OB FINAL EXAM PREP U STUDY GUIDE WITH
FULL SOLUTIONS 2026
◉ Which medication would the nurse prepare to administer if
prescribed as treatment for an unruptured ectopic pregnancy?
Answer: methotrexate
◉ After teaching a review class to a group of perinatal nurses about
various methods for cervical ripening, the nurse determines that the
teaching was successful when the group identifies which method as
surgical? Answer: amniotomy
◉ After spontaneous rupture of membranes, the nurse notices a
prolapsed cord. The nurse immediately places the woman in which
position? Answer: knee-chest
◉ It is determined that a client's blood Rh is negative and her
partner's is positive. To help prevent Rh isoimmunization, the nurse
would expect to administer Rho(D) immune globulin at which time?
Answer: at 28 weeks' gestation and again within 72 hours after birth
◉ The nurse is teaching a pregnant woman with type 1 diabetes
about her diet during pregnancy. Which client statement indicates
that the nurse's teaching was successful? Answer: "Pregnancy affects
insulin production, so I'll need to make adjustments in my diet."
,◉ A pregnant client at 32 weeks' gestation is treated with
magnesium sulfate for seizure management. The nurse assesses
which of the following for evidence of magnesium toxicity? Answer:
Absence of knee jerk response
◉ How much blood would the nurse expect a woman to lose during
a cesarean birth? Answer: 500 to 1000 mL
◉ A nursing student has learned that precipitous labor is when the
uterus contracts so frequently and with such intensity that a very
rapid birth will take place. This means the labor will be completed in
which span of time? Answer: less than 3 hours
◉ A nursing student is learning about fetal presentation. The
nursing instructor realizes a need for further instruction when the
student makes which of the following statements? Answer:
"Transverse lie is the same as when the fetal buttocks present to the
birth canal."
◉ A nurse is inserting a urinary catheter into a woman about to
undergo a cesarean birth. The patient asks why this is necessary.
How would the nurse accurately respond? Answer: "This measure
will help keep your bladder away from the site of surgery."
, ◉ A client in week 38 of her pregnancy arrives at the emergency
room reporting a sharp pain between her umbilicus and the iliac
crest in her lower right abdomen that is increasing. She reports
having experienced intense nausea and vomiting for the past 3
hours. Given these symptoms, the nurse suspects which of the
following conditions? Answer: Appendicitis
◉ To prevent tearing of the perineum of a client during birth, a
physician performs a mediolateral episiotomy. The nurse recognizes
that an advantage of a mediolateral episiotomy over a midline
episiotomy is which of the following? Answer: Lower risk for rectal
mucosal tear
◉ The clinic nurse teaches a pregestational type 1 diabetic client
that constant insulin levels are very important during pregnancy.
The nurse tells the client that the best way to maintain a constant
insulin level is to use: Answer: an insulin pump.
◉ The nursing instructor is teaching a group of student nurses about
the current use of episiotomies during the labor process. The
instructor determines the session is successful when the students
correctly choose which situation that may require the health care
provider to perform an episiotomy? Answer: Shoulder dystocia
◉ A pregnant woman with sickle cell anemia is very concerned her
infant will also develop the disease and questions the nurse about
FULL SOLUTIONS 2026
◉ Which medication would the nurse prepare to administer if
prescribed as treatment for an unruptured ectopic pregnancy?
Answer: methotrexate
◉ After teaching a review class to a group of perinatal nurses about
various methods for cervical ripening, the nurse determines that the
teaching was successful when the group identifies which method as
surgical? Answer: amniotomy
◉ After spontaneous rupture of membranes, the nurse notices a
prolapsed cord. The nurse immediately places the woman in which
position? Answer: knee-chest
◉ It is determined that a client's blood Rh is negative and her
partner's is positive. To help prevent Rh isoimmunization, the nurse
would expect to administer Rho(D) immune globulin at which time?
Answer: at 28 weeks' gestation and again within 72 hours after birth
◉ The nurse is teaching a pregnant woman with type 1 diabetes
about her diet during pregnancy. Which client statement indicates
that the nurse's teaching was successful? Answer: "Pregnancy affects
insulin production, so I'll need to make adjustments in my diet."
,◉ A pregnant client at 32 weeks' gestation is treated with
magnesium sulfate for seizure management. The nurse assesses
which of the following for evidence of magnesium toxicity? Answer:
Absence of knee jerk response
◉ How much blood would the nurse expect a woman to lose during
a cesarean birth? Answer: 500 to 1000 mL
◉ A nursing student has learned that precipitous labor is when the
uterus contracts so frequently and with such intensity that a very
rapid birth will take place. This means the labor will be completed in
which span of time? Answer: less than 3 hours
◉ A nursing student is learning about fetal presentation. The
nursing instructor realizes a need for further instruction when the
student makes which of the following statements? Answer:
"Transverse lie is the same as when the fetal buttocks present to the
birth canal."
◉ A nurse is inserting a urinary catheter into a woman about to
undergo a cesarean birth. The patient asks why this is necessary.
How would the nurse accurately respond? Answer: "This measure
will help keep your bladder away from the site of surgery."
, ◉ A client in week 38 of her pregnancy arrives at the emergency
room reporting a sharp pain between her umbilicus and the iliac
crest in her lower right abdomen that is increasing. She reports
having experienced intense nausea and vomiting for the past 3
hours. Given these symptoms, the nurse suspects which of the
following conditions? Answer: Appendicitis
◉ To prevent tearing of the perineum of a client during birth, a
physician performs a mediolateral episiotomy. The nurse recognizes
that an advantage of a mediolateral episiotomy over a midline
episiotomy is which of the following? Answer: Lower risk for rectal
mucosal tear
◉ The clinic nurse teaches a pregestational type 1 diabetic client
that constant insulin levels are very important during pregnancy.
The nurse tells the client that the best way to maintain a constant
insulin level is to use: Answer: an insulin pump.
◉ The nursing instructor is teaching a group of student nurses about
the current use of episiotomies during the labor process. The
instructor determines the session is successful when the students
correctly choose which situation that may require the health care
provider to perform an episiotomy? Answer: Shoulder dystocia
◉ A pregnant woman with sickle cell anemia is very concerned her
infant will also develop the disease and questions the nurse about
