OB - EXAM 3| COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+|
2025/2026 LATEST UPDATE
A common indication for an urgent surgical birth includes:
A. Fetal intolerance of labor
B. Posterior vertex position
C. Failed assisted vaginal birth without fetal stress
D. Maternal request for the procedure A
At an antepartum office visit late in her third term, a patient tells the nurse that several of her
friends have had cesarean sections in the past year or two. She asks why cesarean births are
typically performed. Which of the following should the nurse mention as primary indications for
cesarean birth?
A. Previous cesarean birth
B. Ineffective uterine contractionS
C. Cephalopelvic disproportion
D. Breech presentation
E. Vertex presentation A, B, C, D
A. Previous cesarean birth is a major indication for repeat cesarean birth, due in large part to
the perception of increased risks of a vaginal birth after cesarean, such as for uterine rupture.
B. Ineffective uterine contractions that lead to prolonged first stage of labor are an indication
for cesarean birth.
,C. Cephalopelvic disproportion, in which the fetal head does not fit properly through the
woman's pelvis, is an indication for cesarean birth.
D. Malpresentation or malposition of the fetus, such as breech presentation, transverse lie, or
persistent occiput posterior position, is an indication for cesarean birth.
A woman is recovering from cesarean section in the labor and birthing recovery unit. During
surgery, the woman received intrathecal morphine for postoperative pain management. Which
of the following complications related to morphine should the nurse expect to find in this
patient?
A. Hypertension
B. Pruritus
C. Nausea and vomiting
D. Lower back pain
E. Urinary retention B, C, E
The primary side effects of intrathecal morphine are pruritus (itching), nausea and vomiting,
urinary retention, and respiratory depression.
A nurse is assisting a woman in labor who has just learned that her fetus is in persistent occiput
posterior position. The primary care provider is recommending cesarean section. The nurse
recognizes that this cesarean birth is an example of which type?
A. Emergent
B. Urgent.
C. Nonurgent
,D. On maternal request B
Urgent cesarean birth indicates a need for rapid delivery of the fetus such as with
malpresentation diagnosed after labor has begun (which is the case here) or placenta previa
with mild bleeding and with normal Category 1 fetal heart rate.
A nurse is assisting a patient recovering from cesarean section with breastfeeding her newborn.
Which position should the nurse recommend to the patient to prevent pressure on the
abdomen during breastfeeding?
A. Side-lying.
B. Semi-recumbent
C. Supine
D. Sitting A
The nurse should assist the patient into a comfortable position for infant feeding. Breastfeeding
mothers may be more comfortable in a side-lying position, or football hold, which prevents
pressure on the abdomen.
A woman is recovering from a cesarean birth in a labor and birthing recovery unit. Her partner
asks the nurse how long it will take her to recover from the surgery. Which of the following
should the nurse say?
A. 2 weeks
B. 4 weeks
C. 6 weeks.
, D. 8 weeks C
Instruct the family that they need to assist the woman with infant care and housework, as she
needs 6 weeks to recover from surgery.
A woman has just begun emergency cesarean birth when she complains of ringing in her ears, a
metallic taste in her mouth, and a feeling like she is about to pass out. Which of the following
complications of cesarean birth should the nurse most suspect in this case?
A. Maternal respiratory depression related to anesthesia
B. Inadvertent injection of the anesthetic agent into the maternal bloodstream.
C. An allergic reaction to the anesthesia
D. Trauma to the bowel and subsequent hemorrhage B
When the anesthetic agent is inadvertently injected into the maternal bloodstream, the woman
experiences ringing in her ears, a metallic taste in her mouth, and hypotension that can lead to
unconsciousness and cardiac arrest.
A nurse is preparing a patient for a scheduled cesarean birth. Shortly before the procedure, the
nurse administers an anticoagulant to the patient, per the primary care provider's instructions.
Which of the following is the appropriate rationale for this intervention?
