1
OB Final Prep U 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
1. When caring for a pregnant woman with cardiac problems,
the nurse must be alert for the signs and symptoms of cardiac
decompensation. Which critical findings would the nurse find
on assessment of the client experiencing this condition?
© 2026 Assignment
a. Regular heart rate and hypertension
Guru01 - Stuvia
b. Increased urinary output, tachycardia, and dry cough
Expert
c. Shortness of breath, bradycardia, and hypertension
d. Dyspnea, crackles, and an irregular, weak pulse Ans: : D
Signs of cardiac decompensation include dyspnea; crackles; an
irregular, weak, and rapid pulse; rapid respirations; a moist
and frequent cough; generalized edema; increasing fatigue;
and cyanosis of the lips and nailbeds. A regular heart rate and
hypertension are not generally associated with cardiac
decompensation. Of the symptoms of increased urinary
output, tachycardia, and dry cough, only tachycardia is
indicative of cardiac decompensation. Of the symptoms of
shortness of breath, bradycardia, and hypertension, only
dyspnea is indicative of cardiac decompensation.
DIF: Cognitive Level: Understand REF: p. 716
TOP: Nursing Process: Assessment
, 2
2. Which condition would require prophylaxis to prevent
subacute bacterial endocarditis (SBE) both antepartum and
intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
© 2026 Assignment
d. Postmyocardial infarction Ans: : A
Guru01 - Stuvia
Prophylaxis for intrapartum endocarditis and pulmonary
Expert
infection may be provided for women who have mitral valve
prolapse. Prophylaxis for intrapartum endocarditis is not
indicated for a client with congestive heart disease, underlying
arrhythmias, or postmyocardial infarction.
DIF: Cognitive Level: Understand REF: p. 712
TOP: Nursing Process: Implementation
3. Which information should the nurse take into consideration
when planning care for a postpartum client with cardiac
disease?
a. The plan of care for a postpartum client is the same as the
plan for any pregnant woman.
b. The plan of care includes rest, stool softeners, and
monitoring of the effect of activity.
c. The plan of care includes frequent ambulating, alternating
with active range-of-motion exercises.
, 3
d. The plan of care includes limiting visits with the infant to
once per day. Ans: : B
Bed rest may be ordered, with or without bathroom privileges.
Bowel movements without stress or strain for the woman are
promoted with stool softeners, diet, and fluids. Care of the
woman with cardiac disease in the postpartum period is
tailored to the woman's functional capacity. The woman will be
on bed rest to conserve energy and to reduce the strain on the
heart. Although the woman may need help caring for the
infant, breastfeeding and infant visits are not contraindicated.
© 2026 Assignment
DIF: Cognitive Level: Understand REF: pp. 718-719 TOP:
Guru01 - Stuvia
Nursing Process: Planning
Expert
4. A woman has experienced iron deficiency anemia during her
pregnancy. She had been taking iron for 3 months before the
birth. The client gave birth by cesarean 2 days earlier and has
been having problems with constipation. After assisting her
back to bed from the bathroom, the nurse notes that the
woman's stools are dark (greenish-black). What should the
nurse's initial action be?
a. Perform a guaiac test, and record the results.
b. Recognize the finding as abnormal, and report it to the
primary health care provider.
c. Recognize the finding as a normal result of iron therapy.
d. Check the woman's next stool to validate the observation.
Ans: : C
The nurse should recognize that dark stools are a common
side effect in clients who are taking iron replacement therapy.
, 4
A guaiac test would be indicated if gastrointestinal (GI)
bleeding was suspected. GI irritation, including dark stools, is
also a common side effect of iron therapy. Observation of
stool formation is a normal nursing activity.
DIF: Cognitive Level: Apply REF: p. 716 TOP: Nursing Process:
Evaluation
5. A woman with asthma is experiencing a postpartum
hemorrhage. Which drug should be avoided when treating
postpartum bleeding to avoid exacerbating asthma?
© 2026 Assignment
a. Oxytocin (Pitocin)
Guru01 - Stuvia
Expert
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl Ans: : C
Prostaglandin derivatives should not be used to treat women
with asthma, because they may exacerbate symptoms.
Oxytocin is the drug of choice to treat this woman's bleeding;
it will not exacerbate her asthma. NSAIDs are not used to treat
bleeding. Fentanyl is used to treat pain, not bleeding.
DIF: Cognitive Level: Analyze REF: p. 722 TOP: Nursing Process:
Planning
6. Which important component of nutritional counseling
should the nurse include in health teaching for a pregnant
woman who is experiencing cholecystitis?
a. Assess the woman's dietary history for adequate calories
and proteins.
