OBSTETRIC NURSING FINAL EXAM – PRACTICE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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CORE DOMAINS
• Antepartum Care and Fetal Development
• Intrapartum Nursing Management
• Postpartum Recovery and Complications
• Neonatal Assessment and Care
• High-Risk Pregnancy Pathophysiology
• Pharmacological Interventions in Obstetrics
• Ethical, Legal, and Cultural Considerations in Birthing
INTRODUCTION
This comprehensive practice assessment is designed to evaluate the clinical
proficiency and theoretical knowledge of nursing students preparing for the Obstetric
Nursing Final Exam. The examination focuses on the holistic care of the childbearing
family, spanning from conception through the neonatal period. Candidates will be
assessed on their ability to integrate foundational theory with real-world clinical
,decision-making. The assessment utilizes a combination of knowledge-based and
scenario-driven multiple-choice questions to mirror the rigor of professional licensing
standards. Key emphasis is placed on safety, evidence-based interventions, and the
critical nursing role in managing both physiological and psychological transitions
during the perinatal experience.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a pregnant client at 10 weeks of gestation. Which of the
following findings should the nurse identify as a probable sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Nausea and vomiting
🟢 B. Positive pregnancy test
🔴 RATIONALE: Probable signs are objective findings observed by the examiner,
such as a positive pregnancy test, Hegar’s sign, or Goodell’s sign. Fetal heart tones
are a positive sign, while amenorrhea and nausea are subjective (presumptive) signs.
, 2. A client at 34 weeks of gestation is diagnosed with mild preeclampsia. Which of
the following instructions should the nurse include in the home care teaching?
A. Limit fluid intake to 1 liter per day
B. Perform daily fetal movement counts
C. Maintain a strict low-protein diet
D. Stay on total bed rest in a supine position
🟢 B. Perform daily fetal movement counts
🔴 RATIONALE: Fetal movement counts (kick counts) are essential for monitoring
fetal well-being in high-risk pregnancies. Fluid restriction and low-protein diets are not
indicated for preeclampsia, and supine positioning can cause vena cava
compression.
3. During a routine prenatal visit, a client asks about the purpose of the Alpha-
fetoprotein (AFP) screening. The nurse explains that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Rh incompatibility
D. Group B Streptococcus
, 🟢 B. Neural tube defects
🔴 RATIONALE: AFP is a screening tool used between 15 and 20 weeks of gestation
to detect potential neural tube defects (high levels) or chromosomal abnormalities like
Down syndrome (low levels).
4. A nurse is caring for a client in the first stage of labor. The fetal heart rate (FHR)
tracing shows early decelerations. Which action should the nurse take?
A. Prepare for an emergency cesarean birth
B. Administer oxygen at 10 L/min via mask
C. Continue to monitor the client
D. Increase the rate of IV fluid infusion
🟢 C. Continue to monitor the client
🔴 RATIONALE: Early decelerations are caused by fetal head compression during
contractions and are considered a reassuring finding. No clinical intervention is
required other than continued observation.
5. Which medication is the primary treatment for preventing seizures in a client
with eclampsia?
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
• Antepartum Care and Fetal Development
• Intrapartum Nursing Management
• Postpartum Recovery and Complications
• Neonatal Assessment and Care
• High-Risk Pregnancy Pathophysiology
• Pharmacological Interventions in Obstetrics
• Ethical, Legal, and Cultural Considerations in Birthing
INTRODUCTION
This comprehensive practice assessment is designed to evaluate the clinical
proficiency and theoretical knowledge of nursing students preparing for the Obstetric
Nursing Final Exam. The examination focuses on the holistic care of the childbearing
family, spanning from conception through the neonatal period. Candidates will be
assessed on their ability to integrate foundational theory with real-world clinical
,decision-making. The assessment utilizes a combination of knowledge-based and
scenario-driven multiple-choice questions to mirror the rigor of professional licensing
standards. Key emphasis is placed on safety, evidence-based interventions, and the
critical nursing role in managing both physiological and psychological transitions
during the perinatal experience.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a pregnant client at 10 weeks of gestation. Which of the
following findings should the nurse identify as a probable sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Nausea and vomiting
🟢 B. Positive pregnancy test
🔴 RATIONALE: Probable signs are objective findings observed by the examiner,
such as a positive pregnancy test, Hegar’s sign, or Goodell’s sign. Fetal heart tones
are a positive sign, while amenorrhea and nausea are subjective (presumptive) signs.
, 2. A client at 34 weeks of gestation is diagnosed with mild preeclampsia. Which of
the following instructions should the nurse include in the home care teaching?
A. Limit fluid intake to 1 liter per day
B. Perform daily fetal movement counts
C. Maintain a strict low-protein diet
D. Stay on total bed rest in a supine position
🟢 B. Perform daily fetal movement counts
🔴 RATIONALE: Fetal movement counts (kick counts) are essential for monitoring
fetal well-being in high-risk pregnancies. Fluid restriction and low-protein diets are not
indicated for preeclampsia, and supine positioning can cause vena cava
compression.
3. During a routine prenatal visit, a client asks about the purpose of the Alpha-
fetoprotein (AFP) screening. The nurse explains that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Rh incompatibility
D. Group B Streptococcus
, 🟢 B. Neural tube defects
🔴 RATIONALE: AFP is a screening tool used between 15 and 20 weeks of gestation
to detect potential neural tube defects (high levels) or chromosomal abnormalities like
Down syndrome (low levels).
4. A nurse is caring for a client in the first stage of labor. The fetal heart rate (FHR)
tracing shows early decelerations. Which action should the nurse take?
A. Prepare for an emergency cesarean birth
B. Administer oxygen at 10 L/min via mask
C. Continue to monitor the client
D. Increase the rate of IV fluid infusion
🟢 C. Continue to monitor the client
🔴 RATIONALE: Early decelerations are caused by fetal head compression during
contractions and are considered a reassuring finding. No clinical intervention is
required other than continued observation.
5. Which medication is the primary treatment for preventing seizures in a client
with eclampsia?
