OB FINAL EXAM AND PRACTICE QUESTIONS
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Section A: Multiple Choice Questions
1. A pregnant woman at 10 weeks presents with mild nausea and vomiting. What is
the most appropriate initial nursing advice?
A. Start IV fluids immediately
B. Encourage small, frequent meals
C. Administer antiemetics routinely
D. Restrict all oral intake
Correct Answer: B
Rationale: Nausea and vomiting in early pregnancy are common; dietary
modification is the first-line management.
2. A woman at 32 weeks gestation presents with painless vaginal bleeding. What is
the most likely diagnosis?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Correct Answer: B
Rationale: Placenta previa presents with painless vaginal bleeding in the third
trimester.
3. Which hormone is responsible for maintaining pregnancy in early gestation?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
,Correct Answer: B
Rationale: Progesterone maintains the uterine lining and prevents contractions in
early pregnancy.
4. A pregnant woman has a blood pressure of 150/100 mmHg and proteinuria.
What condition is suspected?
A. Gestational diabetes
B. Pre-eclampsia
C. Eclampsia
D. Chronic hypertension
Correct Answer: B
Rationale: Hypertension with proteinuria after 20 weeks indicates pre-eclampsia.
5. What is the normal fetal heart rate range?
A. 60–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Correct Answer: C
Rationale: Normal fetal heart rate ranges between 110–160 bpm.
Section B: Scenario-Based Questions
6. A woman in labor has contractions every 3 minutes lasting 60 seconds with
cervical dilation of 6 cm. What stage of labor is she in?
A. Latent phase
B. Active phase
C. Second stage
D. Third stage
,Correct Answer: B
Rationale: Active phase is characterized by 4–7 cm dilation with regular, strong
contractions.
7. A laboring patient develops late decelerations on fetal monitoring. What is the
priority nursing intervention?
A. Increase oxytocin infusion
B. Place the mother in left lateral position
C. Encourage pushing
D. Administer sedatives
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency; repositioning
improves blood flow.
8. A postpartum woman has a firm uterus but continues to bleed heavily. What is
the likely cause?
A. Uterine atony
B. Retained placenta
C. Laceration
D. Infection
Correct Answer: C
Rationale: A firm uterus with bleeding suggests trauma such as cervical or vaginal
lacerations.
9. A newborn has Apgar scores of 3 at 1 minute. What is the priority action?
A. Routine care
B. Immediate resuscitation
C. Feed the newborn
D. Weigh the baby
Correct Answer: B
Rationale: Low Apgar score requires urgent resuscitation to stabilize the newborn.
, 10. A pregnant woman reports decreased fetal movements. What should the nurse
advise first?
A. Ignore it
B. Perform kick count monitoring
C. Immediate cesarean section
D. Increase exercise
Correct Answer: B
Rationale: Kick counts are a simple method to assess fetal well-being.
Section C: Conceptual & Application Questions
11. What is the primary function of the placenta?
A. Produce red blood cells
B. Exchange nutrients and gases
C. Store fat
D. Regulate temperature
Correct Answer: B
Rationale: The placenta facilitates nutrient, oxygen, and waste exchange between
mother and fetus.
12. Which sign is a probable sign of pregnancy?
A. Nausea
B. Amenorrhea
C. Positive pregnancy test
D. Fetal heartbeat
Correct Answer: C
Rationale: A positive pregnancy test is a probable (not definitive) sign.
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Section A: Multiple Choice Questions
1. A pregnant woman at 10 weeks presents with mild nausea and vomiting. What is
the most appropriate initial nursing advice?
A. Start IV fluids immediately
B. Encourage small, frequent meals
C. Administer antiemetics routinely
D. Restrict all oral intake
Correct Answer: B
Rationale: Nausea and vomiting in early pregnancy are common; dietary
modification is the first-line management.
2. A woman at 32 weeks gestation presents with painless vaginal bleeding. What is
the most likely diagnosis?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Correct Answer: B
Rationale: Placenta previa presents with painless vaginal bleeding in the third
trimester.
3. Which hormone is responsible for maintaining pregnancy in early gestation?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
,Correct Answer: B
Rationale: Progesterone maintains the uterine lining and prevents contractions in
early pregnancy.
4. A pregnant woman has a blood pressure of 150/100 mmHg and proteinuria.
What condition is suspected?
A. Gestational diabetes
B. Pre-eclampsia
C. Eclampsia
D. Chronic hypertension
Correct Answer: B
Rationale: Hypertension with proteinuria after 20 weeks indicates pre-eclampsia.
5. What is the normal fetal heart rate range?
A. 60–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Correct Answer: C
Rationale: Normal fetal heart rate ranges between 110–160 bpm.
Section B: Scenario-Based Questions
6. A woman in labor has contractions every 3 minutes lasting 60 seconds with
cervical dilation of 6 cm. What stage of labor is she in?
A. Latent phase
B. Active phase
C. Second stage
D. Third stage
,Correct Answer: B
Rationale: Active phase is characterized by 4–7 cm dilation with regular, strong
contractions.
7. A laboring patient develops late decelerations on fetal monitoring. What is the
priority nursing intervention?
A. Increase oxytocin infusion
B. Place the mother in left lateral position
C. Encourage pushing
D. Administer sedatives
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency; repositioning
improves blood flow.
8. A postpartum woman has a firm uterus but continues to bleed heavily. What is
the likely cause?
A. Uterine atony
B. Retained placenta
C. Laceration
D. Infection
Correct Answer: C
Rationale: A firm uterus with bleeding suggests trauma such as cervical or vaginal
lacerations.
9. A newborn has Apgar scores of 3 at 1 minute. What is the priority action?
A. Routine care
B. Immediate resuscitation
C. Feed the newborn
D. Weigh the baby
Correct Answer: B
Rationale: Low Apgar score requires urgent resuscitation to stabilize the newborn.
, 10. A pregnant woman reports decreased fetal movements. What should the nurse
advise first?
A. Ignore it
B. Perform kick count monitoring
C. Immediate cesarean section
D. Increase exercise
Correct Answer: B
Rationale: Kick counts are a simple method to assess fetal well-being.
Section C: Conceptual & Application Questions
11. What is the primary function of the placenta?
A. Produce red blood cells
B. Exchange nutrients and gases
C. Store fat
D. Regulate temperature
Correct Answer: B
Rationale: The placenta facilitates nutrient, oxygen, and waste exchange between
mother and fetus.
12. Which sign is a probable sign of pregnancy?
A. Nausea
B. Amenorrhea
C. Positive pregnancy test
D. Fetal heartbeat
Correct Answer: C
Rationale: A positive pregnancy test is a probable (not definitive) sign.
