West Coast University NURS 306 OB Exam 2 (pdf) | 2026/2027 | OB
Q&A | Obstetric Nursing
1. A nurse is calculating a client's GTPAL. The client is currently pregnant, has
had 2 term deliveries, 1 preterm delivery at 32 weeks, and 1 miscarriage at
12 weeks, and has 3 living children. What is the correct GTPAL?
A) G4 T2 P1 A1 L3
B) G5 T2 P1 A1 L3
C) G4 T2 P1 A2 L3
D) G5 T2 P1 A2 L3
Correct Answer: G5 T2 P1 A1 L3
Rationale: Gravida (G) is the total number of pregnancies, which is 5 (current
pregnancy + 4 previous). Term (T) is the number of deliveries at 37 weeks or
more, which is 2. Preterm (P) is deliveries between 20 and 36 weeks, which is
1. Abortions (A) are losses before 20 weeks, which is 1 miscarriage. Living (L)
children is 3.
2. A client at 12 weeks of gestation asks when she should start feeling fetal
movements. What is the nurse's best response?
A) "You should feel movements by 14 weeks."
B) "Most women feel movements between 16 and 20 weeks."
C) "You will feel movements after 24 weeks."
D) "Movements are typically felt after 28 weeks."
Correct Answer: "Most women feel movements between 16 and 20 weeks."
Rationale: Primigravidas typically feel quickening between 18-20 weeks,
while multigravidas may feel movements as early as 16 weeks due to
increased awareness.
,3. A nurse is assessing fundal height at 20 weeks of gestation. Where should
the fundus be located?
A) At the pubic symphysis
B) Midway between the pubis and umbilicus
C) At the umbilicus
D) 2-3 cm above the umbilicus
Correct Answer: At the umbilicus
Rationale: At 20 weeks of gestation, the fundus should be at the level of the
umbilicus. This corresponds to the approximate gestational age in weeks.
4. A client asks about the purpose of the glucose screening test. What should
the nurse explain?
A) "It screens for pre-existing diabetes."
B) "It detects gestational diabetes."
C) "It monitors your baby's growth."
D) "It checks for preeclampsia."
Correct Answer: "It detects gestational diabetes."
Rationale: The glucose screening test, usually performed at 24-28 weeks,
detects gestational diabetes mellitus, which can develop during pregnancy.
5. The most significant risk of untreated preeclampsia is which of the
following?
A) Gestational diabetes
,B) Preterm labor
C) Seizures (eclampsia) and organ damage
D) Placenta previa
Correct Answer: Seizures (eclampsia) and organ damage
Rationale: Preeclampsia can progress to eclampsia, characterized by
seizures, and can cause severe organ damage, particularly to the liver and
kidneys. This is the most significant risk.
6. A nurse is providing education to a client with an active herpes infection at
term. Which instruction is most important?
A) "You can have a vaginal delivery if you are taking antiviral medication."
B) "A cesarean section is recommended to prevent neonatal herpes."
C) "The infection will not affect your baby during delivery."
D) "You should stop taking your antiviral medication immediately."
Correct Answer: "A cesarean section is recommended to prevent neonatal
herpes."
Rationale: Active genital herpes at the time of delivery is an indication for
cesarean section to prevent transmission of the infection to the newborn,
which can cause severe neonatal herpes.
7. A nurse is teaching a client with gestational diabetes about blood glucose
monitoring. Which instruction is correct?
A) "Check your blood glucose before meals and 2 hours after meals."
B) "Check your blood glucose only in the morning."
C) "Use the center of your fingertip for the blood sample."
, D) "You do not need to check your blood glucose if you feel fine."
Correct Answer: "Check your blood glucose before meals and 2 hours after
meals."
Rationale: Clients with gestational diabetes should check their blood glucose
levels before meals and 2 hours after meals to monitor glycemic control and
adjust diet or medication as needed.
8. What is the target blood glucose level for a client with gestational diabetes
2 hours after a meal?
A) < 90 mg/dL
B) < 120 mg/dL
C) < 140 mg/dL
D) < 180 mg/dL
Correct Answer: < 140 mg/dL
Rationale: The target blood glucose level for gestational diabetes is typically
< 140 mg/dL 2 hours after a meal. This helps prevent complications for both
the mother and the fetus.
9. A pregnant client with tuberculosis asks about the safety of her
medication. What is the nurse's best response?
A) "You should stop taking your TB medication until after delivery."
B) "Continue your TB medications, but wear a mask if you are coughing."
C) "TB medications are not safe during pregnancy."
