9/25/25, 11:55 AM OB exam 2
OB/PEDS FINAL EXAM 2 LATEST VERSIONS
(VERSION A & B) ACTUAL EXAM EACH VERSION
CONTAINS 140+ QUESTIONS AND CORRECT
DETAILED ANSWERS 2025-2026
intrauterine resuscitation
what are the interventions
for category 3: abnormal
patterns for FHR
interpretations
Continuous assessment of maternal and fetal physiologic
adaptation while they are contracting and dilating
- Vital signs (latent phase- every 30-60mins, active phase- every
15-30mins )
- temp: (latent and active phase: Every 4 hours; more
frequently if membranes are ruptured
what is being done during - contractions: (latent: Every 30-60 minutes by
nursing care: stage 1 (6)
palpation or continuously if EFM, active: Every 15-30
minutes by palpation or continuously if EFM
- FHR: latent- every hour by doppler, active: every 15-30 mins with
doppler
- vaginal exam: latent- initially on admission, active: As needed
/ 1/52
,9/25/25, 11:55 AM OB exam 2
- check bladder every couple of hrs during labor bc
a full bladder can prevent baby rom doing
descending
- room management if theres a bunch of people in the room
-Walking with support from the partner (adds the force
of gravity to contractions to promote fetal descent)
• Slow-dancing position with the partner holding the
woman (adds the force of gravity to contractions and
promotes support from and active participation of
your partner)
• Side-lying with pillows between the knees for comfort
(offers a restful position and improves oxygen flow to
what are the interventions the uterus)
to assure safety and optimal • Semi-sitting in bed or on a couch leaning against the
outcome in nursing care partner (reduces back pain because fetus falls
stage 1 forward, away from the sacrum)
• Sitting in a chair with one foot on the floor and one
on the chair (changes pelvic shape)
• Leaning forward by straddling a chair, a table, or a bed
or kneeling over a birth ball (reduces back pain, adds
the force of gravity to promote descent; possible pain
relief if partner can apply sacral pressure)
• Encourage any position of comfort the woman
chooses to labor in and give birth. • Sitting in a rocking
chair or on a birth ball and shifting weight back and
forth (provides comfort because rocking motion is
soothing; uses the force of gravity to help fetal
descent)
• Lunge by rocking weight back and forth with foot up
on chair during contraction (uses force of gravity by
being upright; enhances rotation of fetus through
rocking)
• Women should be allowed to position themselves in
whatever position they find most comfortable.
• Open knee–chest position (helps relieve back discomfort)
what is the anticipatory and ◦ Procedures
guidance / teaching for ◦ Upcoming physical & emotional challenges
/ 2/52
,9/25/25, 11:55 AM OB exam 2
Nursing Care: Stage 1 (2)
what do you do for ◦ Positioning & ambulation
promoting comfort and ◦ Non-pharmacologic: breathing, massage/pressure, heat/cold,
provide pain management ◦ Pharmacologic methods
during Nursing Care: Stage 1
(3)
s a small, portable device to
send low electrical currents
what is the TENS machine
through electrodes placed on
the skin to stimulate nerves
and relieve pain
using a traditional Mexican
shawl, or rebozo, that can
what is the rebozo technique
relieve pain, relax muscles,
support the abdomen and hips,
and encourage optimal fetal
positioning during pregnancy
and birth
/ 3/52
, 9/25/25, 11:55 AM OB exam 2
◦ Systemic analgesics*-
opioids, anti-metics ,
benzodiazepines
◦ Epidural, epidural-spinal
◦ Spinal nerve block
what are the Pharmacologic
◦ Local anesthesia (perineum)-
Pain Methods for Vaginal
after getting stiched up or
Birth (5)
episiotomy
◦ Pudendal nerve block (saddle
block)- injecting anesthetic
near the pudendal nerve to
numb the area it supplies,
including the genitals, anus, and
perineum
◦ Spinal block anesthesia
what are the Pharmacologic ◦ Epidural block anesthesia
Pain Methods for C section ◦ General anesthesia- for emergency C section
- inhaled nitrusoxide
◦ Gather equipment and explain procedure
◦ Assist with positioning patient-
can give a bolus before hand bc
the most common SE is
maternal hypotension (baby
what is the nursing care for
HR decreases)
Epidural/Spinal ◦ Ensure IV fluid preparation and maintenance
Analgesia/Anesthesia (7) ◦ Support patient & promote
comfort during procedure
◦ Assist with position post
procedure (back, HOB up*,
wedge Rt hip)
◦ Monitor* v/s & fetus
◦ Documentation
- pushing
◦ Typical signs of second stage 2 (is she dilated)
◦ Contraction frequency - 2-3 mins, duration- 60 sec)
what is the nursing care : intensity - strong (one on top of the other)
stage 2 ◦ Maternal vital signs
- what is the assessment (6) ◦ Fetal response to pushing via FHR monitoring- can gave a
