OB/PEDS FINAL EXAM VERSIONS 2024-2025 ACTUAL
EXAM EACH VERSION CONTAINS 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse teaches the pregnant client how to perform Kegel exercises as a way to accomplish which
action?
a. Prevent perineal lacerations
b. Stimulate labor contractions
c. Increase pelvic muscle tone
d. Lose pregnancy weight quickly - ANSWER-Increase pelvic muscle tone
During a clinic visit, a pregnant client at 30 weeks' gestation tells the nurse, "I've had some mild cramps
that are pretty irregular. what does this mean?" The cramps are probably
a. The beginning of labor in the very early stages.
b. an ominous finding indicating that the client is about to have a miscarriage.
c. related to overhydration of the women
d. Braxton Hicks contractions, which occur throughout pregnancy. - ANSWER-d. Braxton Hicks
contractions, which occur throughout pregnancy
The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed. Which
information should be included in it? select all that apply
a. Prevent constipation by taking a daily laxative
b. Balance your dietary intake by increasing your calories by 300 daily
c. Continue your daily walking routine just as you did before this pregnancy
d. Tetanus, measles, mumps, and rubella vaccines will be give to you now
e. Avoid tub baths now that you are pregnant to prevent vaginal infections
f. Sexual activity is permitted as long as your membranes are intact
g. Increase your consumption of milk to meet your iron needs. - ANSWER-b. balance your dietary intake
by increasing your calories by 300 daily
,c. Continue your daily walking routine just as you did before this pregnancy
e. Avoid tub baths now that you are pregnant to prevent vaginal infections
f. Sexual activity is permitted as long as your membranes are intact.
What anticipatory guidance regarding sexual activity during pregnancy will be included in teaching?
select all that apply
a. Sexual activity is contraindicated throughout pregnancy
b. most women don't desire intimacy after the first trimester
c. sexual activity may continue up until the end of the second trimester
d. sexual intercourse is prohibited if a history of preterm labor exists
e. women's sexual desire may change throughout the pregnancy
f. couples can try a variety of positions of comfort during pregnancy - ANSWER-e. women's sexual desire
may change throughout the pregnancy
f. couples can try a variety of positions of comfort during pregnancy
A pregnancy client's LMP was on August 10. Using Nagele's rule, the nurse calculates that her EDD will
be when?
a. June 23
b. July 10
c. July 30
d. May 17 - ANSWER-d. May 17
(+7 day, -3 month, +1 year)
Which is not true about breastfeeding?
a. breastfed infants experience more obesity and allergies
b. breast milk is perfectly suited to the infant's nutritional needs
c. breast milk contains maternal antibodies to stimulate infant's immunity
d. breastfeeding enhances maternal bonding and attachment - ANSWER-a. Breastfed infants experience
more obesity and allergies
,Practicing good oral hygiene is important for all women throughout pregnancy. As a nurse providing
anticipatory guidance for pregnant women, what condition can result from periodontal disease if good
dental care isn't practiced?
a. Postdated pregnancy
b. Large-for-gestational-age infant
c. advanced reproductive cancer
d. preterm or low-birth-weight infant - ANSWER-preterm or low-birth-weight infant
Which would be considered risk factors for psychological well-being during pregnancy ? Select all that
apply
a. Limited support system and network of friends and family
b. introverted personality at any point in the pregnancy
c. ambivalence any time during the pregnancy
d. high levels of stress due to faimly discord
e. history of previous high-risk pregnancy with complications
f. depression prior to pregnancy and on medication - ANSWER-a. limited support system and network of
friends and family
d. high levels of stress due to family discord
e. history of previous high-risk pregnancy with complications
f. depression prior to pregnancy and on medication
Which is the best time for the genetic assessment of an alpha-fetoprotein (AFP) screening test?
a. 12-14 weeks
b. 16-18 weeks
c. 22-24 weeks
d. 28-30 weeks - ANSWER-b. 16 to 18 weeks gestation
A 25-year-old woman presents to the clinic with complaints of nausea, vomiting, and urinary frequency.
Based on this information, the nurse knows these are most indicative of what type of signs?
, a. presumptive signs
b. positive signs
c. probable signs
d. signs of a urinary tract infection - ANSWER-a. presumptive signs of pregnancy
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. transverse
b. longitudinal
c. perpendicular
d. oblique - ANSWER-b. longitudinal
Which observation would suggest that placental separation is occurring?
a. Uterus stops contracting altogether
b. umbilical cord pulsations stop
c. uterine shape changes to globular
d. maternal blood pressure drops - ANSWER-c. uterine shape changes to globular
As the nurse is explaining the difference between true versus false labor to her childbirth, she states
that the major difference between them is
a. discomfort level is greater with false labor
b. progressive cervical changes occur is true labor
c. there is a feeling of nausea with false labor
d. there is more fetal movement with true labor - ANSWER-b. progressive cervical changes occur is true
labor
The most intense time during labor is during the
a. latent phase
b. active phase
c. membranes breaking
EXAM EACH VERSION CONTAINS 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse teaches the pregnant client how to perform Kegel exercises as a way to accomplish which
action?
