OB COMPREHENSIVE LATEST 2026 TESTBANK
EXAM 500 QUESTIONS AND CORRECT
ANSWERS PERFECT TO PASS AN OB EXAM
WITH EASE
What should be done if late decelerations are observed? - CORRECT ANSWER-Reposition the
patient, provide O2, stop Pitocin, and notify the provider.
What is an episiotomy? - CORRECT ANSWER-A surgical incision made in the perineum during the
second stage of labor to enlarge the vaginal opening.
What is TOLAC? - CORRECT ANSWER-Trial of Labor After Cesarean; attempting a vaginal birth after
a previous cesarean delivery.
What are the potential complications of breech presentation for the fetus? - CORRECT ANSWER-
Umbilical cord prolapse, head entrapment, birth trauma, asphyxia.
What is the purpose of an amniotomy? - CORRECT ANSWER-To artificially rupture membranes to
induce or augment labor.
What should be monitored after performing an amniotomy? - CORRECT ANSWER-Fetal heart rate,
maternal temperature, and characteristics of amniotic fluid.
What are the nursing responsibilities during a vacuum-assisted vaginal delivery? - CORRECT
ANSWER-Explain the procedure, monitor FHR, provide emotional support, and document
outcomes.
What is the significance of monitoring lochia postpartum? - CORRECT ANSWER-To assess for
excessive bleeding and potential complications.
What are the risks associated with the use of oxytocin? - CORRECT ANSWER-Uterine tachysystole,
fetal distress, water intoxication, uterine rupture.
,What are the nursing interventions for managing pain during labor? - CORRECT ANSWER-
Nonpharmacologic methods like ambulation and positioning, and pharmacologic methods like IV
opioids and epidurals.
What is the purpose of fetal electronic monitoring during labor? - CORRECT ANSWER-To assess
fetal well-being by tracking FHR and uterine activity.
What does a Category I fetal heart rate pattern indicate? - CORRECT ANSWER-Normal; baseline
110-160 bpm, moderate variability, no late or variable decels.
What is the significance of documenting assessments and interventions during labor? - CORRECT
ANSWER-To ensure continuity of care and provide a legal record of the patient's status.
What is the expected fundal height immediately postpartum? - CORRECT ANSWER-Firm and
midline at or below the umbilicus.
What is the nursing care for a patient with an episiotomy? - CORRECT ANSWER-Monitor for
redness, swelling, apply ice packs, and provide perineal care.
What is the purpose of continuous fetal monitoring during TOLAC? - CORRECT ANSWER-To detect
abnormal FHR patterns which may indicate uterine rupture.
What are the nursing considerations for managing a patient with a breech presentation? - CORRECT
ANSWER-Monitor FHR, prepare for potential C-section, and educate the patient on delivery options.
What is the significance of assessing the perineum postpartum? - CORRECT ANSWER-To identify
lacerations, hematomas, or signs of infection.
What are the nursing responsibilities after a vacuum delivery? - CORRECT ANSWER-Assess the
newborn for injuries, monitor maternal recovery, and document the procedure.
What are the signs of postpartum infection to monitor for? - CORRECT ANSWER-Fever, increased
pain, foul-smelling lochia, and persistent abdominal tenderness.
,What is the role of emotional support in postpartum care? - CORRECT ANSWER-To facilitate
bonding, skin-to-skin contact, and breastfeeding initiation.
What are the degrees of laceration? - CORRECT ANSWER-1st Degree: superficial, 2nd Degree: into
perineal muscles, 3rd Degree: involves anal sphincter, 4th Degree: into rectal mucosa.
What is the nursing care for a patient with a laceration? - CORRECT ANSWER-Inspect and assess
perineum, monitor lochia, and provide comfort measures.
What is the expected recovery time for the postpartum period? - CORRECT ANSWER-
Approximately six weeks, involving physiological, psychological, and social adjustments.
What is uterine involution? - CORRECT ANSWER-The process by which the uterus returns to its pre-
pregnancy size through contraction and autolysis.
What is the expected position of the fundus immediately after birth? - CORRECT ANSWER-The
fundus should be firm, midline, and at the level of the umbilicus.
How much does the fundus typically descend postpartum? - CORRECT ANSWER-One fingerbreadth
(1cm) per day and should no longer be palpable by 10-14 days postpartum.
What are the three stages of lochia? - CORRECT ANSWER-Lochia rubra (days 1-3), lochia serosa
(days 4-10), and lochia alba (days 10-6 weeks).
