OB EXAM VERSIONS 1 AND 2 SCRIPT 2026
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ A nurse is preparing to administer methylergonovine IM to a
client who experienced a vaginal delivery. The nurse should explain
to the client that the purpose of this medication is to prevent which
of the following conditions?
Answer: Postpartum hemorrhage
◉ A nurse is caring for a client who is in the first stage of labor,
undergoing external fetal monitoring, and receiving IV fluid. The
nurse observes variable decelerations in the fetal heart rate on the
monitor strip. Which of the following is a correct interpretation of
this finding?
Answer: Variable decelerations are due to umbilical cord
compression
◉ A nurse is caring for a client who is at 39 weeks of gestation and is
in active labor. The nurse locates the fetal heart tones above the
client's umbilicus at midline. The nurse should suspect that the fetus
is in which of the following positions?
Answer: Frank breech
,◉ A nurse is caring for a newborn and calculating the Apgar score.
At 1 min after delivery, the following findings are noted: heart rate of
110/min; slow, weak cry; some flexion of extremities; grimace in
response to suctioning of the nares; body pink in color with blue
extremities. Calculate the newborn's Apgar score. Answer the
number only.
Answer: 6
◉ A nurse is admitting a client who is at 38 weeks of gestation and is
in the first stage of labor. Which of the following assessment findings
should the nurse report to the provider first?
Answer: Continuous contraction lasting 2 minutes
◉ A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the
nurse take first?
Answer: Change the client's position
◉ A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the
nurse take first?
Answer: Obtain a 30 min electronic fetal monitoring (EFM) strip
prior to induction
, ◉ A nurse is providing education to a client who is in labor and has a
prescription for a continuous IV infusion of oxytocin. Which of the
information should the nurse include?
Answer: Your contractions will become stronger and more frequent
◉ Engagement
Answer: Greatest diameter of head passes through the pelvic inlet
◉ Descent
Answer: Movement of fetus through the birth canal
◉ Flexion
Answer: Fetal chin flexes downward onto chest
◉ Internal Rotation
Answer: Fetal head rotates to fit diameter of pelvic cavity
◉ Extension
Answer: Occiput, brow and face emerge from vagina
◉ External Rotation
Answer: Shoulders enter pelvis, turning head to one side
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ A nurse is preparing to administer methylergonovine IM to a
client who experienced a vaginal delivery. The nurse should explain
to the client that the purpose of this medication is to prevent which
of the following conditions?
Answer: Postpartum hemorrhage
◉ A nurse is caring for a client who is in the first stage of labor,
undergoing external fetal monitoring, and receiving IV fluid. The
nurse observes variable decelerations in the fetal heart rate on the
monitor strip. Which of the following is a correct interpretation of
this finding?
Answer: Variable decelerations are due to umbilical cord
compression
◉ A nurse is caring for a client who is at 39 weeks of gestation and is
in active labor. The nurse locates the fetal heart tones above the
client's umbilicus at midline. The nurse should suspect that the fetus
is in which of the following positions?
Answer: Frank breech
,◉ A nurse is caring for a newborn and calculating the Apgar score.
At 1 min after delivery, the following findings are noted: heart rate of
110/min; slow, weak cry; some flexion of extremities; grimace in
response to suctioning of the nares; body pink in color with blue
extremities. Calculate the newborn's Apgar score. Answer the
number only.
Answer: 6
◉ A nurse is admitting a client who is at 38 weeks of gestation and is
in the first stage of labor. Which of the following assessment findings
should the nurse report to the provider first?
Answer: Continuous contraction lasting 2 minutes
◉ A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the
nurse take first?
Answer: Change the client's position
◉ A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the
nurse take first?
Answer: Obtain a 30 min electronic fetal monitoring (EFM) strip
prior to induction
, ◉ A nurse is providing education to a client who is in labor and has a
prescription for a continuous IV infusion of oxytocin. Which of the
information should the nurse include?
Answer: Your contractions will become stronger and more frequent
◉ Engagement
Answer: Greatest diameter of head passes through the pelvic inlet
◉ Descent
Answer: Movement of fetus through the birth canal
◉ Flexion
Answer: Fetal chin flexes downward onto chest
◉ Internal Rotation
Answer: Fetal head rotates to fit diameter of pelvic cavity
◉ Extension
Answer: Occiput, brow and face emerge from vagina
◉ External Rotation
Answer: Shoulders enter pelvis, turning head to one side
