Obstetrics Real Assessment Review -
latest exam questions and correct
Answers Graded A+/ OB Exam Prep Test
Bank (Latest ) OB Midterm exam 2
SECTION I: Antepartum Assessment & Prenatal Care
1. Using Naegele's Rule, calculate the estimated date of birth for a client whose
last menstrual period began on May 2.
A. January 25
B. February 2
C. February 9
D. February 16
Correct Answer: C
Rationale: Naegele's Rule requires subtracting three months from the first day of the
LMP (February 2) and then adding seven days to arrive at the estimated due date .
2. A 15-year-old primigravida is in early labor. On admission, the cervix is 2 cm
dilated and 50% effaced, with contractions every 7 to 8 minutes and intact
membranes. Which position is most effective for dilating the cervix?
A. Right lateral recumbent
B. Modified Trendelenburg
C. Standing
D. Sitting in a comfortable chair
Correct Answer: C
,Rationale: The standing position uses gravity to promote cervical dilation and fetal
descent, making it most effective for cervical dilation in early labor .
3. A patient in the first trimester of her second pregnancy has a first child with
trisomy 21. Which initial testing does the nurse expect the healthcare provider to
prescribe?
A. Fetal ultrasound
B. Magnetic resonance imaging
C. Chorionic villus sampling
D. Amniocentesis
Correct Answer: A
Rationale: Fetal ultrasound is typically the initial screening test to assess fetal anatomy
and nuchal translucency before more invasive diagnostic testing .
4. Which information shared with the nurse is a presumptive sign of pregnancy?
A. Positive results on a home pregnancy test
B. Breast enlargement, tenderness, and tingling
C. Fetal movement felt by the examiner
D. Bluish-purple coloration of the cervix
Correct Answer: B
Rationale: Breast changes are a presumptive sign of pregnancy (subjective, felt by the
patient). Positive hCG and Chadwick's sign are probable signs (objective but not
definitive). Fetal movement felt by the examiner is a positive sign .
5. Which daily dietary suggestions are appropriate for an overweight patient in the
first trimester? (Select all that apply)
,A. One cup of 100% juice and 3/4 cup of dried fruit
B. Three cups of raw leafy vegetables and 1 cup cooked vegetables
C. One and a half cups of cooked pasta, rice, or cereal
D. Six ounces of lean meat, 2 eggs, and 1/2 cup of beans
E. One cup of milk, 1 cup of yogurt, and 1 1/2 oz of cheese
Correct Answer: A, E
Rationale: These options provide appropriate fruit and dairy servings. Option B is
correct for vegetables, but A and E are specifically asked for in this question .
6. What is considered a premonitory sign of labor?
A. Absence of Braxton Hicks contractions
B. Increased maternal energy
C. Decreased maternal energy
D. Goodell's sign
Correct Answer: B
Rationale: A sudden burst of energy (the "nesting instinct") is a premonitory sign of
labor. Goodell's sign (softening of the cervix) is a probable sign of pregnancy, not labor .
7. The best position for both clients with placenta previa and abruptio placentae is:
A. Reverse Trendelenburg
B. Semi-Fowler's
C. Knee-chest
D. Left lateral recumbent
Correct Answer: D
Rationale: The left lateral recumbent position ensures adequate fetoplacental perfusion
and promotes venous return, which is critical in both conditions .
, 8. Which sign is NOT considered a danger sign of pregnancy during the first
trimester?
A. Round ligament pain
B. Abdominal or chest pain
C. Vaginal bleeding
D. Chills and fever
Correct Answer: A
Rationale: Round ligament pain is a common discomfort of pregnancy, NOT a danger
sign. Danger signs include vaginal bleeding, abdominal/chest pain, and fever .
9. During a routine first-trimester prenatal exam, a pregnant client reports
increased white, thin, watery vaginal discharge. What is the appropriate nursing
response?
A. Inform her that this is a normal physiological change
B. Notify the healthcare provider
C. Recommend over-the-counter yeast medication
D. Prepare for a sterile speculum exam
Correct Answer: A
Rationale: Increased leukorrhea (white, thin vaginal discharge) is a normal physiological
change in pregnancy due to increased estrogen and increased blood flow .
10. A patient with an uneventful pregnancy begins vaginal spotting at 38 weeks
gestation. The HCP suspects placenta previa. Which testing does the nurse expect
to be scheduled?
