OB Exam 1| COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+|
2025/2026 LATEST UPDATE
A client is admitted to the birthing unit in active labor. Cervical dilation has progressed from 2
to 3 cm over the previous 8 hours. The health care provider determines that the client has
hypotonic dystocia, and an infusion of oxytocin (Pitocin) is prescribed to augment her
contractions. What is the most important nursing action at this time?
1
Checking the perineum for bulging
2
Documenting the fetal heart rate and its variations
3
Preparing the client for an emergency cesarean birth
4
Monitoring the duration and intensity of the contractions Monitoring the duration and
intensity of the contractions
A multipara whose membranes have ruptured is admitted in early labor. Assessment reveals a
breech presentation, cervical dilation of 3 cm, and fetal station at −2. For what complication
should the nurse assess when caring for this client?
1
Vaginal bleeding
2
,Urinary tract infection
3
Prolapse of the umbilical cord
4
Meconium in the amniotic fluid Prolapse of the umbilical cord
A multiparous client presents to the labor and delivery area in active labor. The initial vaginal
examination reveals that the cervix is dilated 4 cm and 100% effaced. Two hours later the client
experiences rectal pressure, followed by delivery 5 minutes later. How is this delivery best
documented?
1
Precipitous vaginal delivery
2
Prolonged transitional phase
3
Primigravida primary delivery
4
Normal spontaneous vaginal delivery Precipitous vaginal delivery
A 22-year-old primigravida is admitted to the hospital in labor. After performing a vaginal
examination, the nurse determines that the client's cervix is dilated 2 cm and 80% effaced and
that the presenting part is at 0 station. What is the location of the presenting part?
1
,Entering the vagina
2
Floating within the bony pelvis
3
At the level of the ischial spines
4
Above the level of the ischial spines At the level of the ischial spines
A primigravida at 36 weeks' gestation is admitted to the birthing room with ruptured
membranes and a cervix that is dilated 2 cm and 75% effaced. What is the priority question the
nurse should ask?
1
"When is your expected date of birth?"
2
"How do you plan to manage your labor?"
3
"When did you eat your last meal?"
4
"How frequent are your contractions?" "How frequent are your contractions?"
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7° C),
pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A vaginal
examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex presenting at
, 2+ station. The client is complaining of pain and asks for medication. Which medication should
be avoided because it may cause respiratory depression in the newborn?
1
Naloxone (Narcan)
2
Lorazepam (Ativan)
3
Meperidine (Demerol)
4
Promethazine (Phenergan Meperidine (Demerol)
During a childbirth class, several participants have questions about the elective induction of
labor. One participant states that it is more convenient for a woman with a busy schedule.
What evidenced-based information should the nurse provide to the participant?
1
"Elective induction rates are dropping nationwide."
2
"Elective induction is recommended if the client has a classic uterine incision."
3
"The widespread use of elective induction increases the risk of unfavorable outcomes."
4
"There is no evidence that elective induction makes any difference in the labor experience.
"The widespread use of elective induction increases the risk of unfavorable outcomes."
2025/2026 LATEST UPDATE
A client is admitted to the birthing unit in active labor. Cervical dilation has progressed from 2
to 3 cm over the previous 8 hours. The health care provider determines that the client has
hypotonic dystocia, and an infusion of oxytocin (Pitocin) is prescribed to augment her
contractions. What is the most important nursing action at this time?
1
Checking the perineum for bulging
2
Documenting the fetal heart rate and its variations
3
Preparing the client for an emergency cesarean birth
4
Monitoring the duration and intensity of the contractions Monitoring the duration and
intensity of the contractions
A multipara whose membranes have ruptured is admitted in early labor. Assessment reveals a
breech presentation, cervical dilation of 3 cm, and fetal station at −2. For what complication
should the nurse assess when caring for this client?
1
Vaginal bleeding
2
,Urinary tract infection
3
Prolapse of the umbilical cord
4
Meconium in the amniotic fluid Prolapse of the umbilical cord
A multiparous client presents to the labor and delivery area in active labor. The initial vaginal
examination reveals that the cervix is dilated 4 cm and 100% effaced. Two hours later the client
experiences rectal pressure, followed by delivery 5 minutes later. How is this delivery best
documented?
1
Precipitous vaginal delivery
2
Prolonged transitional phase
3
Primigravida primary delivery
4
Normal spontaneous vaginal delivery Precipitous vaginal delivery
A 22-year-old primigravida is admitted to the hospital in labor. After performing a vaginal
examination, the nurse determines that the client's cervix is dilated 2 cm and 80% effaced and
that the presenting part is at 0 station. What is the location of the presenting part?
1
,Entering the vagina
2
Floating within the bony pelvis
3
At the level of the ischial spines
4
Above the level of the ischial spines At the level of the ischial spines
A primigravida at 36 weeks' gestation is admitted to the birthing room with ruptured
membranes and a cervix that is dilated 2 cm and 75% effaced. What is the priority question the
nurse should ask?
1
"When is your expected date of birth?"
2
"How do you plan to manage your labor?"
3
"When did you eat your last meal?"
4
"How frequent are your contractions?" "How frequent are your contractions?"
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7° C),
pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A vaginal
examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex presenting at
, 2+ station. The client is complaining of pain and asks for medication. Which medication should
be avoided because it may cause respiratory depression in the newborn?
1
Naloxone (Narcan)
2
Lorazepam (Ativan)
3
Meperidine (Demerol)
4
Promethazine (Phenergan Meperidine (Demerol)
During a childbirth class, several participants have questions about the elective induction of
labor. One participant states that it is more convenient for a woman with a busy schedule.
What evidenced-based information should the nurse provide to the participant?
1
"Elective induction rates are dropping nationwide."
2
"Elective induction is recommended if the client has a classic uterine incision."
3
"The widespread use of elective induction increases the risk of unfavorable outcomes."
4
"There is no evidence that elective induction makes any difference in the labor experience.
"The widespread use of elective induction increases the risk of unfavorable outcomes."
