OB NCLEX Test Questions with Verified Answers Rated A
Which of the following tasks may be delegated to the
nursing assistant?
a. checking the cervix of the patient who is less likely to
deliver soon
C- When working in L&D the UAP can help with ADLs. They
b. administering oxygen to the mother who has decreas-
cannot be delegated tasks that require formulating a care
ing oxygen saturations
plan, taking ott orders, or administering medications
c. providing ice chips for a mother who complains of a dry
mouth
d. Tearing ott a strip of paper from the fetal heart rate
monitor and putting it in the chart
Which of the following situations would most likely war-
rant contact with a physician for further orders for care or C. When caring for postpartum patients, the nurse must
treatment? be familiar with what conditions are common occurrences
A. A patient has a 3rd degree perineal laceration after following delivery and what situations warrant a call to the
delivery physician for further help. Postpartum complications often
B. A patient has lost 100 mL of blood with delivery include infection, blood clots, and hemorrhage. Excess
C. A patient has a boggy uterus that does not firm with bleeding may occur when the uterus is boggy and it does
massage not firm up with massage.
D. A patient is having rectal pain
Following removal of the epidural, the patient develops a
severe headache when she sits up in bed. The physician
has instructed the patient that she will need a blood patch.
Which best describes this procedure?
A- When CSF leaks out of the epidural space a severe
A. Removing blood from a vein in the patient and injecting
headache in the patient can occur. A blood patch can
it into the epidural space in the back
be performed by a physician to close the site. The small
B. Placement of a large bandage over the site of the
amount of blood is withdrawn from the mother's arm and
epidural insertion.
the blood clots in the space.
C. Replacement of the epidural catheter into the same
space for long-term control
D. Placement of a nerve block in the spinal column at the
location of the attected epidural space
,OB NCLEX Test Questions with Verified Answers Rated A
Which of the patients described should the nurse see
first?
A. 20 yr old patient who just had her first baby and doesn't
know how to breastfeed
B. 27 yr old diabetic patient who delivered her second C. A patient with a hematoma is at risk of hemorrhage and
child yesterday and needs her morning dose of insulin the nurse should assess her first
C. 24 yr old patient who has had a large amount of lochia
and has developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat
breakfast before the physician comes to dismiss her
On the first following delivery, the physician ordered a
hemoglobin level for the patient; the result was 9.9 g/dL.
The physician did not list any other orders in the patient's
chart since that time. Which response of the nurse is most B. A postpartum patient is at risk of hemorrhage following
appropriate> delivery; often the physician will order a hemoglobin level
A. call the physician and ask if he wants a blood transfusion 1-2 days after delivery to check the mother's risk status.
for the patient A level of 9.9 g/dL is lower than normal for a female
B. ask the physician about the hemoglobin level when he patient, but is not necessarily low enough to warrant a
comes in for rounds blood transfusion.
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the
result
The patient's medical record states that she tested positive
for group B Streptococcus infection. which of the follow- B- B. Streptococcus can be transferred to the baby during
ing precautions should be given in this situation? delivery to cause an infection. the test for the bacteria
A. the patient should receive antibiotics at this time is performed at approximately 35 weeks gestation, but
b. the patient should be given antibiotics during labor antibiotics are typically not given until the mother is in
c. the fetus should receive antibiotics as a prenatal infu- labor to reduce the chance that she will pass the infection
sion to her child
d. there is no treatment necessary
, When reviewing information about infant care, the nurse
should explain that the postpartum client should call the
physician if her infant developed which of the following
D- If a baby has dry mouth or dry mucous membranes, he
conditions?
or she could be dehydrated and not getting enough to
A. The infant is only sleeping 4 hours at night
eat.
B. the baby wants to eat every hour
C. The baby's cord has not fallen ott within 7 days
D. The baby has a dry mouth
Which of the following patients would be at high risk of
C, D, E-Pre-eclampsia is a state that develops during preg-
developing pre-eclampsia? Select all that apply.
nancy in which a mother has high blood pressure and
A. A patient who is pregnant with her 3rd child
starts losing protein into the urine.Certain risks that in-
B. A patient who is married
crease such as a first time pregnancy, advanced maternal
C. A patient who is 40 yrs old
age, overweight or obesity in the mother, and pregnancy
D. A patient who is overweight
with multiple babies
E. A patient who is pregnant with twins
A high risk pregnant patient has had a complicated de-
livery and is in the recovery room with active bleeding.
A- Hetastarch in sodium chloride (Hespan) is a type of
The physician has ordered hetastarch in sodium chloride
plasma expanding solution that is used to increase the
(Hespan) IV infusion. Which best describes the indications
volume of the intravascular system during times of blood
for this fluid?
loss. Hespan is typically used for volume replacement to
A. increasing plasma volume during shock or bleeding
prevent complications of severe hemorrhage, such as hy-
B. Causing blood coagulation to promote blood clotting
povolemic shock
C. Improving circulation by causing vasodilation
D. Increasing cardiac contractility to improve circulation
A patient with high bp during labor has been given mag- C- Administration of magnesium sulfate is a form of treat-
nesium sulfate IV. In addition to regulation of bp, which of ment used for some women who have pre-eclampsia
the following results would the nurse expect to see after during pregnancy and labor. Magnesium sulfate is given
administration of this medication? to prevent preterm delivery but it can also cause some
A. cool, pale skin negative ettects in the mother, including muscle weakness,
B. Constipation blurred vision, headache, nausea, and vomiting
Which of the following tasks may be delegated to the
nursing assistant?
