OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers &
Rationales
The nurse is caring for a client whose uterine contractions are irregular and of low amplitude, and the
dilatation of the cervix is less than 1 cm per hour. The nurse recognizes this pattern as:
a. Hypotonic labor.
b. Tachysystole labor.
c. Arrest of descent.
d. Normal labor. - (ANSWER)a. Hypotonic labor.
2. The nurse is reviewing the complications of breech presentation in preparation for a prepared
childbirth class. Which of the fetal/neonatal risks associated with breech presentation should she
include? Select all that apply.
a. Birth trauma.
b. Prolapsed cord.
c. Gestational diabetes.
d. Macrosomia. - (ANSWER)a. Birth trauma.
b. Prolapsed cord.
A nurse is admitting a laboring client with a breech presentation to the birthing unit. Where is the most
appropriate place for the nurse to auscultate for fetal heart tones?
a. Below the umbilicus.
b. Lower right maternal quadrant.
c. Above the umbilicus.
d. Midline of the umbilicus. - (ANSWER)c. Above the umbilicus.
4. The nurse is performing a pelvic exam on a laboring client, and discovers a loop of cord in the vagina.
What is the priority nursing action?a. Place client in a side-lying position to increase perfusion.
b. Call the physician or nurse-midwife for emergency delivery.
c. Push the presenting part upward off the umbilical cord.
d. Administer oxygen at 5 L per minute per face mask. - (ANSWER)c. Push the presenting part upward off
the umbilical cord.
,OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers &
Rationales
5. The nurse knows that hypertonic labor contractions, if unresolved, can develop into:
a. Prolonged latent phase.
b. Precipitous delivery.
c. Late decelerations.
d. Persistent occiput posterior. - (ANSWER)a. Prolonged latent phase.
A client arrives in the labor room and says she started contracting 1 hour ago when her water broke. A
vaginal exam reveals the patient to be complete and +2 station. She delivers 15 minutes later. The nurse
understands that this type of labor is classified as:
a. Precipitous labor.
b. Rapid second stage.
c. Dysfunctional birth.
d. Imminent birth. - (ANSWER)a. Precipitous labor.
7. A client is diagnosed during labor as persistent occiput posterior. Which intervention(s) might help?
Select all that apply.
a. Knee-chest position.
b. Sims position.
c. Pelvic rocking.
d. Hands-and-knees (on all fours) position. - (ANSWER)a. Knee-chest position.
c. Pelvic rocking.
d. Hands-and-knees (on all fours) position.
A client of Chinese descent arrives in the labor unit. She indicates she was breech 2 weeks ago and used
"moxa" to change her baby's position. An exam reveals a vertex presentation. The nurse understands
that "moxa" is: (select all that apply)
a. A traditional Chinese medicine.
, OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers &
Rationales
b. A complementary therapy
c. An alternative therapy.
d. A form of quackery. - (ANSWER)a. A traditional Chinese medicine.
b. A complementary therapy
The client is experiencing late decelerations. The nurse understands that this is caused by:
a. Fetal cardiac abnormality.
b. Uteroplacental insufficiency.
c. Umbilical cord compression.
d. Fetal head compression. - (ANSWER)b. Uteroplacental insufficiency.
A client is admitted to the labor area with a pregnancy at 42 weeks' gestation. The nurse knows that this
client is especially at risk for: (select all that apply)
a. Neonatal respiratory depression.
b. Uteroplacental insufficiency.
c. Meconium stained amniotic fluid.
d. Breech presentation. - (ANSWER)b. Uteroplacental insufficiency.
c. Meconium stained amniotic fluid.
A nurse is preparing a prenatal client with a breech presentation for an external cephalic version (ECV).
What condition must be met prior to this procedure?
a. Reactive non-stress test.
b. Mild labor contractions.
c. Fetal breech must be engaged in the pelvis.
d. 34 weeks' gestational age. - (ANSWER)a. Reactive non-stress test.
A nurse in the birthing unit is caring for a client following an amniotomy. What is an appropriate nursing
intervention?
