OB MATERNAL PRACTICE EXAM
QUESTION WITH CORRECT ANSWERS
The health care provider orders a colposcopy for the client. The nurse explains to the
client that which is the purpose of this procedure? - ANSWER-Magnifies the tissue
for examination
The nurse cares for clients in the prenatal clinic. The nurse identifies which of the
following pregnant woman is MOST likely to have a problem with Rh incompatibility
with her fetus? - ANSWER-An Rh-negative client who conceived with a Rh-positive
partner and gave birth 3 years ago to a rH positive infant
The nurse instructs a client who recently had a modified radical mastectomy. Which
statement by the nurse is the most important reason for the client to exercise her
arm? - ANSWER-Prevents lymphedema
The woman tells the nurse that she has always had a heavy menstrual flow and
needs extra iron. The nurse should recommend the client eat which food? -
ANSWER-chicken livers
bananas
spinach
The nurse observes four newborns. Which of the following characteristics, if noted by
the nurse, are MOST common in a preterm infant? - ANSWER-Red, wrinkled skin,
lanugo, and hypotonic muscles
A nurse prepares a client for a gynecological examination. The nurse explains that
the physician will perform a pelvis examination will obtain a Pap smear. The nurse
explains the Pap smear is - ANSWER-it is a scraping of the cervix used to identify
abnormal cells
A woman complains to the nurse that during the client's menstrual period she gains
weight and gets muscle cramps. The nurse should suggest which of the following
measures to alleviate the client's symptoms? - ANSWER-use mild analgesics,
restrict caffeine, exercise moderately
The nurse understands that the physician is most likely to prescribe which of the
following drugs to a client diagnosed with gonorrhea? - ANSWER-ceftriazone IM plus
doxycycline for seven days, PO
The nurse cares for a patient in labor. The patient suddenly shouts, "I have to push! I
have to push!" The nurse determines that the patient is 8 cm dilated. Which of the
following actions should the nurse take first? - ANSWER-Coaches the client in
proper breathing and relaxation techniques
A client visiting a community clinic describes some soft and moveable masses in the
breast that become enlarged during menstruation. The nurse is aware that the client
is most likely describing which condition? - ANSWER-fibrocystic breast diseas
,the nurse instructs a prenatal client about the warning signs of complications during
pregnancy. the nurse determines teaching is successful if the client makes which
statement? - ANSWER-I should contact the HCP if I notice swelling in my face and
fingers
the nurse provides care for a neonate born 2 hours ago. which occurrence initiates
the changes that take place in the neonates circulatory system after birth? -
ANSWER-the newborn begins pulmonary ventilation
the nurse teaches prenatal classes in the antepartum clinic. which client statement
indicates further teaching is necessary? - ANSWER-I may feel hot flashes and chills
on the evening before a modified radical mastectomy, a 29 YO client states " I am
afraid my spouse will not find me sexually attractive after my breast is removed".
which response by the nurse is best? - ANSWER-you're worried about how your
spouse will react to the change in your body
a new parent asks the nurse if it is safe to drink wine while breastfeeding. which is
the best response by the nurse? - ANSWER-alcohol has a depressant effect on the
baby
a fetal heart rate (FHR) tracing shows an early deceleration pattern. the nurse is
aware that this indicates which interpretation? - ANSWER-the FHR slows early in the
contraction, which is a normal finding.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls
the extremities into the trunk. The nurse identifies the newborn is demonstrating
which of the following reflexes? - ANSWER-Moro
The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST
important for the nurse to take which of the following actions? - ANSWER-observe
for bleeding
A primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with
the nurse. The nurse reinforces the importance of regular prenatal care and explains
changes in insulin requirements will include which of the following? - ANSWER-
insulin requirements will increase during pregnancy and decrease after delivery
A woman comes to the clinic pregnant with her second child. She questions the
nurse about the amount of exercise that is acceptable for her to perform during her
pregnancy. Which of the following is MOST important response by the nurse? -
ANSWER-what is your usual type of exercise
The nurse should place the HIGHEST priority on monitoring a woman after a
cesarean section for which of the following? - ANSWER-Hemorrhage and shock
A client comes to the prenatal clinic for her first visit. The nursing history reveals that
the client's last menstrual period was five months ago, and the client is sure she is
pregnant because she has been feeling the baby move. Which of the following
,responses by the nurse is BEST? - ANSWER-"Lie down so that I can listen for fetal
heart tones with the Doppler."
