Nursing 404 OB Exam 1 NCLEX EXAM 2026-2027 ACTUAL
COMPREHENSIVE TEST BANK FINAL EXAM AND PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION
2026 EDITION
A laboring client who imagines her body opening to let the baby out is
using a mental technique called:
a. imagery.
b. effleurage.
c. distraction.
d. dissociation.
ANS: A
Imagery is a technique of visualizing images that will assist the woman in
coping with labor. Effleurage is self-massage. Distraction can be used in
the early latent phase by having the woman involved in another activity.
Dissociation helps the woman learn to relax all muscles except those that
are working.
,When giving a narcotic to a laboring client, which statement explains why
the nurse should inject the medication at the beginning of a contraction?
a. The medication will be rapidly circulated.
b. Less medication will be transferred to the fetus.
c. The maternal vital signs will not be adversely affected.
d. Full benefit of the medication is received during that contraction.
ANS: B
Injecting at the beginning of a contraction, when blood flow to the
placenta is normally reduced, limits transfer to the fetus. It will not
increase the circulation of the medication. It will not alter the vital signs
any more than giving it at another time. The full benefit will be received
by the woman, but it will decrease the amount reaching the fetus.
,The method of anesthesia in labor that is considered the safest for the
fetus is:
a. epidural block.
b. pudendal block.
c. local infiltration.
d. spinal (subarachnoid) block.
ANS: C
Local infiltration of the perineum rarely has any adverse effects on the
mother or the fetus. With an epidural, pudendal, or spinal block the fetus
can be affected by maternal side effects and maternal hypotension.
To improve placental blood flow immediately after the injection of an
epidural anesthetic, the nurse should:
a. give the woman oxygen.
b. turn the woman to the right side.
c. decrease the intravenous infusion rate.
d. place a wedge under the woman's right hip.
ANS: D
Tilting the woman's pelvis to the left side relieves compression of the
vena cava and compensates for a lower blood pressure without
interfering with dispersal of the epidural medication. Oxygen
administration will not improve placental blood flow. The woman needs
to maintain the supine position for proper dispersal of the medication.
However, placing a wedge under the hip will relieve compression of the
vena cava. The intravenous infusion rate needs to be increased to prevent
hypotension.
, Which clinical effect can occur in the presence of increased maternal
pain perception during labor?
a. Increase in uterine contractions in response to catecholamine
secretion
b. Decrease in blood pressure in response to alpha receptors
c. Decreased perfusion to the placenta in response to catecholamine
secretion
d. Increased uterine blood flow, causing increase in maternal blood
pressure
ANS: C
Decreased perfusion to and from the placenta occurs as result of
catecholamine secretion. A decrease in uterine contractions is seen in
response to catecholamine secretion. Maternal blood pressure is
increased in response to alpha receptors. Decreased uterine blood flow
causes an increase in maternal blood pressure.
COMPREHENSIVE TEST BANK FINAL EXAM AND PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION
2026 EDITION
A laboring client who imagines her body opening to let the baby out is
using a mental technique called:
a. imagery.
b. effleurage.
c. distraction.
d. dissociation.
ANS: A
Imagery is a technique of visualizing images that will assist the woman in
coping with labor. Effleurage is self-massage. Distraction can be used in
the early latent phase by having the woman involved in another activity.
Dissociation helps the woman learn to relax all muscles except those that
are working.
,When giving a narcotic to a laboring client, which statement explains why
the nurse should inject the medication at the beginning of a contraction?
a. The medication will be rapidly circulated.
b. Less medication will be transferred to the fetus.
c. The maternal vital signs will not be adversely affected.
d. Full benefit of the medication is received during that contraction.
ANS: B
Injecting at the beginning of a contraction, when blood flow to the
placenta is normally reduced, limits transfer to the fetus. It will not
increase the circulation of the medication. It will not alter the vital signs
any more than giving it at another time. The full benefit will be received
by the woman, but it will decrease the amount reaching the fetus.
,The method of anesthesia in labor that is considered the safest for the
fetus is:
a. epidural block.
b. pudendal block.
c. local infiltration.
d. spinal (subarachnoid) block.
ANS: C
Local infiltration of the perineum rarely has any adverse effects on the
mother or the fetus. With an epidural, pudendal, or spinal block the fetus
can be affected by maternal side effects and maternal hypotension.
To improve placental blood flow immediately after the injection of an
epidural anesthetic, the nurse should:
a. give the woman oxygen.
b. turn the woman to the right side.
c. decrease the intravenous infusion rate.
d. place a wedge under the woman's right hip.
ANS: D
Tilting the woman's pelvis to the left side relieves compression of the
vena cava and compensates for a lower blood pressure without
interfering with dispersal of the epidural medication. Oxygen
administration will not improve placental blood flow. The woman needs
to maintain the supine position for proper dispersal of the medication.
However, placing a wedge under the hip will relieve compression of the
vena cava. The intravenous infusion rate needs to be increased to prevent
hypotension.
, Which clinical effect can occur in the presence of increased maternal
pain perception during labor?
a. Increase in uterine contractions in response to catecholamine
secretion
b. Decrease in blood pressure in response to alpha receptors
c. Decreased perfusion to the placenta in response to catecholamine
secretion
d. Increased uterine blood flow, causing increase in maternal blood
pressure
ANS: C
Decreased perfusion to and from the placenta occurs as result of
catecholamine secretion. A decrease in uterine contractions is seen in
response to catecholamine secretion. Maternal blood pressure is
increased in response to alpha receptors. Decreased uterine blood flow
causes an increase in maternal blood pressure.
