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OB NCLEX Questions Questions and
Correct Answers
Which of the following tasks may be delegated to the nursing
assistant?
a. checking the cervix of the patient who is less likely to deliver
soon
b. administering oxygen to the mother who has decreasing oxygen
saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor
and putting it in the chart Ans: — C- When working in L&D the
UAP can help with ADLs. They cannot be delegated tasks that
require formulating a care plan, taking off orders, or administering
medications
Which of the following situations would most likely warrant
contact with a physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain Ans: — C. When caring for
postpartum patients, the nurse must be familiar with what
conditions are common occurrences following delivery and what
situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is boggy
and it does not firm up with massage.
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Following removal of the epidural, the patient develops a severe
headache when she sits up in bed. The physician has instructed
the patient that she will need a blood patch. Which best describes
this procedure?
A. Removing blood from a vein in the patient and injecting it into
the epidural space in the back
B. Placement of a large bandage over the site of the epidural
insertion.
C. Replacement of the epidural catheter into the same space for
long-term control
D. Placement of a nerve block in the spinal column at the location
of the affected epidural space Ans: — A- When CSF leaks out of
the epidural space a severe headache in the patient can occur. A
blood patch can be performed by a physician to close the site. The
small amount of blood is withdrawn from the mother's arm and
the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know
how to breastfeed
B. 27 yr old diabetic patient who delivered her second child
yesterday and needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has
developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast
before the physician comes to dismiss her Ans: — C. A patient
with a hematoma is at risk of hemorrhage and the nurse should
assess her first
On the first following delivery, the physician ordered a
hemoglobin level for the patient; the result was 9.9 g/dL. The
© 2025 All rights reserved
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physician did not list any other orders in the patient's chart since
that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for
the patient
B. ask the physician about the hemoglobin level when he comes in
for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result Ans:
— B. A postpartum patient is at risk of hemorrhage following
delivery; often the physician will order a hemoglobin level 1-2 days
after delivery to check the mother's risk status. A level of 9.9 g/dL
is lower than normal for a female patient, but is not necessarily
low enough to warrant a blood transfusion.
The patient's medical record states that she tested positive for
group B Streptococcus infection. which of the following
precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary Ans: — B- B. Streptococcus can
be transferred to the baby during delivery to cause an infection.
the test for the bacteria is performed at approximately 35 weeks
gestation, but antibiotics are typically not given until the mother is
in labor to reduce the chance that she will pass the infection to her
child
When reviewing information about infant care, the nurse should
explain that the postpartum client should call the physician if her
infant developed which of the following conditions?
© 2025 All rights reserved
OB NCLEX Questions Questions and
Correct Answers
Which of the following tasks may be delegated to the nursing
assistant?
a. checking the cervix of the patient who is less likely to deliver
soon
b. administering oxygen to the mother who has decreasing oxygen
saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor
and putting it in the chart Ans: — C- When working in L&D the
UAP can help with ADLs. They cannot be delegated tasks that
require formulating a care plan, taking off orders, or administering
medications
Which of the following situations would most likely warrant
contact with a physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain Ans: — C. When caring for
postpartum patients, the nurse must be familiar with what
conditions are common occurrences following delivery and what
situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is boggy
and it does not firm up with massage.
© 2025 All rights reserved
, 2 | Page
Following removal of the epidural, the patient develops a severe
headache when she sits up in bed. The physician has instructed
the patient that she will need a blood patch. Which best describes
this procedure?
A. Removing blood from a vein in the patient and injecting it into
the epidural space in the back
B. Placement of a large bandage over the site of the epidural
insertion.
C. Replacement of the epidural catheter into the same space for
long-term control
D. Placement of a nerve block in the spinal column at the location
of the affected epidural space Ans: — A- When CSF leaks out of
the epidural space a severe headache in the patient can occur. A
blood patch can be performed by a physician to close the site. The
small amount of blood is withdrawn from the mother's arm and
the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know
how to breastfeed
B. 27 yr old diabetic patient who delivered her second child
yesterday and needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has
developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast
before the physician comes to dismiss her Ans: — C. A patient
with a hematoma is at risk of hemorrhage and the nurse should
assess her first
On the first following delivery, the physician ordered a
hemoglobin level for the patient; the result was 9.9 g/dL. The
© 2025 All rights reserved
, 3 | Page
physician did not list any other orders in the patient's chart since
that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for
the patient
B. ask the physician about the hemoglobin level when he comes in
for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result Ans:
— B. A postpartum patient is at risk of hemorrhage following
delivery; often the physician will order a hemoglobin level 1-2 days
after delivery to check the mother's risk status. A level of 9.9 g/dL
is lower than normal for a female patient, but is not necessarily
low enough to warrant a blood transfusion.
The patient's medical record states that she tested positive for
group B Streptococcus infection. which of the following
precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary Ans: — B- B. Streptococcus can
be transferred to the baby during delivery to cause an infection.
the test for the bacteria is performed at approximately 35 weeks
gestation, but antibiotics are typically not given until the mother is
in labor to reduce the chance that she will pass the infection to her
child
When reviewing information about infant care, the nurse should
explain that the postpartum client should call the physician if her
infant developed which of the following conditions?
© 2025 All rights reserved