a. checking the cervix of the patient who is less likely to
deliver soon
C- When working in L&D the UAP can help with ADLs. They
b. administering oxygen to the mother who has decreas-
cannot be delegated tasks that require formulating a care
ing oxygen saturations
plan, taking ott orders, or administering medications
c. providing ice chips for a mother who complains of a dry
mouth
d. Tearing ott a strip of paper from the fetal heart rate
monitor and putting it in the chart
Which of the following situations would most likely war-
rant contact with a physician for further orders for care or C. When caring for postpartum patients, the nurse must
treatment? be familiar with what conditions are common occurrences
A. A patient has a 3rd degree perineal laceration after following delivery and what situations warrant a call to the
delivery physician for further help. Postpartum complications often
B. A patient has lost 100 mL of blood with delivery include infection, blood clots, and hemorrhage. Excess
C. A patient has a boggy uterus that does not firm with bleeding may occur when the uterus is boggy and it does
massage not firm up with massage.
D. A patient is having rectal pain
Following removal of the epidural, the patient develops a
severe headache when she sits up in bed. The physician
has instructed the patient that she will need a blood patch.
Which best describes this procedure?
A- When CSF leaks out of the epidural space a severe
A. Removing blood from a vein in the patient and injecting
headache in the patient can occur. A blood patch can
it into the epidural space in the back
be performed by a physician to close the site. The small
B. Placement of a large bandage over the site of the
amount of blood is withdrawn from the mother's arm and
epidural insertion.
the blood clots in the space.
C. Replacement of the epidural catheter into the same
space for long-term control
D. Placement of a nerve block in the spinal column at the
location of the attected epidural space
,OB NCLEX Test Questions with Verified Answers Rated A
Which of the patients described should the nurse see
first?
A. 20 yr old patient who just had her first baby and doesn't
know how to breastfeed
B. 27 yr old diabetic patient who delivered her second C. A patient with a hematoma is at risk of hemorrhage and
child yesterday and needs her morning dose of insulin the nurse should assess her first
C. 24 yr old patient who has had a large amount of lochia
and has developed a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat
breakfast before the physician comes to dismiss her
On the first following delivery, the physician ordered a
hemoglobin level for the patient; the result was 9.9 g/dL.
The physician did not list any other orders in the patient's
chart since that time. Which response of the nurse is most B. A postpartum patient is at risk of hemorrhage following
appropriate> delivery; often the physician will order a hemoglobin level
A. call the physician and ask if he wants a blood transfusion 1-2 days after delivery to check the mother's risk status.
for the patient A level of 9.9 g/dL is lower than normal for a female
B. ask the physician about the hemoglobin level when he patient, but is not necessarily low enough to warrant a
comes in for rounds blood transfusion.
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the
result
The patient's medical record states that she tested positive
for group B Streptococcus infection. which of the follow- B- B. Streptococcus can be transferred to the baby during
ing precautions should be given in this situation? delivery to cause an infection. the test for the bacteria
A. the patient should receive antibiotics at this time is performed at approximately 35 weeks gestation, but
b. the patient should be given antibiotics during labor antibiotics are typically not given until the mother is in
c. the fetus should receive antibiotics as a prenatal infu- labor to reduce the chance that she will pass the infection
sion to her child
d. there is no treatment necessary
, When reviewing information about infant care, the nurse
should explain that the postpartum client should call the
physician if her infant developed which of the following
D- If a baby has dry mouth or dry mucous membranes, he
conditions?
or she could be dehydrated and not getting enough to
A. The infant is only sleeping 4 hours at night
eat.
B. the baby wants to eat every hour
C. The baby's cord has not fallen ott within 7 days
D. The baby has a dry mouth
Which of the following patients would be at high risk of
C, D, E-Pre-eclampsia is a state that develops during preg-
developing pre-eclampsia? Select all that apply.
nancy in which a mother has high blood pressure and
A. A patient who is pregnant with her 3rd child
starts losing protein into the urine.Certain risks that in-
B. A patient who is married
crease such as a first time pregnancy, advanced maternal
C. A patient who is 40 yrs old
age, overweight or obesity in the mother, and pregnancy
D. A patient who is overweight
with multiple babies
E. A patient who is pregnant with twins
A high risk pregnant patient has had a complicated de-
livery and is in the recovery room with active bleeding.
A- Hetastarch in sodium chloride (Hespan) is a type of
The physician has ordered hetastarch in sodium chloride
plasma expanding solution that is used to increase the
(Hespan) IV infusion. Which best describes the indications
volume of the intravascular system during times of blood
for this fluid?
loss. Hespan is typically used for volume replacement to
A. increasing plasma volume during shock or bleeding
prevent complications of severe hemorrhage, such as hy-
B. Causing blood coagulation to promote blood clotting
povolemic shock
C. Improving circulation by causing vasodilation
D. Increasing cardiac contractility to improve circulation
A patient with high bp during labor has been given mag- C- Administration of magnesium sulfate is a form of treat-
nesium sulfate IV. In addition to regulation of bp, which of ment used for some women who have pre-eclampsia
the following results would the nurse expect to see after during pregnancy and labor. Magnesium sulfate is given
administration of this medication? to prevent preterm delivery but it can also cause some
A. cool, pale skin negative ettects in the mother, including muscle weakness,
B. Constipation blurred vision, headache, nausea, and vomiting
