OB Comprehensive Exam Questions With
Correct Answers
The nurse is caring for a client, 37 weeks' gestation, who was just told
| | | | | | | | | | | | | |
that she is group B strep + (positive). The client states,
| | | | | | | | | |
"How could that happen? I only have
| | | | | |
sex with my husband. Will my baby be OK?" Based on this information,
| | | | | | | | | | | | |
which of the following should the nurse communicate to the client?
| | | | | | | | | |
1. The client's partner must have acquired the bacteria during a sexual
| | | | | | | | | | | |
encounter.
2. The bacteria do not injure babies, but they could cause the client to
| | | | | | | | | | | | | |
have a bad sore throat. | | | |
3. The client is high risk for developing pelvic inflammatory disease from
| | | | | | | | | | |
the bacteria.
| |
4. Antibiotics will be administered during labor to prevent vertical
| | | | | | | | | |
transmission of the bacteria. - CORRECT ANSWER✔✔-4 | | | | | |
The nurse is caring for a client in labor and delivery with the following
| | | | | | | | | | | | | |
history:
G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early
| | | | | | | | | | | |
decelerations.
,The client states, "I'm so scared. Please make sure the baby is OK!"
| | | | | | | | | | | | |
Which of the following responses by the nurse is appropriate?
| | | | | | | | |
1. "There is absolutely nothing to worry about."
| | | | | | |
2. "The fetal heart rate is within normal limits."
| | | | | | | |
3. "How did your first baby die?"
| | | | | |
4. "Was your first baby preterm?" - CORRECT ANSWER✔✔-2
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A certified nursing assistant (CNA) is working with a registered nurse
| | | | | | | | | | |
(RN) in the neonatal nursery. It would be appropriate for the nurse to
| | | | | | | | | | | | |
delegate which of the following actions to the assistant?
| | | | | | | |
1. Admission assessment on a newly delivered baby.
| | | | | | |
2. Patient teaching of a neonatal sponge bath.
| | | | | | |
3. Placement of a bag on a baby for urine collection.
| | | | | | | | | |
4. Hourly neonatal blood glucose assessments. - CORRECT ANSWER✔✔-
| | | | | | | |
3
A fetus is in the LOA position in utero. Which of the following findings
| | | | | | | | | | | | | |
would the nurse observe when doing Leopold's maneuvers?
| | | | | | |
1. Hard, round object in the fundal region.
| | | | | | |
2. Flat object above the symphysis pubis.
| | | | | |
3. Soft, round object on the left side of the uterus.
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4. Small objects on the right side of the uterus. - CORRECT ANSWER✔✔-
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4
,A woman is being interviewed by a triage nurse at a medical doctor's
| | | | | | | | | | | | |
office. Which of the following signs/symptoms by the client would
| | | | | | | | | |
warrant the nurse to suggest that a pregnancy test be done? Select all
| | | | | | | | | | | | |
that apply.
|
1. Amenorrhea.
|
2. Fever.
|
3. Fatigue.
|
4. Nausea.
|
5. Dysuria. - CORRECT ANSWER✔✔-1, 3, 4
| | | | | |
A woman is seeking counseling regarding tubal ligation. Which of the
| | | | | | | | | | |
following should the nurse include in her discussion?
| | | | | | |
1. The woman will no longer menstruate.
| | | | | |
2. The surgery should be done when the woman is ovulating.
| | | | | | | | | |
3. The surgery is easily reversible.
| | | | |
4. The woman will be under anesthesia during the procedure. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-4 |
A woman is admitted to the labor and delivery unit with active
| | | | | | | | | | | |
tuberculosis. She has not been under a physician's care and is not on
| | | | | | | | | | | | |
medication. Which of the following actions should the nursery nurse
| | | | | | | | | |
perform when the neonate is delivered?
| | | | |
, 1. Isolate the baby from the other babies in a special care nursery.
| | | | | | | | | | | |
2. Keep the baby in the regular care nursery but separated from the
| | | | | | | | | | | | |
mother.
3. Isolate the baby with the mother in the mother's room.
| | | | | | | | | |
4. Obtain an order from the doctor for antituberculosis medications for
| | | | | | | | | | |
the baby. - CORRECT ANSWER✔✔-2
| | | |
A client has just received synthetic prostaglandins for the induction of
| | | | | | | | | | |
labor. The nurse plans to monitor the client for which of the following
| | | | | | | | | | | | |
side effects?|
1. Nausea and uterine tetany.
| | | |
2. Hypertension and vaginal bleeding.
| | | |
3. Urinary retention and severe headache.
| | | | |
4. Bradycardia and hypothermia. - CORRECT ANSWER✔✔-1
| | | | | |
The triage nurse in an obstetric clinic received the following four
| | | | | | | | | | |
messages during the lunch hour. Which of the women should the nurse
| | | | | | | | | | | |
telephone first? |
1. "My section incision from last week is leaking a whitish yellow
| | | | | | | | | | | |
discharge and I have a fever. What should I do?"
| | | | | | | | |
2. "I am 39 weeks pregnant with my first baby. I am having contractions
| | | | | | | | | | | | | |
about every ten minutes."
| | |
3. "My boyfriend and I had intercourse this morning and our condom
| | | | | | | | | | | |
broke. What should we do?"
| | | |
Correct Answers
The nurse is caring for a client, 37 weeks' gestation, who was just told
| | | | | | | | | | | | | |
that she is group B strep + (positive). The client states,
| | | | | | | | | |
"How could that happen? I only have
| | | | | |
sex with my husband. Will my baby be OK?" Based on this information,
| | | | | | | | | | | | |
which of the following should the nurse communicate to the client?
| | | | | | | | | |
1. The client's partner must have acquired the bacteria during a sexual
| | | | | | | | | | | |
encounter.
