NATIONAL UNIVERSITY NSG 333OB
OBSTETRICS FINAL SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Nurse is teaching patient who is at 24 weeks gestation regarding a 1 hr
glucose tolerance test. Which statements should nurse include in
teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carbohydrate intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening
result."
"You will need to fast for 12 hours prior to the test." Answer: "You will
need to drink the glucose solution 2 hours prior to the test.":
- The nurse should instruct the client to drink the glucose solution 1 hr
prior to the test.
"Limit your carbohydrate intake for 3 days prior to the test.":
- The nurse should instruct the client that she should not limit her
carbohydrate intake.
ANS: "A blood glucose of 130 to 140 is considered a positive screening
result.":
,- The nurse should instruct the client that a blood glucose level of 130 to
140 mg/dL is considered a positive screening. If the client receives a
positive result, she will need to undergo a 3-hr glucose tolerance test to
confirm if she has gestational diabetes mellitus.
"You will need to fast for 12 hours prior to the test.":
- The nurse should instruct the client that fasting is not required for a 1-
hr glucose tolerance test.
⩥ Nurse is assessing patient who gave birth vaginally 12 hrs ago and
palpates her uterus to right above umbilicus. Which interventions should
the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side. Answer: Reassess client in 2
hr:
- The nurse should assess the client more frequently after birth to
determine the position of the uterus and to intervene as soon as possible
if necessary.
Administer simethicone:
- The nurse should administer simethicone to reduce bloating,
discomfort, or pain caused by excessive gas.
,ANS: Assist the client to empty her bladder:
- The nurse should assist the client to empty her bladder because the
assessment findings indicate that the client's bladder is distended. This
can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
Instruct the client to lie on her right side:
- Lying on her right side will not resolve the client's displaced uterus.
⩥ Nurse calculating a patient's expected DOB using nagele's rule. Client
tells nurse that her last menstrual cycle started on Nov 27th. Which dates
is the patient expected DOB?
September 3rd
September 20th
August 3rd
August 20th Answer: ANS: September 3rd:
- When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September
3rd.
, September 20th:
- When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. Therefore, the correct
date is September 3rd.
August 3rd:
-"
August 20th:
-"
⩥ Nurse is giving teaching about family planning to patient with new
prescription for diaphragm. Which statements should nurse include in
teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after
intercourse."
"You should use an oil-based product as a lubricant when inserting the
diaphragm."
"You should insert the diaphragm when your bladder is full." Answer:
"You should replace the diaphragm every 5 years.":
- The client should replace the diaphragm every 2 years.
OBSTETRICS FINAL SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Nurse is teaching patient who is at 24 weeks gestation regarding a 1 hr
glucose tolerance test. Which statements should nurse include in
teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carbohydrate intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening
result."
"You will need to fast for 12 hours prior to the test." Answer: "You will
need to drink the glucose solution 2 hours prior to the test.":
- The nurse should instruct the client to drink the glucose solution 1 hr
prior to the test.
"Limit your carbohydrate intake for 3 days prior to the test.":
- The nurse should instruct the client that she should not limit her
carbohydrate intake.
ANS: "A blood glucose of 130 to 140 is considered a positive screening
result.":
,- The nurse should instruct the client that a blood glucose level of 130 to
140 mg/dL is considered a positive screening. If the client receives a
positive result, she will need to undergo a 3-hr glucose tolerance test to
confirm if she has gestational diabetes mellitus.
"You will need to fast for 12 hours prior to the test.":
- The nurse should instruct the client that fasting is not required for a 1-
hr glucose tolerance test.
⩥ Nurse is assessing patient who gave birth vaginally 12 hrs ago and
palpates her uterus to right above umbilicus. Which interventions should
the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side. Answer: Reassess client in 2
hr:
- The nurse should assess the client more frequently after birth to
determine the position of the uterus and to intervene as soon as possible
if necessary.
Administer simethicone:
- The nurse should administer simethicone to reduce bloating,
discomfort, or pain caused by excessive gas.
,ANS: Assist the client to empty her bladder:
- The nurse should assist the client to empty her bladder because the
assessment findings indicate that the client's bladder is distended. This
can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
Instruct the client to lie on her right side:
- Lying on her right side will not resolve the client's displaced uterus.
⩥ Nurse calculating a patient's expected DOB using nagele's rule. Client
tells nurse that her last menstrual cycle started on Nov 27th. Which dates
is the patient expected DOB?
September 3rd
September 20th
August 3rd
August 20th Answer: ANS: September 3rd:
- When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September
3rd.
, September 20th:
- When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. Therefore, the correct
date is September 3rd.
August 3rd:
-"
August 20th:
-"
⩥ Nurse is giving teaching about family planning to patient with new
prescription for diaphragm. Which statements should nurse include in
teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after
intercourse."
"You should use an oil-based product as a lubricant when inserting the
diaphragm."
"You should insert the diaphragm when your bladder is full." Answer:
"You should replace the diaphragm every 5 years.":
- The client should replace the diaphragm every 2 years.
