MATERNITY EXAM 1 PRACTICE
QUESTIONS | COMPREHENSIVE OB
NURSING STUDY GUIDE 2026 | GRADED
A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,A woman gave birth to a 3200 g baby girl with an A
estimated gestational age of 40 weeks. The baby is 1 hour
of age. In preparation of giving the baby an injection of Reasoning: It is important to always explain to parents wHat and why a procedure
Vitamin K, the nurse will: is being done on the newborn
A) Explain to the parents the action of the medication
and answer their questions
B) Remove neonate from the room so parents will not be
distressed by seeing the injection
C) Completely undress the neonate to identify the
injection site
D) Replace needle with a 21 gauge ⅝ needle
When assessing a placenta and umbilical cord at delivery, A
the nurse must know that the normal cord has:
A) 1 vein and 2 arteries (AVA)
B) 2 veins and 1 artery
C) 1 vein and 1 artery
D) 2 veins and 2 arteries
When reviewing a potential cause for postpartum FULL/OVERDISTENDED
hemorrhage with the student nurse, the nurse is sure to
include the finding of a(n) ____________ bladder Reasoning:
An overdistended bladder, which displaces the uterus above and to the right of
the umbilicus, can cause uterine atony and lead to hemorrhage
Maddy, a G3 P1 woman, gave birth 12 hrs ago to a 9lb 13 A
oz daughter. She experiences severe cramps with
breastfeeding. The perinatal nurse best describes this Reasoning
condition as: Afterpains are intermittent uterine contractions that occur during the process of
A) Afterpains involution. Afterpains are more pronounced in patients w/ decreased uterine tone
B) Uterine hypertonia due to overdistension, which is associated w/ multiparity and macrosomia. Patients
C) Bladder hypertonia often describe the sensation as a discomfort similar to menstrual cramps
D) Rectus abdominis diastasis
,What does GTPAL mean? G: Gravida → # of times a woman has conceived including current pregnancy
T: Term Births → # of times a woman has carried a pregnancy to at least 37 weeks
and delivered
P: Preterm Births → # of births a woman has delivered before 37 weeks gestation
but after 20 weeks
A: Abortions → # of times a woman has lost a pregnancy, whether it was elective
or spontaneous (miscarriage), before 20 weeks gestation
L: living children → live births
The best way for the nurse to enhance parental D
confidence is to
A) Have the parents watch a video tape of infant care,
then discuss it with them
B) Demonstrate skills on the newborn while providing
care
C) Encourage new parents to ask their friends about
infant care
D) Provide encouragement and positive feedback
The nurse is teaching the parents of a female baby how A
to change a baby's diapers. Which of the following
should be included in the teaching? Reasoning
A) Always wipe the perineum from front to back To decrease risk of infection from bacteria from the rectum, the perineum of
B) Remove any vernix caseosa from labia folds female babies should always be cleansed from front to back
C) Put powder on buttocks every time the baby stools
D) Weigh every diaper in order to assess for hydration
After birth, the perinatal nurse explains to the new mom FALSE
that Progesterone is the hormone responsible for
stimulating milk production
A) True
B) False
A 6 hour infant passes an unformed, black, tar like stool. C
The nurse should conclude this is a:
A) Meconium stool expected at the time of birth
B) Transitional stool expected at this time
C) Meconium stool expected at this time
D) Transitional stool expected later
A woman's postpartum vaginal discharge is dark red and A
contains shreds of decidua and epithelial cells. The nurse
should describe the discharge in the nurse's notes as:
A) Rubra
B) Serosa
C) Alba
D) Erythra
, Which of the following statements indicates that a new C
mom needs additional teaching?
A) I will need to supervise my cat when she is in the same Reasoning:
room as my baby Newborns/infants should never be left on an elevated flat surface because they
B) I will place by baby on her back when she is sleeping may roll or wiggle & fall off
C) I will not leave my baby on an elevated flat surface
after she is able to turn over on her own
D) I have asked my husband to install safety latches on
the lower cabinets
The perinatal nurse explains to the student nurse that the B
growing embryo is called a ___________ at the end of 8 weeks
of gestational age Reasoning
A) Neonate - Zygote = fertilization - 2nd week
B) Fetus - Embryo = end of 2nd week - 8th week
C) Zygote - Fetus = end of 8th week - birth
D) Gamete
A mother refused to allow her son to receive the vitamin D
K injection at birth. Which of the following s/s might the
nurse observe in the baby as a result? Reasoning
A) Skin color is dusky The circumcision site may ooze blood due to lack of Vitamin K, which is required
B) Vitals signs are labile for the hepatic synthesis of blood coagulation factors II, VII, and X
C) Glucose levels are subnormal
D) Circumcision site oozes blood
The nurse is assessing a client 24 hrs after delivery and C
finds the fundus to be slightly boggy and 2 centimeters
above the umbilicus. What should the nursing priority
intervention be?
