OB Exam 3 Questions with Verified Answers Latest Update 2025 Already Passed
A nurse is preparing discharge teaching for a client being discharged with a newborn baby. What is the
highest priority item that must be included in the teaching plan?
Answers:
a. Lock all cabinets that contain cleaning supplies.
b. Keep all pots and pans in lower cabinets.
c. Give warm bottles of formula to the baby.
d. Restrain the baby in a car seat. - Answers d. Restrain the baby in a car seat.
A 6-lb, 8-oz (2,948 g) neonate was born vaginally at 38 weeks' gestation. At 5 minutes of life, the
neonate has the following signs: heart rate 110, intermittent grunting with respiratory rate of 70, flaccid
tone, no response to stimulus, and overall pale white in color. The Apgar score is:
Answers:
a. 6
b. 3
c. 2
d. 4 - Answers d. 4
For almost an hour after birth, a neonate was awake, alert, and startled and cried easily. Respirations
rose to 70 breaths/minute, and heart rate on two occasions was 160 beats/minute. After sleeping
quietly for about 2 hours, the neonate then awoke with a start, cried, extended and flexed all four
extremities, and then choked, gagged, and regurgitated some thick mucus. What should the nurse do
next?
a. Place the neonate under a radiant warmer because these signs suggest chilling.
b. Wrap the neonate in a blanket and offer sips of glucose water.
c. Change the neonate's position and aspirate mucus as necessary.
d. Call the primary care provider because the neonate appears to be choking. - Answers c. Change the
neonate's position and aspirate mucus as necessary.
A male neonate underwent circumcision. What nursing intervention is part of the initial care of a
circumcised neonate?
Answers:
, a. Apply petroleum gauze to the site for 24 hours.
b. Change the diaper as needed.
c. Apply alcohol to the site.
d. Keep the neonate in the supine position. - Answers a. Apply petroleum gauze to the site for 24 hours.
Which of the following conditions is a part of normal newborn screening?
Answers:
a. Phenylketonuria
b. Sickle cell anemia
c. Cystic fibrosis
d. Down syndrome - Answers a. Phenylketonuria
The physician prescribes phytonadione, 0.5 mg I.M., for a neonate born 30 minutes ago. The nurse has a
solution containing 2 mg/ml. How many milliliters of solution should the nurse administer to achieve this
dose? Record your answer to the nearest hundreth. - Answers
What is the quickest and most common method to obtain neonatal blood for glucose screening 1 hour
after birth?
Answers:
a. Obtain a laboratory chemical determination.
b. Puncture a fingertip.
c. Obtain a sample from the umbilical cord.
d. Puncture the lateral pad of the heel. - Answers d. Puncture the lateral pad of the heel.
A new father indicates he feels left out of the new family relationship since he is not able to bond the
same way as the breastfeeding mother. What is the most appropriate response by the nurse?
Answers:
a. "Holding, talking to, and playing with the infant will facilitate bonding between baby and Dad."
b. "Maternal-infant bonding takes priority over paternal-infant bonding."
c. "This is normal, and these feelings will go away within a few days."
A nurse is preparing discharge teaching for a client being discharged with a newborn baby. What is the
highest priority item that must be included in the teaching plan?
Answers:
a. Lock all cabinets that contain cleaning supplies.
b. Keep all pots and pans in lower cabinets.
c. Give warm bottles of formula to the baby.
d. Restrain the baby in a car seat. - Answers d. Restrain the baby in a car seat.
A 6-lb, 8-oz (2,948 g) neonate was born vaginally at 38 weeks' gestation. At 5 minutes of life, the
neonate has the following signs: heart rate 110, intermittent grunting with respiratory rate of 70, flaccid
tone, no response to stimulus, and overall pale white in color. The Apgar score is:
Answers:
a. 6
b. 3
c. 2
d. 4 - Answers d. 4
For almost an hour after birth, a neonate was awake, alert, and startled and cried easily. Respirations
rose to 70 breaths/minute, and heart rate on two occasions was 160 beats/minute. After sleeping
quietly for about 2 hours, the neonate then awoke with a start, cried, extended and flexed all four
extremities, and then choked, gagged, and regurgitated some thick mucus. What should the nurse do
next?
a. Place the neonate under a radiant warmer because these signs suggest chilling.
b. Wrap the neonate in a blanket and offer sips of glucose water.
c. Change the neonate's position and aspirate mucus as necessary.
d. Call the primary care provider because the neonate appears to be choking. - Answers c. Change the
neonate's position and aspirate mucus as necessary.
A male neonate underwent circumcision. What nursing intervention is part of the initial care of a
circumcised neonate?
Answers:
, a. Apply petroleum gauze to the site for 24 hours.
b. Change the diaper as needed.
c. Apply alcohol to the site.
d. Keep the neonate in the supine position. - Answers a. Apply petroleum gauze to the site for 24 hours.
Which of the following conditions is a part of normal newborn screening?
Answers:
a. Phenylketonuria
b. Sickle cell anemia
c. Cystic fibrosis
d. Down syndrome - Answers a. Phenylketonuria
The physician prescribes phytonadione, 0.5 mg I.M., for a neonate born 30 minutes ago. The nurse has a
solution containing 2 mg/ml. How many milliliters of solution should the nurse administer to achieve this
dose? Record your answer to the nearest hundreth. - Answers
What is the quickest and most common method to obtain neonatal blood for glucose screening 1 hour
after birth?
Answers:
a. Obtain a laboratory chemical determination.
b. Puncture a fingertip.
c. Obtain a sample from the umbilical cord.
d. Puncture the lateral pad of the heel. - Answers d. Puncture the lateral pad of the heel.
A new father indicates he feels left out of the new family relationship since he is not able to bond the
same way as the breastfeeding mother. What is the most appropriate response by the nurse?
Answers:
a. "Holding, talking to, and playing with the infant will facilitate bonding between baby and Dad."
b. "Maternal-infant bonding takes priority over paternal-infant bonding."
c. "This is normal, and these feelings will go away within a few days."
