OB/MATERNITY EXAM ACTUAL EXAM
2024-2025 COMPLETE 100 QUESTIONS
AND DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADE
GUARANTEED PASS
1. A 30-year old gravida 2, para 1 client is admitted to the
hospital at 26-weeks gestation in preterm labor. She is
started on an IV solution of terbutaline (Brethine). Which
assessment is the highest priority for the nurse to monitor
during the administration of this drug?
a. Maternal blood pressure and respirations.
b. Maternal and fetal heart rates.
c. Hourly urinary output.
d. Deep tendon reflexes. Correct Answer B
2. During labor, the nurse determines that a full-term client
is demonstrating late decelerations. In which sequence
should the nurse implement these nursing actions? (Place
the first action on top and last action on the bottom.)
a. Reposition the client.
b. Call the healthcare provider.
c. Increase IV fluid.
d. Provide oxygen via face mask. Correct Answer A, C, D,
B
,3. A client at 30-weeks gestation, complaining of pressure
over the pubic area, is admitted for observation. She is
contracting irregularly and demonstrates underlying
uterine irritability. Vaginal examination reveals that her
cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
a. Provide oral hydration.
b. Have a complete blood count (CBC) drawn.
c. Obtain a specimen for urine analysis.
d. Place the client on strict bedrest. Correct Answer C
4. A woman who thinks she could be pregnant calls her
neighbor, a nurse, to ask when she could use a home
pregnancy test to diagnose pregnancy. Which response is
appropriate?
a. "A home pregnancy test can be used right after your
first missed period."
b. "These tests are most accurate after you have missed
your second period."
c. "Home pregnancy tests often give false positives and
should not be trusted."
d. "The test can provide accurate information when used
right after ovulation." Correct Answer A
5. When evaluating maternal bonding, which of the
following maternal behaviors exhibited by the client would
the nurse most likely expect to see when a new mother
receives her infant for the first time?
,a. She eagerly reaches for the infant, undresses the infant,
and examines the infant completely.
b. Her arms and hands receive the infant and she then
traces the infant's profile with her fingertips.
c. Her arms and hands receive the infant and she then
cuddles the infant to her own body.
d. She eagerly reaches for the infant and then holds the
infant close to her own body. Correct Answer B
6. The nurse is performing a gestational age assessment
on a full-term newborn during the first hour of transition
using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a
maturity rating of 40-weeks. What findings should the
nurse identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)
a. Admission weight of 4 pounds, 15 ounces ( 2244
grams).
b. Head to heel length of 17 inches (42.5 cm).
c. Frontal occipital circumference of 12.5 inches (31.25
cm).
d. Skin smooth with visible veins and abundant vernix.
e. Anterior plantar crease and smooth heel surfaces.
f. Full flexion of all extremities in resting supine position.
Correct Answer A, B, C
7. When assessing a client who is at 12-weeks gestation,
the nurse recommends that she and her husband consider
attending childbirth preparation classes. When is the best
time for the couple to attend these classes?
, a. At 16-weeks gestation.
b. At 20-weeks gestation.
c. At 24-weeks gestation.
At 30-weeks gestation. Correct Answer D
8. A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which response
is best for the nurse provide?
"Weigh the baby daily, and if she is gaining weight, she is
eating enough."
"Your milk is sufficient if the baby is voiding pale straw-
colored urine 6 to 10 times a day."
"Offer the baby extra bottle milk after her feeding, and see
if she is still hungry."
