MB (ASCP) ACTUAL FINAL EXAM AND PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
9,10,11
The nurse reviews a plan of care and sees the nursing diagnosis of Fear
Related to Uncertainty of Pregnancy Outcome. Which priority nursing
intervention should the nurse include when caring for this patient?
A) Reinforcing teaching provided to the patient by the provider and
registered nurse
B) Providing information both verbally and in writing for the patient to
refer to
C) Monitoring the patient and fetus for any nonreassuring signs and
symptoms
D) Encouraging the participation of the support person in providing care
Correct Answer: D. Rationale: Encouraging the support person to
participate in delivery of care will help reduce the patient's fear and
anxiety.
,Which type of breech position is correctly matched with its description?
(Select all that apply.)
A) Complete breech: The hips are flexed and the knees are flexed.
B) Frank breech: The hips are flexed and the knees are extended.
C) Footling breech: One or both hips are extended and the foot
presents. D) Incomplete breech: One or both hips are extended and the
foot presents.
E) Complete breech: The hips are extended and the knees are extended.
Correct Answer: A, B, C, D. Rationale: Complete breech (hips/knees
flexed), Frank breech (hips flexed/knees extended), Footling/Incomplete
breech (one or both hips extended and foot presents) are all correct
descriptions.
The nurse is caring for a patient who delivered at 22 weeks' gestation and
experienced a fetal demise when the newborn could not be resuscitated
in the delivery room. Which action will the postpartum nurse include in
the immediate plan of care for this family? (Select all that apply.)
A) Clean and dress the baby.
B) Allow the family to hold the baby.
C) Obtain footprints and pictures of the baby.
D) Encourage the parents to cry over their loss.
E) Connect the family to a support group.
Correct Answer: A, B, C, E. Rationale: The baby should be cleaned and
dressed. Family should be allowed to hold the baby, obtain
footprints/pictures, and be connected to a support group. Crying
shouldn't be forced.
,Which patient does the nurse recognize as an appropriate candidate for
amniotomy?
A) The woman who is at 36 weeks' gestation
B) The woman with a fetus in the breech presentation
C) The woman who is full-term and experiencing a slow labor
D) The woman with a fetus whose head is disengaged in the pelvis
Correct Answer: C. Rationale: Amniotomy is indicated for women who are
full-term and experiencing a slow labor to stimulate or start labor within
12 hours.
A nurse is evaluating a patient who has undergone an amniotomy. Which
evaluation finding is most important for the nurse to report immediately?
A) Onset of contractions
B) Clear, odorless amniotic fluid
C) Abnormal fetal heart rate (FHR) pattern
D) Wet underpads from vaginal leakage of clear fluid
Correct Answer: C. Rationale: An abnormal FHR pattern can indicate a
compressed umbilical cord and should be reported immediately.
A nurse is preparing a patient for an external cephalic version. The nurse
notices that the patient is Rh-negative and has received limited prenatal
care. The nurse expects to see which medication ordered by the health-
care provider?
A) Oxytocin
B) Magnesium sulfate
C) RhoGAM
D) IV antibiotics
Correct Answer: C. Rationale: The nurse should confirm that RhoGAM
was administered because the patient is Rh-negative; if not, it should be
ordered.
, After a successful external cephalic version, the patient says, "Oh good!
Now I won't have to worry about having a cesarean section!" Which
teaching should the nurse provide this patient in response to this
comment? A) The fetus can drift back into an abnormal presentation. B)
There is no reason to worry about having a cesarean section. C) Potential
complications may follow the procedure. D) There is a need to drink
plenty of fluids for the next 24 hours.
Correct Answer: A. Rationale: It is important to explain that although the
fetus has been repositioned, it is possible for fetal movement to cause
repositioning to the breech position.
A patient is 39 weeks' pregnant and is admitted for induction of labor.
Her Bishop score is 2. Which teaching does the nurse prepare for this
patient?
A) Explain the process of inducing labor.
B) Describe the fetal monitoring equipment.
C) Explain how a cesarean section is performed.
D) Explain the need for chemical or mechanical cervical ripening.
Correct Answer: D. Rationale: A Bishop score of less than 5 means the
patient's cervix is not adequately ripened, and she is not a candidate for
induction until chemical or mechanical cervical ripening is conducted.
A nurse is discussing the methods of cervical ripening and induction of
labor with the patient. Which method does the nurse inform as the safest
and least likely to result in complications?
A) Insertion of a transcervical Foley catheter
B) Application of prostaglandin gel
C) Administration of Prepidil cervical gel
D) Infusion of oxytocin (Pitocin)
Correct Answer: A. Rationale: Use of a Foley catheter rarely results in
complications and is the safest method of ripening the cervix.
