OB NCLEX FINAL EXAM 2026 LATEST TEST EXAM UNDER
2026 GUIDELINES 180 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES PERFECT TO PASS 2026 OB NCLEX FINAL
EXAM TEST
An expectant father asks the nurse, "Which part of the mature sperm contains the male
chromosome?" What is the correct response by the nurse?
a. X-bearing sperm
b. The tail of the sperm
c. The head of the sperm
d. The middle portion of the sperm - CORRECT ANSWER-ANS: C
The head of the sperm contains the male chromosomes that will join the chromosomes of the ovum.
If an X-bearing sperm fertilizes the ovum, the baby will be female. The tail of the sperm helps propel
the sperm toward the ovum. The middle portion of the sperm supplies energy for the tail's whip-like
action.
One of the assessments performed in the birth room is checking the umbilical cord for blood
vessels. Which finding is considered to be within normal limits?
a. One artery and one vein
b. Two veins and one artery
c. Two arteries and one vein
d. Two arteries and two veins - CORRECT ANSWER-ANS: C
The umbilical cord contains two arteries and one vein to transport blood between the fetus and the
placenta. Any option other than two arteries and one vein is considered abnormal and requires
further assessment. Two veins and one artery is abnormal and may indicate an anomaly. Two
arteries instead is a normal finding; this infant would require further assessment for anomalies due
to the finding of two veins.
A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does
not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive
vitamins?
a. Increases caloric intake
b. Has toxic effects on the fetus
c. Increases absorption of all vitamins
d. Promotes development of pregnancy-induced hypertension (PIH) - CORRECT ANSWER-ANS: B
,The use of vitamin supplements in addition to food may increase the intake of some nutrients to
doses much higher than the recommended amounts. Overdoses of some vitamins have been linked
to fetal defects. Vitamin supplements do not contain calories. Vitamin supplements do not have
better absorption than natural vitamins and minerals. There is no relationship between vitamin
supplements and PIH.
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which
statement best describes the condition known as pica?
a. Iron-deficiency anemia
b. Intolerance to milk products
c. Ingestion of nonfood substances
d. Episodes of anorexia and vomiting - CORRECT ANSWER-ANS: C
The practice of eating substances not normally thought of as food is called pica. Clay, dirt, and solid
laundry starch are the substances most commonly ingested. Pica may produce iron-deficiency
anemia if proper nutrition is decreased. Intolerance to milk products is termed lactose intolerance.
Pica is not related to anorexia and vomiting.
Which effect is a common response to both smoking and cocaine use in the pregnant patient?
a. Vasoconstriction
b. Increased appetite
c. Increased metabolism
d. Changes in insulin metabolism - CORRECT ANSWER-ANS: A
Both smoking and cocaine use cause vasoconstriction, which results in impaired placental blood flow
to the fetus. Smoking and cocaine use do not increase appetite, change insulin metabolism, or
increase metabolism.
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
a. Prevents excessive adipose tissue deposits
b. Determines cultural influences on the woman's diet
c. Assesses the need to limit caloric intake in obese women
d. Identifies potential nutritional problems or complications of pregnancy - CORRECT ANSWER-
ANS: D
Deviations from the recommended pattern of weight gain may indicate nutritional problems or
developing complications. Excessive adipose tissue may occur with excess weight gain but is not the
reason for monitoring the weight gain pattern. The pattern of weight gain is not affected by cultural
influences. It is important to monitor the pattern of weight gain for the developing complications.
,A pregnant patient would like to know which foods, other than dairy products, contain the most
calcium. Which food group would the nurse recommend?
a. Legumes
b. Lean meat
c. Whole grains
d. Yellow vegetables - CORRECT ANSWER-ANS: A
Although dairy products contain the greatest amount of calcium, it can also be found in legumes,
nuts, dried fruits, and some dark green leafy vegetables. Lean meats are rich in protein and
phosphorus. Whole grains are rich in zinc and magnesium. Yellow vegetables are rich in vitamin A.
To determine cultural influences on a patient's diet, what is the nurse's primary action?
a. Evaluate the patient's weight gain during pregnancy.
b. Assess the socioeconomic status of the patient.
c. Discuss the four food groups with the patient.
d. Identify the food preferences and methods of food preparation common to the patient's culture. -
CORRECT ANSWER-ANS: D
Understanding the patient's food preferences and how she prepares food will assist the nurse in
determining whether the patient's culture is adversely affecting her nutritional intake. Evaluating a
patient's weight gain during pregnancy should be included for all patients, not just for those who are
culturally different. The socioeconomic status of the patients may alter the nutritional intake, but
not the cultural influence. Teaching the food groups to the patient should come after assessing food
preferences.
