OBSTETRICS 2026 QUESTIONS
1.a primigravid client in early labor is admitted and reports intense back pain with contractions. The
fetal position is determined to be right occiput posterior. Which action by the nurse would be most
helpful for alleviating the client's back pain during early labor?
1. Applying counterpressure to the client's sacrum during contractions
2. Encouraging the client to remain in bed during early labor
3. Positioning the client on the left side with pillows for support
4. Requesting that the nurse anesthetist administer epidural anesthesia
2. A nurse is preparing to administer an oxytocin iv infusion to a client for labor induction. The nurse
recognizes that an oxytocin infusion may increase the client's risk for which of the following? Select all
that apply.
1. Abnormal or indeterminate fetal heart rate patterns
2. Delayed breast milk production
3. Placenta previa
4. Postpartum hemorrhage
5. Uterine tachysystole
3. Which client in a prenatal clinic should the nurse assess first?
1. Client at 11 weeks gestation with backache and pelvic pressure
2. Client at 16 weeks gestation with earache and sinus congestion
3. Client at 27 weeks gestation with headache and facial edema
4. Client at 37 weeks gestation with white vaginal discharge and urinary frequency
,4. A pregnant client at 30 weeks gestation comes to the prenatal clinic. Which vaccines may be
administered safely at this prenatal visit? Select all that apply.
1. Influenza injection
2. Influenza nasal spray
3. Measles, mumps, and rubella
4. Tetanus, diphtheria, and pertussis
5. Varicella
5. A nurse is caring for a client following a forceps-assisted vaginal birth. The client reports severe
vaginal pain and fullness. On assessment, the nurse notices a firm, midline uterine fundus. Lochia rubra
is light. Which diagnosis should the nurse anticipate?
1. Cervical lacerations
2. Inversion of the uterus
3. Uterine atony
4. Vaginal hematoma
6. A client in active labor who received an epidural 20 minutes ago reports feeling nauseated and
lightheaded. Which action should the nurse perform first?
1. Administer iv ondansetron
2. Apply oxygen via face mask
3. Obtain blood pressure
4. Perform vaginal examination
7. The precepting nurse is supervising a new obstetric nurse performing a labor admission assessment
on a client with suspected spontaneous rupture of membranes. Which action by the new nurse would
cause the precepting nurse to intervene?
,1. Documenting a positive nitrazine test result when the test strip turns blue
2. Donning nonsterile gloves and using soluble gel for vaginal examination
3. Palpating the client's abdomen before applying external fetal monitors
4. Providing the client with a variety of clear liquids to drink
8. The nurse is caring for a client at 30 weeks gestation who is hospitalized for preeclampsia. After
reviewing the client's chart and performing an initial assessment, the nurse notes several abnormal
findings. Which finding should the nurse discuss with the health care provider immediately?
1. Dark red vaginal bleeding
2. Edema of the hands and face
3. Elevated liver enzymes
4. Urine output of 150 ml in 4 hours
9.the nurse is teaching a class of expectant parents about infant safety. Which statement by a class
participant indicates a need for further instruction?
1. "i will allow my baby to sleep with a pacifier."
2. "i will dress my baby in a sleep sack to prevent my baby from getting cold."
3. "i will make sure there is a firm mattress in the crib."
4. "i will tie bumper pads to the sides of the crib to protect my baby's head."
10. The obstetric nurse is reviewing phone messages. Which client should the nurse call first?
1. Client at 18 weeks gestation taking ceftriaxone and reporting mild diarrhea
2. Client at 22 weeks gestation with twins who is taking acetaminophen twice a day
3. Client at 28 weeks gestation taking metronidazole and reporting dark-colored urine
4. Client at 32 weeks gestation taking ibuprofen for moderate back pain
, 11. The graduate nurse (gn) receives report on a postpartum client with an rh-negative blood type.
Which statement by the gn regarding the rh immune globulin injection requires the preceptor to provide
further teaching?
1. "additional doses of rh immune globulin may be required if excessive fetomaternal hemorrhage is
suspected."
2. "i should administer rh immune globulin to the client within 72 hours after birth."
3. "if the maternal antibody screen is negative, i will hold rh immune globulin and contact the health
care provider."
4. "rh immune globulin is not required if the newborn's blood type is rh negative."
12. The nurse is caring for a client at 39 weeks gestation in active labor who is receiving an oxytocin
infusion. The nurse notes persistent late decelerations on the fetal monitor. Which of the following
actions should the nurse take? Select all that apply.
1. Administer oxygen via a nonrebreather face mask
2. Change maternal position to the left side
3. Discontinue the oxytocin infusion
4. Notify the health care provider
5. Perform a nitrazine test
13. A nurse is caring for a client following delivery of a stillborn infant. Which actions should the nurse
take? Select all that apply.
1. Ask the parents if they would like to help bathe the infant
2. Discourage the parents from naming the infant
3. Discuss the importance of organ donation with the parents
4. Encourage the parents and family members to hold the infant
5. Offer to obtain handprints, footprints, and photographs of the infant
1.a primigravid client in early labor is admitted and reports intense back pain with contractions. The
fetal position is determined to be right occiput posterior. Which action by the nurse would be most
helpful for alleviating the client's back pain during early labor?
