OB NCLEX QUESTIONS WITH CORRECT
ANSWERS
Which lof lthe lfollowing ltasks lmay lbe ldelegated lto lthe lnursing lassistant?
a. lchecking lthe lcervix lof lthe lpatient lwho lis lless llikely lto ldeliver lsoon
b. ladministering loxygen lto lthe lmother lwho lhas ldecreasing loxygen lsaturations
c. lproviding lice lchips lfor la lmother lwho lcomplains lof la ldry lmouth
d. lTearing loff la lstrip lof lpaper lfrom lthe lfetal lheart lrate lmonitor land lputting lit lin lthe
lchart l- lcorrect lanswers l-C- lWhen lworking lin lL&D lthe lUAP lcan lhelp lwith lADLs. lThey
lcannot lbe ldelegated ltasks lthat lrequire lformulating la lcare lplan, ltaking loff lorders, lor
ladministering lmedications
Which lof lthe lfollowing lsituations lwould lmost llikely lwarrant lcontact lwith la lphysician
lfor lfurther lorders lfor lcare lor ltreatment?
A. lA lpatient lhas la l3rd ldegree lperineal llaceration lafter ldelivery
B. lA lpatient lhas llost l100 lmL lof lblood lwith ldelivery
C. lA lpatient lhas la lboggy luterus lthat ldoes lnot lfirm lwith lmassage
,D. lA lpatient lis lhaving lrectal lpain l- lcorrect lanswers l-C. lWhen lcaring lfor lpostpartum
lpatients, lthe lnurse lmust lbe lfamiliar lwith lwhat lconditions lare lcommon loccurrences
lfollowing ldelivery land lwhat lsituations lwarrant la lcall lto lthe lphysician lfor lfurther lhelp.
lPostpartum lcomplications loften linclude linfection, lblood lclots, land lhemorrhage.
lExcess lbleeding lmay loccur lwhen lthe luterus lis lboggy land lit ldoes lnot lfirm lup lwith
lmassage.
Following lremoval lof lthe lepidural, lthe lpatient ldevelops la lsevere lheadache lwhen lshe
lsits lup lin lbed. lThe lphysician lhas linstructed lthe lpatient lthat lshe lwill lneed la lblood
lpatch. lWhich lbest ldescribes lthis lprocedure?
A. lRemoving lblood lfrom la lvein lin lthe lpatient land linjecting lit linto lthe lepidural lspace
lin lthe lback
B. lPlacement lof la llarge lbandage lover lthe lsite lof lthe lepidural linsertion.
C. lReplacement lof lthe lepidural lcatheter linto lthe lsame lspace lfor llong-term lcontrol
D. lPlacement lof la lnerve lblock lin lthe lspinal lcolumn lat lthe llocation lof lthe laffected
lepidural lspace l- lcorrect lanswers l-A- lWhen lCSF lleaks lout lof lthe lepidural lspace la
lsevere lheadache lin lthe lpatient lcan loccur. lA lblood lpatch lcan lbe lperformed lby la
lphysician lto lclose lthe lsite. lThe lsmall lamount lof lblood lis lwithdrawn lfrom lthe
lmother's larm land lthe lblood lclots lin lthe lspace.
Which lof lthe lpatients ldescribed lshould lthe lnurse lsee lfirst?
A. l20 lyr lold lpatient lwho ljust lhad lher lfirst lbaby land ldoesn't lknow lhow lto lbreastfeed
B. l27 lyr lold ldiabetic lpatient lwho ldelivered lher lsecond lchild lyesterday land lneeds lher
lmorning ldose lof linsulin
C. l24 lyr lold lpatient lwho lhas lhad la llarge lamount lof llochia land lhas ldeveloped la
lhematoma lon lher lperineum
D. l30 lyr lold lpatient lwho lneeds lto ltake la lshower land leat lbreakfast lbefore lthe
lphysician lcomes lto ldismiss lher l- lcorrect lanswers l-C. lA lpatient lwith la lhematoma lis
lat lrisk lof lhemorrhage land lthe lnurse lshould lassess lher lfirst
On lthe lfirst lfollowing ldelivery, lthe lphysician lordered la lhemoglobin llevel lfor lthe
lpatient; lthe lresult lwas l9.9 lg/dL. lThe lphysician ldid lnot llist lany lother lorders lin lthe
lpatient's lchart lsince lthat ltime. lWhich lresponse lof lthe lnurse lis lmost lappropriate> l
A. lcall lthe lphysician land lask lif lhe lwants la lblood ltransfusion lfor lthe lpatient
B. lask lthe lphysician labout lthe lhemoglobin llevel lwhen lhe lcomes lin lfor lrounds
C. lContact lthe llaboratory land lask lthem lto lrepeat lthe ltest
D. lcontinue lto lmonitor lthe lpatient land ldocument lthe lresult l- lcorrect lanswers l-B. lA
lpostpartum lpatient lis lat lrisk lof lhemorrhage lfollowing ldelivery; loften lthe lphysician lwill
lorder la lhemoglobin llevel l1-2 ldays lafter ldelivery lto lcheck lthe lmother's lrisk lstatus. lA
llevel lof l9.9 lg/dL lis llower lthan lnormal lfor la lfemale lpatient, lbut lis lnot lnecessarily llow
lenough lto lwarrant la lblood ltransfusion.