What does lochia rubra contain? - CORRECT ANSWER-Dark red discharge that contains blood and
decidual tissue.
What is assessed using the REEDA acronym? - CORRECT ANSWER-Perineal changes including
Redness, Edema, Ecchymosis, Discharge, and Approximation.
What can cause urinary retention postpartum? - CORRECT ANSWER-Perineal swelling and
decreased sensation.
, What is colostrum? - CORRECT ANSWER-The first milk produced in the first few days after birth,
transitioning to mature milk by day 3-5.
What are the phases of psychological adaptation postpartum? - CORRECT ANSWER-Taking-in
phase (first 24-48 hours), Taking-hold phase (2-3 days postpartum), and Letting-go phase.
What defines postpartum hemorrhage (PPH)? - CORRECT ANSWER-Blood loss of more than 500mL
after vaginal birth or more than 1,000mL after cesarean birth.
What is the most common cause of postpartum hemorrhage? - CORRECT ANSWER-Uterine atony,
which is the failure of the uterus to contract effectively.
What are signs of infection postpartum? - CORRECT ANSWER-Fever >100.4F, uterine tenderness,
foul lochia, localized pain, redness, or warmth.
What are warning signs of hypertensive disorders postpartum? - CORRECT ANSWER-Severe
headache, visual changes, epigastric pain, shortness of breath, elevated blood pressure >160/110
mmHg.
What are signs of thromboembolic disorders postpartum? - CORRECT ANSWER-Unilateral leg pain,
warmth, redness, and swelling.
What is postpartum depression (PPD)? - CORRECT ANSWER-A serious mood disorder that can
occur within the first year after delivery, typically appearing around 2-8 weeks postpartum.
What differentiates postpartum depression from baby blues? - CORRECT ANSWER-PPD is
persistent and serious, while baby blues are self-limiting and resolve within two weeks.
What are common risk factors for postpartum depression? - CORRECT ANSWER-History of
depression or anxiety, lack of support, stressful life events, complicated pregnancy or delivery.
What is the Edinburgh Postnatal Depression Scale (EPDS)? - CORRECT ANSWER-A tool used for
early screening of postpartum depression.
EXAM 500 QUESTIONS AND CORRECT
ANSWERS PERFECT TO PASS AN OB EXAM
WITH EASE
What should be done if late decelerations are observed? - CORRECT ANSWER-Reposition the
patient, provide O2, stop Pitocin, and notify the provider.
What is an episiotomy? - CORRECT ANSWER-A surgical incision made in the perineum during the
second stage of labor to enlarge the vaginal opening.
What is TOLAC? - CORRECT ANSWER-Trial of Labor After Cesarean; attempting a vaginal birth after
a previous cesarean delivery.
What are the potential complications of breech presentation for the fetus? - CORRECT ANSWER-
Umbilical cord prolapse, head entrapment, birth trauma, asphyxia.
What is the purpose of an amniotomy? - CORRECT ANSWER-To artificially rupture membranes to
induce or augment labor.
What should be monitored after performing an amniotomy? - CORRECT ANSWER-Fetal heart rate,
maternal temperature, and characteristics of amniotic fluid.
What are the nursing responsibilities during a vacuum-assisted vaginal delivery? - CORRECT
ANSWER-Explain the procedure, monitor FHR, provide emotional support, and document
outcomes.
What is the significance of monitoring lochia postpartum? - CORRECT ANSWER-To assess for
excessive bleeding and potential complications.
What are the risks associated with the use of oxytocin? - CORRECT ANSWER-Uterine tachysystole,
fetal distress, water intoxication, uterine rupture.
,What are the nursing interventions for managing pain during labor? - CORRECT ANSWER-
Nonpharmacologic methods like ambulation and positioning, and pharmacologic methods like IV
opioids and epidurals.
What is the purpose of fetal electronic monitoring during labor? - CORRECT ANSWER-To assess
fetal well-being by tracking FHR and uterine activity.
What does a Category I fetal heart rate pattern indicate? - CORRECT ANSWER-Normal; baseline
110-160 bpm, moderate variability, no late or variable decels.
What is the significance of documenting assessments and interventions during labor? - CORRECT
ANSWER-To ensure continuity of care and provide a legal record of the patient's status.
What is the expected fundal height immediately postpartum? - CORRECT ANSWER-Firm and
midline at or below the umbilicus.
