OB Exam 2 Questions with Verified Answers Latest Update 2025 Graded A+
If pregnancy and need rubella vachcination, when is this given? - Answers Shortly after giving birth
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of
painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal
heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm
Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the
following is the priority nursing action? - Answers Initiate IV access
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that
the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital
signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg.
Which of the following is the priority action for the nurse to take? - Answers Position with one hip
elevated
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that
she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a
sign of true labor? - Answers Changes in the cervix
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following
findings indicates that the medication was effective? - Answers Fundus firm to palpation
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late
decelerations on the monitor strip and interprets them as indicating which of the following? - Answers
Uteroplacental insufficiency
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station.
Which of the following is the correct interpretation of this clinical finding? - Answers The lowermost
portion of the fetus is at the level of the ischial spines
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
The nurse should explain to the client that the purpose of this medication is to prevent which of the
following conditions? - Answers Postpartum hemorrhage
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and
receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Which of the following is a correct interpretation of this finding? - Answers Variable decelerations are
due to umbilical cord compression
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the
fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in
which of the following positions? - Answers Frank breech
, A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following
findings are noted: heart rate of 110/min; slow, weak cry; some flexion of extremities; grimace in
response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's
Apgar score. Answer the number only. - Answers 6
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of
the following assessment findings should the nurse report to the provider first? - Answers Continuous
contraction lasting 2 minutes
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the
following actions should the nurse take first? - Answers Change the client's position
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the
following actions should the nurse take first? - Answers Obtain a 30 min electronic fetal monitoring
(EFM) strip prior to induction
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV
infusion of oxytocin. Which of the information should the nurse include? - Answers Your contractions
will become stronger and more frequent
Engagement - Answers Greatest diameter of head passes through the pelvic inlet
Descent - Answers Movement of fetus through the birth canal
Flexion - Answers Fetal chin flexes downward onto chest
Internal Rotation - Answers Fetal head rotates to fit diameter of pelvic cavity
Extension - Answers Occiput, brow and face emerge from vagina
External Rotation - Answers Shoulders enter pelvis, turning head to one side
Expulsion - Answers Shoulders and body quickly follow to delivery
Stage one of labor has 3 parts - Answers Latent, active, transition
Latent stage of labor is the - Answers Onset of labor until 3 cm dilation
In latent stage of labor contractions last - Answers 30-45 seconds
In latent stage of labor how many minutes between contractions - Answers 5-30 minutes
Active stage of labor continues from - Answers 3 cm until 7 cm dilation
Active stage of labor contractions last - Answers 45-60 seconds
Active stage of labor, how long between contractions - Answers 3-5 minutes
If pregnancy and need rubella vachcination, when is this given? - Answers Shortly after giving birth
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of
painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal
heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm
Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the
following is the priority nursing action? - Answers Initiate IV access
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that
the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital
signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg.
Which of the following is the priority action for the nurse to take? - Answers Position with one hip
elevated
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that
she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a
sign of true labor? - Answers Changes in the cervix
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following
findings indicates that the medication was effective? - Answers Fundus firm to palpation
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late
decelerations on the monitor strip and interprets them as indicating which of the following? - Answers
Uteroplacental insufficiency
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station.
Which of the following is the correct interpretation of this clinical finding? - Answers The lowermost
portion of the fetus is at the level of the ischial spines
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
The nurse should explain to the client that the purpose of this medication is to prevent which of the
following conditions? - Answers Postpartum hemorrhage
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and
receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Which of the following is a correct interpretation of this finding? - Answers Variable decelerations are
due to umbilical cord compression
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the
fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in
which of the following positions? - Answers Frank breech
, A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following
findings are noted: heart rate of 110/min; slow, weak cry; some flexion of extremities; grimace in
response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's
Apgar score. Answer the number only. - Answers 6
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of
the following assessment findings should the nurse report to the provider first? - Answers Continuous
contraction lasting 2 minutes
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the
following actions should the nurse take first? - Answers Change the client's position
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the
following actions should the nurse take first? - Answers Obtain a 30 min electronic fetal monitoring
(EFM) strip prior to induction
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV
infusion of oxytocin. Which of the information should the nurse include? - Answers Your contractions
will become stronger and more frequent
Engagement - Answers Greatest diameter of head passes through the pelvic inlet
Descent - Answers Movement of fetus through the birth canal
Flexion - Answers Fetal chin flexes downward onto chest
Internal Rotation - Answers Fetal head rotates to fit diameter of pelvic cavity
Extension - Answers Occiput, brow and face emerge from vagina
External Rotation - Answers Shoulders enter pelvis, turning head to one side
Expulsion - Answers Shoulders and body quickly follow to delivery
Stage one of labor has 3 parts - Answers Latent, active, transition
Latent stage of labor is the - Answers Onset of labor until 3 cm dilation
In latent stage of labor contractions last - Answers 30-45 seconds
In latent stage of labor how many minutes between contractions - Answers 5-30 minutes
Active stage of labor continues from - Answers 3 cm until 7 cm dilation
Active stage of labor contractions last - Answers 45-60 seconds
Active stage of labor, how long between contractions - Answers 3-5 minutes