"If you're concerned, you might consider bottle feeding so
that you can monitor her intake." Correct Answer B
9. A primigravida at 40-weeks gestation is receiving
oxytocin (Pitocin) to augment labor. Which adverse effect
should the nurse monitor for during the infusion of Pitocin?
a. Dehydration.
b. Hyperstimulation.
c. Galactorrhea.
d. Fetal tachycardia. Correct Answer B
10. The nurse is teaching a woman how to use her basal
body temperature (BBT) pattern as a tool to assist her in
conceiving a child. Which temperature pattern indicates
2024-2025 COMPLETE 100 QUESTIONS
AND DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADE
GUARANTEED PASS
1. A 30-year old gravida 2, para 1 client is admitted to the
hospital at 26-weeks gestation in preterm labor. She is
started on an IV solution of terbutaline (Brethine). Which
assessment is the highest priority for the nurse to monitor
during the administration of this drug?
a. Maternal blood pressure and respirations.
b. Maternal and fetal heart rates.
c. Hourly urinary output.
d. Deep tendon reflexes. Correct Answer B
2. During labor, the nurse determines that a full-term client
is demonstrating late decelerations. In which sequence
should the nurse implement these nursing actions? (Place
the first action on top and last action on the bottom.)
a. Reposition the client.
b. Call the healthcare provider.
c. Increase IV fluid.
d. Provide oxygen via face mask. Correct Answer A, C, D,
B
,3. A client at 30-weeks gestation, complaining of pressure
over the pubic area, is admitted for observation. She is
contracting irregularly and demonstrates underlying
uterine irritability. Vaginal examination reveals that her
cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
a. Provide oral hydration.
b. Have a complete blood count (CBC) drawn.
c. Obtain a specimen for urine analysis.
d. Place the client on strict bedrest. Correct Answer C
4. A woman who thinks she could be pregnant calls her
neighbor, a nurse, to ask when she could use a home
pregnancy test to diagnose pregnancy. Which response is
appropriate?
a. "A home pregnancy test can be used right after your
first missed period."
b. "These tests are most accurate after you have missed
your second period."
c. "Home pregnancy tests often give false positives and
should not be trusted."
d. "The test can provide accurate information when used
right after ovulation." Correct Answer A
5. When evaluating maternal bonding, which of the
following maternal behaviors exhibited by the client would
the nurse most likely expect to see when a new mother
receives her infant for the first time?
,a. She eagerly reaches for the infant, undresses the infant,
and examines the infant completely.
b. Her arms and hands receive the infant and she then
traces the infant's profile with her fingertips.
c. Her arms and hands receive the infant and she then
cuddles the infant to her own body.
d. She eagerly reaches for the infant and then holds the
infant close to her own body. Correct Answer B
6. The nurse is performing a gestational age assessment
on a full-term newborn during the first hour of transition
using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a
maturity rating of 40-weeks. What findings should the
nurse identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)
a. Admission weight of 4 pounds, 15 ounces ( 2244
grams).
b. Head to heel length of 17 inches (42.5 cm).
c. Frontal occipital circumference of 12.5 inches (31.25
cm).
d. Skin smooth with visible veins and abundant vernix.
e. Anterior plantar crease and smooth heel surfaces.
f. Full flexion of all extremities in resting supine position.
Correct Answer A, B, C
7. When assessing a client who is at 12-weeks gestation,
the nurse recommends that she and her husband consider
attending childbirth preparation classes. When is the best
time for the couple to attend these classes?
, a. At 16-weeks gestation.
b. At 20-weeks gestation.
c. At 24-weeks gestation.
At 30-weeks gestation. Correct Answer D
8. A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which response
is best for the nurse provide?
"Weigh the baby daily, and if she is gaining weight, she is
eating enough."
"Your milk is sufficient if the baby is voiding pale straw-
colored urine 6 to 10 times a day."
"Offer the baby extra bottle milk after her feeding, and see
if she is still hungry."
"If you're concerned, you might consider bottle feeding so
that you can monitor her intake." Correct Answer B
9. A primigravida at 40-weeks gestation is receiving
oxytocin (Pitocin) to augment labor. Which adverse effect
should the nurse monitor for during the infusion of Pitocin?
a. Dehydration.
b. Hyperstimulation.
c. Galactorrhea.
d. Fetal tachycardia. Correct Answer B
10. The nurse is teaching a woman how to use her basal
body temperature (BBT) pattern as a tool to assist her in
conceiving a child. Which temperature pattern indicates
