OB EXAM 1 QUESTIONS WITH
ANSWERS
A y22 yyr yold yclient yhas ycome yto ythe yclinic ybecause yher ymenstrual yperiod yis y10
ydays ylate. yShe ytells ythe ynurse y"I'm ysure yI'm ypregnant ybecause ymy yperiod yis
ylate yand ymy ybreasts yare ytender" yWhich yof ythe yfollowing yresponses yby ythe ynurse
ywould ybe ymost yaccurate?
A. y"those yare ypositive ysigns yof ypregnancy"
B. y"those yare ypresumptive ysigns yof ypregnancy"
C. y"those yare yprobable ysigns yof ypregnancy"
D. y"those yare ynegative ysigns yof ypregnancy" y- ycorrect yanswers y-B. yBreast
ytenderness yand ymissed ymenses yare ypresumptive ysigns. yOther ypresumptive ysigns
yinclude: yN/V, yfatigue, yurinary yfrequency yand yquickening
A yclient ydelivered ya yterm yinfant y7 yhours yago. yWhich yof ythe yfollowing ypostpartum
yassessment yfindings yindicate ynormal ypostpartum yprogression?
A. yFirm yfundus yat y1-2 yfingerbreadths yabove ythe yumbilicus ywith ymoderate ylochia
yrubra
,B. yFirm yfundus yat ythe yumbilicus yand ymidline ywith ymoderate yrubra
C. yFirm yfundus yat y1-2 yfingerbreadths ybelow yumbilicus, ydeviated yto ythe yright yside
ywith ymoderate ylochia yrubra
D. ySoft yfundus yat y1-2 yfingerbreadths ybelow yumbilicus ywith ysevere ylochia yrubra y-
ycorrect yanswers y-A. yWithin y12 yhours, yfundus ycan yrise yto yapprox. y1 ycm yabove
ythe yumbilicus. yThe yfundus ydescends y1-2 ycm yevery y24 yhours. yLocated yabout
yhalfway ybetween yumbilicus yand ysymphysis ypubis, ynot ylonger ypalpable yafter y2
yweeks, yreturned yto ypre-pregnant ystate yby y6 yweeks ypp
A yclient ydelivered yat y39 yweeks y6 yhours yago. yUpon yassessment, ythe ynurse
ypalpated ya ysoft, yboggy yfundus ydeviated yto ythe yleft yside. yWhich yaction yof ythe
ynurse ywould ybe ymost yappropriate?
A. yMassage ythe yfundus yuntil yfirm
B. yCall yHCP yimmediately
C. yAssist ywoman yto ythe yrestroom
D. yIncrease yPitocin yper yHCP yorder y- ycorrect yanswers y-C. yA ydistended ybladder
ycan yimpede yuterine ycontractions ywhich ycan ylead yto yuterine yatony ywhich ymay
ylead yto ypp yhemorrhage yif ywe ydon't yintervene
**KEY yWORDS: ydeviated yto ythe yleft yside**
A yclient yis yin yactive ylabor yat yterm ywith ycervical yfindings yof y7/80/-1. yThe yFHR
ybaseline yis y130bpm. yFour yearly ydecelerations ywere ynoted ywithin ythe ylast yhour.
yWhich yof ythe yfollowing ynursing yactions ywould ybe ymost yappropriate?
A. yPosition yclient yon yher yback yso ythe ymonitor ygives ymore yaccurate yresults
B. yperform yvaginal yexam
C. yturn yclient yon yher yleft yside
D. ydocument yand ycontinue yto ymonitor yboth yFHR yand ylaboring ywomen y- ycorrect
yanswers y-D. yearly ydecelerations yindicate yhead ycompression. yIt yis ybenign yand yno
yinterventions yare yneeded. yjust ydocument yand ycontinue ymonitoring
**KNOW yVEAL yCHOP**
The ynurse ygives ya y35 yyr yold yprimigravida yclient ya yRhoGAM yinjection yfor yher
y28th yweek yof ypregnancy. yWhich yof ythe yfollowing yclient ysituations yrequires ythe
ynurse yto ytake ythis yaction.
