OB/Maternity Practice Exam
1. A 30-year old gravida 2, para 1 consumer is admitted to the health center at 26-weeks
gestation in preterm exertions. She is began on an IV solution of terbutaline (Brethine).
Which evaluation is the best precedence for the nurse to screen during the administration of
this drug?
A. Maternal blood strain and respirations.
B. Maternal and fetal heart quotes.
C. Hourly urinary output.
D. Deep tendon reflexes. - ANS-B
2. During hard work, the nurse determines that a full-term consumer is demonstrating
overdue decelerations. In which sequence ought to the nurse put in force those nursing
movements? (Place the primary motion on top and last action on the bottom.)
a. Reposition the consumer.
B. Call the healthcare issuer.
C. Increase IV fluid.
D. Provide oxygen thru face masks. - ANS-A, C, D, B
3. A customer at 30-weeks gestation, complaining of strain over the pubic vicinity, is
admitted for commentary. She is contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination famous that her cervix is closed, thick, and excessive. Based
on those records, which intervention must the nurse implement first?
A. Provide oral hydration.
B. Have a entire blood be counted (CBC) drawn.
C. Obtain a specimen for urine evaluation.
D. Place the patron on strict bedrest. - ANS-C
4. A woman who thinks she might be pregnant calls her neighbor, a nurse, to invite whilst
she should use a home being pregnant test to diagnose being pregnant. Which response is
appropriate?
A. "A home being pregnant take a look at may be used right after your first missed duration."
b. "These tests are most accurate after you've got overlooked your 2nd period."
c. "Home pregnancy tests regularly give false positives and ought to now not be trusted."
d. "The take a look at can offer accurate facts when used proper after ovulation." - ANS-A
5. When evaluating maternal bonding, which of the subsequent maternal behaviors exhibited
by way of the customer might the nurse maximum in all likelihood anticipate to look while a
new mom receives her toddler for the primary 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 or he then lines the infant's profile
together with her fingertips.
,C. Her hands and palms receive the infant and she or he then cuddles the infant to her very
own frame.
D. She eagerly reaches for the infant and then holds the infant near her own frame. - ANS-B
6. The nurse is acting a gestational age evaluation on a complete-term newborn for the
duration of the first hour of transition using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a maturity score of 40-weeks. What
findings have to the nurse become aware of to decide if the neonate is small for gestational
age (SGA)? (Select all that observe.)
a. Admission weight of four kilos, 15 oz ( 2244 grams).
B. Head to heel period of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.Five inches (31.25 cm).
D. Skin clean with seen veins and considerable vernix.
E. Anterior plantar crease and smooth heel surfaces.
F. Full flexion of all extremities in resting supine function. - ANS-A, B, C
7. When assessing a patron who is at 12-weeks gestation, the nurse recommends that she
and her husband bear in mind attending childbirth practise training. When is the high-quality
time for the couple to attend these training?
A. At sixteen-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
At 30-weeks gestation. - ANS-D
8. A new mom asks the nurse, "How do I know that my daughter is getting enough breast
milk?" Which response is high-quality for the nurse provide?
"Weigh the infant daily, and if she is gaining weight, she is consuming enough."
"Your milk is sufficient if the infant is voiding pale straw-colored urine 6 to 10 instances a
day."
"Offer the toddler extra bottle milk after her feeding, and notice if she continues to be
hungry."
"If you are worried, you would possibly don't forget bottle feeding so that you can screen her
intake." - ANS-B
nine. A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to reinforce labor.
Which detrimental effect should the nurse display for at some stage in the infusion of
Pitocin?
A. Dehydration.
B. Hyperstimulation.
C. Galactorrhea.
D. Fetal tachycardia. - ANS-B
10. The nurse is coaching a woman the way to use her basal frame temperature (BBT)
sample as a tool to help her in conceiving a infant. Which temperature sample indicates the
incidence of ovulation, and therefore, the pleasant time for sex to make certain theory?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and stays low for 36 hours.
, D. Within 72 hours before the temperature falls. - ANS-A
11. A new mom who has just had her first toddler says to the nurse, "I noticed the baby in the
healing room. She positive has a funny looking head." Which response by means of the
nurse is exceptional?