a. Prevent perineal lacerations
b. Stimulate labor contractions
c. Increase pelvic muscle tone
d. Lose pregnancy weight quickly - ANSWER-Increase pelvic muscle tone
During a clinic visit, a pregnant client at 30 weeks' gestation tells the nurse, "I've had some mild cramps
that are pretty irregular. what does this mean?" The cramps are probably
a. The beginning of labor in the very early stages.
b. an ominous finding indicating that the client is about to have a miscarriage.
c. related to overhydration of the women
d. Braxton Hicks contractions, which occur throughout pregnancy. - ANSWER-d. Braxton Hicks
contractions, which occur throughout pregnancy
The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed. Which
information should be included in it? select all that apply
a. Prevent constipation by taking a daily laxative
b. Balance your dietary intake by increasing your calories by 300 daily
c. Continue your daily walking routine just as you did before this pregnancy
d. Tetanus, measles, mumps, and rubella vaccines will be give to you now
e. Avoid tub baths now that you are pregnant to prevent vaginal infections
f. Sexual activity is permitted as long as your membranes are intact
g. Increase your consumption of milk to meet your iron needs. - ANSWER-b. balance your dietary intake
by increasing your calories by 300 daily
,c. Continue your daily walking routine just as you did before this pregnancy
e. Avoid tub baths now that you are pregnant to prevent vaginal infections
f. Sexual activity is permitted as long as your membranes are intact.
What anticipatory guidance regarding sexual activity during pregnancy will be included in teaching?
select all that apply
a. Sexual activity is contraindicated throughout pregnancy
b. most women don't desire intimacy after the first trimester
c. sexual activity may continue up until the end of the second trimester
d. sexual intercourse is prohibited if a history of preterm labor exists
e. women's sexual desire may change throughout the pregnancy
f. couples can try a variety of positions of comfort during pregnancy - ANSWER-e. women's sexual desire
may change throughout the pregnancy
f. couples can try a variety of positions of comfort during pregnancy
A pregnancy client's LMP was on August 10. Using Nagele's rule, the nurse calculates that her EDD will
be when?
a. June 23
b. July 10
c. July 30
d. May 17 - ANSWER-d. May 17
(+7 day, -3 month, +1 year)
Which is not true about breastfeeding?
a. breastfed infants experience more obesity and allergies
b. breast milk is perfectly suited to the infant's nutritional needs
c. breast milk contains maternal antibodies to stimulate infant's immunity
d. breastfeeding enhances maternal bonding and attachment - ANSWER-a. Breastfed infants experience
more obesity and allergies
,Practicing good oral hygiene is important for all women throughout pregnancy. As a nurse providing
anticipatory guidance for pregnant women, what condition can result from periodontal disease if good
dental care isn't practiced?
a. Postdated pregnancy
b. Large-for-gestational-age infant
c. advanced reproductive cancer
d. preterm or low-birth-weight infant - ANSWER-preterm or low-birth-weight infant
Which would be considered risk factors for psychological well-being during pregnancy ? Select all that
apply
a. Limited support system and network of friends and family
b. introverted personality at any point in the pregnancy
c. ambivalence any time during the pregnancy
d. high levels of stress due to faimly discord
e. history of previous high-risk pregnancy with complications
f. depression prior to pregnancy and on medication - ANSWER-a. limited support system and network of
friends and family
d. high levels of stress due to family discord
e. history of previous high-risk pregnancy with complications
f. depression prior to pregnancy and on medication
Which is the best time for the genetic assessment of an alpha-fetoprotein (AFP) screening test?
a. 12-14 weeks
b. 16-18 weeks
c. 22-24 weeks
d. 28-30 weeks - ANSWER-b. 16 to 18 weeks gestation
A 25-year-old woman presents to the clinic with complaints of nausea, vomiting, and urinary frequency.
Based on this information, the nurse knows these are most indicative of what type of signs?
, a. presumptive signs
b. positive signs
c. probable signs
d. signs of a urinary tract infection - ANSWER-a. presumptive signs of pregnancy
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. transverse
b. longitudinal
c. perpendicular
d. oblique - ANSWER-b. longitudinal
Which observation would suggest that placental separation is occurring?
a. Uterus stops contracting altogether
b. umbilical cord pulsations stop
c. uterine shape changes to globular
d. maternal blood pressure drops - ANSWER-c. uterine shape changes to globular
As the nurse is explaining the difference between true versus false labor to her childbirth, she states
that the major difference between them is
a. discomfort level is greater with false labor
b. progressive cervical changes occur is true labor
c. there is a feeling of nausea with false labor
d. there is more fetal movement with true labor - ANSWER-b. progressive cervical changes occur is true
labor
The most intense time during labor is during the
a. latent phase
b. active phase
c. membranes breaking