The lpatient's lmedical lrecord lstates lthat lshe ltested lpositive lfor lgroup lB lStreptococcus
linfection. lwhich lof lthe lfollowing lprecautions lshould lbe lgiven lin lthis lsituation?
A. lthe lpatient lshould lreceive lantibiotics lat lthis ltime
b. lthe lpatient lshould lbe lgiven lantibiotics lduring llabor
, c. lthe lfetus lshould lreceive lantibiotics las la lprenatal linfusion l
d. lthere lis lno ltreatment lnecessary l- lcorrect lanswers l-B- lB. lStreptococcus lcan lbe
ltransferred lto lthe lbaby lduring ldelivery lto lcause lan linfection. lthe ltest lfor lthe lbacteria
lis lperformed lat lapproximately l35 lweeks lgestation, lbut lantibiotics lare ltypically lnot
lgiven luntil lthe lmother lis lin llabor lto lreduce lthe lchance lthat lshe lwill lpass lthe
linfection lto lher lchild
When lreviewing linformation labout linfant lcare, lthe lnurse lshould lexplain lthat lthe
lpostpartum lclient lshould lcall lthe lphysician lif lher linfant ldeveloped lwhich lof lthe
lfollowing lconditions?
A. lThe linfant lis lonly lsleeping l4 lhours lat lnight
B. lthe lbaby lwants lto leat levery lhour
C. lThe lbaby's lcord lhas lnot lfallen loff lwithin l7 ldays
D. lThe lbaby lhas la ldry lmouth l- lcorrect lanswers l-D- lIf la lbaby lhas ldry lmouth lor ldry
lmucous lmembranes, lhe lor lshe lcould lbe ldehydrated land lnot lgetting lenough lto leat.
Which lof lthe lfollowing lpatients lwould lbe lat lhigh lrisk lof ldeveloping lpre-eclampsia?
lSelect lall lthat lapply.
A. lA lpatient lwho lis lpregnant lwith lher l3rd lchild
B. lA lpatient lwho lis lmarried
C. lA lpatient lwho lis l40 lyrs lold
D. lA lpatient lwho lis loverweight
E. lA lpatient lwho lis lpregnant lwith ltwins l- lcorrect lanswers l-C, lD, lE-Pre-eclampsia lis la
lstate lthat ldevelops lduring lpregnancy lin lwhich la lmother lhas lhigh lblood lpressure land
lstarts llosing lprotein linto lthe lurine.Certain lrisks lthat lincrease lsuch las la lfirst ltime
lpregnancy, ladvanced lmaternal lage, loverweight lor lobesity lin lthe lmother, land
lpregnancy lwith lmultiple lbabies
A lhigh lrisk lpregnant lpatient lhas lhad la lcomplicated ldelivery land lis lin lthe lrecovery
lroom lwith lactive lbleeding. lThe lphysician lhas lordered lhetastarch lin lsodium lchloride
l(Hespan) lIV linfusion. lWhich lbest ldescribes lthe lindications lfor lthis lfluid?
A. lincreasing lplasma lvolume lduring lshock lor lbleeding
B. lCausing lblood lcoagulation lto lpromote lblood lclotting
C. lImproving lcirculation lby lcausing lvasodilation
D. lIncreasing lcardiac lcontractility lto limprove lcirculation l- lcorrect lanswers l-A-
lHetastarch lin lsodium lchloride l(Hespan) lis la ltype lof lplasma lexpanding lsolution lthat
lis lused lto lincrease lthe lvolume lof lthe lintravascular lsystem lduring ltimes lof lblood
lloss. lHespan lis ltypically lused lfor lvolume lreplacement lto lprevent lcomplications lof
lsevere lhemorrhage, lsuch las lhypovolemic lshock
A lpatient lwith lhigh lbp lduring llabor lhas lbeen lgiven lmagnesium lsulfate lIV. lIn laddition
lto lregulation lof lbp, lwhich lof lthe lfollowing lresults lwould lthe lnurse lexpect lto lsee lafter
ladministration lof lthis lmedication?