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's
BP is 150/96, edema of the face and hands is noted, 3+ protein in the urine, and
serum albumin level is 3 gm/dL. Which of the following instructions by the nurse is
MOST important? - ANSWER-The client should ensure adequate protein
The nurse cares for the client immediately after a normal vaginal delivery. Which
action should the nurse take FIRST? - ANSWER-Observe the lochial flow
A woman arrives at the hospital in labor. The midwife states that the client is 4 cm
dilated and 60% effaced. The nurse explains the the client this means which of the
following? - ANSWER-The walls of the cervix is 4cm wide and the cervical canal is
60% shorter than normal
An infant is born by vaginal delivery. At birth, the infant is crying and respiration and
pulse rate are good. One minute after birth, the baby is noted to have slightly
cyanotic extremities. At five minutes after birth, the extremities are pink. The nurse
should record the baby's one-minute and five-minute Apgar scores a which of the
following? - ANSWER-9 and 10 respectively
The nurse provides care for a client in labor. The fetus is displaying occasional cat. 3
FHR patters on the monitor. What is the first action for the nurse to perform? -
ANSWER-When the fetal heart rate is baseline perform fetal stimulation to assess
for heart rate acceleration.
When administering phototherapy to a jaundice newborn, what is the most important
action to take? - ANSWER-Cover the infants eyes with protective pads during
therapy.
The nurse ambulates a postpartum client to the bathroom for the first time after the
client gave birth 3 hours ago. The client reports feeling a sudden "gush" of bleeding
from the vagina while walking. Which is the most likely cause of this? - ANSWER-
Lochia has pooled in the client's vagina.
The nurse prepares the client for a total abd. hysterectomy with bilateral salpingo-
oophorectomy due to uterine cancer. The patient is talking continuously and has a
hard time maintaining eye contact. What is the best response by the nurse? -
ANSWER-"What are your concerns about the surgery?"
The nurse assess an apical pulse on a 8lb 4oz baby. The nurse takes which action?
- ANSWER-Places the bell of the stethoscope at the 4th intercostal space at the left
midclavicular line.
The nurse instructs the woman how to prevent conception using the basal body
temperature (BBT) method. The nurse explains that during ovulation, the woman's
basal body temperature will change in which direction? - ANSWER-rises slightly
, The nurse prepares a client for an abdominal hysterectomy. The client asks why she
needs a foley cath. What statement by the nurse is most appropriate? - ANSWER-
this will promote healing by decompressing your bladder
A infant shows a tendency to bleed two days after birth. The nurse knows this is
most likely caused by what? - ANSWER-Absence of intestinal bacteria and vitamin
K.
A client is in active labor when her membranes rupture. The client states, "I am afraid
of having a 'dry labor'." What is the best response by the nurse? -
ANSWER-"Amniotic fluid does not function as lube for the labor process."
The nurse monitors a client at 30 weeks gestation, and the client reports having
periodic heartburn. It is most important for the nurse to make which
recommendation? - ANSWER-Eat frequent small meals.
A woman is in active labor. As labor progresses, she becomes irritable and
complains of feeling increasingly uncomfortable. She is 8 cm dilated. Which of these
actions should the nurse take FIRST? - ANSWER-Coach the patient in proper
breathing and relaxation techniques.
The nurse instructs a client who recently had a modified radical mastectomy. The
nurse tells the patient it is very important for the client to exercise the affected arm.
What statement by the nurse is the most important rational for the client to exercise
the arm? - ANSWER-Prevents Lymphedema.
A client is in active labor when her membranes rupture. The client states, "I am afraid
of having a 'dry labor'." What is the best response by the nurse? -
ANSWER-"Amniotic fluid does not function as lube for the labor process."
The nurse monitors a client at 30 wks gestation, and the client reports having
periodic heartburn. It is most important for the nurse to make which
recommendation? - ANSWER-Eat frequent small meals.
The nurse ambulates a postpartum client to the bathroom for the first time after the
client gave birth 3 hours ago. The client reports feeling a sudden "gush" of bleeding
from the vagina while walking. Which is the most likely cause of this? - ANSWER-
Lochia has pooled in the client's vagina.
A primigravida diagnosed with Type 1 Diabetes mellitus reviews the insulin regimen
with the nurse. The nurse explains which changes with insulin needs will occur in
pregnancy? - ANSWER-Insulin requirements increase during pregnancy and
decrease after birth.
A pregnant client comes to the clinic. The client asks the nurse about the amount of
exercise that is acceptable during the pregnancy. What is the most important
response by the nurse? - ANSWER-"What is your usual type of exercise?"
The nurse cares for a client after a breast biopsy. After the procedure, it is most
important for the nurse to take which action? - ANSWER-Observe for bleeding.