What is the nursing care for a patient with an episiotomy? - CORRECT ANSWER-Monitor for
redness, swelling, apply ice packs, and provide perineal care.
What is the purpose of continuous fetal monitoring during TOLAC? - CORRECT ANSWER-To detect
abnormal FHR patterns which may indicate uterine rupture.
What are the nursing considerations for managing a patient with a breech presentation? - CORRECT
ANSWER-Monitor FHR, prepare for potential C-section, and educate the patient on delivery options.
What is the significance of assessing the perineum postpartum? - CORRECT ANSWER-To identify
lacerations, hematomas, or signs of infection.
What are the nursing responsibilities after a vacuum delivery? - CORRECT ANSWER-Assess the
newborn for injuries, monitor maternal recovery, and document the procedure.
What are the signs of postpartum infection to monitor for? - CORRECT ANSWER-Fever, increased
pain, foul-smelling lochia, and persistent abdominal tenderness.
,What is the role of emotional support in postpartum care? - CORRECT ANSWER-To facilitate
bonding, skin-to-skin contact, and breastfeeding initiation.
What are the degrees of laceration? - CORRECT ANSWER-1st Degree: superficial, 2nd Degree: into
perineal muscles, 3rd Degree: involves anal sphincter, 4th Degree: into rectal mucosa.
What is the nursing care for a patient with a laceration? - CORRECT ANSWER-Inspect and assess
perineum, monitor lochia, and provide comfort measures.
What is the expected recovery time for the postpartum period? - CORRECT ANSWER-
Approximately six weeks, involving physiological, psychological, and social adjustments.
What is uterine involution? - CORRECT ANSWER-The process by which the uterus returns to its pre-
pregnancy size through contraction and autolysis.
What is the expected position of the fundus immediately after birth? - CORRECT ANSWER-The
fundus should be firm, midline, and at the level of the umbilicus.
How much does the fundus typically descend postpartum? - CORRECT ANSWER-One fingerbreadth
(1cm) per day and should no longer be palpable by 10-14 days postpartum.
What are the three stages of lochia? - CORRECT ANSWER-Lochia rubra (days 1-3), lochia serosa
(days 4-10), and lochia alba (days 10-6 weeks).
What does lochia rubra contain? - CORRECT ANSWER-Dark red discharge that contains blood and
decidual tissue.
What is assessed using the REEDA acronym? - CORRECT ANSWER-Perineal changes including
Redness, Edema, Ecchymosis, Discharge, and Approximation.
What can cause urinary retention postpartum? - CORRECT ANSWER-Perineal swelling and
decreased sensation.
, What is colostrum? - CORRECT ANSWER-The first milk produced in the first few days after birth,
transitioning to mature milk by day 3-5.
What are the phases of psychological adaptation postpartum? - CORRECT ANSWER-Taking-in
phase (first 24-48 hours), Taking-hold phase (2-3 days postpartum), and Letting-go phase.
What defines postpartum hemorrhage (PPH)? - CORRECT ANSWER-Blood loss of more than 500mL
after vaginal birth or more than 1,000mL after cesarean birth.
What is the most common cause of postpartum hemorrhage? - CORRECT ANSWER-Uterine atony,
which is the failure of the uterus to contract effectively.
What are signs of infection postpartum? - CORRECT ANSWER-Fever >100.4F, uterine tenderness,
foul lochia, localized pain, redness, or warmth.
What are warning signs of hypertensive disorders postpartum? - CORRECT ANSWER-Severe
headache, visual changes, epigastric pain, shortness of breath, elevated blood pressure >160/110
mmHg.
What are signs of thromboembolic disorders postpartum? - CORRECT ANSWER-Unilateral leg pain,
warmth, redness, and swelling.
What is postpartum depression (PPD)? - CORRECT ANSWER-A serious mood disorder that can
occur within the first year after delivery, typically appearing around 2-8 weeks postpartum.
What differentiates postpartum depression from baby blues? - CORRECT ANSWER-PPD is
persistent and serious, while baby blues are self-limiting and resolve within two weeks.
What are common risk factors for postpartum depression? - CORRECT ANSWER-History of
depression or anxiety, lack of support, stressful life events, complicated pregnancy or delivery.
What is the Edinburgh Postnatal Depression Scale (EPDS)? - CORRECT ANSWER-A tool used for
early screening of postpartum depression.