A. yRh y+ ymother yand yRh y- yfather
B. yRh y- ymother yand yRh y+ yfather
C. yRh y+ ymother yand yRh y+ yfather
D. yRh y- ymother yand yRh y- yfather y- ycorrect yanswers y-B. yRhoGAM yis yonly yneeded
yif ythe ymother yis yRh- yand ythere yis ypossibility yof ythe ybaby ybeing yRh+. yIf ythe
yfather yis ynot yRh+ ythen ythere yis yno ychance yto yhave ya yRh+ ybaby
A yclient yhas yjust ystarted ythe ythird ystate yof ylabor. yWhich yof ythe yfollowing ynursing
yactions yhave ypriority yat ythis ytime?
A. yEncourage ythe yclient yto ypush
, B. yAdminister yPitocin
C. yPlace ybaby yskin yto yskin yon ymom
D. yAssess ymaternal yvital ysigns yQ1hr y- ycorrect yanswers y-C. yskin yto yskin ycontact
yis ycontributes yto ymother yand ybaby ybonding
**KEY yWORDS: yjust ystarted**
pitocin yis yadministered yafter ythe yplacenta yis ydelivered yat ythe yend yof ystage y3,
ymaternal yvital ysigns yare yassessed yQ15min yafter ydelivery yfor yfirst y2 yhours. yThen
yhourly yassessments yare ydone
A yclient's yfirst yday yof yher yLMP ywas yJuly y18, y2015. yWhich yof ythe yfollowing
yshould ythe ynurse ytell ythe yclient yis yher yEDB?
A. yApril y18, y2016
B. yMay y23, y2016
C. yApril y25, y2016
D. yMarch y25, y2016 y- ycorrect yanswers y-C.
A yprimigravida ywoman ydelivered yher ybaby yboy y12 yhours yago. yShe yacquired ya
y3rd ydegree ymidline yepisiotomy yduring ylabor. yShe yexpresses ymoderate ydiscomfort
yand ya ypain ylevel yof y2 yout yof y10. yWhich yof ythe yfollowing ynursing yintervention
ywould ybe ymost yappropriate?
A. yInstruct ypatient yto yapply yice ypacks yto ythe yperinium
B. yEncourage ya ysitz ybath
C. yCall yprovider
D. yGive yordered yacetaminophen y(Tylenol) yfor yprophylaxis y- ycorrect yanswers y-A.
yDuring yfirst y24 yhours, yice ypacks ydecrease yedema yformation yand yincrease
ycomfort, yafter yfirst y24 yhours yafter ybirth yprn yto yprovide yanesthetic yeffect
A ywoman yadmitted yin yyour yOB yunit, ycurrently yon yher y2nd ypregnancy yfor ythis
ydelivery ystates yshe ywants yto ytry yvaginal ybirth yrather ythan yrather ythan yC/S ywhich
yshe yhad yfor yher yfirst ypregnancy. yWhat yis ythe ypriority yaction ythe ynurse yshould
yperform?
A. yCall ythe yprovider yand ylet yher/him yknow yabout ythe ypt's ywishes
B. yAssess yher yabdominal yC/S yincision
C. yLook yat ypt's ychart yfor ynotes yregarding yher yfirst ydelivery
D. yPerform ya yvaginal yexam y- ycorrect yanswers y-C. yYou yhave yto ylook yat ythe
yUTERINE yincision, ynot ythe yabdominal yone, ythe yonly yway yto ydo ythat yis yto ylook
yat ythe ychart
**ABDOMINAL yINCISION yAND yUTERINE yINCISION yMIGHT yNOT yMATCH**
classic yvertical yincision ylabor yis ycontraindicated y- yrisk yfor yuterine yrupture!
transverse yincision yvaginal ydelivery yis ypossible
ANSWERS
A y22 yyr yold yclient yhas ycome yto ythe yclinic ybecause yher ymenstrual yperiod yis y10
ydays ylate. yShe ytells ythe ynurse y"I'm ysure yI'm ypregnant ybecause ymy yperiod yis
ylate yand ymy ybreasts yare ytender" yWhich yof ythe yfollowing yresponses yby ythe ynurse
ywould ybe ymost yaccurate?
