OB NURS 306 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What is en face position?.
Answer: Parent looking directly into infant's face — bonding behavior
◍ What is the best indicator of bladder distention postpartum?.
Answer: Fundus displaced upward/right
◍ What is the safest sleep environment for newborns?.
Answer: Alone, on back, firm mattress, no blankets/pillows
◍ What are the risk factors associated with Neural Tube Defects? (7):.
Answer: - Maternal malnutrition- Maternal medication/substance use or
abuse- Insufficient Folic Acid- Radiation/Chemical exposure- Genetics-
Maternal DM- Maternal Obesity
◍ What is the most common physical neuromuscular disability in childhood?.
Answer: Cerebral Palsy
◍ Why are stool softeners important postpartum?.
Answer: Prevents straining, especially after tears or C-section
◍ What is the primary sign of hypovolemic shock post-PPH?.
Answer: Tachycardia
◍ What is the first breast milk called, and when does it occur?.
Answer: Colostrum; first 2-3 days postpartum.
◍ Describe Guillain-Barre syndrome (1):.
Answer: Rapidly ascending paralysis (ground to brain)
◍ What is the golden hour?.
Answer: First 60 minutes — ideal for skin-to-skin and first feed
◍ How to treat yeast on nipples?.
, Answer: Antifungal cream for mom + baby simultaneously
◍ What should be promoted among pregnant women to help prevent Neural
Tube Defects in babies?.
Answer: - Adequate Folic Acid intake*PRENATAL VITAMINS
◍ What is the first intervention for postpartum hemorrhage?.
Answer: Fundal massage
◍ What are the S/SX of Botulism? (4):.
Answer: - N/V- Visual Changes- Poor feeding > poor weight gain
◍ What is included in the assessment of a patient with Cerebral Palsy? (6):.
Answer: - Failure to meet milestones- Poor head control- Presence of
primitive reflexes- Seizures- Vision, speech, hearing impairment- Poor suck,
gag/choke with feedings
◍ What is included in the pharmacologic treatment of a patient with Cerebral
Palsy? (4):.
Answer: - Baclofen (muscle relaxer)- Diazepam (CNS relaxant)- Botulinum
toxin A (secretion management)- Antiepileptics (patients are at high risk for
seizures)
◍ What are the nursing interventions/assessments for Neural Tube Defects?
(4):.
Answer: - Neuro exam, skin assessment- Repositioning (ROM)- Measure
HC (increased ICP)- Monitor bowel and bladder function (straight
catheterization and bowel regimen)
◍ What is the pharmacological treatment of juvenile idiopathic arthritis? (4):.
Answer: - NSAIDS- Methotrexate- Corticosteroids-
Etanercept*ANTIINFLAMMATORIES!
◍ How is Botulism acquired in children? (3):.
Answer: - Honey- Spores- Dented canned foods
◍ Describe the Neural Tube Defect: Encephalocele.
Answer: A portion of the brain itself protrudes through openings in the skull
, ◍ What are the two main risks immediately associated with postpartum
reproductive system changes?.
Answer: Hemorrhage and infection.
◍ What immunologic change occurs postpartum?.
Answer: Gradual return of immune system to normal
◍ What is the best indicator of effective uterine involution?.
Answer: Firm midline fundus
◍ What are the risk factors associated with Cerebral Palsy? (5):.
Answer: - Traumatic birth- Premature birth (ex: VLBW newborns)-
Placental insufficiencies - Kernicterus (Hyperbilirubinemia >
encephalitis/brain damage)- Maternal infection (ex: Chorioamnionitis)
◍ What are signs of newborn hypoglycemia?.
Answer: Jittery, weak cry, poor feeding, lethargic
◍ Describe Spinal Cord Injury (2):.
Answer: - Associated with neuroTRAUMA- Monitor for respiratory
distress, cerebral edema, and autonomic dysreflexia (if T6 or above)
◍ What type of lochia is expected at 1 week postpartum?.
Answer: Lochia serosa
◍ What is the Taking-In phase?.
Answer: Mother relies on others, focused on her own needs
◍ Describe the Neural Tube Defect: Spina bifida with meningocele.
Answer: Sac of CSF
◍ Describe the Neural Tube Defect: Anecephaly.
Answer: Lacking parts of the brain and skull
◍ What is the normal newborn blood glucose range?.
Answer: 40-60 mg/dL (70 after feeding)
◍ What postpartum hemorrhage med is contraindicated in hypertension?.
