Page 1 of 46
MATERNAL NEWBORN OB FINAL EXAM QUESTIONS
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
D
The perinatal nurse knows that the term to describe a woman at 26 weeks' gestation
with a history of elevated blood pressure who presents with a urine showing 2+
protein (by dipstick) is:
a. Preeclampsia
b. Chronic hypertension
c. Gestational hypertension
d. Chronic hypertension with superimposed preeclampsia
D
A woman in labor and delivery is being given subcutaneous terbutaline for preterm
labor. Which of the following common medication effects would the nurse expect to
see in the mother?
a. Serum potassium level increases
b. Diarrhea
c. Urticaria
d. Complaints of nervousness
A
Which of the following signs or symptoms would the nurse expect to see in a woman
with concealed abruptio placentae?
, Page 2 of 46
a. Increasing abdominal girth measurements
b. Profuse vaginal bleeding
c. Bradycardia with an aortic thrill
d. Hypothermia with chills
C
A woman who has had no prenatal care was assessed and found to have
hydramnios on admission to the labor unit and has since delivered a baby weighing
4500 grams. Which of the following complications of pregnancy likely contributed to
these findings?
a. Pyelonephritis
b. Pregnancy-induced hypertension
c. Gestational diabetes
d. Abruptio placentae
A
or the patient with which of the following medical problems should the nurse question
a physician's order for beta agonist tocolytics?
a. Type 1 diabetes mellitus
b. Cerebral palsy
c. Myelomeningocele
d. Positive group B streptococci culture
D
The nurse is caring for two laboring women. Which of the patients should be
monitored most carefully for signs of placental abruption?
a. The patient with placenta previa
b. The patient whose vagina is colonized with group B streptococci
c. The patient who is hepatitis B surface antigen positive
d. The patient with eclampsia
D
The nurse is caring for a woman at 28 weeks' gestation with a history of preterm
delivery. Which of the following laboratory data should the nurse carefully assess in
relation to this diagnosis?
a. Human relaxin levels
b. Amniotic fluid levels
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c. Alpha-fetoprotein levels
d. Fetal fibronectin levels
D
Which of the following statements is most appropriate for the nurse to say to a
patient with a complete placenta previa?
a. "During the second stage of labor you will need to bear down."
b. "You should ambulate in the halls at least twice each day."
c. "The doctor will likely induce your labor with oxytocin."
d. "Please promptly report if you experience any bleeding or feel any back
discomfort."
C
A woman at 32 weeks' gestation is diagnosed with severe preeclampsia with HELLP
syndrome. The nurse will identify which of the following as a positive patient care
outcome?
a. Rise in serum creatinine
b. Drop in serum protein
c. Resolution of thrombocytopenia
d. Resolution of polycythemia
B
A woman at 10 weeks' gestation is diagnosed with gestational trophoblastic disease
(hydatiform mole). Which of the following findings would the nurse expect to see?
a. Platelet count of 550,000/ mm3
b. Dark brown vaginal bleeding
c. White blood cell count 17,000/ mm3
d. Macular papular rash
C
After an education class, the nurse overhears an adolescent woman discussing safe
sex practices. Which of the following comments by the young woman indicates that
additional teaching about sexually transmitted infection (STI) control issues is
needed?
a. "I could get an STI even if I just have oral sex."
b. "Girls over 16 are less likely to get STDs than younger girls."
c. "The best way to prevent an STI is to use a diaphragm."
d. "Girls get human immunodeficiency virus (HIV) easier than boys do."
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B
A 34-weeks' gestation multigravida, G3 P1 is admitted to the labor suite. She is
contracting every 7 minutes and 40 seconds. The woman has several medical
problems. Which of the following of her comorbidities is most consistent with the
clinical picture?
a. Kyphosis
b. Urinary tract infection
c. Congestive heart failure
d. Cerebral palsy
A
A primiparous woman has been admitted at 35 weeks' gestation and diagnosed with
HELLP syndrome. Which of the following laboratory changes is consistent with this
diagnosis?
a. Hematocrit dropped to 28%.
b. Platelets increased to 300,000 cells/mm3.
c. Red blood cells increased to 5.1 million cells/mm3.
d. Sodium dropped to 132 mEq/dL.
B
A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed
with placenta previa. Which of the following physician orders should the nurse
question?
a. Type and cross-match her blood.
b. Insert an internal fetal monitor electrode.
c. Administer an oral stool softener.
d. Assess her complete blood count.