A. Doppler flow studies
B. Nonstress testing
C. Magnetic resonance imaging
D. Ultrasonography studies
latest exam questions and correct
Answers Graded A+/ OB Exam Prep Test
Bank (Latest ) OB Midterm exam 2
SECTION I: Antepartum Assessment & Prenatal Care
1. Using Naegele's Rule, calculate the estimated date of birth for a client whose
last menstrual period began on May 2.
A. January 25
B. February 2
C. February 9
D. February 16
Correct Answer: C
Rationale: Naegele's Rule requires subtracting three months from the first day of the
LMP (February 2) and then adding seven days to arrive at the estimated due date .
2. A 15-year-old primigravida is in early labor. On admission, the cervix is 2 cm
dilated and 50% effaced, with contractions every 7 to 8 minutes and intact
membranes. Which position is most effective for dilating the cervix?
A. Right lateral recumbent
B. Modified Trendelenburg
C. Standing
D. Sitting in a comfortable chair
Correct Answer: C
,Rationale: The standing position uses gravity to promote cervical dilation and fetal
descent, making it most effective for cervical dilation in early labor .
3. A patient in the first trimester of her second pregnancy has a first child with
trisomy 21. Which initial testing does the nurse expect the healthcare provider to
prescribe?
A. Fetal ultrasound
B. Magnetic resonance imaging
C. Chorionic villus sampling
D. Amniocentesis
Correct Answer: A
Rationale: Fetal ultrasound is typically the initial screening test to assess fetal anatomy
and nuchal translucency before more invasive diagnostic testing .
4. Which information shared with the nurse is a presumptive sign of pregnancy?
A. Positive results on a home pregnancy test
B. Breast enlargement, tenderness, and tingling
C. Fetal movement felt by the examiner
D. Bluish-purple coloration of the cervix
Correct Answer: B
Rationale: Breast changes are a presumptive sign of pregnancy (subjective, felt by the
patient). Positive hCG and Chadwick's sign are probable signs (objective but not
definitive). Fetal movement felt by the examiner is a positive sign .
5. Which daily dietary suggestions are appropriate for an overweight patient in the
first trimester? (Select all that apply)
,A. One cup of 100% juice and 3/4 cup of dried fruit
B. Three cups of raw leafy vegetables and 1 cup cooked vegetables
C. One and a half cups of cooked pasta, rice, or cereal
D. Six ounces of lean meat, 2 eggs, and 1/2 cup of beans
E. One cup of milk, 1 cup of yogurt, and 1 1/2 oz of cheese
Correct Answer: A, E
Rationale: These options provide appropriate fruit and dairy servings. Option B is
correct for vegetables, but A and E are specifically asked for in this question .
6. What is considered a premonitory sign of labor?
A. Absence of Braxton Hicks contractions
B. Increased maternal energy
C. Decreased maternal energy
D. Goodell's sign
Correct Answer: B
Rationale: A sudden burst of energy (the "nesting instinct") is a premonitory sign of
labor. Goodell's sign (softening of the cervix) is a probable sign of pregnancy, not labor .
7. The best position for both clients with placenta previa and abruptio placentae is:
A. Reverse Trendelenburg
B. Semi-Fowler's
C. Knee-chest
D. Left lateral recumbent
Correct Answer: D
Rationale: The left lateral recumbent position ensures adequate fetoplacental perfusion
and promotes venous return, which is critical in both conditions .
, 8. Which sign is NOT considered a danger sign of pregnancy during the first
trimester?
A. Round ligament pain
B. Abdominal or chest pain
C. Vaginal bleeding
D. Chills and fever
Correct Answer: A
Rationale: Round ligament pain is a common discomfort of pregnancy, NOT a danger
sign. Danger signs include vaginal bleeding, abdominal/chest pain, and fever .
9. During a routine first-trimester prenatal exam, a pregnant client reports
increased white, thin, watery vaginal discharge. What is the appropriate nursing
response?
A. Inform her that this is a normal physiological change
B. Notify the healthcare provider
C. Recommend over-the-counter yeast medication
D. Prepare for a sterile speculum exam
Correct Answer: A
Rationale: Increased leukorrhea (white, thin vaginal discharge) is a normal physiological
change in pregnancy due to increased estrogen and increased blood flow .
10. A patient with an uneventful pregnancy begins vaginal spotting at 38 weeks
gestation. The HCP suspects placenta previa. Which testing does the nurse expect
to be scheduled?
A. Doppler flow studies
B. Nonstress testing
C. Magnetic resonance imaging
D. Ultrasonography studies