A. lcool, lpale lskin
B. lConstipation
C. lMuscle lweakness
ANSWERS
Which lof lthe lfollowing ltasks lmay lbe ldelegated lto lthe lnursing lassistant?
a. lchecking lthe lcervix lof lthe lpatient lwho lis lless llikely lto ldeliver lsoon
b. ladministering loxygen lto lthe lmother lwho lhas ldecreasing loxygen lsaturations
c. lproviding lice lchips lfor la lmother lwho lcomplains lof la ldry lmouth
d. lTearing loff la lstrip lof lpaper lfrom lthe lfetal lheart lrate lmonitor land lputting lit lin lthe
lchart l- lcorrect lanswers l-C- lWhen lworking lin lL&D lthe lUAP lcan lhelp lwith lADLs. lThey
lcannot lbe ldelegated ltasks lthat lrequire lformulating la lcare lplan, ltaking loff lorders, lor
ladministering lmedications
Which lof lthe lfollowing lsituations lwould lmost llikely lwarrant lcontact lwith la lphysician
lfor lfurther lorders lfor lcare lor ltreatment?
A. lA lpatient lhas la l3rd ldegree lperineal llaceration lafter ldelivery
B. lA lpatient lhas llost l100 lmL lof lblood lwith ldelivery
C. lA lpatient lhas la lboggy luterus lthat ldoes lnot lfirm lwith lmassage
,D. lA lpatient lis lhaving lrectal lpain l- lcorrect lanswers l-C. lWhen lcaring lfor lpostpartum
lpatients, lthe lnurse lmust lbe lfamiliar lwith lwhat lconditions lare lcommon loccurrences
lfollowing ldelivery land lwhat lsituations lwarrant la lcall lto lthe lphysician lfor lfurther lhelp.
lPostpartum lcomplications loften linclude linfection, lblood lclots, land lhemorrhage.
lExcess lbleeding lmay loccur lwhen lthe luterus lis lboggy land lit ldoes lnot lfirm lup lwith
lmassage.
Following lremoval lof lthe lepidural, lthe lpatient ldevelops la lsevere lheadache lwhen lshe
lsits lup lin lbed. lThe lphysician lhas linstructed lthe lpatient lthat lshe lwill lneed la lblood
lpatch. lWhich lbest ldescribes lthis lprocedure?
A. lRemoving lblood lfrom la lvein lin lthe lpatient land linjecting lit linto lthe lepidural lspace
lin lthe lback
B. lPlacement lof la llarge lbandage lover lthe lsite lof lthe lepidural linsertion.
C. lReplacement lof lthe lepidural lcatheter linto lthe lsame lspace lfor llong-term lcontrol
D. lPlacement lof la lnerve lblock lin lthe lspinal lcolumn lat lthe llocation lof lthe laffected
lepidural lspace l- lcorrect lanswers l-A- lWhen lCSF lleaks lout lof lthe lepidural lspace la
lsevere lheadache lin lthe lpatient lcan loccur. lA lblood lpatch lcan lbe lperformed lby la
lphysician lto lclose lthe lsite. lThe lsmall lamount lof lblood lis lwithdrawn lfrom lthe
lmother's larm land lthe lblood lclots lin lthe lspace.
Which lof lthe lpatients ldescribed lshould lthe lnurse lsee lfirst?
A. l20 lyr lold lpatient lwho ljust lhad lher lfirst lbaby land ldoesn't lknow lhow lto lbreastfeed
B. l27 lyr lold ldiabetic lpatient lwho ldelivered lher lsecond lchild lyesterday land lneeds lher
lmorning ldose lof linsulin
C. l24 lyr lold lpatient lwho lhas lhad la llarge lamount lof llochia land lhas ldeveloped la
lhematoma lon lher lperineum
D. l30 lyr lold lpatient lwho lneeds lto ltake la lshower land leat lbreakfast lbefore lthe
lphysician lcomes lto ldismiss lher l- lcorrect lanswers l-C. lA lpatient lwith la lhematoma lis
lat lrisk lof lhemorrhage land lthe lnurse lshould lassess lher lfirst
On lthe lfirst lfollowing ldelivery, lthe lphysician lordered la lhemoglobin llevel lfor lthe
lpatient; lthe lresult lwas l9.9 lg/dL. lThe lphysician ldid lnot llist lany lother lorders lin lthe
lpatient's lchart lsince lthat ltime. lWhich lresponse lof lthe lnurse lis lmost lappropriate> l
A. lcall lthe lphysician land lask lif lhe lwants la lblood ltransfusion lfor lthe lpatient
B. lask lthe lphysician labout lthe lhemoglobin llevel lwhen lhe lcomes lin lfor lrounds
C. lContact lthe llaboratory land lask lthem lto lrepeat lthe ltest
D. lcontinue lto lmonitor lthe lpatient land ldocument lthe lresult l- lcorrect lanswers l-B. lA
lpostpartum lpatient lis lat lrisk lof lhemorrhage lfollowing ldelivery; loften lthe lphysician lwill
lorder la lhemoglobin llevel l1-2 ldays lafter ldelivery lto lcheck lthe lmother's lrisk lstatus. lA
llevel lof l9.9 lg/dL lis llower lthan lnormal lfor la lfemale lpatient, lbut lis lnot lnecessarily llow
lenough lto lwarrant la lblood ltransfusion.
