BSN 346 OB TRIAGE EXAM
Comprehensive OB Triage Exam Study Guide:
Amber Rhoades Shadow Health Case – 200
Practice Questions with Detailed Answers &
Rationales for BSN 346 Concepts of Nursing III
(Complete Fall 2026)
================================================================================
OB TRIAGE EXAM STUDY GUIDE
AMBER RHOADES SHADOW HEALTH CASE
200 PRACTICE QUESTIONS WITH DETAILED
ANSWERS & RATIONALES
================================================================================
COURSE: BSN 346 - Concepts of Nursing III
TERM: Complete Fall 2026
TOPIC: Focused Exam: OB Triage | Amber Rhoades
PATIENT: Amber Rhoades, 35-year-old primigravida at 32 weeks gestation
CHIEF COMPLAINT: Headache, blurred vision, nausea, and lower extremity edema
FOCUS: Preeclampsia Assessment & Management
================================================================================
DOCUMENT CONTENTS
================================================================================
SECTION 1: SUBJECTIVE DATA COLLECTION .................... Questions 1-50
SECTION 2: PHYSICAL ASSESSMENT AND VITAL SIGNS .......... Questions 51-80
SECTION 3: LABORATORY AND DIAGNOSTIC FINDINGS ........... Questions 81-110
SECTION 4: NURSING INTERVENTIONS AND MANAGEMENT ......... Questions 111-150
SECTION 5: POSTPARTUM CONSIDERATIONS .................... Questions 151-175
SECTION 6: PATIENT EDUCATION AND DISCHARGE PLANNING .... Questions 176-200
, BSN 346 OB TRIAGE EXAM
================================================================================
FORMAT KEY
================================================================================
QUESTION: The exam question with multiple-choice options
ANSWER: The correct answer with letter and full text
RATIONALE: Detailed explanation of why the answer is correct
and why other options are incorrect
================================================================================
INSTRUCTIONS
================================================================================
1. Read each question carefully before selecting your answer.
2. Choose the BEST answer from the options provided.
3. Review the rationale for each question to reinforce learning.
4. Use this guide to prepare for the OB Triage focused exam.
5. Pay special attention to preeclampsia signs, symptoms,
nursing interventions, and patient education.
================================================================================
STUDENT NAME: _________________________
DATE: ________________________________
SCORE: _______________________________
================================================================================
BSN 346 - Concepts of Nursing III
Complete Fall 2026
================================================================================
, BSN 346 OB TRIAGE EXAM
Focused Exam: OB Triage | Amber Rhoades
BSN 346 - Concepts of Nursing III
Complete Examination Guide
Patient Scenario: Amber Rhoades is a 35-year-old female who is 32 weeks pregnant with her first
child (primigravida). She presents to the OB triage unit with headache, blurred vision, nausea, and
lower extremity edema. Her symptoms started yesterday and have continued to worsen this
morning. The assessment is focused on ruling out preeclampsia—a severe hypertensive disorder of
pregnancy that can occur after 20 weeks of gestation and can significantly threaten the well-being of
both mother and fetus .
SECTION 1: SUBJECTIVE DATA COLLECTION
Questions 1-50
QUESTION 1:
What is Amber Rhoades' presenting complaint?
A. Chest pain and shortness of breath
B. Headache, blurred vision, nausea, and lower extremity edema
C. Fever and productive cough
D. Abdominal pain and vaginal bleeding
ANSWER:
B. Headache, blurred vision, nausea, and lower extremity edema
RATIONALE:
Amber presents with a classic cluster of symptoms associated with preeclampsia: headache, blurred
vision, nausea, and lower extremity edema. These symptoms began yesterday and worsened this
morning, prompting her visit to OB triage . Preeclampsia is a hypertensive disorder of pregnancy
occurring after 20 weeks of gestation, and these symptoms represent warning signs requiring
immediate evaluation. Options A, C, and D describe symptoms more consistent with other
conditions such as cardiac issues, respiratory infection, or obstetric emergencies like placental
abruption.
QUESTION 2:
What is Amber's age and gestational age?
A. 25 years old, 28 weeks pregnant
B. 30 years old, 30 weeks pregnant
C. 35 years old, 32 weeks pregnant
D. 40 years old, 34 weeks pregnant
, BSN 346 OB TRIAGE EXAM
ANSWER:
C. 35 years old, 32 weeks pregnant
RATIONALE:
Amber is 35 years old and currently 32 weeks pregnant with her first child . Advanced maternal age,
defined as age 35 or older at the time of delivery, is a significant risk factor for preeclampsia and
other pregnancy complications. This demographic information is critical for risk stratification and
guiding the assessment for hypertensive disorders of pregnancy.
QUESTION 3:
How would Amber describe her typical headaches?
A. Sharp and stabbing
B. Dull and throbbing, located behind her forehead
C. Migraine with aura
D. Tension-type band-like pressure
ANSWER:
B. Dull and throbbing, located behind her forehead
RATIONALE:
Amber describes her headaches as "tight and throbbing," located behind her forehead . She rates
them 3-4 on a 0-10 pain scale, and they typically last for a few hours. This description is important
because headaches associated with preeclampsia are often described as throbbing or pounding,
frequently located in the frontal or occipital regions. The quality and location of the headache can
help differentiate it from other types of headaches, such as migraines (option C) or tension
headaches (option D).
QUESTION 4:
How often does Amber experience headaches?
A. Daily
B. Once a week
C. Once a month
D. Rarely
ANSWER:
B. Once a week
RATIONALE:
Amber reports having headaches approximately once per week, each lasting a few hours . This
frequency is an important piece of data for establishing a baseline and determining whether the
current headache represents a change from her typical pattern. A new or worsening headache
pattern in the third trimester warrants investigation for preeclampsia.