In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?
a. Determine the weight gain needed to meet adolescent growth and add 35 lb.
b. Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
c. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
d. Emphasize the need to eliminate common teen snack foods because they are too high in fat and
sodium. - CORRECT ANSWER-ANS: A
Adolescents should gain in the upper range of the recommended weight gain. They also need to gain
weight that would be expected for their own normal growth. Adolescents are willing to make
changes; however, they still need to be like their peers. Eliminating fast foods will make her appear
different from her peers. She should be taught to choose foods that add needed nutrients. Changes
in the diet should be kept at a minimum and snacks should be included. Snack foods can be included
in moderation and other foods added to make up for the lost nutrients.
, The traditional diet of Asian women includes little meat and few dairy products and may be low in
calcium and iron. The nurse can assist a patient increase her intake of these foods by which
action?
a. Suggest that she eat more tofu, bok choy, and broccoli.
b. Suggest that she eat more hot foods during pregnancy.
c. Emphasize the need for increased milk intake during pregnancy.
d. Tell her husband that she must increase her intake of fruits and vegetables for the baby's sake. -
CORRECT ANSWER-ANS: A
The diet should be improved by increasing foods acceptable to the woman. These foods are
common in the Asian diet and are good sources of calcium and iron. Pregnancy is considered hot;
therefore the woman would eat cold foods. Because milk products are not part of this woman's diet,
it should be respected and other alternatives offered. Also, lactose intolerance is common. Fruits
and vegetables are cold foods and should be included in the diet. In regard to the family dynamics,
however, the husband does not dictate to the wife in this culture
Which patient would require additional calories and nutrients?
a. A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy
b. An 18-year-old female who delivered a 7-lb baby and is bottle feeding
c. A 23-year-old female who had a cesarean birth and is bottle feeding
d. A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding - CORRECT
ANSWER-ANS: D
A patient who is breastfeeding will require more calories and nutrients than women who are
pregnant. The type of birth has no impact on nutrient intake. A patient who is bottle-feeding does
not require additional calories.
A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as
possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of
concern at her 6-week postpartum checkup?
a. Patient has lost 30 lb during the 6-week period prior to her scheduled checkup.
b. Patient states that she is eating healthy and limiting intake of processed foods.
c. Patient relates increased consumption of fruits and vegetables in her diet postbirth.
d. Patient has resumed her usual exercise pattern of walking around the neighborhood for 10
minutes each night. - CORRECT ANSWER-ANS: A
Although a certain amount of weight loss is expected in the postpartum period, the fact that the
reported weight loss is double the amount of weight gained during the pregnancy places the patient
2026 GUIDELINES 180 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES PERFECT TO PASS 2026 OB NCLEX FINAL
EXAM TEST
An expectant father asks the nurse, "Which part of the mature sperm contains the male
chromosome?" What is the correct response by the nurse?
a. X-bearing sperm
b. The tail of the sperm
c. The head of the sperm
d. The middle portion of the sperm - CORRECT ANSWER-ANS: C
The head of the sperm contains the male chromosomes that will join the chromosomes of the ovum.
If an X-bearing sperm fertilizes the ovum, the baby will be female. The tail of the sperm helps propel
the sperm toward the ovum. The middle portion of the sperm supplies energy for the tail's whip-like
action.
One of the assessments performed in the birth room is checking the umbilical cord for blood
vessels. Which finding is considered to be within normal limits?
a. One artery and one vein
b. Two veins and one artery
c. Two arteries and one vein
d. Two arteries and two veins - CORRECT ANSWER-ANS: C
The umbilical cord contains two arteries and one vein to transport blood between the fetus and the
placenta. Any option other than two arteries and one vein is considered abnormal and requires
further assessment. Two veins and one artery is abnormal and may indicate an anomaly. Two
arteries instead is a normal finding; this infant would require further assessment for anomalies due
to the finding of two veins.
A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does
not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive
vitamins?
a. Increases caloric intake
b. Has toxic effects on the fetus
c. Increases absorption of all vitamins
d. Promotes development of pregnancy-induced hypertension (PIH) - CORRECT ANSWER-ANS: B
,The use of vitamin supplements in addition to food may increase the intake of some nutrients to
doses much higher than the recommended amounts. Overdoses of some vitamins have been linked
to fetal defects. Vitamin supplements do not contain calories. Vitamin supplements do not have
better absorption than natural vitamins and minerals. There is no relationship between vitamin
supplements and PIH.
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which
statement best describes the condition known as pica?
a. Iron-deficiency anemia
b. Intolerance to milk products
c. Ingestion of nonfood substances
d. Episodes of anorexia and vomiting - CORRECT ANSWER-ANS: C
The practice of eating substances not normally thought of as food is called pica. Clay, dirt, and solid
laundry starch are the substances most commonly ingested. Pica may produce iron-deficiency
anemia if proper nutrition is decreased. Intolerance to milk products is termed lactose intolerance.
Pica is not related to anorexia and vomiting.
