OB/NB SU Exam 4 Questions and Verified
Answers with Rationale | Latest Edition
2026/2027
QUESTION 1
A nurse is caring for a client at 34 weeks gestation who is
admitted to the labor and delivery unit with active vaginal
bleeding, a soft non-tender uterus, and a fetal heart rate of 145
beats per minute with moderate variability. Which of the
following conditions should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Vasa previa
CORRECT ANSWER: B
RATIONALE:
Placenta previa is characterized by painless, bright red vaginal
bleeding during the second or third trimester. The uterus is
typically soft, relaxed, and non-tender upon palpation. In
contrast, abruptio placentae typically presents with painful, dark
red bleeding and a rigid, board-like uterus.
QUESTION 2
,A nurse is performing an admission assessment for a client at 37
weeks gestation who has a diagnosis of abruptio placentae.
Which of the following clinical manifestations should the nurse
expect to find?
A. Painless, bright red vaginal bleeding
B. Rigid, board-like abdomen with severe uterine pain
C. Complete absence of uterine contractions
D. Soft, relaxed uterus with no tenderness
CORRECT ANSWER: B
RATIONALE:
Abruptio placentae involves the premature separation of a
normally implanted placenta from the uterine wall, leading to
concealed or overt hemorrhage. Classic clinical findings include
sudden onset of intense abdominal pain, uterine tenderness, and
a firm, rigid, board-like abdomen.
QUESTION 3
A nurse is caring for a client with severe preeclampsia who is
receiving a continuous intravenous infusion of magnesium
sulfate. Which of the following findings indicates the
therapeutic efficacy of the medication?
A. Complete resolution of peripheral edema
B. Prevention of eclamptic seizures
C. Normalization of blood pressure to 120/80 mm Hg
,D. Cessation of all uterine contractions
CORRECT ANSWER: B
RATIONALE:
Magnesium sulfate is a central nervous system depressant
administered primarily to prevent and control seizure activity in
clients with severe preeclampsia. While it causes mild
vasodilation, it is not primarily used as an antihypertensive or to
stop labor.
QUESTION 4
A nurse is providing discharge instructions to a postpartum
client who gave birth to a healthy newborn 48 hours ago. Which
of the following statements by the client indicates a need for
further teaching regarding postpartum emotional adaptations?
A. I might feel a little sad or overwhelmed over the next week,
but it usually passes on its own.
B. If I start hearing voices telling me to harm my baby, I will
wait a few days to see if it goes away.
C. Having my partner and family help me with the baby will
give me time to rest.
D. I will contact my healthcare provider if my crying spells last
longer than two weeks.
CORRECT ANSWER: B
RATIONALE:
, Postpartum blues are common and self-limiting. However,
auditory or visual hallucinations, delusions, thoughts of self-
harm, or harming the infant are signs of postpartum psychosis,
which is a psychiatric emergency requiring immediate medical
and psychological intervention. Waiting is dangerous.
QUESTION 5
A nurse is assessing a full-term newborn infant in the nursery
and notes an irregular, flat, dark bluish-gray pigmented area
over the lumbosacral region. Which of the following terms
should the nurse use to document this finding?
A. Nevus flammeus
B. Mongolian spot
C. Cafe-au-lait spot
D. Erythema toxicum
CORRECT ANSWER: B
RATIONALE:
Mongolian spots are benign, flat congenital birthmarks with
dark bluish-gray pigmentation commonly found over the sacral
and gluteal areas of newborns, particularly among infants of
African, Asian, Hispanic, and Native American descent. They
typically fade and disappear spontaneously within the first few
years of life.
QUESTION 6
Answers with Rationale | Latest Edition
2026/2027
QUESTION 1
A nurse is caring for a client at 34 weeks gestation who is
admitted to the labor and delivery unit with active vaginal
bleeding, a soft non-tender uterus, and a fetal heart rate of 145
beats per minute with moderate variability. Which of the
following conditions should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Vasa previa
CORRECT ANSWER: B
RATIONALE:
Placenta previa is characterized by painless, bright red vaginal
bleeding during the second or third trimester. The uterus is
typically soft, relaxed, and non-tender upon palpation. In
contrast, abruptio placentae typically presents with painful, dark
red bleeding and a rigid, board-like uterus.
QUESTION 2
,A nurse is performing an admission assessment for a client at 37
weeks gestation who has a diagnosis of abruptio placentae.
Which of the following clinical manifestations should the nurse
expect to find?
A. Painless, bright red vaginal bleeding
B. Rigid, board-like abdomen with severe uterine pain
C. Complete absence of uterine contractions
D. Soft, relaxed uterus with no tenderness
CORRECT ANSWER: B
RATIONALE:
Abruptio placentae involves the premature separation of a
normally implanted placenta from the uterine wall, leading to
concealed or overt hemorrhage. Classic clinical findings include
sudden onset of intense abdominal pain, uterine tenderness, and
a firm, rigid, board-like abdomen.
QUESTION 3
A nurse is caring for a client with severe preeclampsia who is
receiving a continuous intravenous infusion of magnesium
sulfate. Which of the following findings indicates the
therapeutic efficacy of the medication?
A. Complete resolution of peripheral edema
B. Prevention of eclamptic seizures
C. Normalization of blood pressure to 120/80 mm Hg
,D. Cessation of all uterine contractions
CORRECT ANSWER: B
RATIONALE:
Magnesium sulfate is a central nervous system depressant
administered primarily to prevent and control seizure activity in
clients with severe preeclampsia. While it causes mild
vasodilation, it is not primarily used as an antihypertensive or to
stop labor.
QUESTION 4
A nurse is providing discharge instructions to a postpartum
client who gave birth to a healthy newborn 48 hours ago. Which
of the following statements by the client indicates a need for
further teaching regarding postpartum emotional adaptations?
A. I might feel a little sad or overwhelmed over the next week,
but it usually passes on its own.
B. If I start hearing voices telling me to harm my baby, I will
wait a few days to see if it goes away.
C. Having my partner and family help me with the baby will
give me time to rest.
D. I will contact my healthcare provider if my crying spells last
longer than two weeks.
CORRECT ANSWER: B
RATIONALE:
, Postpartum blues are common and self-limiting. However,
auditory or visual hallucinations, delusions, thoughts of self-
harm, or harming the infant are signs of postpartum psychosis,
which is a psychiatric emergency requiring immediate medical
and psychological intervention. Waiting is dangerous.
QUESTION 5
A nurse is assessing a full-term newborn infant in the nursery
and notes an irregular, flat, dark bluish-gray pigmented area
over the lumbosacral region. Which of the following terms
should the nurse use to document this finding?
A. Nevus flammeus
B. Mongolian spot
C. Cafe-au-lait spot
D. Erythema toxicum
CORRECT ANSWER: B
RATIONALE:
Mongolian spots are benign, flat congenital birthmarks with
dark bluish-gray pigmentation commonly found over the sacral
and gluteal areas of newborns, particularly among infants of
African, Asian, Hispanic, and Native American descent. They
typically fade and disappear spontaneously within the first few
years of life.
QUESTION 6
