OB Final Exam Questions With
Accurate Answers
36 hours post vaginal delivery, a woman is complaining of foul-smelling discharge
and abdominal tenderness. She has a fever of 101˚ F and chills. The nurse
suspects:
A.She has a urinary tract infection
B.The woman is experiencing engorgement
C.She is experiencing endometritis
D.The woman may have pneumonia correct answer C. she is experiencing
endometritis
A 23-year-old Black woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse
to include in the client's plan of care?
A.Perform a nutrition assessment
B.Refer the woman to a social worker
C.Explain to the woman the importance of keeping her prenatal care
appointments.
D.Advise the woman to see an obstetrician, not a midwife. correct answer C.
explain to the woman the importance of keeping her prenatal care appointments
,A 27-year-old pregnant woman had a pre-conceptual body mass index (BMI) of
19. What is this client's total recommended weight gain during pregnancy?
A. 10 kg (22 lb)
B.16 kg (35 lb)
C. 20 kg (44 lb)
D. 12.5 kg (27.5 lb) correct answer D. 12.5kg (27.5 lb)
This woman has a normal BMI and should gain 11.5 to 16 kg during her
pregnancy. A weight gain of 20 kg (44 lb) is unhealthy for most women; a weight
gain of 16 kg (35 lb) is at the high end of the range of weight this woman should
gain in her pregnancy; and a weight gain of 10 kg (22 lb) is appropriate for an
obese woman. This woman has a normal BMI, which indicates that her weight is
average.
A 3-day postpartum breastfeeding woman is being assessed. Her breasts are firm,
warm to the touch, and she is running a low-grade fever. The nurse recognizes
which of the following as the most likely causative influence and correct
response?
A.She is experiencing engorgement; have the woman feed her baby q 2-3 hours
B.She is experiencing an infection; have her stop breastfeeding and offer formula
instead
C.She is not making enough milk; have the woman pump her breasts after each
feeding
D.She is developing mastitis; call the provider correct answer A. she is
experiencing engorgement; have the woman feed her baby q 2-3 hours
,A 4-day old breastfeeding neonate whose birth weight was 2678 g has lost 386 g
since birth. Which of the following actions should the nurse take?
A. Advise the mother to stop breastfeeding and give formula.
B.Notify the pediatrician of the excessive weight loss.
C.Give the baby dextrose water between breast feedings.
D.Nothing as this is an acceptable weight loss. correct answer B. notify the
pediatrician of the excessive weight loss
A 40-year-old male has elected to have a vasectomy because he no longer wants
to worry that a sexual partner will become pregnant. The nurse describes the
procedure along with care requirements before and after the procedure. Which
statements by the client indicate a need for further instruction? Select all that
apply. correct answer i will need to wait about three weeks before resuming
sexual intercourse
i am glad i will not need to use a condom, i hate them!
A baby boy is delivered vaginally and the NICU nurse places him under a radiant
warmer and dries him quickly. The nurse is trying to prevent heat loss to the baby
by which of the following?
a. conduction
b.evaporation
c. convection
d. radiation correct answer B. evaporation
, a breastfeeding mother asks how often she should feed her infant. the most
correct response is: correct answer strive to feed 8-12 times a day
A client 26 years old, G4P3, is in her 8th week of her pregnancy. Which of the
following symptoms would you expect her to exhibit?
A.Diarrhea
B.Backache
C.Fatigue
D.Dyspnea correct answer C. Fatigue
A client at 10 weeks gestation comes to the clinic because she is having dark
brown vaginal spotting and is experiencing severe nausea and vomiting. Human
Chorionic Gonadotropin levels are very elevated. The nurse interprets that these
symptoms are compatible with which condition?
A.Placenta previa
B.Gestational trophoblastic disease
C.Complete abortion
D.Hyperemesis gravidarum correct answer B. gestational trophoblastic disease
A first-time mother is concerned about the type of medications she will receive
during labor. The client is in a fair amount of pain and is nauseated. In addition,
she appears to be very anxious. The nurse explains that opioid analgesics are
often used along with sedatives. How should the nurse phrase the rationale for
this medication combination?
