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• OB-GYN 1500 Midterm Exam | Verified
Questions and 100% Correct Answers |
Updated Test Bank 2025/2026 |
Assured Success
• A nurse on the labor and delivery unit is caring for a client who
is having a difficult, prolonged labor with severe backache.
Which of the following contributing causes should the nurse
identify?
a. Fetal attitude is in general flexion.
i. Flexion permits the smallest part of the fetal head to
present to the outlet. It is not a contributing cause of
back labor.
b. Fetal lie is longitudinal.
i. A longitudinal fetal lie is the most common position
for vaginal birth and is not a contributing cause of
back labor.
c. Maternal pelvis is gynecoid.
i. A gynecoid maternal pelvis is the most common type
(50%) for women and is not a contributing cause of
back labor.
d. Fetal position is persistent occiput posterior.
i. The persistent occiput posterior position of the
fetus is a common cause of prolonged, difficult
labor with severe back pain as spinal nerves are
pg. 1
, 2
being compressed. Counterpressure or a hands-and-
knees position can offer pain relief.
• A nurse in a clinic is reviewing the medical records of a
group of clients who are pregnant. The nurse should
anticipate the provider will order a maternal serum alpha-
fetoprotein (MSAFP) screening for which of the following
clients?
a. A client who has mitral valve prolapse
b. A client who has been
exposed to AIDS c. All of
the clients
i. MSAFP is a screening tool to detect open spinal and
abdominal wall defects in the fetus. This maternal
blood test is recommended for all pregnant woman
d. A client who has a history of preterm labor.
• A nurse in a prenatal clinic is teaching a group of clients
about nutrition requirements during lactation. Which of the
following statements should the nurse make?
a. "Calcium intake should be at least 2,000 mg per day."
i. The calcium requirement during lactation for
women over age 19 is 1,000 mg, which is the same
as during pregnancy and for nonpregnant female
clients of the same age.
b. "Zinc intake should be at least 12 mg per day."
i. Zinc intake should be increased to 12 mg per day
during lactation, which is above the recommended
levels for pregnancy and nonpregnant female
clients over age 19.
pg. 2
, 3
c. "The recommended intake of folic acid remains the same
as for pregnant women."
i. Folic acid requirements are 500 mcg per day during
lactation, as compared to a recommended intake
of 600 mcg during pregnancy.
d. "The recommended intake of iron increases."
i. Iron requirements do not increase during lactation.
They remain 9 mg per day for female clients over
age 19.
• A nurse is teaching a group of patients who are in their
first trimester about exercise during pregnancy. Which of
the following statements should the nurse include in the
teaching?
a. "Refrain from exercises that include stretching."
pg. 3
, 4
b. "It is recommended to rest for 30 minutes before each new
exercise."
c. "It is recommended to increase your
weight-bearing exercises." d. "Moderate
exercise improves circulation."
i. Improving circulation is just one of the many
benefits of moderate exercise during pregnancy. It
enhances well-being, promotes rest and relaxation,
and improves muscle tone.
• A nurse is caring for a client who is 1 day postpartum and is
taking a sitz bath. To determine the client’s tolerance of the
procedure, which of the following assessments should the
nurse perform?
a. Bladder distention
i. A sitz bath does not result in bladder distention,
but it can assist a client to void who is experiencing
urinary retention.
b. Pulse rate
i. A sitz bath causes vasodilation; therefore, the nurse
should monitor the client’s pulse rate. Orthostatic
hypotension can occur upon standing causing the
client to feel faint.
c. Respiratory rate
i. A sitz bath should not alter the client’s respiratory
rate.
d. Color of lochia
i. The color, characteristics, and quantity of lochia are
pg. 4
• OB-GYN 1500 Midterm Exam | Verified
Questions and 100% Correct Answers |
Updated Test Bank 2025/2026 |
Assured Success
• A nurse on the labor and delivery unit is caring for a client who
is having a difficult, prolonged labor with severe backache.
Which of the following contributing causes should the nurse
identify?
a. Fetal attitude is in general flexion.
i. Flexion permits the smallest part of the fetal head to
present to the outlet. It is not a contributing cause of
back labor.
b. Fetal lie is longitudinal.
i. A longitudinal fetal lie is the most common position
for vaginal birth and is not a contributing cause of
back labor.
c. Maternal pelvis is gynecoid.
i. A gynecoid maternal pelvis is the most common type
(50%) for women and is not a contributing cause of
back labor.
d. Fetal position is persistent occiput posterior.
i. The persistent occiput posterior position of the
fetus is a common cause of prolonged, difficult
labor with severe back pain as spinal nerves are
pg. 1
, 2
being compressed. Counterpressure or a hands-and-
knees position can offer pain relief.
• A nurse in a clinic is reviewing the medical records of a
group of clients who are pregnant. The nurse should
anticipate the provider will order a maternal serum alpha-
fetoprotein (MSAFP) screening for which of the following
clients?
a. A client who has mitral valve prolapse
b. A client who has been
exposed to AIDS c. All of
the clients
i. MSAFP is a screening tool to detect open spinal and
abdominal wall defects in the fetus. This maternal
blood test is recommended for all pregnant woman
d. A client who has a history of preterm labor.
• A nurse in a prenatal clinic is teaching a group of clients
about nutrition requirements during lactation. Which of the
following statements should the nurse make?
a. "Calcium intake should be at least 2,000 mg per day."
i. The calcium requirement during lactation for
women over age 19 is 1,000 mg, which is the same
as during pregnancy and for nonpregnant female
clients of the same age.
b. "Zinc intake should be at least 12 mg per day."
i. Zinc intake should be increased to 12 mg per day
during lactation, which is above the recommended
levels for pregnancy and nonpregnant female
clients over age 19.
pg. 2
, 3
c. "The recommended intake of folic acid remains the same
as for pregnant women."
i. Folic acid requirements are 500 mcg per day during
lactation, as compared to a recommended intake
of 600 mcg during pregnancy.
d. "The recommended intake of iron increases."
i. Iron requirements do not increase during lactation.
They remain 9 mg per day for female clients over
age 19.
• A nurse is teaching a group of patients who are in their
first trimester about exercise during pregnancy. Which of
the following statements should the nurse include in the
teaching?
a. "Refrain from exercises that include stretching."
pg. 3
, 4
b. "It is recommended to rest for 30 minutes before each new
exercise."
c. "It is recommended to increase your
weight-bearing exercises." d. "Moderate
exercise improves circulation."
i. Improving circulation is just one of the many
benefits of moderate exercise during pregnancy. It
enhances well-being, promotes rest and relaxation,
and improves muscle tone.
• A nurse is caring for a client who is 1 day postpartum and is
taking a sitz bath. To determine the client’s tolerance of the
procedure, which of the following assessments should the
nurse perform?
a. Bladder distention
i. A sitz bath does not result in bladder distention,
but it can assist a client to void who is experiencing
urinary retention.
b. Pulse rate
i. A sitz bath causes vasodilation; therefore, the nurse
should monitor the client’s pulse rate. Orthostatic
hypotension can occur upon standing causing the
client to feel faint.
c. Respiratory rate
i. A sitz bath should not alter the client’s respiratory
rate.
d. Color of lochia
i. The color, characteristics, and quantity of lochia are
pg. 4