OB Final Prep U 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
1. When caring for a pregnant woman with cardiac problems,
the nurse must be alert for the signs and symptoms of cardiac
decompensation. Which critical findings would the nurse find
on assessment of the client experiencing this condition?
© 2026 Assignment
a. Regular heart rate and hypertension
Guru01 - Stuvia
b. Increased urinary output, tachycardia, and dry cough
Expert
c. Shortness of breath, bradycardia, and hypertension
d. Dyspnea, crackles, and an irregular, weak pulse Ans: : D
Signs of cardiac decompensation include dyspnea; crackles; an
irregular, weak, and rapid pulse; rapid respirations; a moist
and frequent cough; generalized edema; increasing fatigue;
and cyanosis of the lips and nailbeds. A regular heart rate and
hypertension are not generally associated with cardiac
decompensation. Of the symptoms of increased urinary
output, tachycardia, and dry cough, only tachycardia is
indicative of cardiac decompensation. Of the symptoms of
shortness of breath, bradycardia, and hypertension, only
dyspnea is indicative of cardiac decompensation.
DIF: Cognitive Level: Understand REF: p. 716
TOP: Nursing Process: Assessment
, 2
2. Which condition would require prophylaxis to prevent
subacute bacterial endocarditis (SBE) both antepartum and
intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
© 2026 Assignment
d. Postmyocardial infarction Ans: : A
Guru01 - Stuvia
Prophylaxis for intrapartum endocarditis and pulmonary
Expert
infection may be provided for women who have mitral valve
prolapse. Prophylaxis for intrapartum endocarditis is not
indicated for a client with congestive heart disease, underlying
arrhythmias, or postmyocardial infarction.
DIF: Cognitive Level: Understand REF: p. 712
TOP: Nursing Process: Implementation
3. Which information should the nurse take into consideration
when planning care for a postpartum client with cardiac
disease?
a. The plan of care for a postpartum client is the same as the
plan for any pregnant woman.
b. The plan of care includes rest, stool softeners, and
monitoring of the effect of activity.
c. The plan of care includes frequent ambulating, alternating
with active range-of-motion exercises.
, 3
d. The plan of care includes limiting visits with the infant to
once per day. Ans: : B
Bed rest may be ordered, with or without bathroom privileges.
Bowel movements without stress or strain for the woman are
promoted with stool softeners, diet, and fluids. Care of the
woman with cardiac disease in the postpartum period is
tailored to the woman's functional capacity. The woman will be
on bed rest to conserve energy and to reduce the strain on the
heart. Although the woman may need help caring for the
infant, breastfeeding and infant visits are not contraindicated.
© 2026 Assignment
DIF: Cognitive Level: Understand REF: pp. 718-719 TOP:
Guru01 - Stuvia
Nursing Process: Planning
Expert
4. A woman has experienced iron deficiency anemia during her
pregnancy. She had been taking iron for 3 months before the
birth. The client gave birth by cesarean 2 days earlier and has
been having problems with constipation. After assisting her
back to bed from the bathroom, the nurse notes that the
woman's stools are dark (greenish-black). What should the
nurse's initial action be?
a. Perform a guaiac test, and record the results.
b. Recognize the finding as abnormal, and report it to the
primary health care provider.
c. Recognize the finding as a normal result of iron therapy.
d. Check the woman's next stool to validate the observation.
Ans: : C
The nurse should recognize that dark stools are a common
side effect in clients who are taking iron replacement therapy.
, 4
A guaiac test would be indicated if gastrointestinal (GI)
bleeding was suspected. GI irritation, including dark stools, is
also a common side effect of iron therapy. Observation of
stool formation is a normal nursing activity.
DIF: Cognitive Level: Apply REF: p. 716 TOP: Nursing Process:
Evaluation
5. A woman with asthma is experiencing a postpartum
hemorrhage. Which drug should be avoided when treating
postpartum bleeding to avoid exacerbating asthma?
© 2026 Assignment
a. Oxytocin (Pitocin)
Guru01 - Stuvia
Expert
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl Ans: : C
Prostaglandin derivatives should not be used to treat women
with asthma, because they may exacerbate symptoms.
Oxytocin is the drug of choice to treat this woman's bleeding;
it will not exacerbate her asthma. NSAIDs are not used to treat
bleeding. Fentanyl is used to treat pain, not bleeding.
DIF: Cognitive Level: Analyze REF: p. 722 TOP: Nursing Process:
Planning
6. Which important component of nutritional counseling
should the nurse include in health teaching for a pregnant
woman who is experiencing cholecystitis?
a. Assess the woman's dietary history for adequate calories
and proteins.
