OB EXAM 1 TEST 2026 Q&A WITH CORRECT
ANSWERS GRADED A+
◍ A client delivered a term infant 7 hours ago. Which of the
following postpartum assessment findings indicate normal postpartum
progression?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with
moderate lochia rubra
B. Firm fundus at the umbilicus and midline with moderate rubra
C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the
right side with moderate lochia rubra
D. Soft fundus at 1-2 fingerbreadths below umbilicus with severe
lochia rubra. Answer: A. Within 12 hours, fundus can rise to approx. 1
cm above the umbilicus. The fundus descends 1-2 cm every 24 hours.
Located about halfway between umbilicus and symphysis pubis, not
longer palpable after 2 weeks, returned to pre-pregnant state by 6
weeks pp
◍ A client delivered at 39 weeks 6 hours ago. Upon assessment, the
nurse palpated a soft, boggy fundus deviated to the left side. Which
action of the nurse would be most appropriate?
A. Massage the fundus until firm
B. Call HCP immediately
C. Assist woman to the restroom
,D. Increase Pitocin per HCP order. Answer: C. A distended bladder
can impede uterine contractions which can lead to uterine atony
which may lead to pp hemorrhage if we don't intervene
**KEY WORDS: deviated to the left side**
◍ A client is in active labor at term with cervical findings of 7/80/-1.
The FHR baseline is 130bpm. Four early decelerations were noted
within the last hour. Which of the following nursing actions would be
most appropriate?
A. Position client on her back so the monitor gives more accurate
results
B. perform vaginal exam
C. turn client on her left side
D. document and continue to monitor both FHR and laboring women.
Answer: D. early decelerations indicate head compression. It is
benign and no interventions are needed. just document and continue
monitoring
**KNOW VEAL CHOP**
◍ The nurse gives a 35 yr old primigravida client a RhoGAM
injection for her 28th week of pregnancy. Which of the following
client situations requires the nurse to take this action.
A. Rh + mother and Rh - father
B. Rh - mother and Rh + father
C. Rh + mother and Rh + father
,D. Rh - mother and Rh - father. Answer: B. RhoGAM is only needed
if the mother is Rh- and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to have a Rh+ baby
◍ A client has just started the third state of labor. Which of the
following nursing actions have priority at this time?
A. Encourage the client to push
B. Administer Pitocin
C. Place baby skin to skin on mom
D. Assess maternal vital signs Q1hr. Answer: C. skin to skin contact is
contributes to mother and baby bonding
**KEY WORDS: just started**
pitocin is administered after the placenta is delivered at the end of
stage 3, maternal vital signs are assessed Q15min after delivery for
first 2 hours. Then hourly assessments are done
◍ A client's first day of her LMP was July 18, 2015. Which of the
following should the nurse tell the client is her EDB?
A. April 18, 2016
B. May 23, 2016
C. April 25, 2016
D. March 25, 2016. Answer: C.
◍ A primigravida woman delivered her baby boy 12 hours ago. She
acquired a 3rd degree midline episiotomy during labor. She expresses
, moderate discomfort and a pain level of 2 out of 10. Which of the
following nursing intervention would be most appropriate?
A. Instruct patient to apply ice packs to the perinium
B. Encourage a sitz bath
C. Call provider
D. Give ordered acetaminophen (Tylenol) for prophylaxis. Answer: A.
During first 24 hours, ice packs decrease edema formation and
increase comfort, after first 24 hours after birth prn to provide
anesthetic effect
◍ A woman admitted in your OB unit, currently on her 2nd
pregnancy for this delivery states she wants to try vaginal birth rather
than rather than C/S which she had for her first pregnancy. What is the
priority action the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam. Answer: C. You have to look at the
UTERINE incision, not the abdominal one, the only way to do that is
to look at the chart
**ABDOMINAL INCISION AND UTERINE INCISION MIGHT
NOT MATCH**
classic vertical incision labor is contraindicated - risk for uterine
rupture!