A. "This isn't an unusual formed head, mainly for a first baby."
b. "It may additionally look humorous to you, however newborn babies are frequently born
with heads like your toddler's."
c. "That is ordinary; the pinnacle will return to a spherical shape inside 7 to ten days."
d. "Your pelvis was too small, so the toddler's head needed to adjust to the birth canal." -
ANS-C
12. A forty two-week gestational patron is receiving an intravenous infusion of oxytocin
(Pitocin) to enhance early exertions. Which sample of contractions have to alert the nurse to
discontinue the oxytocin infusion?
A. Transition exertions with contractions each 2 minutes, lasting 90 seconds each.
B. Early labor with contractions every five minutes, lasting forty seconds every.
C. Active labor with contractions each 31 minutes, lasting 60 seconds every.
D. Active labor with contractions each 2 to 3 minutes, lasting 70 to eighty seconds each. -
ANS-A
thirteen. The nurse is assessing a 3-day old toddler with a cephalohematoma within the
newborn nursery. Which assessment locating need to the nurse record 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 stated after a loud noise. - ANS-A
14. A client who had a miscarriage 6 months ago becomes pregnant. Which practise is
maximum important for the nurse to offer this consumer?
A. Elevate decrease legs even as resting.
B. Increase caloric consumption through two hundred to 300 calories in line with day.
C. Increase water intake to 8 complete glasses consistent with day.
D. Take prescribed multivitamin and mineral dietary supplements. - ANS-D
15. A patron at 32-weeks gestation involves the prenatal health center with complaints of
pedal edema, dyspnea, fatigue, and a wet cough. Which question is maximum critical for the
nurse to invite this consumer?
A. "Which symptom did you enjoy first?"
b. "Are you eating large amounts of salty foods?"
c. "Have you visited a foreign usa currently?"
d. "Do you have got a records of rheumatic fever?" - ANS-D
16. One hour after giving beginning to an 8-pound infant, a patron's lochia rubra has
multiplied from small to huge and her fundus is boggy notwithstanding massage. The
patron's pulse is eighty four beats/minute and blood stress is 156/96. The healthcare
company prescribes Methergine zero.2 mg IM X 1. What action ought to the nurse take right
now?
1. A 30-year old gravida 2, para 1 consumer is admitted to the health center at 26-weeks
gestation in preterm exertions. She is began on an IV solution of terbutaline (Brethine).
Which evaluation is the best precedence for the nurse to screen during the administration of
this drug?
A. Maternal blood strain and respirations.
B. Maternal and fetal heart quotes.
C. Hourly urinary output.
D. Deep tendon reflexes. - ANS-B
2. During hard work, the nurse determines that a full-term consumer is demonstrating
overdue decelerations. In which sequence ought to the nurse put in force those nursing
movements? (Place the primary motion on top and last action on the bottom.)
a. Reposition the consumer.
B. Call the healthcare issuer.
C. Increase IV fluid.
D. Provide oxygen thru face masks. - ANS-A, C, D, B
3. A customer at 30-weeks gestation, complaining of strain over the pubic vicinity, is
admitted for commentary. She is contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination famous that her cervix is closed, thick, and excessive. Based
on those records, which intervention must the nurse implement first?
A. Provide oral hydration.
B. Have a entire blood be counted (CBC) drawn.
C. Obtain a specimen for urine evaluation.
D. Place the patron on strict bedrest. - ANS-C
4. A woman who thinks she might be pregnant calls her neighbor, a nurse, to invite whilst
she should use a home being pregnant test to diagnose being pregnant. Which response is
appropriate?
A. "A home being pregnant take a look at may be used right after your first missed duration."
b. "These tests are most accurate after you've got overlooked your 2nd period."
c. "Home pregnancy tests regularly give false positives and ought to now not be trusted."
d. "The take a look at can offer accurate facts when used proper after ovulation." - ANS-A
5. When evaluating maternal bonding, which of the subsequent maternal behaviors exhibited
by way of the customer might the nurse maximum in all likelihood anticipate to look while a
new mom receives her toddler for the primary 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 or he then lines the infant's profile
together with her fingertips.
,C. Her hands and palms receive the infant and she or he then cuddles the infant to her very
own frame.