A. y"those yare ypositive ysigns yof ypregnancy"
B. y"those yare ypresumptive ysigns yof ypregnancy"
C. y"those yare yprobable ysigns yof ypregnancy"
D. y"those yare ynegative ysigns yof ypregnancy" y- ycorrect yanswers y-B. yBreast
ytenderness yand ymissed ymenses yare ypresumptive ysigns. yOther ypresumptive ysigns
yinclude: yN/V, yfatigue, yurinary yfrequency yand yquickening
A yclient ydelivered ya yterm yinfant y7 yhours yago. yWhich yof ythe yfollowing ypostpartum
yassessment yfindings yindicate ynormal ypostpartum yprogression?
A. yFirm yfundus yat y1-2 yfingerbreadths yabove ythe yumbilicus ywith ymoderate ylochia
yrubra
,B. yFirm yfundus yat ythe yumbilicus yand ymidline ywith ymoderate yrubra
C. yFirm yfundus yat y1-2 yfingerbreadths ybelow yumbilicus, ydeviated yto ythe yright yside
ywith ymoderate ylochia yrubra
D. ySoft yfundus yat y1-2 yfingerbreadths ybelow yumbilicus ywith ysevere ylochia yrubra y-
ycorrect yanswers y-A. yWithin y12 yhours, yfundus ycan yrise yto yapprox. y1 ycm yabove
ythe yumbilicus. yThe yfundus ydescends y1-2 ycm yevery y24 yhours. yLocated yabout
yhalfway ybetween yumbilicus yand ysymphysis ypubis, ynot ylonger ypalpable yafter y2
yweeks, yreturned yto ypre-pregnant ystate yby y6 yweeks ypp
A yclient ydelivered yat y39 yweeks y6 yhours yago. yUpon yassessment, ythe ynurse
ypalpated ya ysoft, yboggy yfundus ydeviated yto ythe yleft yside. yWhich yaction yof ythe
ynurse ywould ybe ymost yappropriate?
A. yMassage ythe yfundus yuntil yfirm
B. yCall yHCP yimmediately
C. yAssist ywoman yto ythe yrestroom
D. yIncrease yPitocin yper yHCP yorder y- ycorrect yanswers y-C. yA ydistended ybladder
ycan yimpede yuterine ycontractions ywhich ycan ylead yto yuterine yatony ywhich ymay
ylead yto ypp yhemorrhage yif ywe ydon't yintervene
**KEY yWORDS: ydeviated yto ythe yleft yside**
A yclient yis yin yactive ylabor yat yterm ywith ycervical yfindings yof y7/80/-1. yThe yFHR
ybaseline yis y130bpm. yFour yearly ydecelerations ywere ynoted ywithin ythe ylast yhour.
yWhich yof ythe yfollowing ynursing yactions ywould ybe ymost yappropriate?
A. yPosition yclient yon yher yback yso ythe ymonitor ygives ymore yaccurate yresults
B. yperform yvaginal yexam
C. yturn yclient yon yher yleft yside
D. ydocument yand ycontinue yto ymonitor yboth yFHR yand ylaboring ywomen y- ycorrect
yanswers y-D. yearly ydecelerations yindicate yhead ycompression. yIt yis ybenign yand yno
yinterventions yare yneeded. yjust ydocument yand ycontinue ymonitoring
**KNOW yVEAL yCHOP**
The ynurse ygives ya y35 yyr yold yprimigravida yclient ya yRhoGAM yinjection yfor yher
y28th yweek yof ypregnancy. yWhich yof ythe yfollowing yclient ysituations yrequires ythe
ynurse yto ytake ythis yaction.
