West Coast University NURS 306
OB Nursing – Test Bank & Exam
Practice Questions and Answers |
Chapters 1–19 | 2026–2027
Description: Comprehensive 200-question multiple-choice revision set covering
obstetrics and neonatal nursing across Chapters 1–19, including antepartum,
intrapartum, postpartum, newborn care, high-risk pregnancy, pharmacology, and
complications. Each question includes the correct answer marked with ✅. Answer
choices are intentionally mixed (not all A, B, C, or D).
Keywords: OB nursing, maternity nursing, NURS 306, test bank, NCLEX review,
antepartum, intrapartum, postpartum, newborn, high-risk pregnancy, fetal monitoring,
gestational diabetes, preeclampsia, labor, delivery, breastfeeding, contraception,
newborn assessment, 2026–2027.
1. A pregnant client at 10 weeks’ gestation asks when the fetal heart tones can
first be heard with a Doppler. The nurse should respond:
A. 6–7 weeks
B. 10–12 weeks ✅
C. 16–18 weeks
D. 20–22 weeks
2. Which physiologic change in pregnancy increases the risk for supine
hypotension?
,A. Increased cardiac output
B. Compression of the inferior vena cava ✅
C. Decreased blood volume
D. Increased systemic vascular resistance
3. A client in the first trimester reports nausea and vomiting. Which instruction is
most appropriate?
A. Eat three large meals daily
B. Eat dry crackers before rising ✅
C. Increase fluid intake with meals
D. Avoid all carbohydrates
4. The nurse is assessing a client at 36 weeks’ gestation. Which finding suggests
preeclampsia?
A. Blood pressure 110/70 mm Hg
B. Proteinuria and blood pressure 150/95 mm Hg ✅
C. Hemoglobin 11 g/dL
D. Fetal heart rate 140 bpm
5. Which medication is used to prevent seizures in severe preeclampsia?
A. Oxytocin
B. Magnesium sulfate ✅
C. Terbutaline
D. Betamethasone
6. A client receiving magnesium sulfate has a respiratory rate of 10/min. The nurse
should:
A. Continue the infusion
B. Increase the rate
,C. Stop the infusion and notify the provider ✅
D. Administer oxytocin
7. The antidote for magnesium sulfate toxicity is:
A. Calcium gluconate ✅
B. Naloxone
C. Vitamin K
D. Protamine sulfate
8. Which finding indicates true labor?
A. Irregular contractions relieved by rest
B. Cervical dilation and effacement ✅
C. Bloody show only
D. Braxton Hicks contractions
9. The first stage of labor ends when:
A. The baby is delivered
B. The cervix is fully dilated ✅
C. The placenta is delivered
D. The membranes rupture
10. The normal fetal heart rate range is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm ✅
D. 160–200 bpm
11. Late decelerations on the fetal monitor indicate:
A. Head compression
B. Cord compression
, C. Uteroplacental insufficiency ✅
D. Normal variability
12. Variable decelerations are most often caused by:
A. Head compression
B. Umbilical cord compression ✅
C. Placental abruption
D. Maternal fever
13. Which intervention is appropriate for late decelerations?
A. Continue monitoring
B. Reposition to left side and administer oxygen ✅
C. Increase oxytocin
D. Ambulate the client
14. The second stage of labor begins with:
A. Full dilation and ends with birth ✅
B. Onset of contractions
C. Delivery of placenta
D. Rupture of membranes
15. Which hormone stimulates uterine contractions during labor?
A. Progesterone
B. Oxytocin ✅
C. Prolactin
D. Estrogen
16. A postpartum client has a boggy uterus. The nurse’s first action is:
A. Document
B. Massage the fundus ✅
OB Nursing – Test Bank & Exam
Practice Questions and Answers |
Chapters 1–19 | 2026–2027
Description: Comprehensive 200-question multiple-choice revision set covering
obstetrics and neonatal nursing across Chapters 1–19, including antepartum,
intrapartum, postpartum, newborn care, high-risk pregnancy, pharmacology, and
complications. Each question includes the correct answer marked with ✅. Answer
choices are intentionally mixed (not all A, B, C, or D).
Keywords: OB nursing, maternity nursing, NURS 306, test bank, NCLEX review,
antepartum, intrapartum, postpartum, newborn, high-risk pregnancy, fetal monitoring,
gestational diabetes, preeclampsia, labor, delivery, breastfeeding, contraception,
newborn assessment, 2026–2027.
1. A pregnant client at 10 weeks’ gestation asks when the fetal heart tones can
first be heard with a Doppler. The nurse should respond:
A. 6–7 weeks
B. 10–12 weeks ✅
C. 16–18 weeks
D. 20–22 weeks
2. Which physiologic change in pregnancy increases the risk for supine
hypotension?
,A. Increased cardiac output
B. Compression of the inferior vena cava ✅
C. Decreased blood volume
D. Increased systemic vascular resistance
3. A client in the first trimester reports nausea and vomiting. Which instruction is
most appropriate?
A. Eat three large meals daily
B. Eat dry crackers before rising ✅
C. Increase fluid intake with meals
D. Avoid all carbohydrates
4. The nurse is assessing a client at 36 weeks’ gestation. Which finding suggests
preeclampsia?
A. Blood pressure 110/70 mm Hg
B. Proteinuria and blood pressure 150/95 mm Hg ✅
C. Hemoglobin 11 g/dL
D. Fetal heart rate 140 bpm
5. Which medication is used to prevent seizures in severe preeclampsia?
A. Oxytocin
B. Magnesium sulfate ✅
C. Terbutaline
D. Betamethasone
6. A client receiving magnesium sulfate has a respiratory rate of 10/min. The nurse
should:
A. Continue the infusion
B. Increase the rate
,C. Stop the infusion and notify the provider ✅
D. Administer oxytocin
7. The antidote for magnesium sulfate toxicity is:
A. Calcium gluconate ✅
B. Naloxone
C. Vitamin K
D. Protamine sulfate
8. Which finding indicates true labor?
A. Irregular contractions relieved by rest
B. Cervical dilation and effacement ✅
C. Bloody show only
D. Braxton Hicks contractions
9. The first stage of labor ends when:
A. The baby is delivered
B. The cervix is fully dilated ✅
C. The placenta is delivered
D. The membranes rupture
10. The normal fetal heart rate range is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm ✅
D. 160–200 bpm
11. Late decelerations on the fetal monitor indicate:
A. Head compression
B. Cord compression
, C. Uteroplacental insufficiency ✅
D. Normal variability
12. Variable decelerations are most often caused by:
A. Head compression
B. Umbilical cord compression ✅
C. Placental abruption
D. Maternal fever
13. Which intervention is appropriate for late decelerations?
A. Continue monitoring
B. Reposition to left side and administer oxygen ✅
C. Increase oxytocin
D. Ambulate the client
14. The second stage of labor begins with:
A. Full dilation and ends with birth ✅
B. Onset of contractions
C. Delivery of placenta
D. Rupture of membranes
15. Which hormone stimulates uterine contractions during labor?
A. Progesterone
B. Oxytocin ✅
C. Prolactin
D. Estrogen
16. A postpartum client has a boggy uterus. The nurse’s first action is:
A. Document
B. Massage the fundus ✅
