OB NCLEX EXAM 2025/2026 DETAILED QUESTIONS
AND CORRECT ANSWERS GRADED A+
A patient receiving TPN with lipids thru a central line placed in the subclavian vein. Which complication
is most closely associated with this type of fluid administration?
A. Fractured ribs
B. Pneumothorax
C. Mental confusion
D. Allergic reaction
Pneumothorax
A patient who is 28 weeks' gestation undergoes a nonstress test when she noticed that the baby hasn't
moved recently. the results are considered reactive. What does this mean?
A. the baby has normal heart rate accelerations
b. the baby does not have any noted birth defects
c. the baby is most likely neurologically impaired
d. the baby is going to be born preterm
A- NST may be performed on a pregnant patient after approximately 28 weeks' gestation. the NST is
noninvasive and involves monitoring the baby's heart rate and movements for a period of about 30
minutes. A reactive test indicates that the baby has changes in heart rate in response to movement,
which is normal
Which of the following increases the risk of postpartum bleeding in a patient? Select all that apply.
,a. complications during delivery
b. retained placental fragments
c. involution of the uterus
d. administration of oxytocin during delivery
e. precipitous delivery
A, B, E- postpartum hemorrhage is a potential complication following delivery that the nurse must
remain aware of and continue to assess while caring for a postpartum patient. The patient has excess
bleeding following delivery, which include complications during delivery, such as the use of forceps or
vacuum extraction; retained placental fragments, subinvolution of the uterus, use of magnesium sulfate
during labor, and a precipitous delivery
Which of the following demonstrates the effects of chronic stress during pregnancy? Select all that
apply.
a. increased risk of miscarriage
b. low birth weight
c. increased risk of preterm birth
d. decreased bonding and attachment
e. postpartum hemorrhage
A, B, C- chronic stress leads to increased release of the hormone cortisol and chronic inflammation in
the blood vessels. A pregnant patient may have an increased risk of miscarriage early in the pregnancy,
she may deliver a baby who has a low birth weight, and she has an increased risk of preterm birth
a pregnant client is undergoing a laparoscopic cholecystectomy because of severe abdominal pain.
Which of the following factors must the nurse consider when providing care to this patient?
a. remind the patient that there is an increased risk of bleeding with this procedure during pregnancy
b. avoid administering pain medications after surgery to reduce the risk of fetal suppression
, c. tell the patient that it is riskier to delay treatment of gallstones than to have laparoscopic surgery to
correct the situation
d. encourage the patient to limit her fluid intake for 48 hrs prior to surgery
C- pregnancy increases the risk of gallstone development and a percentage of women will need to have
a cholecystectomy during pregnancy for management and prevention of complications. Studies have
shown that the risks of the laparoscopic surgery are less than if the symptomatic patient were left to
manage the gallstones without surgery, which could ultimately lead to significant pain and tissue
necrosis
Which of the following tasks may be delegated to the nursing assistant?
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart
C- When working in L&D the UAP can help with ADLs. They cannot be delegated tasks that require
formulating a care plan, taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a physician for further orders
for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain
C. When caring for postpartum patients, the nurse must be familiar with what conditions are common
occurrences following delivery and what situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and hemorrhage. Excess bleeding may
occur when the uterus is boggy and it does not firm up with massage.
AND CORRECT ANSWERS GRADED A+
A patient receiving TPN with lipids thru a central line placed in the subclavian vein. Which complication
is most closely associated with this type of fluid administration?
A. Fractured ribs
B. Pneumothorax
C. Mental confusion
D. Allergic reaction
Pneumothorax
A patient who is 28 weeks' gestation undergoes a nonstress test when she noticed that the baby hasn't
moved recently. the results are considered reactive. What does this mean?
A. the baby has normal heart rate accelerations
b. the baby does not have any noted birth defects
c. the baby is most likely neurologically impaired
d. the baby is going to be born preterm
A- NST may be performed on a pregnant patient after approximately 28 weeks' gestation. the NST is
noninvasive and involves monitoring the baby's heart rate and movements for a period of about 30
minutes. A reactive test indicates that the baby has changes in heart rate in response to movement,
which is normal
Which of the following increases the risk of postpartum bleeding in a patient? Select all that apply.
,a. complications during delivery
b. retained placental fragments
c. involution of the uterus
d. administration of oxytocin during delivery
e. precipitous delivery
A, B, E- postpartum hemorrhage is a potential complication following delivery that the nurse must
remain aware of and continue to assess while caring for a postpartum patient. The patient has excess
bleeding following delivery, which include complications during delivery, such as the use of forceps or
vacuum extraction; retained placental fragments, subinvolution of the uterus, use of magnesium sulfate
during labor, and a precipitous delivery
Which of the following demonstrates the effects of chronic stress during pregnancy? Select all that
apply.
a. increased risk of miscarriage
b. low birth weight
c. increased risk of preterm birth
d. decreased bonding and attachment
e. postpartum hemorrhage
A, B, C- chronic stress leads to increased release of the hormone cortisol and chronic inflammation in
the blood vessels. A pregnant patient may have an increased risk of miscarriage early in the pregnancy,
she may deliver a baby who has a low birth weight, and she has an increased risk of preterm birth
a pregnant client is undergoing a laparoscopic cholecystectomy because of severe abdominal pain.
Which of the following factors must the nurse consider when providing care to this patient?
a. remind the patient that there is an increased risk of bleeding with this procedure during pregnancy
b. avoid administering pain medications after surgery to reduce the risk of fetal suppression
, c. tell the patient that it is riskier to delay treatment of gallstones than to have laparoscopic surgery to
correct the situation
d. encourage the patient to limit her fluid intake for 48 hrs prior to surgery
C- pregnancy increases the risk of gallstone development and a percentage of women will need to have
a cholecystectomy during pregnancy for management and prevention of complications. Studies have
shown that the risks of the laparoscopic surgery are less than if the symptomatic patient were left to
manage the gallstones without surgery, which could ultimately lead to significant pain and tissue
necrosis
Which of the following tasks may be delegated to the nursing assistant?
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart
C- When working in L&D the UAP can help with ADLs. They cannot be delegated tasks that require
formulating a care plan, taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a physician for further orders
for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain
C. When caring for postpartum patients, the nurse must be familiar with what conditions are common
occurrences following delivery and what situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and hemorrhage. Excess bleeding may
occur when the uterus is boggy and it does not firm up with massage.
