Page 1 of 141
OB2 Questions Exam 2025-2026 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
After teaching the parents of a neonate born with a cleft lip and cleft palate
about appropriate feeding techniques, the nurse determines that the mother
needs further instruction when the mother says makes which statement?
a) "I should feed her in an upright position."
b) "I may need to use a special nipple for feeding."
c) "I need to remember to burp her often."
d) "I should clean her mouth after each feeding."
"I should clean her mouth after each feeding."
Explanation:
It is not necessary to clean the mouth of an infant with an unrepaired cleft palate
after each feeding. The neonate needs to be fed in an upright position to prevent
aspiration. The neonate with a cleft lip and palate commonly swallows large amounts
of air during feeding. Therefore, the neonate needs to be burped frequently to help
eliminate the air and decrease the risk for regurgitation. The neonate with a cleft lip
and palate should be fed with a special soft nipple that fills the cleft and facilitates
sucking.
While assessing a neonate weighing 3,175 g (7 lb) who was born at 39 weeks'
gestation to a primiparous client who admits to opiate use during pregnancy,
which finding would alert the nurse to possible opiate withdrawal?
a) high-pitched cry
b) sluggishness
c) bradycardia
d) hypocalcemia
high-pitched cry
Explanation:
Manifestations of opiate withdrawal in the neonate include an increased central
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nervous system irritability, such as a shrill, high-pitched cry, gastrointestinal
symptoms, and metabolic, vasomotor, and respiratory disturbances. These signs
usually appear within 72 hours and persist for several days. These neonates are
difficult to console, have poor feeding behaviors, and have diarrhea. Bradycardia is
associated with preterm neonates. Sluggishness and lethargy are associated with
neonates whose mothers received analgesia shortly before birth. Hypocalcemia
occurs most commonly in infants of mothers with diabetes, premature infants, and
low-birth weight infants.
In a small rural facility, a nurse is caring for a neonate born to a mother with
diabetes mellitus. The neonate's respiratory rate is 70 breaths/minute, heart
rate 162 beats/minute, and oxygen saturation is 92% on room air. The nurse
obtains a blood glucose level, which is [50 mg/dl (2.8 mmol/L)]. Realizing the
seriousness of the neonate's condition, the pediatrician arranges transfer to a
level III nursery. The social worker asks the nurse what transportation
arrangements are needed. What type of transportation is required?
a) Ambulance with advanced life support capabilities
b) Ambulance from the rural facility manned with emergency medical
technicians
c) Medical helicopter sent to the rural facility from the level III facility
d) Ambulance with transport team from the level III facility
Medical helicopter sent to the rural facility from the level III facility
Correct
Explanation:
The neonate is critically ill and requires immediate transport to the level III facility.
The quickest way to achieve this transfer is by the medical helicopter sent from the
level III facility. The level III facility helicopter is staffed by health care providers who
specialize in caring for critically ill neonates; therefore, care can begin as soon as the
team arrives. An ambulance doesn't provide safe, effective means of transportation
for this critically ill neonate.
While caring for a the postpartum client who is receiving treatment with bed
rest and intravenous heparin therapy for a deep vein thromobosis, the nurse
should contact the client's health care provider (HCP) immediately if the client
exhibited which symptom?
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a) Dyspnea
b) Bradycardia
c) Hypertension
d) Pain in her calf
Dyspnea
Correct
Explanation:
A major complication of deep vein thrombosis is pulmonary embolism. Signs and
symptoms, which may occur suddenly and require immediate treatment, include
dyspnea, severe chest pain, apprehension, cough (possibly accompanied by
hemoptysis), tachycardia, fever, hypotension, diaphoresis, pallor, shortness of
breath, and friction rub. Pain in the calf is common with a diagnosis of deep vein
thrombosis. Hypotension, not hypertension, would suggest a possible pulmonary
embolism. It also could suggest possible hemorrhage secondary to intravenous
heparin therapy. Bradycardia for the first 7 days in the postpartum period is normal.
A 24-year-old primipara decides to breastfeed her baby but says, "I am worried
that I will not be able to breastfeed my baby because my breasts are so small."
