip is fed with a special nipple. What
instructions should the nurse give the parents to reduce the incidence of
regurgitation of the feedings?
1
Burp frequently during feedings.
2
Offer thickened formula as prescribed.
3
Place the baby in an infant seat during feedings.
4
Position the infant on one side with the bottle propped.. Answer: Burp
frequently during feedings
, ●● What should the nurse include in the plan of care for a newborn with
hypospadias before corrective surgery is performed?
1
Wrapping the penis in petrolatum gauze
2
Explaining to the parents why a circumcision is not done
3
Preparing the newborn for the insertion of a cystotomy tube
4
Teaching the parents about the genetic basis of the hypospadias. Answer:
Explaining to the parents why a circumcision is not done
●● The parent of a newborn asks a nurse why, except for hepatitis B
vaccine, the immunization schedule does not start until the infant is 2
months old. How should the nurse respond?
1
"A newborn's spleen can't produce efficient antibodies."
2
"Infants younger than 2 months are rarely exposed to infectious disease."
3
"The immunization will attack the infant's immature immune system and
cause the disease."
4
2026 FULL QUESTIONS AND DETAILED
SOLUTIONS
●● The nurse is caring for a group of postpartum clients. Which factor
puts a client at increased risk for postpartum hemorrhage?
1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz. Answer: Giving birth to a
baby weighing 9 lb 8 oz
●● A nurse is assessing a postpartum client for signs of hemorrhage by
evaluating the degree of perineal pad saturation. What other parameter
can the nurse use to estimate blood loss in a postpartum client?
1
Odor of the lochia
2
Color of the lochia
,3
Presence of small clots on the pad
4
Time elapsed between pad changes. Answer: Time elapsed between pad
changes
●● The nurse is assessing a newborn immediately after birth. Which
finding indicates normal development in a newborn?
1
A body weight of 3500 g
2
A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference. Answer: A
body weight of 3500
**Normal is between 2700 and 4000**
●● A nurse assessing a newborn reports an asymmetric Moro reflex, and
Erb palsy is diagnosed. What does the nurse understand about the origin
of this problem?
,1
It is acquired in utero.
2
It is a tumor arising from muscle tissue.
3
The cause is an X-linked inheritance pattern.
4
The cause is an injury to the shoulder during birth.. Answer: The cause is
an injury to the shoulder during birth
●● A newborn with a cleft lip is fed with a special nipple. What
instructions should the nurse give the parents to reduce the incidence of
regurgitation of the feedings?
1
Burp frequently during feedings.
2
Offer thickened formula as prescribed.
3
Place the baby in an infant seat during feedings.
4
Position the infant on one side with the bottle propped.. Answer: Burp
frequently during feedings
, ●● What should the nurse include in the plan of care for a newborn with
hypospadias before corrective surgery is performed?
1
Wrapping the penis in petrolatum gauze
2
Explaining to the parents why a circumcision is not done
3
Preparing the newborn for the insertion of a cystotomy tube
4
Teaching the parents about the genetic basis of the hypospadias. Answer:
Explaining to the parents why a circumcision is not done
●● The parent of a newborn asks a nurse why, except for hepatitis B
vaccine, the immunization schedule does not start until the infant is 2
months old. How should the nurse respond?
1
"A newborn's spleen can't produce efficient antibodies."
2
"Infants younger than 2 months are rarely exposed to infectious disease."
3
"The immunization will attack the infant's immature immune system and
cause the disease."
4