The lpatient's lmedical lrecord lstates lthat lshe ltested lpositive lfor lgroup lB lStreptococcus
linfection. lwhich lof lthe lfollowing lprecautions lshould lbe lgiven lin lthis lsituation?
A. lthe lpatient lshould lreceive lantibiotics lat lthis ltime
b. lthe lpatient lshould lbe lgiven lantibiotics lduring llabor
, c. lthe lfetus lshould lreceive lantibiotics las la lprenatal linfusion l
d. lthere lis lno ltreatment lnecessary l- lcorrect lanswers l-B- lB. lStreptococcus lcan lbe
ltransferred lto lthe lbaby lduring ldelivery lto lcause lan linfection. lthe ltest lfor lthe lbacteria
lis lperformed lat lapproximately l35 lweeks lgestation, lbut lantibiotics lare ltypically lnot
lgiven luntil lthe lmother lis lin llabor lto lreduce lthe lchance lthat lshe lwill lpass lthe
linfection lto lher lchild
When lreviewing linformation labout linfant lcare, lthe lnurse lshould lexplain lthat lthe
lpostpartum lclient lshould lcall lthe lphysician lif lher linfant ldeveloped lwhich lof lthe
lfollowing lconditions?
A. lThe linfant lis lonly lsleeping l4 lhours lat lnight
B. lthe lbaby lwants lto leat levery lhour
C. lThe lbaby's lcord lhas lnot lfallen loff lwithin l7 ldays
D. lThe lbaby lhas la ldry lmouth l- lcorrect lanswers l-D- lIf la lbaby lhas ldry lmouth lor ldry
lmucous lmembranes, lhe lor lshe lcould lbe ldehydrated land lnot lgetting lenough lto leat.
Which lof lthe lfollowing lpatients lwould lbe lat lhigh lrisk lof ldeveloping lpre-eclampsia?
lSelect lall lthat lapply.
A. lA lpatient lwho lis lpregnant lwith lher l3rd lchild
B. lA lpatient lwho lis lmarried
C. lA lpatient lwho lis l40 lyrs lold
D. lA lpatient lwho lis loverweight
E. lA lpatient lwho lis lpregnant lwith ltwins l- lcorrect lanswers l-C, lD, lE-Pre-eclampsia lis la
lstate lthat ldevelops lduring lpregnancy lin lwhich la lmother lhas lhigh lblood lpressure land
lstarts llosing lprotein linto lthe lurine.Certain lrisks lthat lincrease lsuch las la lfirst ltime
lpregnancy, ladvanced lmaternal lage, loverweight lor lobesity lin lthe lmother, land
lpregnancy lwith lmultiple lbabies
A lhigh lrisk lpregnant lpatient lhas lhad la lcomplicated ldelivery land lis lin lthe lrecovery
lroom lwith lactive lbleeding. lThe lphysician lhas lordered lhetastarch lin lsodium lchloride
l(Hespan) lIV linfusion. lWhich lbest ldescribes lthe lindications lfor lthis lfluid?
A. lincreasing lplasma lvolume lduring lshock lor lbleeding
B. lCausing lblood lcoagulation lto lpromote lblood lclotting
C. lImproving lcirculation lby lcausing lvasodilation
D. lIncreasing lcardiac lcontractility lto limprove lcirculation l- lcorrect lanswers l-A-
lHetastarch lin lsodium lchloride l(Hespan) lis la ltype lof lplasma lexpanding lsolution lthat
lis lused lto lincrease lthe lvolume lof lthe lintravascular lsystem lduring ltimes lof lblood
lloss. lHespan lis ltypically lused lfor lvolume lreplacement lto lprevent lcomplications lof
lsevere lhemorrhage, lsuch las lhypovolemic lshock
A lpatient lwith lhigh lbp lduring llabor lhas lbeen lgiven lmagnesium lsulfate lIV. lIn laddition
lto lregulation lof lbp, lwhich lof lthe lfollowing lresults lwould lthe lnurse lexpect lto lsee lafter
ladministration lof lthis lmedication?
A. lcool, lpale lskin
B. lConstipation
C. lMuscle lweakness
