• OB Exam 09/04/2026
OB Exam Prep Test Bank 2 /Obstetrics Real
Assessment Review -latest exam questions
and correct Answers Graded A+ (Latest ) OB
Midterm exam
The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction
should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
D. Do not allow your baby to nurse any longer than the prescribed number of minutes –
P 1
, • OB Exam 09/04/2026
Correct Answer :C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination –
Correct Answer :C. Onset of uterine contractions
Total (complete) placenta previa involves the placenta covering the entire cervical os (opening). The onset of
uterine contractions places the client at risk for dilation and placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds each
- Correct Answer :A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate resting time between contractions,
the oxytocin infusion should be discontinued because placental perfusion is impeded
P 2
, • OB Exam 09/04/2026
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on
the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage –
Correct Answer :A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises within the first 24 hours after
delivery. Trauma from delivery causes capillary bleeding between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment
finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise –
Correct Answer :A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its covering, the periosteum. Due to
the breakdown of the red blood cells within a hematoma, the infant is at a greater risk for jaundice, so a
yellowish tinge to the skin should be reported.
P 3
, • OB Exam 09/04/2026
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn Formula, a nonfat
cow's milk formula. The pediatric healthcare provider changes the neonate's formula to Simialc Soy Isomil
formula, a soy protein isolate based infant formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
- Correct Answer :D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be related to the lactose found in cow's
milk formula and is being replaced with the soy-based formula that contains sucrose, which is well-tolerated in
infants with milk allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which information is most important for
the nurse to receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
- Correct Answer :B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar scores at 1 and 5 minutes) and any
treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on
successful teaching of the gravid client?
A. The client's readiness to learn
P 4
OB Exam Prep Test Bank 2 /Obstetrics Real
Assessment Review -latest exam questions
and correct Answers Graded A+ (Latest ) OB
Midterm exam
The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction
should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
D. Do not allow your baby to nurse any longer than the prescribed number of minutes –
P 1
, • OB Exam 09/04/2026
Correct Answer :C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
Breastfeeding infants should be kept in the room with the mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination –
Correct Answer :C. Onset of uterine contractions
Total (complete) placenta previa involves the placenta covering the entire cervical os (opening). The onset of
uterine contractions places the client at risk for dilation and placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds each
- Correct Answer :A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate resting time between contractions,
the oxytocin infusion should be discontinued because placental perfusion is impeded
P 2
, • OB Exam 09/04/2026
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on
the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage –
Correct Answer :A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises within the first 24 hours after
delivery. Trauma from delivery causes capillary bleeding between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment
finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise –
Correct Answer :A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its covering, the periosteum. Due to
the breakdown of the red blood cells within a hematoma, the infant is at a greater risk for jaundice, so a
yellowish tinge to the skin should be reported.
P 3
, • OB Exam 09/04/2026
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn Formula, a nonfat
cow's milk formula. The pediatric healthcare provider changes the neonate's formula to Simialc Soy Isomil
formula, a soy protein isolate based infant formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
- Correct Answer :D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be related to the lactose found in cow's
milk formula and is being replaced with the soy-based formula that contains sucrose, which is well-tolerated in
infants with milk allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which information is most important for
the nurse to receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
- Correct Answer :B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar scores at 1 and 5 minutes) and any
treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on
successful teaching of the gravid client?
A. The client's readiness to learn
P 4