QUESTION WITH CORRECT ANSWERS
The health care provider orders a colposcopy for the client. The nurse explains to the
client that which is the purpose of this procedure? - ANSWER-Magnifies the tissue
for examination
The nurse cares for clients in the prenatal clinic. The nurse identifies which of the
following pregnant woman is MOST likely to have a problem with Rh incompatibility
with her fetus? - ANSWER-An Rh-negative client who conceived with a Rh-positive
partner and gave birth 3 years ago to a rH positive infant
The nurse instructs a client who recently had a modified radical mastectomy. Which
statement by the nurse is the most important reason for the client to exercise her
arm? - ANSWER-Prevents lymphedema
The woman tells the nurse that she has always had a heavy menstrual flow and
needs extra iron. The nurse should recommend the client eat which food? -
ANSWER-chicken livers
bananas
spinach
The nurse observes four newborns. Which of the following characteristics, if noted by
the nurse, are MOST common in a preterm infant? - ANSWER-Red, wrinkled skin,
lanugo, and hypotonic muscles
A nurse prepares a client for a gynecological examination. The nurse explains that
the physician will perform a pelvis examination will obtain a Pap smear. The nurse
explains the Pap smear is - ANSWER-it is a scraping of the cervix used to identify
abnormal cells
A woman complains to the nurse that during the client's menstrual period she gains
weight and gets muscle cramps. The nurse should suggest which of the following
measures to alleviate the client's symptoms? - ANSWER-use mild analgesics,
restrict caffeine, exercise moderately
The nurse understands that the physician is most likely to prescribe which of the
following drugs to a client diagnosed with gonorrhea? - ANSWER-ceftriazone IM plus
doxycycline for seven days, PO
The nurse cares for a patient in labor. The patient suddenly shouts, "I have to push! I
have to push!" The nurse determines that the patient is 8 cm dilated. Which of the
following actions should the nurse take first? - ANSWER-Coaches the client in
proper breathing and relaxation techniques
A client visiting a community clinic describes some soft and moveable masses in the
breast that become enlarged during menstruation. The nurse is aware that the client
is most likely describing which condition? - ANSWER-fibrocystic breast diseas
,the nurse instructs a prenatal client about the warning signs of complications during
pregnancy. the nurse determines teaching is successful if the client makes which
statement? - ANSWER-I should contact the HCP if I notice swelling in my face and
fingers
the nurse provides care for a neonate born 2 hours ago. which occurrence initiates
the changes that take place in the neonates circulatory system after birth? -
ANSWER-the newborn begins pulmonary ventilation
the nurse teaches prenatal classes in the antepartum clinic. which client statement
indicates further teaching is necessary? - ANSWER-I may feel hot flashes and chills
on the evening before a modified radical mastectomy, a 29 YO client states " I am
afraid my spouse will not find me sexually attractive after my breast is removed".
which response by the nurse is best? - ANSWER-you're worried about how your
spouse will react to the change in your body
a new parent asks the nurse if it is safe to drink wine while breastfeeding. which is
the best response by the nurse? - ANSWER-alcohol has a depressant effect on the
baby
a fetal heart rate (FHR) tracing shows an early deceleration pattern. the nurse is
aware that this indicates which interpretation? - ANSWER-the FHR slows early in the
contraction, which is a normal finding.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls
the extremities into the trunk. The nurse identifies the newborn is demonstrating
which of the following reflexes? - ANSWER-Moro
The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST
important for the nurse to take which of the following actions? - ANSWER-observe
for bleeding
A primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with
the nurse. The nurse reinforces the importance of regular prenatal care and explains
changes in insulin requirements will include which of the following? - ANSWER-
insulin requirements will increase during pregnancy and decrease after delivery
A woman comes to the clinic pregnant with her second child. She questions the
nurse about the amount of exercise that is acceptable for her to perform during her
pregnancy. Which of the following is MOST important response by the nurse? -
ANSWER-what is your usual type of exercise
The nurse should place the HIGHEST priority on monitoring a woman after a
cesarean section for which of the following? - ANSWER-Hemorrhage and shock
A client comes to the prenatal clinic for her first visit. The nursing history reveals that
the client's last menstrual period was five months ago, and the client is sure she is
pregnant because she has been feeling the baby move. Which of the following
,responses by the nurse is BEST? - ANSWER-"Lie down so that I can listen for fetal
heart tones with the Doppler."