D) "You only need to take your medication if you have symptoms."
Q&A | Obstetric Nursing
1. A nurse is calculating a client's GTPAL. The client is currently pregnant, has
had 2 term deliveries, 1 preterm delivery at 32 weeks, and 1 miscarriage at
12 weeks, and has 3 living children. What is the correct GTPAL?
A) G4 T2 P1 A1 L3
B) G5 T2 P1 A1 L3
C) G4 T2 P1 A2 L3
D) G5 T2 P1 A2 L3
Correct Answer: G5 T2 P1 A1 L3
Rationale: Gravida (G) is the total number of pregnancies, which is 5 (current
pregnancy + 4 previous). Term (T) is the number of deliveries at 37 weeks or
more, which is 2. Preterm (P) is deliveries between 20 and 36 weeks, which is
1. Abortions (A) are losses before 20 weeks, which is 1 miscarriage. Living (L)
children is 3.
2. A client at 12 weeks of gestation asks when she should start feeling fetal
movements. What is the nurse's best response?
A) "You should feel movements by 14 weeks."
B) "Most women feel movements between 16 and 20 weeks."
C) "You will feel movements after 24 weeks."
D) "Movements are typically felt after 28 weeks."
Correct Answer: "Most women feel movements between 16 and 20 weeks."
Rationale: Primigravidas typically feel quickening between 18-20 weeks,
while multigravidas may feel movements as early as 16 weeks due to
increased awareness.
,3. A nurse is assessing fundal height at 20 weeks of gestation. Where should
the fundus be located?
A) At the pubic symphysis
B) Midway between the pubis and umbilicus
C) At the umbilicus
D) 2-3 cm above the umbilicus
Correct Answer: At the umbilicus
Rationale: At 20 weeks of gestation, the fundus should be at the level of the
umbilicus. This corresponds to the approximate gestational age in weeks.
4. A client asks about the purpose of the glucose screening test. What should
the nurse explain?
A) "It screens for pre-existing diabetes."
B) "It detects gestational diabetes."
C) "It monitors your baby's growth."
D) "It checks for preeclampsia."
Correct Answer: "It detects gestational diabetes."
Rationale: The glucose screening test, usually performed at 24-28 weeks,
detects gestational diabetes mellitus, which can develop during pregnancy.
5. The most significant risk of untreated preeclampsia is which of the
following?
A) Gestational diabetes
,B) Preterm labor
C) Seizures (eclampsia) and organ damage
D) Placenta previa
Correct Answer: Seizures (eclampsia) and organ damage
Rationale: Preeclampsia can progress to eclampsia, characterized by
seizures, and can cause severe organ damage, particularly to the liver and
kidneys. This is the most significant risk.
6. A nurse is providing education to a client with an active herpes infection at
term. Which instruction is most important?
A) "You can have a vaginal delivery if you are taking antiviral medication."
B) "A cesarean section is recommended to prevent neonatal herpes."
C) "The infection will not affect your baby during delivery."
D) "You should stop taking your antiviral medication immediately."
Correct Answer: "A cesarean section is recommended to prevent neonatal
herpes."
Rationale: Active genital herpes at the time of delivery is an indication for
cesarean section to prevent transmission of the infection to the newborn,
which can cause severe neonatal herpes.
7. A nurse is teaching a client with gestational diabetes about blood glucose
monitoring. Which instruction is correct?
A) "Check your blood glucose before meals and 2 hours after meals."
B) "Check your blood glucose only in the morning."
C) "Use the center of your fingertip for the blood sample."
, D) "You do not need to check your blood glucose if you feel fine."
Correct Answer: "Check your blood glucose before meals and 2 hours after
meals."
Rationale: Clients with gestational diabetes should check their blood glucose
levels before meals and 2 hours after meals to monitor glycemic control and
adjust diet or medication as needed.
8. What is the target blood glucose level for a client with gestational diabetes
2 hours after a meal?
A) < 90 mg/dL
B) < 120 mg/dL
C) < 140 mg/dL
D) < 180 mg/dL
Correct Answer: < 140 mg/dL
Rationale: The target blood glucose level for gestational diabetes is typically
< 140 mg/dL 2 hours after a meal. This helps prevent complications for both
the mother and the fetus.
9. A pregnant client with tuberculosis asks about the safety of her
medication. What is the nurse's best response?
A) "You should stop taking your TB medication until after delivery."
B) "Continue your TB medications, but wear a mask if you are coughing."
C) "TB medications are not safe during pregnancy."
D) "You only need to take your medication if you have symptoms."
