Ultimate Obstetric & Neonatal
Nursing Exam Prep: Labor, Delivery,
Postpartum, Newborn Care, High-
Risk Pregnancies, Medications, and
Nursing Interventions Verified
Questions Provided with A+ Graded
Rationales Latest Updated 2026
A nurse is caring for a client who is in labor.
Vital Signs
0800:
Temperature 36.7° C (98° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 114/68 mm Hg
Pulse oximeter 98%
Diagnostic Results
0900:
Speculum examination by provider
Cervix appears closed
Nitrazine test: Deep blue, pH 7.5, membranes probably ruptured
Microscopic examination of vaginal fluid sample: Crystalline ferning pattern
Nurses' Notes
0800:
Client reports increased clear vaginal discharge over the past 12 hr. Denies cramping or
contractions. States fetal movement is present.
Client also reports a headache in the temporal area and rates the pain as 3 on scale of 0 to 10.
Moderate amount of clear vaginal drainage present on client's peri pad.
Bilateral lower extremity non-pitting edema noted. Deep tendon reflexes 2+.
External fetal monitor applied.
0900:
Fetal heart rate Category I at 140/min. Moderate variability. Spontaneous accelerations noted.
No decelerations. No contractions noted.
,Medical History
Gravida 1, Para 0
30 1/7 weeks of gestation
Complete the following sentence by using the lists of options.
A nurse is updating the plan of care for a client. After reviewing the client's medical record,
which
Dropdown 1
Glucocorticoid injection is correct. The client is experiencing preterm premature rupture of
membranes (PPROM). The administration of antenatal glucocorticoid medications has been
shown to improve fetal lung maturity. Therefore, the administration of a glucocorticoid injection
is indicated for this client because it decreases the risk of respiratory distress in the event a
preterm birth is needed.
Dropdown 2
Daily nonstress test is correct. In the presence of PPROM, the decrease in amniotic fluid can
lead to umbilical cord compression and fetal compromise. Daily nonstress tests and biophysical
profiles are non-invasive methods to assess fetal well-being.
A nurse is preparing to administer dexamethasone 8 mg IM divided into 4 equal doses QID.
The amount available is dexamethasone 4 mg/mL. How many mL should the nurse administer
per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use
a trailing zero.)
_________mL
Follow these steps for the Ratio and Proportion method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer = Desired 8 mg/day
Step 3: What is the dose available? Dose available = Have 4 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 1 mL
Step 6: Set up an equation and solve for X.
HaveDesired = QuantityX
,4 mg8 mg = 1 mLX mL
X mL = 2 mL
The dose is divided into 4 equal doses; therefore, divide X by 4.
2 mL = 0.5 mL/dose4
Step 7: Round if necessary.
Step 8: Reassess to determine whether the amount to administer makes sense. If there are 4
mg/mL and the prescription reads 8 mg daily divided into 4 equal doses QID, it makes sense to
administer 0.5 mL. The nurse should administer dexamethasone 0.5 mL IM.
A charge nurse is supervising a newly licensed nurse care for a client who is receiving a
transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping
the blood transfusion, which of the following actions by the new nurse requires intervention
by the charge nurse?
The nurse initiates an infusion of 0.9% sodium chloride.
The nurse collects a urine specimen.
The nurse sends a blood specimen to the laboratory.
The nurse starts the transfusion of another unit of blood product.
The nurse starts the transfusion of another unit of blood product. When suspecting a
hemolytic reaction, the nurse should immediately stop the transfusion of all blood products.
The transfusion of additional products can increase the client's risk for further complication.
A nurse in a prenatal clinic is teaching a group of clients about nutrition requirements during
lactation. Which of the following statements should the nurse make?
"Calcium intake should be at least 2,000 mg per day."
"Zinc intake should be at least 12 mg per day."
"The recommended intake of folic acid remains the same as for pregnant women."
"The recommended intake of iron increases."
"Zinc intake should be at least 12 mg per day."
Zinc intake should be increased to 12 mg per day during lactation, which is above the
recommended levels for pregnancy and nonpregnant female clients over age 19.
, A nurse is completing a newborn gestational age assessment. Which of the following findings
should be recorded as part of this assessment on the newborn?
Acrocyanosis of hands and feet
Anterior fontanel soft and level
Plantar creases cover 2⁄3 of sole
Vernix caseosa in inguinal creases
Plantar creases cover 2⁄3 of sole Observing the presence of creases on the plantar surface is one
of the components of a gestational age assessment.
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the
nurse examines the umbilical cord. Which of the following vessels should the nurse expect to
observe in the umbilical cord?
Two veins and one artery
One artery and one vein
Two arteries and one vein
Two arteries and two veins
Two arteries and one vein
The vein carried the oxygenated, nutrient-rich blood from the placenta to the fetus, and the two
arteries returned the blood to the placenta.
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the
client's blood work, the nurse notices she does not have immunity to rubella. Which of the
following times should the nurse understand is recommended for rubella immunization?
Shortly after giving birth
In the third trimester
Immediately
During her next attempt to get pregnant
Shortly after giving birth
The rubella immunization should be offered to the client following birth, preferably prior to
discharge from the hospital. This prevents the client from contracting rubella during the current
or subsequent pregnancies, which would put her fetus at risk for rubella syndrome.