1. Applying counterpressure to the client's sacrum during contractions
2. Encouraging the client to remain in bed during early labor
3. Positioning the client on the left side with pillows for support
4. Requesting that the nurse anesthetist administer epidural anesthesia
2. A nurse is preparing to administer an oxytocin iv infusion to a client for labor induction. The nurse
recognizes that an oxytocin infusion may increase the client's risk for which of the following? Select all
that apply.
1. Abnormal or indeterminate fetal heart rate patterns
2. Delayed breast milk production
3. Placenta previa
4. Postpartum hemorrhage
5. Uterine tachysystole
3. Which client in a prenatal clinic should the nurse assess first?
1. Client at 11 weeks gestation with backache and pelvic pressure
2. Client at 16 weeks gestation with earache and sinus congestion
3. Client at 27 weeks gestation with headache and facial edema
4. Client at 37 weeks gestation with white vaginal discharge and urinary frequency
,4. A pregnant client at 30 weeks gestation comes to the prenatal clinic. Which vaccines may be
administered safely at this prenatal visit? Select all that apply.
1. Influenza injection
2. Influenza nasal spray
3. Measles, mumps, and rubella
4. Tetanus, diphtheria, and pertussis
5. Varicella
5. A nurse is caring for a client following a forceps-assisted vaginal birth. The client reports severe
vaginal pain and fullness. On assessment, the nurse notices a firm, midline uterine fundus. Lochia rubra
is light. Which diagnosis should the nurse anticipate?
1. Cervical lacerations
2. Inversion of the uterus
3. Uterine atony
4. Vaginal hematoma
6. A client in active labor who received an epidural 20 minutes ago reports feeling nauseated and
lightheaded. Which action should the nurse perform first?
1. Administer iv ondansetron
2. Apply oxygen via face mask
3. Obtain blood pressure
4. Perform vaginal examination
7. The precepting nurse is supervising a new obstetric nurse performing a labor admission assessment
on a client with suspected spontaneous rupture of membranes. Which action by the new nurse would
cause the precepting nurse to intervene?
,1. Documenting a positive nitrazine test result when the test strip turns blue
2. Donning nonsterile gloves and using soluble gel for vaginal examination
3. Palpating the client's abdomen before applying external fetal monitors
4. Providing the client with a variety of clear liquids to drink
8. The nurse is caring for a client at 30 weeks gestation who is hospitalized for preeclampsia. After
reviewing the client's chart and performing an initial assessment, the nurse notes several abnormal
findings. Which finding should the nurse discuss with the health care provider immediately?
1. Dark red vaginal bleeding
2. Edema of the hands and face
3. Elevated liver enzymes
4. Urine output of 150 ml in 4 hours
9.the nurse is teaching a class of expectant parents about infant safety. Which statement by a class
participant indicates a need for further instruction?
1. "i will allow my baby to sleep with a pacifier."
2. "i will dress my baby in a sleep sack to prevent my baby from getting cold."
3. "i will make sure there is a firm mattress in the crib."
4. "i will tie bumper pads to the sides of the crib to protect my baby's head."
10. The obstetric nurse is reviewing phone messages. Which client should the nurse call first?
1. Client at 18 weeks gestation taking ceftriaxone and reporting mild diarrhea
2. Client at 22 weeks gestation with twins who is taking acetaminophen twice a day
3. Client at 28 weeks gestation taking metronidazole and reporting dark-colored urine
4. Client at 32 weeks gestation taking ibuprofen for moderate back pain
, 11. The graduate nurse (gn) receives report on a postpartum client with an rh-negative blood type.
Which statement by the gn regarding the rh immune globulin injection requires the preceptor to provide
further teaching?
1. "additional doses of rh immune globulin may be required if excessive fetomaternal hemorrhage is
suspected."
2. "i should administer rh immune globulin to the client within 72 hours after birth."
3. "if the maternal antibody screen is negative, i will hold rh immune globulin and contact the health
care provider."
4. "rh immune globulin is not required if the newborn's blood type is rh negative."
12. The nurse is caring for a client at 39 weeks gestation in active labor who is receiving an oxytocin
infusion. The nurse notes persistent late decelerations on the fetal monitor. Which of the following
actions should the nurse take? Select all that apply.
1. Administer oxygen via a nonrebreather face mask
2. Change maternal position to the left side
3. Discontinue the oxytocin infusion
4. Notify the health care provider
5. Perform a nitrazine test
13. A nurse is caring for a client following delivery of a stillborn infant. Which actions should the nurse
take? Select all that apply.
1. Ask the parents if they would like to help bathe the infant
2. Discourage the parents from naming the infant
3. Discuss the importance of organ donation with the parents
4. Encourage the parents and family members to hold the infant
5. Offer to obtain handprints, footprints, and photographs of the infant