Answer: Methergine
QUESTIONS WITH ANSWERS GRADED A+
◍ What is en face position?.
Answer: Parent looking directly into infant's face — bonding behavior
◍ What is the best indicator of bladder distention postpartum?.
Answer: Fundus displaced upward/right
◍ What is the safest sleep environment for newborns?.
Answer: Alone, on back, firm mattress, no blankets/pillows
◍ What are the risk factors associated with Neural Tube Defects? (7):.
Answer: - Maternal malnutrition- Maternal medication/substance use or
abuse- Insufficient Folic Acid- Radiation/Chemical exposure- Genetics-
Maternal DM- Maternal Obesity
◍ What is the most common physical neuromuscular disability in childhood?.
Answer: Cerebral Palsy
◍ Why are stool softeners important postpartum?.
Answer: Prevents straining, especially after tears or C-section
◍ What is the primary sign of hypovolemic shock post-PPH?.
Answer: Tachycardia
◍ What is the first breast milk called, and when does it occur?.
Answer: Colostrum; first 2-3 days postpartum.
◍ Describe Guillain-Barre syndrome (1):.
Answer: Rapidly ascending paralysis (ground to brain)
◍ What is the golden hour?.
Answer: First 60 minutes — ideal for skin-to-skin and first feed
◍ How to treat yeast on nipples?.
, Answer: Antifungal cream for mom + baby simultaneously
◍ What should be promoted among pregnant women to help prevent Neural
Tube Defects in babies?.
Answer: - Adequate Folic Acid intake*PRENATAL VITAMINS
◍ What is the first intervention for postpartum hemorrhage?.
Answer: Fundal massage
◍ What are the S/SX of Botulism? (4):.
Answer: - N/V- Visual Changes- Poor feeding > poor weight gain
◍ What is included in the assessment of a patient with Cerebral Palsy? (6):.
Answer: - Failure to meet milestones- Poor head control- Presence of
primitive reflexes- Seizures- Vision, speech, hearing impairment- Poor suck,
gag/choke with feedings
◍ What is included in the pharmacologic treatment of a patient with Cerebral
Palsy? (4):.
Answer: - Baclofen (muscle relaxer)- Diazepam (CNS relaxant)- Botulinum
toxin A (secretion management)- Antiepileptics (patients are at high risk for
seizures)
◍ What are the nursing interventions/assessments for Neural Tube Defects?
(4):.
Answer: - Neuro exam, skin assessment- Repositioning (ROM)- Measure
HC (increased ICP)- Monitor bowel and bladder function (straight
catheterization and bowel regimen)
◍ What is the pharmacological treatment of juvenile idiopathic arthritis? (4):.
Answer: - NSAIDS- Methotrexate- Corticosteroids-
Etanercept*ANTIINFLAMMATORIES!
◍ How is Botulism acquired in children? (3):.
Answer: - Honey- Spores- Dented canned foods
◍ Describe the Neural Tube Defect: Encephalocele.
Answer: A portion of the brain itself protrudes through openings in the skull
, ◍ What are the two main risks immediately associated with postpartum
reproductive system changes?.
Answer: Hemorrhage and infection.
◍ What immunologic change occurs postpartum?.
Answer: Gradual return of immune system to normal
◍ What is the best indicator of effective uterine involution?.
Answer: Firm midline fundus
◍ What are the risk factors associated with Cerebral Palsy? (5):.
Answer: - Traumatic birth- Premature birth (ex: VLBW newborns)-
Placental insufficiencies - Kernicterus (Hyperbilirubinemia >
encephalitis/brain damage)- Maternal infection (ex: Chorioamnionitis)
◍ What are signs of newborn hypoglycemia?.
Answer: Jittery, weak cry, poor feeding, lethargic
◍ Describe Spinal Cord Injury (2):.
Answer: - Associated with neuroTRAUMA- Monitor for respiratory
distress, cerebral edema, and autonomic dysreflexia (if T6 or above)
◍ What type of lochia is expected at 1 week postpartum?.
Answer: Lochia serosa
◍ What is the Taking-In phase?.
Answer: Mother relies on others, focused on her own needs
◍ Describe the Neural Tube Defect: Spina bifida with meningocele.
Answer: Sac of CSF
◍ Describe the Neural Tube Defect: Anecephaly.
Answer: Lacking parts of the brain and skull
◍ What is the normal newborn blood glucose range?.
Answer: 40-60 mg/dL (70 after feeding)
◍ What postpartum hemorrhage med is contraindicated in hypertension?.
Answer: Methergine