A. To reduce the risk of bacterial infection in all women
B. To decrease blood pressure in women who are hypertensive
C. To reduce the risk of venous thromboembolism in women who are prone to thrombosis.
2025/2026 LATEST UPDATE
A common indication for an urgent surgical birth includes:
A. Fetal intolerance of labor
B. Posterior vertex position
C. Failed assisted vaginal birth without fetal stress
D. Maternal request for the procedure A
At an antepartum office visit late in her third term, a patient tells the nurse that several of her
friends have had cesarean sections in the past year or two. She asks why cesarean births are
typically performed. Which of the following should the nurse mention as primary indications for
cesarean birth?
A. Previous cesarean birth
B. Ineffective uterine contractionS
C. Cephalopelvic disproportion
D. Breech presentation
E. Vertex presentation A, B, C, D
A. Previous cesarean birth is a major indication for repeat cesarean birth, due in large part to
the perception of increased risks of a vaginal birth after cesarean, such as for uterine rupture.
B. Ineffective uterine contractions that lead to prolonged first stage of labor are an indication
for cesarean birth.
,C. Cephalopelvic disproportion, in which the fetal head does not fit properly through the
woman's pelvis, is an indication for cesarean birth.
D. Malpresentation or malposition of the fetus, such as breech presentation, transverse lie, or
persistent occiput posterior position, is an indication for cesarean birth.
A woman is recovering from cesarean section in the labor and birthing recovery unit. During
surgery, the woman received intrathecal morphine for postoperative pain management. Which
of the following complications related to morphine should the nurse expect to find in this
patient?
A. Hypertension
B. Pruritus
C. Nausea and vomiting
D. Lower back pain
E. Urinary retention B, C, E
The primary side effects of intrathecal morphine are pruritus (itching), nausea and vomiting,
urinary retention, and respiratory depression.
A nurse is assisting a woman in labor who has just learned that her fetus is in persistent occiput
posterior position. The primary care provider is recommending cesarean section. The nurse
recognizes that this cesarean birth is an example of which type?
A. Emergent
B. Urgent.
C. Nonurgent
,D. On maternal request B
Urgent cesarean birth indicates a need for rapid delivery of the fetus such as with
malpresentation diagnosed after labor has begun (which is the case here) or placenta previa
with mild bleeding and with normal Category 1 fetal heart rate.
A nurse is assisting a patient recovering from cesarean section with breastfeeding her newborn.
Which position should the nurse recommend to the patient to prevent pressure on the
abdomen during breastfeeding?
A. Side-lying.
B. Semi-recumbent
C. Supine
D. Sitting A
The nurse should assist the patient into a comfortable position for infant feeding. Breastfeeding
mothers may be more comfortable in a side-lying position, or football hold, which prevents
pressure on the abdomen.
A woman is recovering from a cesarean birth in a labor and birthing recovery unit. Her partner
asks the nurse how long it will take her to recover from the surgery. Which of the following
should the nurse say?
A. 2 weeks
B. 4 weeks
C. 6 weeks.
, D. 8 weeks C
Instruct the family that they need to assist the woman with infant care and housework, as she
needs 6 weeks to recover from surgery.
A woman has just begun emergency cesarean birth when she complains of ringing in her ears, a
metallic taste in her mouth, and a feeling like she is about to pass out. Which of the following
complications of cesarean birth should the nurse most suspect in this case?
A. Maternal respiratory depression related to anesthesia
B. Inadvertent injection of the anesthetic agent into the maternal bloodstream.
C. An allergic reaction to the anesthesia
D. Trauma to the bowel and subsequent hemorrhage B
When the anesthetic agent is inadvertently injected into the maternal bloodstream, the woman
experiences ringing in her ears, a metallic taste in her mouth, and hypotension that can lead to
unconsciousness and cardiac arrest.
A nurse is preparing a patient for a scheduled cesarean birth. Shortly before the procedure, the
nurse administers an anticoagulant to the patient, per the primary care provider's instructions.
Which of the following is the appropriate rationale for this intervention?
A. To reduce the risk of bacterial infection in all women
B. To decrease blood pressure in women who are hypertensive
C. To reduce the risk of venous thromboembolism in women who are prone to thrombosis.