2. The bacteria do not injure babies, but they could cause the client to
| | | | | | | | | | | | | |
have a bad sore throat. | | | |
3. The client is high risk for developing pelvic inflammatory disease from
| | | | | | | | | | |
the bacteria.
| |
4. Antibiotics will be administered during labor to prevent vertical
| | | | | | | | | |
transmission of the bacteria. - CORRECT ANSWER✔✔-4 | | | | | |
The nurse is caring for a client in labor and delivery with the following
| | | | | | | | | | | | | |
history:
G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early
| | | | | | | | | | | |
decelerations.
,The client states, "I'm so scared. Please make sure the baby is OK!"
| | | | | | | | | | | | |
Which of the following responses by the nurse is appropriate?
| | | | | | | | |
1. "There is absolutely nothing to worry about."
| | | | | | |
2. "The fetal heart rate is within normal limits."
| | | | | | | |
3. "How did your first baby die?"
| | | | | |
4. "Was your first baby preterm?" - CORRECT ANSWER✔✔-2
| | | | | | | |
A certified nursing assistant (CNA) is working with a registered nurse
| | | | | | | | | | |
(RN) in the neonatal nursery. It would be appropriate for the nurse to
| | | | | | | | | | | | |
delegate which of the following actions to the assistant?
| | | | | | | |
1. Admission assessment on a newly delivered baby.
| | | | | | |
2. Patient teaching of a neonatal sponge bath.
| | | | | | |
3. Placement of a bag on a baby for urine collection.
| | | | | | | | | |
4. Hourly neonatal blood glucose assessments. - CORRECT ANSWER✔✔-
| | | | | | | |
3
A fetus is in the LOA position in utero. Which of the following findings
| | | | | | | | | | | | | |
would the nurse observe when doing Leopold's maneuvers?
| | | | | | |
1. Hard, round object in the fundal region.
| | | | | | |
2. Flat object above the symphysis pubis.
| | | | | |
3. Soft, round object on the left side of the uterus.
| | | | | | | | | |
4. Small objects on the right side of the uterus. - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
4
,A woman is being interviewed by a triage nurse at a medical doctor's
| | | | | | | | | | | | |
office. Which of the following signs/symptoms by the client would
| | | | | | | | | |
warrant the nurse to suggest that a pregnancy test be done? Select all
| | | | | | | | | | | | |
that apply.
|
1. Amenorrhea.
|
2. Fever.
|
3. Fatigue.
|
4. Nausea.
|
5. Dysuria. - CORRECT ANSWER✔✔-1, 3, 4
| | | | | |
A woman is seeking counseling regarding tubal ligation. Which of the
| | | | | | | | | | |
following should the nurse include in her discussion?
| | | | | | |
1. The woman will no longer menstruate.
| | | | | |
2. The surgery should be done when the woman is ovulating.
| | | | | | | | | |
3. The surgery is easily reversible.
| | | | |
4. The woman will be under anesthesia during the procedure. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-4 |
A woman is admitted to the labor and delivery unit with active
| | | | | | | | | | | |
tuberculosis. She has not been under a physician's care and is not on
| | | | | | | | | | | | |
medication. Which of the following actions should the nursery nurse
| | | | | | | | | |
perform when the neonate is delivered?
| | | | |
, 1. Isolate the baby from the other babies in a special care nursery.
| | | | | | | | | | | |
2. Keep the baby in the regular care nursery but separated from the
| | | | | | | | | | | | |
mother.
3. Isolate the baby with the mother in the mother's room.
| | | | | | | | | |
4. Obtain an order from the doctor for antituberculosis medications for
| | | | | | | | | | |
the baby. - CORRECT ANSWER✔✔-2
| | | |
A client has just received synthetic prostaglandins for the induction of
| | | | | | | | | | |
labor. The nurse plans to monitor the client for which of the following
| | | | | | | | | | | | |
side effects?|
1. Nausea and uterine tetany.
| | | |
2. Hypertension and vaginal bleeding.
| | | |
3. Urinary retention and severe headache.
| | | | |
4. Bradycardia and hypothermia. - CORRECT ANSWER✔✔-1
| | | | | |
The triage nurse in an obstetric clinic received the following four
| | | | | | | | | | |
messages during the lunch hour. Which of the women should the nurse
| | | | | | | | | | | |
telephone first? |
1. "My section incision from last week is leaking a whitish yellow
| | | | | | | | | | | |
discharge and I have a fever. What should I do?"
| | | | | | | | |
2. "I am 39 weeks pregnant with my first baby. I am having contractions
| | | | | | | | | | | | | |
about every ten minutes."
| | |
3. "My boyfriend and I had intercourse this morning and our condom
| | | | | | | | | | | |
broke. What should we do?"
| | | |
