MATERNAL NEWBORN OB FINAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS // GUARANTEED PASS
(2026/2027)
Which of the following statements by a pregnant woman indicates she needs additional
teaching on ways to reduce risks to her unborn child from the potential effects of
exposure to toxoplasmosis?a. "I will avoid rare lamb."b. "I will wear a mask when
cleaning my cat's litter box."c. "I understand that exposure to toxoplasmosis can cause
blindness in the baby."d. "I will avoid rare beef." - ANSWER-b. Correct. Pregnant
women and women who are attempting pregnancy should avoid contact with cat feces.
Exposure occurs when the protozoan parasite found in cat feces and uncooked or rare
beef and lamb is ingested. Wearing a mask will not decrease the risk through ingestion
of the parasite.
The fetal circulatory structure that connects the pulmonary artery with the descending
aorta is known as which of the following?a. Ductus venosusb. Foramen ovalec. Ductus
arteriosusd. Internal iliac artery - ANSWER-c. Correct.
A woman at 40 weeks' gestation has a diagnosis of oligohydramnios. Which of the
following statements related to oligohydramnios is correct?a. It indicates that there is a
25% increase in amniotic fluid.b. It indicates that there is a 25% reduction of amniotic
fluid.c. It indicates that there is a 50% increase in amniotic fluid.d. It indicates that there
is a 50% reduction of amniotic fluid - ANSWER-d. Correct. Oligohydramnios refers to a
decreased amount of amniotic fluid of less than 500 mL at term or 50% reduction of
normal amounts.
The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of
__________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis - ANSWER-C
A nurse is teaching a woman about her menstrual cycle. The nurse states that
__________ is the most important change that happens during the secretory phase of
the menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium - ANSWER-D
An ultrasound of a fetus' heart shows that "normal fetal circulation is occurring." Which
of the following statements is consistent with the finding?
,a. A right to left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries. - ANSWER-A
The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to
just prior to menses is known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase - ANSWER-C
A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present
at 24 weeks' gestation is approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL - ANSWER-C
Information provided by the nurse that addresses the function of the amniotic fluid is
that the amniotic fluid helps the fetus to maintain a normal body temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue - ANSWER-B
During preconception counseling, the clinic nurse explains that the time period when the
fetus is most vulnerable to the effects of teratogens occurs from:
a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks - ANSWER-A
A major fetal development characteristic at 16 weeks' gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form - ANSWER-D
A couple who has sought infertility counseling has been told that the man's sperm count
is very low. The nurse advises the couple that spermatogenesis is impaired when which
of the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented. - ANSWER-A
,The perinatal nurse explains to the student nurse that in the fetal circulation, the lowest
level of oxygen concentration is found in the umbilical arteries. - ANSWER-True
A woman seeks care at an infertility clinic. Which of the following tests may this woman
undergo to determine what, if any, infertility problem she may have? (Select all that
apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis - ANSWER-B, C, D
Which of the following places a couple at higher risk for conceiving a child with a genetic
abnormality? (Select all that apply.)
a. Maternal age over 35 years
b. Partner who has a genetic disorder
c. Maternal type 1 diabetes
d. Paternal heart disease - ANSWER-A, B
During a routine prenatal visit in the third trimester, a woman reports she is dizzy and
lightheaded when she is lying on her back. The most appropriate nursing action would
be to:a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of supine
hypotension.
d. Order a nonstress test to assess fetal well-being. - ANSWER-C
Blood volume expansion during pregnancy leads to: a. Iron-deficiency anemiab.
Maternal iron stores being insufficient to meet the demands for iron in fetal
developmentc. Plasma fibrin increase of 40% and fibrinogen increase of 50%d.
Physiological anemia of pregnancy - ANSWER-D
A woman presents to the prenatal clinic at 30 weeks' gestation reporting dysuria,
frequency, and urgency with urination. Appropriate nursing actions include:a. Obtain
clean-catch urine to assess for a possible urinary tract infection.b. Reassure the woman
that the signs are normal urinary changes in the third trimester.c. Teach the woman to
decrease fluid intake to manage these symptoms.d. Perform a Leopold's maneuver to
assess fetal position and station. - ANSWER-A
At the end of her 32-week prenatal visit, a woman reports discomfort with intercourse
and tells you shyly that she wants to maintain a sexual relationship with her partner. The
best response is to: a. Reassure woman/couple of normalcy of responseb. Suggest
alternative positions for sexual intercourse and alternative sexual activity to sexual
intercoursec. Recommend cessation of intercourse until after delivery due to advanced
gestationd. Suggest woman discuss this with her care provider at her next appointment
- ANSWER-B
, The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation who complains of
having difficulty sleeping. Jayne has noticed that getting back to sleep after she has
been up at night is difficult. The nurse's best response is:
a. "This is abnormal; it is important that you describe this problem to the doctor."