A) Document this expected finding
B) Notify the physician
C) Gently massage the fundus until firm
D) Assess mom's vital signs
During a postpartum assessment, the nurse notes that the B
uterus is midline and boggy. The immediate nursing
action is: Reasoning
A) To notify the patient's midwife or physician The first nursing action for a boggy uterus = massage the fundus
B) Massage the fundus until firm and reevaluate within 30
minutes
C) Give syntocinon as per orders
D) Assist the patient to the bathroom and ask her to void
QUESTIONS | COMPREHENSIVE OB
NURSING STUDY GUIDE 2026 | GRADED
A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,A woman gave birth to a 3200 g baby girl with an A
estimated gestational age of 40 weeks. The baby is 1 hour
of age. In preparation of giving the baby an injection of Reasoning: It is important to always explain to parents wHat and why a procedure
Vitamin K, the nurse will: is being done on the newborn
A) Explain to the parents the action of the medication
and answer their questions
B) Remove neonate from the room so parents will not be
distressed by seeing the injection
C) Completely undress the neonate to identify the
injection site
D) Replace needle with a 21 gauge ⅝ needle
When assessing a placenta and umbilical cord at delivery, A
the nurse must know that the normal cord has:
A) 1 vein and 2 arteries (AVA)
B) 2 veins and 1 artery
C) 1 vein and 1 artery
D) 2 veins and 2 arteries
When reviewing a potential cause for postpartum FULL/OVERDISTENDED
hemorrhage with the student nurse, the nurse is sure to
include the finding of a(n) ____________ bladder Reasoning:
An overdistended bladder, which displaces the uterus above and to the right of
the umbilicus, can cause uterine atony and lead to hemorrhage
Maddy, a G3 P1 woman, gave birth 12 hrs ago to a 9lb 13 A
oz daughter. She experiences severe cramps with
breastfeeding. The perinatal nurse best describes this Reasoning
condition as: Afterpains are intermittent uterine contractions that occur during the process of
A) Afterpains involution. Afterpains are more pronounced in patients w/ decreased uterine tone
B) Uterine hypertonia due to overdistension, which is associated w/ multiparity and macrosomia. Patients
C) Bladder hypertonia often describe the sensation as a discomfort similar to menstrual cramps
D) Rectus abdominis diastasis
,What does GTPAL mean? G: Gravida → # of times a woman has conceived including current pregnancy
T: Term Births → # of times a woman has carried a pregnancy to at least 37 weeks
and delivered
P: Preterm Births → # of births a woman has delivered before 37 weeks gestation
but after 20 weeks
A: Abortions → # of times a woman has lost a pregnancy, whether it was elective
or spontaneous (miscarriage), before 20 weeks gestation
L: living children → live births
The best way for the nurse to enhance parental D
confidence is to
A) Have the parents watch a video tape of infant care,
then discuss it with them
B) Demonstrate skills on the newborn while providing
care
C) Encourage new parents to ask their friends about
infant care
D) Provide encouragement and positive feedback
The nurse is teaching the parents of a female baby how A
to change a baby's diapers. Which of the following
should be included in the teaching? Reasoning
A) Always wipe the perineum from front to back To decrease risk of infection from bacteria from the rectum, the perineum of
B) Remove any vernix caseosa from labia folds female babies should always be cleansed from front to back
C) Put powder on buttocks every time the baby stools
D) Weigh every diaper in order to assess for hydration
After birth, the perinatal nurse explains to the new mom FALSE
that Progesterone is the hormone responsible for
stimulating milk production
A) True
B) False
A 6 hour infant passes an unformed, black, tar like stool. C
The nurse should conclude this is a:
A) Meconium stool expected at the time of birth
B) Transitional stool expected at this time
C) Meconium stool expected at this time
D) Transitional stool expected later
A woman's postpartum vaginal discharge is dark red and A
contains shreds of decidua and epithelial cells. The nurse
should describe the discharge in the nurse's notes as:
A) Rubra
B) Serosa
C) Alba
D) Erythra
, Which of the following statements indicates that a new C
mom needs additional teaching?
A) I will need to supervise my cat when she is in the same Reasoning:
room as my baby Newborns/infants should never be left on an elevated flat surface because they
B) I will place by baby on her back when she is sleeping may roll or wiggle & fall off
C) I will not leave my baby on an elevated flat surface
after she is able to turn over on her own
D) I have asked my husband to install safety latches on
the lower cabinets
The perinatal nurse explains to the student nurse that the B
growing embryo is called a ___________ at the end of 8 weeks
of gestational age Reasoning
A) Neonate - Zygote = fertilization - 2nd week
B) Fetus - Embryo = end of 2nd week - 8th week
C) Zygote - Fetus = end of 8th week - birth
D) Gamete
A mother refused to allow her son to receive the vitamin D
K injection at birth. Which of the following s/s might the
nurse observe in the baby as a result? Reasoning
A) Skin color is dusky The circumcision site may ooze blood due to lack of Vitamin K, which is required
B) Vitals signs are labile for the hepatic synthesis of blood coagulation factors II, VII, and X
C) Glucose levels are subnormal
D) Circumcision site oozes blood
The nurse is assessing a client 24 hrs after delivery and C
finds the fundus to be slightly boggy and 2 centimeters
above the umbilicus. What should the nursing priority
intervention be?
A) Document this expected finding
B) Notify the physician
C) Gently massage the fundus until firm
D) Assess mom's vital signs
During a postpartum assessment, the nurse notes that the B
uterus is midline and boggy. The immediate nursing
action is: Reasoning
A) To notify the patient's midwife or physician The first nursing action for a boggy uterus = massage the fundus
B) Massage the fundus until firm and reevaluate within 30
minutes
C) Give syntocinon as per orders
D) Assist the patient to the bathroom and ask her to void