D
A type 1 diabetic patient has repeatedly experienced elevated serum glucose levels
throughout her pregnancy. Which of the following complications of pregnancy would
the nurse expect to see?
a. Postpartum hemorrhage
b. Neonatal hyperglycemia
c. Postpartum oliguria
d. Neonatal macrosomia
A
MATERNAL NEWBORN OB FINAL EXAM QUESTIONS
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
D
The perinatal nurse knows that the term to describe a woman at 26 weeks' gestation
with a history of elevated blood pressure who presents with a urine showing 2+
protein (by dipstick) is:
a. Preeclampsia
b. Chronic hypertension
c. Gestational hypertension
d. Chronic hypertension with superimposed preeclampsia
D
A woman in labor and delivery is being given subcutaneous terbutaline for preterm
labor. Which of the following common medication effects would the nurse expect to
see in the mother?
a. Serum potassium level increases
b. Diarrhea
c. Urticaria
d. Complaints of nervousness
A
Which of the following signs or symptoms would the nurse expect to see in a woman
with concealed abruptio placentae?
, Page 2 of 46
a. Increasing abdominal girth measurements
b. Profuse vaginal bleeding
c. Bradycardia with an aortic thrill
d. Hypothermia with chills
C
A woman who has had no prenatal care was assessed and found to have
hydramnios on admission to the labor unit and has since delivered a baby weighing
4500 grams. Which of the following complications of pregnancy likely contributed to
these findings?
a. Pyelonephritis
b. Pregnancy-induced hypertension
c. Gestational diabetes
d. Abruptio placentae
A
or the patient with which of the following medical problems should the nurse question
a physician's order for beta agonist tocolytics?
a. Type 1 diabetes mellitus
b. Cerebral palsy
c. Myelomeningocele
d. Positive group B streptococci culture
D
The nurse is caring for two laboring women. Which of the patients should be
monitored most carefully for signs of placental abruption?
a. The patient with placenta previa
b. The patient whose vagina is colonized with group B streptococci
c. The patient who is hepatitis B surface antigen positive
d. The patient with eclampsia
D
The nurse is caring for a woman at 28 weeks' gestation with a history of preterm
delivery. Which of the following laboratory data should the nurse carefully assess in
relation to this diagnosis?
a. Human relaxin levels
b. Amniotic fluid levels
, Page 3 of 46
c. Alpha-fetoprotein levels
d. Fetal fibronectin levels
D
Which of the following statements is most appropriate for the nurse to say to a
patient with a complete placenta previa?
a. "During the second stage of labor you will need to bear down."
b. "You should ambulate in the halls at least twice each day."
c. "The doctor will likely induce your labor with oxytocin."
d. "Please promptly report if you experience any bleeding or feel any back
discomfort."
C
A woman at 32 weeks' gestation is diagnosed with severe preeclampsia with HELLP
syndrome. The nurse will identify which of the following as a positive patient care
outcome?
a. Rise in serum creatinine
b. Drop in serum protein
c. Resolution of thrombocytopenia
d. Resolution of polycythemia
B
A woman at 10 weeks' gestation is diagnosed with gestational trophoblastic disease
(hydatiform mole). Which of the following findings would the nurse expect to see?
a. Platelet count of 550,000/ mm3
b. Dark brown vaginal bleeding
c. White blood cell count 17,000/ mm3
d. Macular papular rash
C
After an education class, the nurse overhears an adolescent woman discussing safe
sex practices. Which of the following comments by the young woman indicates that
additional teaching about sexually transmitted infection (STI) control issues is
needed?
a. "I could get an STI even if I just have oral sex."
b. "Girls over 16 are less likely to get STDs than younger girls."
c. "The best way to prevent an STI is to use a diaphragm."
d. "Girls get human immunodeficiency virus (HIV) easier than boys do."
, Page 4 of 46
B
A 34-weeks' gestation multigravida, G3 P1 is admitted to the labor suite. She is
contracting every 7 minutes and 40 seconds. The woman has several medical
problems. Which of the following of her comorbidities is most consistent with the
clinical picture?
a. Kyphosis
b. Urinary tract infection
c. Congestive heart failure
d. Cerebral palsy
A
A primiparous woman has been admitted at 35 weeks' gestation and diagnosed with
HELLP syndrome. Which of the following laboratory changes is consistent with this
diagnosis?
a. Hematocrit dropped to 28%.
b. Platelets increased to 300,000 cells/mm3.
c. Red blood cells increased to 5.1 million cells/mm3.
d. Sodium dropped to 132 mEq/dL.
B
A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed
with placenta previa. Which of the following physician orders should the nurse
question?
a. Type and cross-match her blood.
b. Insert an internal fetal monitor electrode.
c. Administer an oral stool softener.
d. Assess her complete blood count.
D
A type 1 diabetic patient has repeatedly experienced elevated serum glucose levels
throughout her pregnancy. Which of the following complications of pregnancy would
the nurse expect to see?
a. Postpartum hemorrhage
b. Neonatal hyperglycemia
c. Postpartum oliguria
d. Neonatal macrosomia
A