A. yRh y+ ymother yand yRh y- yfather
B. yRh y- ymother yand yRh y+ yfather
C. yRh y+ ymother yand yRh y+ yfather
D. yRh y- ymother yand yRh y- yfather y- ycorrect yanswers y-B. yRhoGAM yis yonly yneeded
yif ythe ymother yis yRh- yand ythere yis ypossibility yof ythe ybaby ybeing yRh+. yIf ythe
yfather yis ynot yRh+ ythen ythere yis yno ychance yto yhave ya yRh+ ybaby
A yclient yhas yjust ystarted ythe ythird ystate yof ylabor. yWhich yof ythe yfollowing ynursing
yactions yhave ypriority yat ythis ytime?
A. yEncourage ythe yclient yto ypush
, B. yAdminister yPitocin
C. yPlace ybaby yskin yto yskin yon ymom
D. yAssess ymaternal yvital ysigns yQ1hr y- ycorrect yanswers y-C. yskin yto yskin ycontact
yis ycontributes yto ymother yand ybaby ybonding
**KEY yWORDS: yjust ystarted**
pitocin yis yadministered yafter ythe yplacenta yis ydelivered yat ythe yend yof ystage y3,
ymaternal yvital ysigns yare yassessed yQ15min yafter ydelivery yfor yfirst y2 yhours. yThen
yhourly yassessments yare ydone
A yclient's yfirst yday yof yher yLMP ywas yJuly y18, y2015. yWhich yof ythe yfollowing
yshould ythe ynurse ytell ythe yclient yis yher yEDB?
A. yApril y18, y2016
B. yMay y23, y2016
C. yApril y25, y2016
D. yMarch y25, y2016 y- ycorrect yanswers y-C.
A yprimigravida ywoman ydelivered yher ybaby yboy y12 yhours yago. yShe yacquired ya
y3rd ydegree ymidline yepisiotomy yduring ylabor. yShe yexpresses ymoderate ydiscomfort
yand ya ypain ylevel yof y2 yout yof y10. yWhich yof ythe yfollowing ynursing yintervention
ywould ybe ymost yappropriate?
A. yInstruct ypatient yto yapply yice ypacks yto ythe yperinium
B. yEncourage ya ysitz ybath
C. yCall yprovider
D. yGive yordered yacetaminophen y(Tylenol) yfor yprophylaxis y- ycorrect yanswers y-A.
yDuring yfirst y24 yhours, yice ypacks ydecrease yedema yformation yand yincrease
ycomfort, yafter yfirst y24 yhours yafter ybirth yprn yto yprovide yanesthetic yeffect
A ywoman yadmitted yin yyour yOB yunit, ycurrently yon yher y2nd ypregnancy yfor ythis
ydelivery ystates yshe ywants yto ytry yvaginal ybirth yrather ythan yrather ythan yC/S ywhich
yshe yhad yfor yher yfirst ypregnancy. yWhat yis ythe ypriority yaction ythe ynurse yshould
yperform?
A. yCall ythe yprovider yand ylet yher/him yknow yabout ythe ypt's ywishes
B. yAssess yher yabdominal yC/S yincision
C. yLook yat ypt's ychart yfor ynotes yregarding yher yfirst ydelivery
D. yPerform ya yvaginal yexam y- ycorrect yanswers y-C. yYou yhave yto ylook yat ythe
yUTERINE yincision, ynot ythe yabdominal yone, ythe yonly yway yto ydo ythat yis yto ylook
yat ythe ychart
**ABDOMINAL yINCISION yAND yUTERINE yINCISION yMIGHT yNOT yMATCH**
classic yvertical yincision ylabor yis ycontraindicated y- yrisk yfor yuterine yrupture!
transverse yincision yvaginal ydelivery yis ypossible