Nursing Exam Prep: Labor, Delivery,
Postpartum, Newborn Care, High-
Risk Pregnancies, Medications, and
Nursing Interventions Verified
Questions Provided with A+ Graded
Rationales Latest Updated 2026
A nurse is caring for a client who is in labor.
Vital Signs
0800:
Temperature 36.7° C (98° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 114/68 mm Hg
Pulse oximeter 98%
Diagnostic Results
0900:
Speculum examination by provider
Cervix appears closed
Nitrazine test: Deep blue, pH 7.5, membranes probably ruptured
Microscopic examination of vaginal fluid sample: Crystalline ferning pattern
Nurses' Notes
0800:
Client reports increased clear vaginal discharge over the past 12 hr. Denies cramping or
contractions. States fetal movement is present.
Client also reports a headache in the temporal area and rates the pain as 3 on scale of 0 to 10.
Moderate amount of clear vaginal drainage present on client's peri pad.
Bilateral lower extremity non-pitting edema noted. Deep tendon reflexes 2+.
External fetal monitor applied.
0900:
Fetal heart rate Category I at 140/min. Moderate variability. Spontaneous accelerations noted.
No decelerations. No contractions noted.
,Medical History
Gravida 1, Para 0
30 1/7 weeks of gestation
Complete the following sentence by using the lists of options.
A nurse is updating the plan of care for a client. After reviewing the client's medical record,
which
Dropdown 1
Glucocorticoid injection is correct. The client is experiencing preterm premature rupture of
membranes (PPROM). The administration of antenatal glucocorticoid medications has been
shown to improve fetal lung maturity. Therefore, the administration of a glucocorticoid injection
is indicated for this client because it decreases the risk of respiratory distress in the event a
preterm birth is needed.
Dropdown 2
Daily nonstress test is correct. In the presence of PPROM, the decrease in amniotic fluid can
lead to umbilical cord compression and fetal compromise. Daily nonstress tests and biophysical
profiles are non-invasive methods to assess fetal well-being.
A nurse is preparing to administer dexamethasone 8 mg IM divided into 4 equal doses QID.
The amount available is dexamethasone 4 mg/mL. How many mL should the nurse administer
per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use
a trailing zero.)
_________mL
Follow these steps for the Ratio and Proportion method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer = Desired 8 mg/day
Step 3: What is the dose available? Dose available = Have 4 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 1 mL
Step 6: Set up an equation and solve for X.
HaveDesired = QuantityX
,4 mg8 mg = 1 mLX mL
X mL = 2 mL
The dose is divided into 4 equal doses; therefore, divide X by 4.
2 mL = 0.5 mL/dose4
Step 7: Round if necessary.
Step 8: Reassess to determine whether the amount to administer makes sense. If there are 4
mg/mL and the prescription reads 8 mg daily divided into 4 equal doses QID, it makes sense to
administer 0.5 mL. The nurse should administer dexamethasone 0.5 mL IM.
A charge nurse is supervising a newly licensed nurse care for a client who is receiving a
transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping
the blood transfusion, which of the following actions by the new nurse requires intervention
by the charge nurse?
The nurse initiates an infusion of 0.9% sodium chloride.
The nurse collects a urine specimen.
The nurse sends a blood specimen to the laboratory.
The nurse starts the transfusion of another unit of blood product.
The nurse starts the transfusion of another unit of blood product. When suspecting a
hemolytic reaction, the nurse should immediately stop the transfusion of all blood products.
The transfusion of additional products can increase the client's risk for further complication.
A nurse in a prenatal clinic is teaching a group of clients about nutrition requirements during
lactation. Which of the following statements should the nurse make?
"Calcium intake should be at least 2,000 mg per day."
"Zinc intake should be at least 12 mg per day."
"The recommended intake of folic acid remains the same as for pregnant women."
"The recommended intake of iron increases."
"Zinc intake should be at least 12 mg per day."
Zinc intake should be increased to 12 mg per day during lactation, which is above the
recommended levels for pregnancy and nonpregnant female clients over age 19.
, A nurse is completing a newborn gestational age assessment. Which of the following findings
should be recorded as part of this assessment on the newborn?
Acrocyanosis of hands and feet
Anterior fontanel soft and level
Plantar creases cover 2⁄3 of sole
Vernix caseosa in inguinal creases
Plantar creases cover 2⁄3 of sole Observing the presence of creases on the plantar surface is one
of the components of a gestational age assessment.
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the
nurse examines the umbilical cord. Which of the following vessels should the nurse expect to
observe in the umbilical cord?
Two veins and one artery
One artery and one vein
Two arteries and one vein
Two arteries and two veins
Two arteries and one vein
The vein carried the oxygenated, nutrient-rich blood from the placenta to the fetus, and the two
arteries returned the blood to the placenta.
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the
client's blood work, the nurse notices she does not have immunity to rubella. Which of the
following times should the nurse understand is recommended for rubella immunization?
Shortly after giving birth
In the third trimester
Immediately
During her next attempt to get pregnant
Shortly after giving birth
The rubella immunization should be offered to the client following birth, preferably prior to
discharge from the hospital. This prevents the client from contracting rubella during the current
or subsequent pregnancies, which would put her fetus at risk for rubella syndrome.