D. She eagerly reaches for the infant and then holds the infant near her own frame. - ANS-B
6. The nurse is acting a gestational age evaluation on a complete-term newborn for the
duration of the first hour of transition using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a maturity score of 40-weeks. What
findings have to the nurse become aware of to decide if the neonate is small for gestational
age (SGA)? (Select all that observe.)
a. Admission weight of four kilos, 15 oz ( 2244 grams).
B. Head to heel period of 17 inches (42.5 cm).
C. Frontal occipital circumference of 12.Five inches (31.25 cm).
D. Skin clean with seen veins and considerable vernix.
E. Anterior plantar crease and smooth heel surfaces.
F. Full flexion of all extremities in resting supine function. - ANS-A, B, C
7. When assessing a patron who is at 12-weeks gestation, the nurse recommends that she
and her husband bear in mind attending childbirth practise training. When is the high-quality
time for the couple to attend these training?
A. At sixteen-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
At 30-weeks gestation. - ANS-D
8. A new mom asks the nurse, "How do I know that my daughter is getting enough breast
milk?" Which response is high-quality for the nurse provide?
"Weigh the infant daily, and if she is gaining weight, she is consuming enough."
"Your milk is sufficient if the infant is voiding pale straw-colored urine 6 to 10 instances a
day."
"Offer the toddler extra bottle milk after her feeding, and notice if she continues to be
hungry."
"If you are worried, you would possibly don't forget bottle feeding so that you can screen her
intake." - ANS-B
nine. A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to reinforce labor.
Which detrimental effect should the nurse display for at some stage in the infusion of
Pitocin?
A. Dehydration.
B. Hyperstimulation.
C. Galactorrhea.
D. Fetal tachycardia. - ANS-B
10. The nurse is coaching a woman the way to use her basal frame temperature (BBT)
sample as a tool to help her in conceiving a infant. Which temperature sample indicates the
incidence of ovulation, and therefore, the pleasant time for sex to make certain theory?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and stays low for 36 hours.
, D. Within 72 hours before the temperature falls. - ANS-A
11. A new mom who has just had her first toddler says to the nurse, "I noticed the baby in the
healing room. She positive has a funny looking head." Which response by means of the
nurse is exceptional?
A. "This isn't an unusual formed head, mainly for a first baby."
b. "It may additionally look humorous to you, however newborn babies are frequently born
with heads like your toddler's."
c. "That is ordinary; the pinnacle will return to a spherical shape inside 7 to ten days."
d. "Your pelvis was too small, so the toddler's head needed to adjust to the birth canal." -
ANS-C
12. A forty two-week gestational patron is receiving an intravenous infusion of oxytocin
(Pitocin) to enhance early exertions. Which sample of contractions have to alert the nurse to
discontinue the oxytocin infusion?
A. Transition exertions with contractions each 2 minutes, lasting 90 seconds each.
B. Early labor with contractions every five minutes, lasting forty seconds every.
C. Active labor with contractions each 31 minutes, lasting 60 seconds every.
D. Active labor with contractions each 2 to 3 minutes, lasting 70 to eighty seconds each. -
ANS-A
thirteen. The nurse is assessing a 3-day old toddler with a cephalohematoma within the
newborn nursery. Which assessment locating need to the nurse record 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 stated after a loud noise. - ANS-A
14. A client who had a miscarriage 6 months ago becomes pregnant. Which practise is
maximum important for the nurse to offer this consumer?
A. Elevate decrease legs even as resting.
B. Increase caloric consumption through two hundred to 300 calories in line with day.
C. Increase water intake to 8 complete glasses consistent with day.
D. Take prescribed multivitamin and mineral dietary supplements. - ANS-D
15. A patron at 32-weeks gestation involves the prenatal health center with complaints of
pedal edema, dyspnea, fatigue, and a wet cough. Which question is maximum critical for the
nurse to invite this consumer?
A. "Which symptom did you enjoy first?"
b. "Are you eating large amounts of salty foods?"
c. "Have you visited a foreign usa currently?"
d. "Do you have got a records of rheumatic fever?" - ANS-D
16. One hour after giving beginning to an 8-pound infant, a patron's lochia rubra has
multiplied from small to huge and her fundus is boggy notwithstanding massage. The
patron's pulse is eighty four beats/minute and blood stress is 156/96. The healthcare
company prescribes Methergine zero.2 mg IM X 1. What action ought to the nurse take right
now?