QUESTIONS COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
9,10,11
The nurse reviews a plan of care and sees the nursing diagnosis of Fear
Related to Uncertainty of Pregnancy Outcome. Which priority nursing
intervention should the nurse include when caring for this patient?
A) Reinforcing teaching provided to the patient by the provider and
registered nurse
B) Providing information both verbally and in writing for the patient to
refer to
C) Monitoring the patient and fetus for any nonreassuring signs and
symptoms
D) Encouraging the participation of the support person in providing care
Correct Answer: D. Rationale: Encouraging the support person to
participate in delivery of care will help reduce the patient's fear and
anxiety.
,Which type of breech position is correctly matched with its description?
(Select all that apply.)
A) Complete breech: The hips are flexed and the knees are flexed.
B) Frank breech: The hips are flexed and the knees are extended.
C) Footling breech: One or both hips are extended and the foot
presents. D) Incomplete breech: One or both hips are extended and the
foot presents.
E) Complete breech: The hips are extended and the knees are extended.
Correct Answer: A, B, C, D. Rationale: Complete breech (hips/knees
flexed), Frank breech (hips flexed/knees extended), Footling/Incomplete
breech (one or both hips extended and foot presents) are all correct
descriptions.
The nurse is caring for a patient who delivered at 22 weeks' gestation and
experienced a fetal demise when the newborn could not be resuscitated
in the delivery room. Which action will the postpartum nurse include in
the immediate plan of care for this family? (Select all that apply.)
A) Clean and dress the baby.
B) Allow the family to hold the baby.
C) Obtain footprints and pictures of the baby.
D) Encourage the parents to cry over their loss.
E) Connect the family to a support group.
Correct Answer: A, B, C, E. Rationale: The baby should be cleaned and
dressed. Family should be allowed to hold the baby, obtain
footprints/pictures, and be connected to a support group. Crying
shouldn't be forced.
,Which patient does the nurse recognize as an appropriate candidate for
amniotomy?
A) The woman who is at 36 weeks' gestation
B) The woman with a fetus in the breech presentation
C) The woman who is full-term and experiencing a slow labor
D) The woman with a fetus whose head is disengaged in the pelvis
Correct Answer: C. Rationale: Amniotomy is indicated for women who are
full-term and experiencing a slow labor to stimulate or start labor within
12 hours.
A nurse is evaluating a patient who has undergone an amniotomy. Which
evaluation finding is most important for the nurse to report immediately?
A) Onset of contractions
B) Clear, odorless amniotic fluid
C) Abnormal fetal heart rate (FHR) pattern
D) Wet underpads from vaginal leakage of clear fluid
Correct Answer: C. Rationale: An abnormal FHR pattern can indicate a
compressed umbilical cord and should be reported immediately.
A nurse is preparing a patient for an external cephalic version. The nurse
notices that the patient is Rh-negative and has received limited prenatal
care. The nurse expects to see which medication ordered by the health-
care provider?
A) Oxytocin
B) Magnesium sulfate
C) RhoGAM
D) IV antibiotics
Correct Answer: C. Rationale: The nurse should confirm that RhoGAM
was administered because the patient is Rh-negative; if not, it should be
ordered.
, After a successful external cephalic version, the patient says, "Oh good!
Now I won't have to worry about having a cesarean section!" Which
teaching should the nurse provide this patient in response to this
comment? A) The fetus can drift back into an abnormal presentation. B)
There is no reason to worry about having a cesarean section. C) Potential
complications may follow the procedure. D) There is a need to drink
plenty of fluids for the next 24 hours.
Correct Answer: A. Rationale: It is important to explain that although the
fetus has been repositioned, it is possible for fetal movement to cause
repositioning to the breech position.
A patient is 39 weeks' pregnant and is admitted for induction of labor.
Her Bishop score is 2. Which teaching does the nurse prepare for this
patient?
A) Explain the process of inducing labor.
B) Describe the fetal monitoring equipment.
C) Explain how a cesarean section is performed.
D) Explain the need for chemical or mechanical cervical ripening.
Correct Answer: D. Rationale: A Bishop score of less than 5 means the
patient's cervix is not adequately ripened, and she is not a candidate for
induction until chemical or mechanical cervical ripening is conducted.
A nurse is discussing the methods of cervical ripening and induction of
labor with the patient. Which method does the nurse inform as the safest
and least likely to result in complications?
A) Insertion of a transcervical Foley catheter
B) Application of prostaglandin gel
C) Administration of Prepidil cervical gel
D) Infusion of oxytocin (Pitocin)
Correct Answer: A. Rationale: Use of a Foley catheter rarely results in
complications and is the safest method of ripening the cervix.