Comprehensive OB Triage Exam Study Guide:
Amber Rhoades Shadow Health Case – 200
Practice Questions with Detailed Answers &
Rationales for BSN 346 Concepts of Nursing III
(Complete Fall 2026)
================================================================================
OB TRIAGE EXAM STUDY GUIDE
AMBER RHOADES SHADOW HEALTH CASE
200 PRACTICE QUESTIONS WITH DETAILED
ANSWERS & RATIONALES
================================================================================
COURSE: BSN 346 - Concepts of Nursing III
TERM: Complete Fall 2026
TOPIC: Focused Exam: OB Triage | Amber Rhoades
PATIENT: Amber Rhoades, 35-year-old primigravida at 32 weeks gestation
CHIEF COMPLAINT: Headache, blurred vision, nausea, and lower extremity edema
FOCUS: Preeclampsia Assessment & Management
================================================================================
DOCUMENT CONTENTS
================================================================================
SECTION 1: SUBJECTIVE DATA COLLECTION .................... Questions 1-50
SECTION 2: PHYSICAL ASSESSMENT AND VITAL SIGNS .......... Questions 51-80
SECTION 3: LABORATORY AND DIAGNOSTIC FINDINGS ........... Questions 81-110
SECTION 4: NURSING INTERVENTIONS AND MANAGEMENT ......... Questions 111-150
SECTION 5: POSTPARTUM CONSIDERATIONS .................... Questions 151-175
SECTION 6: PATIENT EDUCATION AND DISCHARGE PLANNING .... Questions 176-200
, BSN 346 OB TRIAGE EXAM
================================================================================
FORMAT KEY
================================================================================
QUESTION: The exam question with multiple-choice options
ANSWER: The correct answer with letter and full text
RATIONALE: Detailed explanation of why the answer is correct
and why other options are incorrect
================================================================================
INSTRUCTIONS
================================================================================
1. Read each question carefully before selecting your answer.
2. Choose the BEST answer from the options provided.
3. Review the rationale for each question to reinforce learning.
4. Use this guide to prepare for the OB Triage focused exam.
5. Pay special attention to preeclampsia signs, symptoms,
nursing interventions, and patient education.
================================================================================
STUDENT NAME: _________________________
DATE: ________________________________
SCORE: _______________________________
================================================================================
BSN 346 - Concepts of Nursing III
Complete Fall 2026
================================================================================
, BSN 346 OB TRIAGE EXAM
Focused Exam: OB Triage | Amber Rhoades
BSN 346 - Concepts of Nursing III
Complete Examination Guide
Patient Scenario: Amber Rhoades is a 35-year-old female who is 32 weeks pregnant with her first
child (primigravida). She presents to the OB triage unit with headache, blurred vision, nausea, and
lower extremity edema. Her symptoms started yesterday and have continued to worsen this
morning. The assessment is focused on ruling out preeclampsia—a severe hypertensive disorder of
pregnancy that can occur after 20 weeks of gestation and can significantly threaten the well-being of
both mother and fetus .
SECTION 1: SUBJECTIVE DATA COLLECTION
Questions 1-50
QUESTION 1:
What is Amber Rhoades' presenting complaint?
A. Chest pain and shortness of breath
B. Headache, blurred vision, nausea, and lower extremity edema
C. Fever and productive cough
D. Abdominal pain and vaginal bleeding
ANSWER:
B. Headache, blurred vision, nausea, and lower extremity edema
RATIONALE:
Amber presents with a classic cluster of symptoms associated with preeclampsia: headache, blurred
vision, nausea, and lower extremity edema. These symptoms began yesterday and worsened this
morning, prompting her visit to OB triage . Preeclampsia is a hypertensive disorder of pregnancy
occurring after 20 weeks of gestation, and these symptoms represent warning signs requiring
immediate evaluation. Options A, C, and D describe symptoms more consistent with other
conditions such as cardiac issues, respiratory infection, or obstetric emergencies like placental
abruption.
QUESTION 2:
What is Amber's age and gestational age?
A. 25 years old, 28 weeks pregnant
B. 30 years old, 30 weeks pregnant
C. 35 years old, 32 weeks pregnant
D. 40 years old, 34 weeks pregnant
, BSN 346 OB TRIAGE EXAM
ANSWER:
C. 35 years old, 32 weeks pregnant
RATIONALE:
Amber is 35 years old and currently 32 weeks pregnant with her first child . Advanced maternal age,
defined as age 35 or older at the time of delivery, is a significant risk factor for preeclampsia and
other pregnancy complications. This demographic information is critical for risk stratification and
guiding the assessment for hypertensive disorders of pregnancy.
QUESTION 3:
How would Amber describe her typical headaches?
A. Sharp and stabbing
B. Dull and throbbing, located behind her forehead
C. Migraine with aura
D. Tension-type band-like pressure
ANSWER:
B. Dull and throbbing, located behind her forehead
RATIONALE:
Amber describes her headaches as "tight and throbbing," located behind her forehead . She rates
them 3-4 on a 0-10 pain scale, and they typically last for a few hours. This description is important
because headaches associated with preeclampsia are often described as throbbing or pounding,
frequently located in the frontal or occipital regions. The quality and location of the headache can
help differentiate it from other types of headaches, such as migraines (option C) or tension
headaches (option D).
QUESTION 4:
How often does Amber experience headaches?
A. Daily
B. Once a week
C. Once a month
D. Rarely
ANSWER:
B. Once a week
RATIONALE:
Amber reports having headaches approximately once per week, each lasting a few hours . This
frequency is an important piece of data for establishing a baseline and determining whether the
current headache represents a change from her typical pattern. A new or worsening headache
pattern in the third trimester warrants investigation for preeclampsia.
