OB Chapter 10 NCLEX Q&A + Notes (2025/2026) – Labor Complications, Uterine Dysfunction, Dystocia, VBAC, Shoulder Dystocia | Nursing

This expert-verified NCLEX study document provides a comprehensive review of OB Chapter 10, focusing on labor complications and critical intrapartum nursing actions. Developed for the 2025/2026 academic year, it includes 15+ high-level NCLEX-style questions with correct answers and rationales, along with summarized notes on key obstetric emergencies and labor pathologies. The Q&A section covers real clinical scenarios such as: Prolapsed umbilical cord and immediate response Shoulder dystocia and identification via Turtle Sign Vacuum-assisted delivery safety timelines Management of uterine tachysystole and oxytocin discontinuation Vasa previa, VBAC benefits, Bishop scores, and maternal risk factors (e.g., obesity, diabetes, age >40) The notes portion dives deep into: Dystocia types (power, passenger, passage, psyche) Uterine dysfunction classifications (hypertonic vs. hypotonic) Prodromal labor characteristics Interventions for abnormal labor patterns including pain management, maternal repositioning, and hydration Definitions of protraction and arrest disorders This document is ideal for nursing students in OB/maternity courses, NCLEX-RN or PN candidates, and learners studying intrapartum assessment, labor physiology, or high-risk birth management. Keywords: labor complications, dystocia, uterine dysfunction, VBAC, shoulder dystocia, Turtle sign, prolapsed cord, Bishop score, vasa previa, uterine tachysystole, vacuum delivery, hypertonic contractions, hypotonic labor, prodromal labor, OB NCLEX questions, maternal obesity, intrapartum nursing, NCLEX OB prep, NANDA maternity