ANSWERS GRADED A+
◍ A client delivered a term infant 7 hours ago. Which of the
following postpartum assessment findings indicate normal postpartum
progression?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with
moderate lochia rubra
B. Firm fundus at the umbilicus and midline with moderate rubra
C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the
right side with moderate lochia rubra
D. Soft fundus at 1-2 fingerbreadths below umbilicus with severe
lochia rubra. Answer: A. Within 12 hours, fundus can rise to approx. 1
cm above the umbilicus. The fundus descends 1-2 cm every 24 hours.
Located about halfway between umbilicus and symphysis pubis, not
longer palpable after 2 weeks, returned to pre-pregnant state by 6
weeks pp
◍ A client delivered at 39 weeks 6 hours ago. Upon assessment, the
nurse palpated a soft, boggy fundus deviated to the left side. Which
action of the nurse would be most appropriate?
A. Massage the fundus until firm
B. Call HCP immediately
C. Assist woman to the restroom
,D. Increase Pitocin per HCP order. Answer: C. A distended bladder
can impede uterine contractions which can lead to uterine atony
which may lead to pp hemorrhage if we don't intervene
**KEY WORDS: deviated to the left side**
◍ A client is in active labor at term with cervical findings of 7/80/-1.
The FHR baseline is 130bpm. Four early decelerations were noted
within the last hour. Which of the following nursing actions would be
most appropriate?
A. Position client on her back so the monitor gives more accurate
results
B. perform vaginal exam
C. turn client on her left side
D. document and continue to monitor both FHR and laboring women.
Answer: D. early decelerations indicate head compression. It is
benign and no interventions are needed. just document and continue
monitoring
**KNOW VEAL CHOP**
◍ The nurse gives a 35 yr old primigravida client a RhoGAM
injection for her 28th week of pregnancy. Which of the following
client situations requires the nurse to take this action.
A. Rh + mother and Rh - father
B. Rh - mother and Rh + father
C. Rh + mother and Rh + father
,D. Rh - mother and Rh - father. Answer: B. RhoGAM is only needed
if the mother is Rh- and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to have a Rh+ baby
◍ A client has just started the third state of labor. Which of the
following nursing actions have priority at this time?
A. Encourage the client to push
B. Administer Pitocin
C. Place baby skin to skin on mom
D. Assess maternal vital signs Q1hr. Answer: C. skin to skin contact is
contributes to mother and baby bonding
**KEY WORDS: just started**
pitocin is administered after the placenta is delivered at the end of
stage 3, maternal vital signs are assessed Q15min after delivery for
first 2 hours. Then hourly assessments are done
◍ A client's first day of her LMP was July 18, 2015. Which of the
following should the nurse tell the client is her EDB?
A. April 18, 2016
B. May 23, 2016
C. April 25, 2016
D. March 25, 2016. Answer: C.
◍ A primigravida woman delivered her baby boy 12 hours ago. She
acquired a 3rd degree midline episiotomy during labor. She expresses
, moderate discomfort and a pain level of 2 out of 10. Which of the
following nursing intervention would be most appropriate?
A. Instruct patient to apply ice packs to the perinium
B. Encourage a sitz bath
C. Call provider
D. Give ordered acetaminophen (Tylenol) for prophylaxis. Answer: A.
During first 24 hours, ice packs decrease edema formation and
increase comfort, after first 24 hours after birth prn to provide
anesthetic effect
◍ A woman admitted in your OB unit, currently on her 2nd
pregnancy for this delivery states she wants to try vaginal birth rather
than rather than C/S which she had for her first pregnancy. What is the
priority action the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam. Answer: C. You have to look at the
UTERINE incision, not the abdominal one, the only way to do that is
to look at the chart
**ABDOMINAL INCISION AND UTERINE INCISION MIGHT
NOT MATCH**
classic vertical incision labor is contraindicated - risk for uterine
rupture!
