OB EXAM 2025 QUESTIONS NAD ANSWERS
GRADED A+
A woman admitted in your OB unit, currently on her 2nd pregnancy for this
delivery states she wants to try vaginal birth rather than rather than C/S which she
had for her first pregnancy. What is the priority action the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam
C. You have to look at the UTERINE incision, not the abdominal one, the only
way to do that is to look at the chart
*ABDOMINAL INCISION AND UTERINE INCISION MIGHT NOT MATCH*
classic vertical incision labor is contraindicated - risk for uterine rupture!
transverse incision vaginal delivery is possible
What statement from the postpartum pt about DVT precautions requires further
teaching?
A. "I need the change positions frequently in bed and avoid prolonged flexed knee
positions
,B. "I will let my husband massage my legs for pain relief"
C. "I can keep breastfeeding while I'm on heparin"
D "I will evaluate my legs and apply moist heat to decrease discomfort"
B. rubbing the affected area could cause clots to be dislodged
Heparin and warfarin are administered as ordered and they do not excrete in
significant amounts into the breastmilk
An L&D nurse is teaching a nursing student about importance of adequate
placental perfusion. Which statement should the nurse include in her teaching?
Select all that apply
A. Lateral recumbent position is ideal for placental perfusion
B. Low maternal MAP can decrease uterine blood flow
C. Contractions that last more than 2 minutes need immediate action
All of the above. Factors that decrease uterine blood flow can starve the baby of
oxygen.
A women is currently at 36 weeks rushes to the OB clinic and reports that her
"water broke". What is the priority nursing action at this time?
A. Ask the patient for time, amount, color, and odor of fluid
B. Assess FHR
C. Administer oxygen at 4L/min via nasal cannula
,D. Call HCP
B. Assess FHR d/t risk of prolapsed cord!
TACO is important but not priority
A women is currently pregnant at 32 weeks gestation. Her first pregnancy resulted
in a spontaneous abortion at 16 weeks. Her second was induced post term and the
child is 3 years old. The third delivered at 36 weeks due to placental abruption and
the infant died at six months. GTPAL? Parity?
4-1-1-1-1
Parity: 2
A women is currently 32 weeks gestation. Her first two pregnancies were
electively terminated at 10-12 weeks. Her third pregnancy was twins delivered at
35 weeks. GTPAL? Parity
4-0-2-2-2
Parity: 1
A women's EDB is 9-1-15. What is the gestational age if she delivers on:
A. 8-25-15
B. 8-18-15
, C. 9-8-15
D. 9-3-15
A. 39 weeks
B. 38 weeks
C. 41 weeks
D. 40 weeks
A woman at 35 weeks gestation arrives in the ED after an auto accident. She is
placed supine on the stretcher. Several minutes later, she reports dizziness and
nausea. Her BP is 82/46. What should the nurse do?
The nurse should sit the patient up. She is experiencing supine hypotension due to
the uterus compressing the vena cava and the abdominal arteries.
The nurse obtains a woman's CBC results at 32 weeks gestation: Hgb 11.5 g/dl Hct
35%
How should the nurse interpret the report?
These are normal pregnancy findings. Hgb will usually be between 11-16g/dl (may
be 10 in 2nd trimester) and Hct will be between 33-47%
A 22 yr old client has come to the clinic because her menstrual period is 10 days
late. She tells the nurse "I'm sure I'm pregnant because my period is late and my
GRADED A+
A woman admitted in your OB unit, currently on her 2nd pregnancy for this
delivery states she wants to try vaginal birth rather than rather than C/S which she
had for her first pregnancy. What is the priority action the nurse should perform?
A. Call the provider and let her/him know about the pt's wishes
B. Assess her abdominal C/S incision
C. Look at pt's chart for notes regarding her first delivery
D. Perform a vaginal exam
C. You have to look at the UTERINE incision, not the abdominal one, the only
way to do that is to look at the chart
*ABDOMINAL INCISION AND UTERINE INCISION MIGHT NOT MATCH*
classic vertical incision labor is contraindicated - risk for uterine rupture!
transverse incision vaginal delivery is possible
What statement from the postpartum pt about DVT precautions requires further
teaching?
A. "I need the change positions frequently in bed and avoid prolonged flexed knee
positions
,B. "I will let my husband massage my legs for pain relief"
C. "I can keep breastfeeding while I'm on heparin"
D "I will evaluate my legs and apply moist heat to decrease discomfort"
B. rubbing the affected area could cause clots to be dislodged
Heparin and warfarin are administered as ordered and they do not excrete in
significant amounts into the breastmilk
An L&D nurse is teaching a nursing student about importance of adequate
placental perfusion. Which statement should the nurse include in her teaching?
Select all that apply
A. Lateral recumbent position is ideal for placental perfusion
B. Low maternal MAP can decrease uterine blood flow
C. Contractions that last more than 2 minutes need immediate action
All of the above. Factors that decrease uterine blood flow can starve the baby of
oxygen.
A women is currently at 36 weeks rushes to the OB clinic and reports that her
"water broke". What is the priority nursing action at this time?
A. Ask the patient for time, amount, color, and odor of fluid
B. Assess FHR
C. Administer oxygen at 4L/min via nasal cannula
,D. Call HCP
B. Assess FHR d/t risk of prolapsed cord!
TACO is important but not priority
A women is currently pregnant at 32 weeks gestation. Her first pregnancy resulted
in a spontaneous abortion at 16 weeks. Her second was induced post term and the
child is 3 years old. The third delivered at 36 weeks due to placental abruption and
the infant died at six months. GTPAL? Parity?
4-1-1-1-1
Parity: 2
A women is currently 32 weeks gestation. Her first two pregnancies were
electively terminated at 10-12 weeks. Her third pregnancy was twins delivered at
35 weeks. GTPAL? Parity
4-0-2-2-2
Parity: 1
A women's EDB is 9-1-15. What is the gestational age if she delivers on:
A. 8-25-15
B. 8-18-15
, C. 9-8-15
D. 9-3-15
A. 39 weeks
B. 38 weeks
C. 41 weeks
D. 40 weeks
A woman at 35 weeks gestation arrives in the ED after an auto accident. She is
placed supine on the stretcher. Several minutes later, she reports dizziness and
nausea. Her BP is 82/46. What should the nurse do?
The nurse should sit the patient up. She is experiencing supine hypotension due to
the uterus compressing the vena cava and the abdominal arteries.
The nurse obtains a woman's CBC results at 32 weeks gestation: Hgb 11.5 g/dl Hct
35%
How should the nurse interpret the report?
These are normal pregnancy findings. Hgb will usually be between 11-16g/dl (may
be 10 in 2nd trimester) and Hct will be between 33-47%
A 22 yr old client has come to the clinic because her menstrual period is 10 days
late. She tells the nurse "I'm sure I'm pregnant because my period is late and my