What would the nurse include in the explanation to the client?
a) Because her breasts are small, she will have to feed the baby more often.
b) The woman's motivation to breast-feed is more important than breast size.
c) Breast size poses no influence on a woman's ability to breastfeed a baby.
d) Breast milk can be enhanced by occasional formula feeding.
Breast size poses no influence on a woman's ability to breastfeed a baby.
Correct
Explanation:
Breast size is not important as long as there is glandular tissue to secrete the milk,
although various factors can influence milk supply, such as suckling, emptying of the
breasts, diet, exercise, rest, level of contentment, and stress. The fat in breast tissue
plays no role in milk production.
Breastfeeding and formula feeding at the same time can result in nipple confusion.
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The client's belief in her ability to breastfeed is important because women who lack
motivation are more likely to discontinue breastfeeding.
Women with small breasts do not produce less milk. Also, the size of the breast does
not influence the neonate's ability to grasp the nipple. The frequency of feeding is
determined by the baby's needs, not the size of the mother's breasts.
The nurse evaluates the mothering skills of an adolescent primigravida
changing her baby's diaper for the first time. When caring for this client, the
nurse should focus on the client's need for which support?
a) detailed written instructions
b) acceptance by the client's peers
c) praise and encouragement
d) family availability for assistance
praise and encouragement
Explanation:
The adolescent client may have special needs during the postpartum period. Praise
and encouragement of her mothering skills are important for building the client's
confidence and self-esteem.
Although they may be helpful in some instances, detailed written instructions or
prolonged verbal instructions are inappropriate. Lengthy explanations, either verbal
or in writing, may overwhelm the first-time mother, adding to her fears and feelings of
inadequacy.
Family availability is important but not essential. For example, it is not essential that
the client's mother assist her. However, the nurse can instruct the client while her
mother is present.
Peer acceptance is a major component of adolescence, but lack of knowledge or
experience about infant care is unrelated to peer acceptance. The reality of caring
for a neonate may be a crisis for the adolescent.
A 15-year-old client gives birth to a healthy neonate. The neonate's adolescent
father arrives on the unit demanding to see his baby. Both sets of
OB2 Questions Exam 2025-2026 Review GRADED A+ QUESTIONS WIT H CORRECT
ANSWERS GRADED A+ 2025-2026 VERIFIED
After teaching the parents of a neonate born with a cleft lip and cleft palate
about appropriate feeding techniques, the nurse determines that the mother
needs further instruction when the mother says makes which statement?
a) "I should feed her in an upright position."
b) "I may need to use a special nipple for feeding."
c) "I need to remember to burp her often."
d) "I should clean her mouth after each feeding."
"I should clean her mouth after each feeding."
Explanation:
It is not necessary to clean the mouth of an infant with an unrepaired cleft palate
after each feeding. The neonate needs to be fed in an upright position to prevent
aspiration. The neonate with a cleft lip and palate commonly swallows large amounts
of air during feeding. Therefore, the neonate needs to be burped frequently to help
eliminate the air and decrease the risk for regurgitation. The neonate with a cleft lip
and palate should be fed with a special soft nipple that fills the cleft and facilitates
sucking.
While assessing a neonate weighing 3,175 g (7 lb) who was born at 39 weeks'
gestation to a primiparous client who admits to opiate use during pregnancy,
which finding would alert the nurse to possible opiate withdrawal?
a) high-pitched cry
b) sluggishness
c) bradycardia
d) hypocalcemia
high-pitched cry
Explanation:
Manifestations of opiate withdrawal in the neonate include an increased central
, Page 2 of 141
nervous system irritability, such as a shrill, high-pitched cry, gastrointestinal
symptoms, and metabolic, vasomotor, and respiratory disturbances. These signs
usually appear within 72 hours and persist for several days. These neonates are
difficult to console, have poor feeding behaviors, and have diarrhea. Bradycardia is
associated with preterm neonates. Sluggishness and lethargy are associated with
neonates whose mothers received analgesia shortly before birth. Hypocalcemia
occurs most commonly in infants of mothers with diabetes, premature infants, and
low-birth weight infants.