Rationales
The nurse is caring for a client whose uterine contractions are irregular and of low amplitude, and the
dilatation of the cervix is less than 1 cm per hour. The nurse recognizes this pattern as:
a. Hypotonic labor.
b. Tachysystole labor.
c. Arrest of descent.
d. Normal labor. - (ANSWER)a. Hypotonic labor.
2. The nurse is reviewing the complications of breech presentation in preparation for a prepared
childbirth class. Which of the fetal/neonatal risks associated with breech presentation should she
include? Select all that apply.
a. Birth trauma.
b. Prolapsed cord.
c. Gestational diabetes.
d. Macrosomia. - (ANSWER)a. Birth trauma.
b. Prolapsed cord.
A nurse is admitting a laboring client with a breech presentation to the birthing unit. Where is the most
appropriate place for the nurse to auscultate for fetal heart tones?
a. Below the umbilicus.
b. Lower right maternal quadrant.
c. Above the umbilicus.
d. Midline of the umbilicus. - (ANSWER)c. Above the umbilicus.
4. The nurse is performing a pelvic exam on a laboring client, and discovers a loop of cord in the vagina.
What is the priority nursing action?a. Place client in a side-lying position to increase perfusion.
b. Call the physician or nurse-midwife for emergency delivery.
c. Push the presenting part upward off the umbilical cord.
d. Administer oxygen at 5 L per minute per face mask. - (ANSWER)c. Push the presenting part upward off
the umbilical cord.
,OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers &
Rationales
5. The nurse knows that hypertonic labor contractions, if unresolved, can develop into:
a. Prolonged latent phase.
b. Precipitous delivery.
c. Late decelerations.
d. Persistent occiput posterior. - (ANSWER)a. Prolonged latent phase.
A client arrives in the labor room and says she started contracting 1 hour ago when her water broke. A
vaginal exam reveals the patient to be complete and +2 station. She delivers 15 minutes later. The nurse
understands that this type of labor is classified as:
a. Precipitous labor.
b. Rapid second stage.
c. Dysfunctional birth.
d. Imminent birth. - (ANSWER)a. Precipitous labor.
7. A client is diagnosed during labor as persistent occiput posterior. Which intervention(s) might help?
Select all that apply.
a. Knee-chest position.
b. Sims position.
c. Pelvic rocking.
d. Hands-and-knees (on all fours) position. - (ANSWER)a. Knee-chest position.
c. Pelvic rocking.
d. Hands-and-knees (on all fours) position.
A client of Chinese descent arrives in the labor unit. She indicates she was breech 2 weeks ago and used
"moxa" to change her baby's position. An exam reveals a vertex presentation. The nurse understands
that "moxa" is: (select all that apply)
a. A traditional Chinese medicine.
, OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers &
Rationales
b. A complementary therapy
c. An alternative therapy.
d. A form of quackery. - (ANSWER)a. A traditional Chinese medicine.
b. A complementary therapy
The client is experiencing late decelerations. The nurse understands that this is caused by:
a. Fetal cardiac abnormality.
b. Uteroplacental insufficiency.
c. Umbilical cord compression.
d. Fetal head compression. - (ANSWER)b. Uteroplacental insufficiency.
A client is admitted to the labor area with a pregnancy at 42 weeks' gestation. The nurse knows that this
client is especially at risk for: (select all that apply)
a. Neonatal respiratory depression.
b. Uteroplacental insufficiency.
c. Meconium stained amniotic fluid.
d. Breech presentation. - (ANSWER)b. Uteroplacental insufficiency.
c. Meconium stained amniotic fluid.
A nurse is preparing a prenatal client with a breech presentation for an external cephalic version (ECV).
What condition must be met prior to this procedure?
a. Reactive non-stress test.
b. Mild labor contractions.
c. Fetal breech must be engaged in the pelvis.
d. 34 weeks' gestational age. - (ANSWER)a. Reactive non-stress test.
A nurse in the birthing unit is caring for a client following an amniotomy. What is an appropriate nursing
intervention?
