OB FINAL EXAM PREP U PRACTICE EXAM WITH
DETAILED SOLUTIONS 2026
◉ It is a measurement to determine if the pelvis size is adequate for
a vaginal birth. Answer: A client at 9 weeks' gestation asks the nurse,
"What is a diagonal conjugate?" What is the nurse's best response?
a. "It is the measurement between the ischial tuberosity and the
pubis."
b. "It is a measurement to determine if the pelvis size is adequate for
a vaginal birth."
c. "It is the smallest diameter of the pelvic outlet."
d. "It is the largest diameter of the pelvic outlet."
◉ Longitudinal fetal. Answer: The nurse is caring for a client whose
fetus is noted to be in the position shown. For which fetal lie would
the nurse provide client teaching?
a. Longitudinal
b. Transverse
c. Obtuse
d. Oblique
,◉ Significant head molding. Answer: Which physical characteristic
of the neonate is typically present in the neonate of a primigravida
mother?
a. Thick vernix
b. Single palmar crease
c. Significant head molding
d. Absence of testicular rugae
◉ The fetus is in the true pelvis and engaged. Answer: The nurse is
caring for a client at 39 weeks' gestation who is noted to be at 0
station. The nurse is correct to document which?
a. The client is fully effaced.
b. The fetus is floating high in the pelvis.
c. The fetus is in the true pelvis and engaged.
d. The fetus has descended down the birth canal.
◉ Fetal heart rate in relation to contractions. Answer: Which
consideration is a priority when caring for a mother with strong
contractions 1 minute apart?
a. Fetal heart rate in relation to contractions
b. The station in which the fetus is located
c. Maternal heart rate and blood pressure
d. Maternal request for pain medication
,◉ Blood flow to the fetus improves
Fetal heart rate should return to baseline. Answer: Which occurs as a
result of contraction decrement? Select all that apply.
a. The mother feels the contraction intensifying.
b. Blood flow to the fetus improves.
c. The fetus is pushed down the birth canal.
d. Fetal heart rate should return to baseline.
e. The mother feels a gush of water in the perineal area.
◉ Have a blue bulb suction and an infant warmer ready. Answer:
Which nursing action is a priority when the fetus is at the +4
station?
a. Have a blue bulb suction and an infant warmer ready
b. Have a tocometer and a patient gown ready
c. Provide lubricating jelly and an internal monitor
d. Prepare for an immediate cesarean section
◉ A cephalohematoma. Answer: The nurse is noting a collection of
blood under the scalp on a newborn being discharged to home. The
nurse is correct to prepare teaching instructions of which topic?
a. Wrapping of the head
b. Developmental delay
, c. A cephalohematoma
d. A caput succedaneum
◉ ROA. Answer: A 32-year-old woman presents to the labor and
birth suite in active labor. She is multigravida, relaxed, and talking
with her husband. When examined by the nurse, the fetus is found to
be in a cephalic presentation. His occiput is facing toward the front
and slightly to the right of the mother's pelvis, and he is exhibiting a
flexed attitude. How does the nurse document the position of the
fetus?
a. LOA
b. LOP
c. ROA
d. ROP
◉ Third. Answer: A client has just given birth to a healthy baby boy,
but the placenta has not yet delivered. What stage of labor does this
scenario represent?
a. First
b. Second
c. Third
d. Fourth
DETAILED SOLUTIONS 2026
◉ It is a measurement to determine if the pelvis size is adequate for
a vaginal birth. Answer: A client at 9 weeks' gestation asks the nurse,
"What is a diagonal conjugate?" What is the nurse's best response?
a. "It is the measurement between the ischial tuberosity and the
pubis."
b. "It is a measurement to determine if the pelvis size is adequate for
a vaginal birth."
c. "It is the smallest diameter of the pelvic outlet."
d. "It is the largest diameter of the pelvic outlet."
◉ Longitudinal fetal. Answer: The nurse is caring for a client whose
fetus is noted to be in the position shown. For which fetal lie would
the nurse provide client teaching?
a. Longitudinal
b. Transverse
c. Obtuse
d. Oblique
,◉ Significant head molding. Answer: Which physical characteristic
of the neonate is typically present in the neonate of a primigravida
mother?
a. Thick vernix
b. Single palmar crease
c. Significant head molding
d. Absence of testicular rugae
◉ The fetus is in the true pelvis and engaged. Answer: The nurse is
caring for a client at 39 weeks' gestation who is noted to be at 0
station. The nurse is correct to document which?
a. The client is fully effaced.
b. The fetus is floating high in the pelvis.
c. The fetus is in the true pelvis and engaged.
d. The fetus has descended down the birth canal.
◉ Fetal heart rate in relation to contractions. Answer: Which
consideration is a priority when caring for a mother with strong
contractions 1 minute apart?
a. Fetal heart rate in relation to contractions
b. The station in which the fetus is located
c. Maternal heart rate and blood pressure
d. Maternal request for pain medication
,◉ Blood flow to the fetus improves
Fetal heart rate should return to baseline. Answer: Which occurs as a
result of contraction decrement? Select all that apply.
a. The mother feels the contraction intensifying.
b. Blood flow to the fetus improves.
c. The fetus is pushed down the birth canal.
d. Fetal heart rate should return to baseline.
e. The mother feels a gush of water in the perineal area.
◉ Have a blue bulb suction and an infant warmer ready. Answer:
Which nursing action is a priority when the fetus is at the +4
station?
a. Have a blue bulb suction and an infant warmer ready
b. Have a tocometer and a patient gown ready
c. Provide lubricating jelly and an internal monitor
d. Prepare for an immediate cesarean section
◉ A cephalohematoma. Answer: The nurse is noting a collection of
blood under the scalp on a newborn being discharged to home. The
nurse is correct to prepare teaching instructions of which topic?
a. Wrapping of the head
b. Developmental delay
, c. A cephalohematoma
d. A caput succedaneum
◉ ROA. Answer: A 32-year-old woman presents to the labor and
birth suite in active labor. She is multigravida, relaxed, and talking
with her husband. When examined by the nurse, the fetus is found to
be in a cephalic presentation. His occiput is facing toward the front
and slightly to the right of the mother's pelvis, and he is exhibiting a
flexed attitude. How does the nurse document the position of the
fetus?
a. LOA
b. LOP
c. ROA
d. ROP
◉ Third. Answer: A client has just given birth to a healthy baby boy,
but the placenta has not yet delivered. What stage of labor does this
scenario represent?
a. First
b. Second
c. Third
d. Fourth