In a small rural facility, a nurse is caring for a neonate born to a mother with
diabetes mellitus. The neonate's respiratory rate is 70 breaths/minute, heart
rate 162 beats/minute, and oxygen saturation is 92% on room air. The nurse
obtains a blood glucose level, which is [50 mg/dl (2.8 mmol/L)]. Realizing the
seriousness of the neonate's condition, the pediatrician arranges transfer to a
level III nursery. The social worker asks the nurse what transportation
arrangements are needed. What type of transportation is required?
a) Ambulance with advanced life support capabilities
b) Ambulance from the rural facility manned with emergency medical
technicians
c) Medical helicopter sent to the rural facility from the level III facility
d) Ambulance with transport team from the level III facility
Medical helicopter sent to the rural facility from the level III facility
Correct
Explanation:
The neonate is critically ill and requires immediate transport to the level III facility.
The quickest way to achieve this transfer is by the medical helicopter sent from the
level III facility. The level III facility helicopter is staffed by health care providers who
specialize in caring for critically ill neonates; therefore, care can begin as soon as the
team arrives. An ambulance doesn't provide safe, effective means of transportation
for this critically ill neonate.
While caring for a the postpartum client who is receiving treatment with bed
rest and intravenous heparin therapy for a deep vein thromobosis, the nurse
should contact the client's health care provider (HCP) immediately if the client
exhibited which symptom?
, Page 3 of 141
a) Dyspnea
b) Bradycardia
c) Hypertension
d) Pain in her calf
Dyspnea
Correct
Explanation:
A major complication of deep vein thrombosis is pulmonary embolism. Signs and
symptoms, which may occur suddenly and require immediate treatment, include
dyspnea, severe chest pain, apprehension, cough (possibly accompanied by
hemoptysis), tachycardia, fever, hypotension, diaphoresis, pallor, shortness of
breath, and friction rub. Pain in the calf is common with a diagnosis of deep vein
thrombosis. Hypotension, not hypertension, would suggest a possible pulmonary
embolism. It also could suggest possible hemorrhage secondary to intravenous
heparin therapy. Bradycardia for the first 7 days in the postpartum period is normal.
A 24-year-old primipara decides to breastfeed her baby but says, "I am worried
that I will not be able to breastfeed my baby because my breasts are so small."
What would the nurse include in the explanation to the client?
a) Because her breasts are small, she will have to feed the baby more often.
b) The woman's motivation to breast-feed is more important than breast size.
c) Breast size poses no influence on a woman's ability to breastfeed a baby.
d) Breast milk can be enhanced by occasional formula feeding.
Breast size poses no influence on a woman's ability to breastfeed a baby.
Correct
Explanation:
Breast size is not important as long as there is glandular tissue to secrete the milk,
although various factors can influence milk supply, such as suckling, emptying of the
breasts, diet, exercise, rest, level of contentment, and stress. The fat in breast tissue
plays no role in milk production.
Breastfeeding and formula feeding at the same time can result in nipple confusion.
, Page 4 of 141
The client's belief in her ability to breastfeed is important because women who lack
motivation are more likely to discontinue breastfeeding.
Women with small breasts do not produce less milk. Also, the size of the breast does
not influence the neonate's ability to grasp the nipple. The frequency of feeding is
determined by the baby's needs, not the size of the mother's breasts.
The nurse evaluates the mothering skills of an adolescent primigravida
changing her baby's diaper for the first time. When caring for this client, the
nurse should focus on the client's need for which support?
a) detailed written instructions
b) acceptance by the client's peers
c) praise and encouragement
d) family availability for assistance
praise and encouragement
Explanation:
The adolescent client may have special needs during the postpartum period. Praise
and encouragement of her mothering skills are important for building the client's
confidence and self-esteem.
Although they may be helpful in some instances, detailed written instructions or
prolonged verbal instructions are inappropriate. Lengthy explanations, either verbal
or in writing, may overwhelm the first-time mother, adding to her fears and feelings of
inadequacy.
Family availability is important but not essential. For example, it is not essential that
the client's mother assist her. However, the nurse can instruct the client while her
mother is present.
Peer acceptance is a major component of adolescence, but lack of knowledge or
experience about infant care is unrelated to peer acceptance. The reality of caring
for a neonate may be a crisis for the adolescent.
A 15-year-old client gives birth to a healthy neonate. The neonate's adolescent
father arrives on the unit demanding to see his baby. Both sets of
