OB Exam 1 Questions and Correct Answers | Latest Update 2026/2027| Already Graded A+ | 100% Pass.

OB Exam 1 Questions and Correct Answers | Latest Update 2026/2027| Already Graded A+ | 100% Pass. A client attending a prenatal class about nutrition tells the nurse that she is a strict vegetarian (vegan). What should the nurse encourage the client to eat that includes all the essential amino acids? 1. Macaroni and cheese 2. Whole-grain cereals and nuts 3. Scrambled eggs and buttermilk 4. Brown rice and whole-wheat bread Ans: Whole grain cereals and nuts Select the priority intervention for a pregnant client whose monitor strip shows fetal heart rate decelerations characterized by a rapid descent and ascent to and from the lowest point of the deceleration. 2 | P a g e 1. Elevating the legs 2. Repositioning the client from side to side 3. Increasing the rate of intravenous infusion 4. Administering oxygen by way of facemask Ans: Repositioning the client from side to side A nurse is observing the electronic fetal monitor as a client in labor enters the second stage. The nurse identifies early decelerations of the fetal heart rate with a return to the baseline at the end of each contraction. What does this usually indicate? 1. Maternal diabetes 2. Fetal cord prolapse 3. Maternal hypotension 4. Fetal head compression Ans: Fetal head compression At a client's first prenatal visit, the nurse-midwife performs a pelvic examination. The nurse states that the client's cervix is bluish purple, which is known as the Chadwick sign. The client becomes concerned and asks whether something is wrong. The nurse replies, "This is expected; it: 1. Helps confirm your pregnancy" 2. Is not unusual, even in women who are not pregnant" 3. Occurs because the blood is trapped by the pregnant uterus" 4. Is caused by increased blood flow to the uterus during pregnancy Ans: It is caused by increased blood flow to the uterus How does the nurse distinguish true labor from false labor? 1. Cervical dilation is progressive. 4 | P a g e 2. Contractions stop when the client walks around. 3. The client's contractions progress only when she is in a side-lying position. 4. Contractions occur immediately after the membranes rupture. Ans: Cervical dilation is progressive A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse determines that the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two occasions and 157 once during a 20-minute period. Each of the episodes in which the heart rate is increased lasts 20 seconds. What action should the nurse take? 1. Discontinuing the test because the pattern is within the expected range 2. Encouraging the client to drink more fluids to decrease the fetal heart rate 3. Notifying the primary health care provider and preparing for an emergency birth 4. Recording this nonreassuring pattern and continuing the test for further evaluation Ans: Discontinuing the test because the pattern is within the expected range A client's membranes rupture while her labor is being augmented with an oxytocin (Pitocin) infusion. The nurse observes variable decelerations in the fetal heart rate on the fetal monitor strip. What action should the nurse take next? 1. Changing the client's position 2. Taking the client's blood pressure 3. Stopping the client's oxytocin infusion 6 | P a g e 4. Preparing the client for an immediate birth Ans: Changing the clients position A nurse is assessing the rate of involution of a client's uterus on the second postpartum day. Where does the nurse expect the fundus to be located?