b. "This is normal, and many women have this same problem during pregnancy; try
napping for several hours each morning and afternoon."
c. "This is abnormal; tell the doctor about this problem because diagnostic testing may
be necessary."
d. "This is normal in pregnancy, particularly during the third trimester when you also feel
fetal movement at night; try napping once a day." - ANSWER-D
A 26-year-old woman at 29 weeks' gestation experienced epigastric pain following the
consumption of a large meal of fried fish and onion rings. The pain resolved a few hours
later. The most likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion - ANSWER-A. a. The progesterone-induced prolonged emptying time of
bile from the gallbladder, combined with elevated blood cholesterol levels, may
predispose the pregnant woman to gallstone formation (cholelithiasis). Pain in the
epigastric region following ingestion of a high-fat meal constitutes the major symptom of
these conditions. The pain is self-limiting and usually resolves within 2 hours.
The clinic nurse reviews the complete blood count results for a 30-year-old woman who
is now 33 weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her
hematocrit is 38%. The clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation - ANSWER-B. During pregnancy the
woman's hematocrit values may appear low due to the increase in total plasma volume
(on average, 50%). Because the plasma volume is greater than the increase in
erythrocytes (30%), the hematocrit decreases by about 7%. This alteration is termed
"physiologic anemia of pregnancy," or "pseudo-anemia." The hemodilution effect is most
apparent at 32 to 34 weeks. The mean acceptable hemoglobin level in pregnancy is 11
to 12 g/dL of blood.
The clinic nurse is aware that the pregnant woman's blood volume increases by:
a. 20% to 25%
b. 30% to 35%
c. 40% to 45%
d. 50% to 55% - ANSWER-C
CORRECT VERIFIED ANSWERS // GUARANTEED PASS
(2026/2027)
Which of the following statements by a pregnant woman indicates she needs additional
teaching on ways to reduce risks to her unborn child from the potential effects of
exposure to toxoplasmosis?a. "I will avoid rare lamb."b. "I will wear a mask when
cleaning my cat's litter box."c. "I understand that exposure to toxoplasmosis can cause
blindness in the baby."d. "I will avoid rare beef." - ANSWER-b. Correct. Pregnant
women and women who are attempting pregnancy should avoid contact with cat feces.
Exposure occurs when the protozoan parasite found in cat feces and uncooked or rare
beef and lamb is ingested. Wearing a mask will not decrease the risk through ingestion
of the parasite.
The fetal circulatory structure that connects the pulmonary artery with the descending
aorta is known as which of the following?a. Ductus venosusb. Foramen ovalec. Ductus
arteriosusd. Internal iliac artery - ANSWER-c. Correct.
A woman at 40 weeks' gestation has a diagnosis of oligohydramnios. Which of the
following statements related to oligohydramnios is correct?a. It indicates that there is a
25% increase in amniotic fluid.b. It indicates that there is a 25% reduction of amniotic
fluid.c. It indicates that there is a 50% increase in amniotic fluid.d. It indicates that there
is a 50% reduction of amniotic fluid - ANSWER-d. Correct. Oligohydramnios refers to a
decreased amount of amniotic fluid of less than 500 mL at term or 50% reduction of
normal amounts.
The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of
__________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis - ANSWER-C
A nurse is teaching a woman about her menstrual cycle. The nurse states that
__________ is the most important change that happens during the secretory phase of
the menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium - ANSWER-D
An ultrasound of a fetus' heart shows that "normal fetal circulation is occurring." Which
of the following statements is consistent with the finding?