Which effect is a common response to both smoking and cocaine use in the pregnant patient?
a. Vasoconstriction
b. Increased appetite
c. Increased metabolism
d. Changes in insulin metabolism - CORRECT ANSWER-ANS: A
Both smoking and cocaine use cause vasoconstriction, which results in impaired placental blood flow
to the fetus. Smoking and cocaine use do not increase appetite, change insulin metabolism, or
increase metabolism.
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
a. Prevents excessive adipose tissue deposits
b. Determines cultural influences on the woman's diet
c. Assesses the need to limit caloric intake in obese women
d. Identifies potential nutritional problems or complications of pregnancy - CORRECT ANSWER-
ANS: D
Deviations from the recommended pattern of weight gain may indicate nutritional problems or
developing complications. Excessive adipose tissue may occur with excess weight gain but is not the
reason for monitoring the weight gain pattern. The pattern of weight gain is not affected by cultural
influences. It is important to monitor the pattern of weight gain for the developing complications.
,A pregnant patient would like to know which foods, other than dairy products, contain the most
calcium. Which food group would the nurse recommend?
a. Legumes
b. Lean meat
c. Whole grains
d. Yellow vegetables - CORRECT ANSWER-ANS: A
Although dairy products contain the greatest amount of calcium, it can also be found in legumes,
nuts, dried fruits, and some dark green leafy vegetables. Lean meats are rich in protein and
phosphorus. Whole grains are rich in zinc and magnesium. Yellow vegetables are rich in vitamin A.
To determine cultural influences on a patient's diet, what is the nurse's primary action?
a. Evaluate the patient's weight gain during pregnancy.
b. Assess the socioeconomic status of the patient.
c. Discuss the four food groups with the patient.
d. Identify the food preferences and methods of food preparation common to the patient's culture. -
CORRECT ANSWER-ANS: D
Understanding the patient's food preferences and how she prepares food will assist the nurse in
determining whether the patient's culture is adversely affecting her nutritional intake. Evaluating a
patient's weight gain during pregnancy should be included for all patients, not just for those who are
culturally different. The socioeconomic status of the patients may alter the nutritional intake, but
not the cultural influence. Teaching the food groups to the patient should come after assessing food
preferences.
In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?
a. Determine the weight gain needed to meet adolescent growth and add 35 lb.
b. Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
c. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
d. Emphasize the need to eliminate common teen snack foods because they are too high in fat and
sodium. - CORRECT ANSWER-ANS: A
Adolescents should gain in the upper range of the recommended weight gain. They also need to gain
weight that would be expected for their own normal growth. Adolescents are willing to make
changes; however, they still need to be like their peers. Eliminating fast foods will make her appear
different from her peers. She should be taught to choose foods that add needed nutrients. Changes
in the diet should be kept at a minimum and snacks should be included. Snack foods can be included
in moderation and other foods added to make up for the lost nutrients.
, The traditional diet of Asian women includes little meat and few dairy products and may be low in
calcium and iron. The nurse can assist a patient increase her intake of these foods by which
action?
a. Suggest that she eat more tofu, bok choy, and broccoli.
b. Suggest that she eat more hot foods during pregnancy.
c. Emphasize the need for increased milk intake during pregnancy.
d. Tell her husband that she must increase her intake of fruits and vegetables for the baby's sake. -
CORRECT ANSWER-ANS: A
The diet should be improved by increasing foods acceptable to the woman. These foods are
common in the Asian diet and are good sources of calcium and iron. Pregnancy is considered hot;
therefore the woman would eat cold foods. Because milk products are not part of this woman's diet,
it should be respected and other alternatives offered. Also, lactose intolerance is common. Fruits
and vegetables are cold foods and should be included in the diet. In regard to the family dynamics,
however, the husband does not dictate to the wife in this culture
Which patient would require additional calories and nutrients?
a. A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy
b. An 18-year-old female who delivered a 7-lb baby and is bottle feeding
c. A 23-year-old female who had a cesarean birth and is bottle feeding
d. A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding - CORRECT
ANSWER-ANS: D
A patient who is breastfeeding will require more calories and nutrients than women who are
pregnant. The type of birth has no impact on nutrient intake. A patient who is bottle-feeding does
not require additional calories.
A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as
possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of
concern at her 6-week postpartum checkup?
a. Patient has lost 30 lb during the 6-week period prior to her scheduled checkup.
b. Patient states that she is eating healthy and limiting intake of processed foods.
c. Patient relates increased consumption of fruits and vegetables in her diet postbirth.
d. Patient has resumed her usual exercise pattern of walking around the neighborhood for 10
minutes each night. - CORRECT ANSWER-ANS: A
Although a certain amount of weight loss is expected in the postpartum period, the fact that the
reported weight loss is double the amount of weight gained during the pregnancy places the patient