deceleration
/ 4/52
OB/PEDS FINAL EXAM 2 LATEST VERSIONS
(VERSION A & B) ACTUAL EXAM EACH VERSION
CONTAINS 140+ QUESTIONS AND CORRECT
DETAILED ANSWERS 2025-2026
intrauterine resuscitation
what are the interventions
for category 3: abnormal
patterns for FHR
interpretations
Continuous assessment of maternal and fetal physiologic
adaptation while they are contracting and dilating
- Vital signs (latent phase- every 30-60mins, active phase- every
15-30mins )
- temp: (latent and active phase: Every 4 hours; more
frequently if membranes are ruptured
what is being done during - contractions: (latent: Every 30-60 minutes by
nursing care: stage 1 (6)
palpation or continuously if EFM, active: Every 15-30
minutes by palpation or continuously if EFM
- FHR: latent- every hour by doppler, active: every 15-30 mins with
doppler
- vaginal exam: latent- initially on admission, active: As needed
/ 1/52
,9/25/25, 11:55 AM OB exam 2
- check bladder every couple of hrs during labor bc
a full bladder can prevent baby rom doing
descending
- room management if theres a bunch of people in the room
-Walking with support from the partner (adds the force
of gravity to contractions to promote fetal descent)
• Slow-dancing position with the partner holding the
woman (adds the force of gravity to contractions and
promotes support from and active participation of
your partner)
• Side-lying with pillows between the knees for comfort
(offers a restful position and improves oxygen flow to
what are the interventions the uterus)
to assure safety and optimal • Semi-sitting in bed or on a couch leaning against the
outcome in nursing care partner (reduces back pain because fetus falls
stage 1 forward, away from the sacrum)
• Sitting in a chair with one foot on the floor and one
on the chair (changes pelvic shape)
• Leaning forward by straddling a chair, a table, or a bed
or kneeling over a birth ball (reduces back pain, adds
the force of gravity to promote descent; possible pain
relief if partner can apply sacral pressure)
• Encourage any position of comfort the woman
chooses to labor in and give birth. • Sitting in a rocking
chair or on a birth ball and shifting weight back and
forth (provides comfort because rocking motion is
soothing; uses the force of gravity to help fetal
descent)
• Lunge by rocking weight back and forth with foot up
on chair during contraction (uses force of gravity by
being upright; enhances rotation of fetus through
rocking)
• Women should be allowed to position themselves in
whatever position they find most comfortable.
• Open knee–chest position (helps relieve back discomfort)
what is the anticipatory and ◦ Procedures
guidance / teaching for ◦ Upcoming physical & emotional challenges
/ 2/52
,9/25/25, 11:55 AM OB exam 2
Nursing Care: Stage 1 (2)
what do you do for ◦ Positioning & ambulation
promoting comfort and ◦ Non-pharmacologic: breathing, massage/pressure, heat/cold,
provide pain management ◦ Pharmacologic methods
during Nursing Care: Stage 1
(3)
s a small, portable device to
send low electrical currents
what is the TENS machine
through electrodes placed on
the skin to stimulate nerves
and relieve pain
using a traditional Mexican
shawl, or rebozo, that can
what is the rebozo technique
relieve pain, relax muscles,
support the abdomen and hips,
and encourage optimal fetal
positioning during pregnancy
and birth
/ 3/52
, 9/25/25, 11:55 AM OB exam 2
◦ Systemic analgesics*-
opioids, anti-metics ,
benzodiazepines
◦ Epidural, epidural-spinal
◦ Spinal nerve block
what are the Pharmacologic
◦ Local anesthesia (perineum)-
Pain Methods for Vaginal
after getting stiched up or
Birth (5)
episiotomy
◦ Pudendal nerve block (saddle
block)- injecting anesthetic
near the pudendal nerve to
numb the area it supplies,
including the genitals, anus, and
perineum
◦ Spinal block anesthesia
what are the Pharmacologic ◦ Epidural block anesthesia
Pain Methods for C section ◦ General anesthesia- for emergency C section
- inhaled nitrusoxide
◦ Gather equipment and explain procedure
◦ Assist with positioning patient-
can give a bolus before hand bc
the most common SE is
maternal hypotension (baby
what is the nursing care for
HR decreases)
Epidural/Spinal ◦ Ensure IV fluid preparation and maintenance
Analgesia/Anesthesia (7) ◦ Support patient & promote
comfort during procedure
◦ Assist with position post
procedure (back, HOB up*,
wedge Rt hip)
◦ Monitor* v/s & fetus
◦ Documentation
- pushing
◦ Typical signs of second stage 2 (is she dilated)
◦ Contraction frequency - 2-3 mins, duration- 60 sec)
what is the nursing care : intensity - strong (one on top of the other)
stage 2 ◦ Maternal vital signs
- what is the assessment (6) ◦ Fetal response to pushing via FHR monitoring- can gave a
deceleration
/ 4/52