,a. A right to left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries. - ANSWER-A
The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to
just prior to menses is known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase - ANSWER-C
A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present
at 24 weeks' gestation is approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL - ANSWER-C
Information provided by the nurse that addresses the function of the amniotic fluid is
that the amniotic fluid helps the fetus to maintain a normal body temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue - ANSWER-B
During preconception counseling, the clinic nurse explains that the time period when the
fetus is most vulnerable to the effects of teratogens occurs from:
a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks - ANSWER-A
A major fetal development characteristic at 16 weeks' gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form - ANSWER-D
A couple who has sought infertility counseling has been told that the man's sperm count
is very low. The nurse advises the couple that spermatogenesis is impaired when which
of the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented. - ANSWER-A
,The perinatal nurse explains to the student nurse that in the fetal circulation, the lowest
level of oxygen concentration is found in the umbilical arteries. - ANSWER-True
A woman seeks care at an infertility clinic. Which of the following tests may this woman
undergo to determine what, if any, infertility problem she may have? (Select all that
apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis - ANSWER-B, C, D
Which of the following places a couple at higher risk for conceiving a child with a genetic
abnormality? (Select all that apply.)
a. Maternal age over 35 years
b. Partner who has a genetic disorder
c. Maternal type 1 diabetes
d. Paternal heart disease - ANSWER-A, B
During a routine prenatal visit in the third trimester, a woman reports she is dizzy and
lightheaded when she is lying on her back. The most appropriate nursing action would
be to:a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of supine
hypotension.
d. Order a nonstress test to assess fetal well-being. - ANSWER-C
Blood volume expansion during pregnancy leads to: a. Iron-deficiency anemiab.
Maternal iron stores being insufficient to meet the demands for iron in fetal
developmentc. Plasma fibrin increase of 40% and fibrinogen increase of 50%d.
Physiological anemia of pregnancy - ANSWER-D
A woman presents to the prenatal clinic at 30 weeks' gestation reporting dysuria,
frequency, and urgency with urination. Appropriate nursing actions include:a. Obtain
clean-catch urine to assess for a possible urinary tract infection.b. Reassure the woman
that the signs are normal urinary changes in the third trimester.c. Teach the woman to
decrease fluid intake to manage these symptoms.d. Perform a Leopold's maneuver to
assess fetal position and station. - ANSWER-A
At the end of her 32-week prenatal visit, a woman reports discomfort with intercourse
and tells you shyly that she wants to maintain a sexual relationship with her partner. The
best response is to: a. Reassure woman/couple of normalcy of responseb. Suggest
alternative positions for sexual intercourse and alternative sexual activity to sexual
intercoursec. Recommend cessation of intercourse until after delivery due to advanced
gestationd. Suggest woman discuss this with her care provider at her next appointment
- ANSWER-B
, The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation who complains of
having difficulty sleeping. Jayne has noticed that getting back to sleep after she has
been up at night is difficult. The nurse's best response is:
a. "This is abnormal; it is important that you describe this problem to the doctor."
b. "This is normal, and many women have this same problem during pregnancy; try
napping for several hours each morning and afternoon."
c. "This is abnormal; tell the doctor about this problem because diagnostic testing may
be necessary."
d. "This is normal in pregnancy, particularly during the third trimester when you also feel
fetal movement at night; try napping once a day." - ANSWER-D
A 26-year-old woman at 29 weeks' gestation experienced epigastric pain following the
consumption of a large meal of fried fish and onion rings. The pain resolved a few hours
later. The most likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion - ANSWER-A. a. The progesterone-induced prolonged emptying time of
bile from the gallbladder, combined with elevated blood cholesterol levels, may
predispose the pregnant woman to gallstone formation (cholelithiasis). Pain in the
epigastric region following ingestion of a high-fat meal constitutes the major symptom of
these conditions. The pain is self-limiting and usually resolves within 2 hours.
The clinic nurse reviews the complete blood count results for a 30-year-old woman who
is now 33 weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her
hematocrit is 38%. The clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation - ANSWER-B. During pregnancy the
woman's hematocrit values may appear low due to the increase in total plasma volume
(on average, 50%). Because the plasma volume is greater than the increase in
erythrocytes (30%), the hematocrit decreases by about 7%. This alteration is termed
"physiologic anemia of pregnancy," or "pseudo-anemia." The hemodilution effect is most
apparent at 32 to 34 weeks. The mean acceptable hemoglobin level in pregnancy is 11
to 12 g/dL of blood.
The clinic nurse is aware that the pregnant woman's blood volume increases by:
a. 20% to 25%
b. 30% to 35%
c. 40% to 45%
d. 50% to 55% - ANSWER-C
