OB EXAM 2 WITH CORRECT ANSWERS // AGRADE (LATEST
2026/2027)
A nurse is assessing a postpartum client for signs of an impending hemorrhage
resulting from laceration of the cervix. Besides monitoring the client for a firm uterus,
what other assessment is important?
1
Slowed pulse rate
2
Increased blood pressure
3
Persistent muscular twitching
4
Continuous trickling of blood - ANSWER-Continuous trickling of blood
The nurse is caring for a group of postpartum clients. Which factor puts a client at
increased risk for postpartum hemorrhage?
1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz - ANSWER-Giving birth to a baby weighing 9 lb
8 oz
A nurse is assessing a postpartum client for signs of hemorrhage by evaluating the
degree of perineal pad saturation. What other parameter can the nurse use to estimate
blood loss in a postpartum client?
1
Odor of the lochia
2
Color of the lochia
3
Presence of small clots on the pad
4
Time elapsed between pad changes - ANSWER-Time elapsed between pad changes
The nurse is assessing a newborn immediately after birth. Which finding indicates
normal development in a newborn?
1
A body weight of 3500 g
2
,A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference - ANSWER-A body weight of
3500
**Normal is between 2700 and 4000**
A nurse assessing a newborn reports an asymmetric Moro reflex, and Erb palsy is
diagnosed. What does the nurse understand about the origin of this problem?
1
It is acquired in utero.
2
It is a tumor arising from muscle tissue.
3
The cause is an X-linked inheritance pattern.
4
The cause is an injury to the shoulder during birth. - ANSWER-The cause is an injury to
the shoulder during birth
A newborn with a cleft lip is fed with a special nipple. What instructions should the nurse
give the parents to reduce the incidence of regurgitation of the feedings?
1
Burp frequently during feedings.
2
Offer thickened formula as prescribed.
3
Place the baby in an infant seat during feedings.
4
Position the infant on one side with the bottle propped. - ANSWER-Burp frequently
during feedings
What should the nurse include in the plan of care for a newborn with hypospadias
before corrective surgery is performed?
1
Wrapping the penis in petrolatum gauze
2
Explaining to the parents why a circumcision is not done
3
Preparing the newborn for the insertion of a cystotomy tube
4
Teaching the parents about the genetic basis of the hypospadias - ANSWER-Explaining
to the parents why a circumcision is not done
, The parent of a newborn asks a nurse why, except for hepatitis B vaccine, the
immunization schedule does not start until the infant is 2 months old. How should the
nurse respond?
1
"A newborn's spleen can't produce efficient antibodies."
2
"Infants younger than 2 months are rarely exposed to infectious disease."
3
"The immunization will attack the infant's immature immune system and cause the
disease."
4
"Maternal antibodies interfere with the development of active antibodies by the infant
when immunized." - ANSWER-"Maternal antibodies interfere with the development of
active antibodies by the infant when immunized."
What should the nurse teach parents about their newborn's diagnosis of
phenylketonuria (PKU)?
1
A low-phenylalanine diet is required.
2
Phenylalanine is not necessary for growth.
3
Phenylalanine can be administered to correct the deficiency.
4
A substitute for phenylalanine is an increased amount of other amino acids. - ANSWER-
A low-phenylalanine diet is required.
At 20 hours of age a newborn is found to have a bilirubin concentration of 13 mg/dL.
Which finding most likely contributed to this bilirubin level?
1
Clubfoot
2
Cephalhematoma
3
Caput succedaneum
4
Gestation of 41 weeks - ANSWER-Cephalhematoma
On admission to the nursery a newborn is found to be experiencing cold stress. What is
the nurse's goal at this time?
1
Minimize shivering.
2
Prevent hyperglycemia.
3
Limit oxygen consumption.
2026/2027)
A nurse is assessing a postpartum client for signs of an impending hemorrhage
resulting from laceration of the cervix. Besides monitoring the client for a firm uterus,
what other assessment is important?
1
Slowed pulse rate
2
Increased blood pressure
3
Persistent muscular twitching
4
Continuous trickling of blood - ANSWER-Continuous trickling of blood
The nurse is caring for a group of postpartum clients. Which factor puts a client at
increased risk for postpartum hemorrhage?
1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz - ANSWER-Giving birth to a baby weighing 9 lb
8 oz
A nurse is assessing a postpartum client for signs of hemorrhage by evaluating the
degree of perineal pad saturation. What other parameter can the nurse use to estimate
blood loss in a postpartum client?
1
Odor of the lochia
2
Color of the lochia
3
Presence of small clots on the pad
4
Time elapsed between pad changes - ANSWER-Time elapsed between pad changes
The nurse is assessing a newborn immediately after birth. Which finding indicates
normal development in a newborn?
1
A body weight of 3500 g
2
,A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference - ANSWER-A body weight of
3500
**Normal is between 2700 and 4000**
A nurse assessing a newborn reports an asymmetric Moro reflex, and Erb palsy is
diagnosed. What does the nurse understand about the origin of this problem?
1
It is acquired in utero.
2
It is a tumor arising from muscle tissue.
3
The cause is an X-linked inheritance pattern.
4
The cause is an injury to the shoulder during birth. - ANSWER-The cause is an injury to
the shoulder during birth
A newborn with a cleft lip is fed with a special nipple. What instructions should the nurse
give the parents to reduce the incidence of regurgitation of the feedings?
1
Burp frequently during feedings.
2
Offer thickened formula as prescribed.
3
Place the baby in an infant seat during feedings.
4
Position the infant on one side with the bottle propped. - ANSWER-Burp frequently
during feedings
What should the nurse include in the plan of care for a newborn with hypospadias
before corrective surgery is performed?
1
Wrapping the penis in petrolatum gauze
2
Explaining to the parents why a circumcision is not done
3
Preparing the newborn for the insertion of a cystotomy tube
4
Teaching the parents about the genetic basis of the hypospadias - ANSWER-Explaining
to the parents why a circumcision is not done
, The parent of a newborn asks a nurse why, except for hepatitis B vaccine, the
immunization schedule does not start until the infant is 2 months old. How should the
nurse respond?
1
"A newborn's spleen can't produce efficient antibodies."
2
"Infants younger than 2 months are rarely exposed to infectious disease."
3
"The immunization will attack the infant's immature immune system and cause the
disease."
4
"Maternal antibodies interfere with the development of active antibodies by the infant
when immunized." - ANSWER-"Maternal antibodies interfere with the development of
active antibodies by the infant when immunized."
What should the nurse teach parents about their newborn's diagnosis of
phenylketonuria (PKU)?
1
A low-phenylalanine diet is required.
2
Phenylalanine is not necessary for growth.
3
Phenylalanine can be administered to correct the deficiency.
4
A substitute for phenylalanine is an increased amount of other amino acids. - ANSWER-
A low-phenylalanine diet is required.
At 20 hours of age a newborn is found to have a bilirubin concentration of 13 mg/dL.
Which finding most likely contributed to this bilirubin level?
1
Clubfoot
2
Cephalhematoma
3
Caput succedaneum
4
Gestation of 41 weeks - ANSWER-Cephalhematoma
On admission to the nursery a newborn is found to be experiencing cold stress. What is
the nurse's goal at this time?
1
Minimize shivering.
2
Prevent hyperglycemia.
3
Limit oxygen consumption.
