OB Midterm| COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+|
2025/2026 LATEST UPDATE
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take?
A. Continue to monitor the fetal heart tracings
B. Elevate the client's legs
C. Increase the rate of the maintenance IV fluids
D. Administer oxygen via facemask A. Continue to monitor the fetal heart tracings
A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks
gestation. Which of the following findings should the client to report to the provider during the
first trimester?
A. Breast tenderness
B. urinary frequency
C. persistent vomiting
D. No fetal movement C. persistent vomiting
A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of
the following medications should the nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
,D. Poractant alfa A. Betamethasone
A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports
vaginal bleeding. Which of the following additional manifestations should the nurse expect?
A. The fundal height measures greater than gestational age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-10 pain scale
D. A urine drug screen is positive for cocaine A. The fundal height measures greater than
gestational age (Client's with placenta previa often measure slightly larger than expected
because the fetus remains higher in the uterus)
A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse
observes late decelerations in the fetal heart rate (FHR). Which of the following findings should
the nurse identify as the cause of late decelerations?
A. Uteroplacental insufficiency
B. Fetal head compression
C. Fetal ventricular septal defect
D. Umbilical cord compression A. Uteroplacental insufficiency
A nurse is caring for a client in the latent phase of labor and is experiencing low back pain.
Which of the following actions should the nurse take?
A. Instruct the client to pant during contractions
B. Position the client supine with legs elevated
,C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions D. Apply pressure to the
client's sacral area during contractions
A nurse is assessing a client who is at 35 weeks gestation and had preeclampsia without severe
features. Which of the following findings should the nurse identify as the priority.
A. 480 mL urine output in 24 hours
B. Blood pressure 144/92 mmHg
C. +2 edema of the feet
D. 1+ protein in urine A. 480 mL urine output in 24 hours
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings
should the nurse expect.
A. Breast engorgement
B. hypothermia
C. urinary retention
D. rupture of membranes C. urinary retention
A nurse is caring for a client who states, "I think I am pregnant.". Which of the following findings
should the nurse identify as a positive sign of pregnancy.
A. Positive serum pregnancy test
B. Amenorrhea
, C. Fetal heart tones auscultated by doppler
D. Chadwick sign C. Fetal heart tones auscultated by doppler
A nurse is in the labor and delivery unit caring for a client who is in the second stage of labor.
Which of the following actions should the nurse take?
A. Encourage the client to change positions frequently
B. Instruct the client to take breaths and hold them for 10 seconds while pushing
C. Assess maternal vital signs every 1 hour
D. Assist the client to the restroom A. Encourage the client to change positions frequently
A nurse is caring for a client who is at 38 weeks gestation and reports no fetal movement for
the past 24 hours. Which of the following actions should the nurse take?
A. Auscultate for a fetal heart rate
B. Have the client drink orange juice
C. Reassure the client that a term fetus who is less active
D. Palpate the uterus for fetal movement A. Auscultate for a fetal heart rate
A nurse is caring for a client who is in the second stage of labor. The fetal heart tracing indicates
multiple variable decelerations. Which of the following actions should the nurse take?
A. Prepare an amnioinfusion
B. Place the client in a supine position
C. Administer 2 L/min of oxygen via nasal cannula
2025/2026 LATEST UPDATE
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take?
A. Continue to monitor the fetal heart tracings
B. Elevate the client's legs
C. Increase the rate of the maintenance IV fluids
D. Administer oxygen via facemask A. Continue to monitor the fetal heart tracings
A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks
gestation. Which of the following findings should the client to report to the provider during the
first trimester?
A. Breast tenderness
B. urinary frequency
C. persistent vomiting
D. No fetal movement C. persistent vomiting
A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of
the following medications should the nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
,D. Poractant alfa A. Betamethasone
A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports
vaginal bleeding. Which of the following additional manifestations should the nurse expect?
A. The fundal height measures greater than gestational age
B. A rigid abdomen is noted on palpation
C. The client reports a pain level of 8 on a 0-10 pain scale
D. A urine drug screen is positive for cocaine A. The fundal height measures greater than
gestational age (Client's with placenta previa often measure slightly larger than expected
because the fetus remains higher in the uterus)
A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse
observes late decelerations in the fetal heart rate (FHR). Which of the following findings should
the nurse identify as the cause of late decelerations?
A. Uteroplacental insufficiency
B. Fetal head compression
C. Fetal ventricular septal defect
D. Umbilical cord compression A. Uteroplacental insufficiency
A nurse is caring for a client in the latent phase of labor and is experiencing low back pain.
Which of the following actions should the nurse take?
A. Instruct the client to pant during contractions
B. Position the client supine with legs elevated
,C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions D. Apply pressure to the
client's sacral area during contractions
A nurse is assessing a client who is at 35 weeks gestation and had preeclampsia without severe
features. Which of the following findings should the nurse identify as the priority.
A. 480 mL urine output in 24 hours
B. Blood pressure 144/92 mmHg
C. +2 edema of the feet
D. 1+ protein in urine A. 480 mL urine output in 24 hours
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings
should the nurse expect.
A. Breast engorgement
B. hypothermia
C. urinary retention
D. rupture of membranes C. urinary retention
A nurse is caring for a client who states, "I think I am pregnant.". Which of the following findings
should the nurse identify as a positive sign of pregnancy.
A. Positive serum pregnancy test
B. Amenorrhea
, C. Fetal heart tones auscultated by doppler
D. Chadwick sign C. Fetal heart tones auscultated by doppler
A nurse is in the labor and delivery unit caring for a client who is in the second stage of labor.
Which of the following actions should the nurse take?
A. Encourage the client to change positions frequently
B. Instruct the client to take breaths and hold them for 10 seconds while pushing
C. Assess maternal vital signs every 1 hour
D. Assist the client to the restroom A. Encourage the client to change positions frequently
A nurse is caring for a client who is at 38 weeks gestation and reports no fetal movement for
the past 24 hours. Which of the following actions should the nurse take?
A. Auscultate for a fetal heart rate
B. Have the client drink orange juice
C. Reassure the client that a term fetus who is less active
D. Palpate the uterus for fetal movement A. Auscultate for a fetal heart rate
A nurse is caring for a client who is in the second stage of labor. The fetal heart tracing indicates
multiple variable decelerations. Which of the following actions should the nurse take?
A. Prepare an amnioinfusion
B. Place the client in a supine position
C. Administer 2 L/min of oxygen via nasal cannula