The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's
BP is 150/96, edema of the face and hands is noted, 3+ protein in the urine, and
serum albumin level is 3 gm/dL. Which of the following instructions by the nurse is
MOST important? - ANSWER-The client should ensure adequate protein
The nurse cares for the client immediately after a normal vaginal delivery. Which
action should the nurse take FIRST? - ANSWER-Observe the lochial flow
A woman arrives at the hospital in labor. The midwife states that the client is 4 cm
dilated and 60% effaced. The nurse explains the the client this means which of the
following? - ANSWER-The walls of the cervix is 4cm wide and the cervical canal is
60% shorter than normal
An infant is born by vaginal delivery. At birth, the infant is crying and respiration and
pulse rate are good. One minute after birth, the baby is noted to have slightly
cyanotic extremities. At five minutes after birth, the extremities are pink. The nurse
should record the baby's one-minute and five-minute Apgar scores a which of the
following? - ANSWER-9 and 10 respectively
The nurse provides care for a client in labor. The fetus is displaying occasional cat. 3
FHR patters on the monitor. What is the first action for the nurse to perform? -
ANSWER-When the fetal heart rate is baseline perform fetal stimulation to assess
for heart rate acceleration.
When administering phototherapy to a jaundice newborn, what is the most important
action to take? - ANSWER-Cover the infants eyes with protective pads during
therapy.
The nurse ambulates a postpartum client to the bathroom for the first time after the
client gave birth 3 hours ago. The client reports feeling a sudden "gush" of bleeding
from the vagina while walking. Which is the most likely cause of this? - ANSWER-
Lochia has pooled in the client's vagina.
The nurse prepares the client for a total abd. hysterectomy with bilateral salpingo-
oophorectomy due to uterine cancer. The patient is talking continuously and has a
hard time maintaining eye contact. What is the best response by the nurse? -
ANSWER-"What are your concerns about the surgery?"
The nurse assess an apical pulse on a 8lb 4oz baby. The nurse takes which action?
- ANSWER-Places the bell of the stethoscope at the 4th intercostal space at the left
midclavicular line.
The nurse instructs the woman how to prevent conception using the basal body
temperature (BBT) method. The nurse explains that during ovulation, the woman's
basal body temperature will change in which direction? - ANSWER-rises slightly
, The nurse prepares a client for an abdominal hysterectomy. The client asks why she
needs a foley cath. What statement by the nurse is most appropriate? - ANSWER-
this will promote healing by decompressing your bladder
A infant shows a tendency to bleed two days after birth. The nurse knows this is
most likely caused by what? - ANSWER-Absence of intestinal bacteria and vitamin
K.
A client is in active labor when her membranes rupture. The client states, "I am afraid
of having a 'dry labor'." What is the best response by the nurse? -
ANSWER-"Amniotic fluid does not function as lube for the labor process."
The nurse monitors a client at 30 weeks gestation, and the client reports having
periodic heartburn. It is most important for the nurse to make which
recommendation? - ANSWER-Eat frequent small meals.
A woman is in active labor. As labor progresses, she becomes irritable and
complains of feeling increasingly uncomfortable. She is 8 cm dilated. Which of these
actions should the nurse take FIRST? - ANSWER-Coach the patient in proper
breathing and relaxation techniques.
The nurse instructs a client who recently had a modified radical mastectomy. The
nurse tells the patient it is very important for the client to exercise the affected arm.
What statement by the nurse is the most important rational for the client to exercise
the arm? - ANSWER-Prevents Lymphedema.
A client is in active labor when her membranes rupture. The client states, "I am afraid
of having a 'dry labor'." What is the best response by the nurse? -
ANSWER-"Amniotic fluid does not function as lube for the labor process."
The nurse monitors a client at 30 wks gestation, and the client reports having
periodic heartburn. It is most important for the nurse to make which
recommendation? - ANSWER-Eat frequent small meals.
The nurse ambulates a postpartum client to the bathroom for the first time after the
client gave birth 3 hours ago. The client reports feeling a sudden "gush" of bleeding
from the vagina while walking. Which is the most likely cause of this? - ANSWER-
Lochia has pooled in the client's vagina.
A primigravida diagnosed with Type 1 Diabetes mellitus reviews the insulin regimen
with the nurse. The nurse explains which changes with insulin needs will occur in
pregnancy? - ANSWER-Insulin requirements increase during pregnancy and
decrease after birth.
A pregnant client comes to the clinic. The client asks the nurse about the amount of
exercise that is acceptable during the pregnancy. What is the most important
response by the nurse? - ANSWER-"What is your usual type of exercise?"
The nurse cares for a client after a breast biopsy. After the procedure, it is most
important for the nurse to take which action? - ANSWER-Observe for bleeding.