Accurate Answers
36 hours post vaginal delivery, a woman is complaining of foul-smelling discharge
and abdominal tenderness. She has a fever of 101˚ F and chills. The nurse
suspects:
A.She has a urinary tract infection
B.The woman is experiencing engorgement
C.She is experiencing endometritis
D.The woman may have pneumonia correct answer C. she is experiencing
endometritis
A 23-year-old Black woman is pregnant with her first child. Based on current
statistics for infant mortality, which intervention is most important for the nurse
to include in the client's plan of care?
A.Perform a nutrition assessment
B.Refer the woman to a social worker
C.Explain to the woman the importance of keeping her prenatal care
appointments.
D.Advise the woman to see an obstetrician, not a midwife. correct answer C.
explain to the woman the importance of keeping her prenatal care appointments
,A 27-year-old pregnant woman had a pre-conceptual body mass index (BMI) of
19. What is this client's total recommended weight gain during pregnancy?
A. 10 kg (22 lb)
B.16 kg (35 lb)
C. 20 kg (44 lb)
D. 12.5 kg (27.5 lb) correct answer D. 12.5kg (27.5 lb)
This woman has a normal BMI and should gain 11.5 to 16 kg during her
pregnancy. A weight gain of 20 kg (44 lb) is unhealthy for most women; a weight
gain of 16 kg (35 lb) is at the high end of the range of weight this woman should
gain in her pregnancy; and a weight gain of 10 kg (22 lb) is appropriate for an
obese woman. This woman has a normal BMI, which indicates that her weight is
average.
A 3-day postpartum breastfeeding woman is being assessed. Her breasts are firm,
warm to the touch, and she is running a low-grade fever. The nurse recognizes
which of the following as the most likely causative influence and correct
response?
A.She is experiencing engorgement; have the woman feed her baby q 2-3 hours
B.She is experiencing an infection; have her stop breastfeeding and offer formula
instead
C.She is not making enough milk; have the woman pump her breasts after each
feeding
D.She is developing mastitis; call the provider correct answer A. she is
experiencing engorgement; have the woman feed her baby q 2-3 hours
,A 4-day old breastfeeding neonate whose birth weight was 2678 g has lost 386 g
since birth. Which of the following actions should the nurse take?
A. Advise the mother to stop breastfeeding and give formula.
B.Notify the pediatrician of the excessive weight loss.
C.Give the baby dextrose water between breast feedings.
D.Nothing as this is an acceptable weight loss. correct answer B. notify the
pediatrician of the excessive weight loss
A 40-year-old male has elected to have a vasectomy because he no longer wants
to worry that a sexual partner will become pregnant. The nurse describes the
procedure along with care requirements before and after the procedure. Which
statements by the client indicate a need for further instruction? Select all that
apply. correct answer i will need to wait about three weeks before resuming
sexual intercourse
i am glad i will not need to use a condom, i hate them!
A baby boy is delivered vaginally and the NICU nurse places him under a radiant
warmer and dries him quickly. The nurse is trying to prevent heat loss to the baby
by which of the following?
a. conduction
b.evaporation
c. convection
d. radiation correct answer B. evaporation
, a breastfeeding mother asks how often she should feed her infant. the most
correct response is: correct answer strive to feed 8-12 times a day
A client 26 years old, G4P3, is in her 8th week of her pregnancy. Which of the
following symptoms would you expect her to exhibit?
A.Diarrhea
B.Backache
C.Fatigue
D.Dyspnea correct answer C. Fatigue
A client at 10 weeks gestation comes to the clinic because she is having dark
brown vaginal spotting and is experiencing severe nausea and vomiting. Human
Chorionic Gonadotropin levels are very elevated. The nurse interprets that these
symptoms are compatible with which condition?
A.Placenta previa
B.Gestational trophoblastic disease
C.Complete abortion
D.Hyperemesis gravidarum correct answer B. gestational trophoblastic disease
A first-time mother is concerned about the type of medications she will receive
during labor. The client is in a fair amount of pain and is nauseated. In addition,
she appears to be very anxious. The nurse explains that opioid analgesics are
often used along with sedatives. How should the nurse phrase the rationale for
this medication combination?
