OB Final Exam Questions with
Accurate Answers
A 34-year-old client comes to the emergency room with cramping and vaginal
bleeding. She has missed two menstrual periods. Which statement by the nurse is
appropriate when the client is diagnosed with an incomplete abortion? Select all
that apply.
1. "I'm so sorry. This must be difficult for you"
2. "The doctor will clean out your womb with a D&C"
3. "Did you really want to be pregnant now"
4. "You'll still be able to have children after this is over"
5. "Would you like to speak with a hospital chaplain or counselor" correct answer
1. "I'm so sorry. This must be difficult for you"
5. "Would you like to speak with a hospital chaplain or counselor"
A client at 4 weeks' gestation, who has recently emigrated from Japan, comes to
the prenatal clinic because she is having dark brown vaginal spotting and is
experiencing severe nausea and vomiting. The nurse interprets that these
symptoms are compatible with which condition?
1. Gestational trophoblastic disease
2. Hyperemesis gravidarum
3. Placenta previa
4. Pregnancy-induced psychosis correct answer 1. Gestational trophoblastic
disease
,A client is being discharged from the hospital after evacuation of a molar
pregnancy. The nurse recognizes that additional discharge teaching is required
when the client makes which statement?
1. "I am so sad that I lost this baby"
2. "I may need to have chemotherapy after this"
3. "I will need to see the doctor yearly for follow-up"
4. "I will use contraception for the next year" correct answer 3. "I will need to see
the doctor yearly for follow-up"
A client is hospitalized on the antepartum unit with premature rupture of
membranes at 37 weeks' gestation. Which routine physician prescription would
the nurse question for this client?
1. Bedrest with bathroom privileges.
2. Diet as tolerated.
3. External fetal monitor prn
4. Vital signs every shift. correct answer 4. Vital signs every shift.
A client who admits to substance abuse during pregnancy tells the nurse. "I know
I am just a really weak persons, but I will try to cut down while I'm pregnant."
Which response by the nurse would be most therapeutic?
1. "I am concerned about you and your baby. What can I do to help you out?"
2. "I don't believe that you are weak at all. You just need to say no to drugs"
3. "I have heard that before. You need to get serious now or your baby will suffer"
, 4. "That is a very positive plan. Could you tell me more about feeling like a weak
person?" correct answer 4. "That is a very positive plan. Could you tell me more
about feeling like a weak person?"
A client who had an incompetent cervix with a previous pregnancy had a
Shirodkar cerclage procedure done at 18 weeks in the current pregnancy. The
client calls the clinic at 37 weeks' gestation because of irregular contractions
occurring every five to seven minutes. Which response by the nurse is most
appropriate?
1. "Go the hospital to have the cerclage removed so your cervix isn't injured and
to allow the birth to progress"
2. "Wait and come in when the contractions are closer and harder"
3. "You sound like you are worried about this baby. It must be frightening for you"
4. "You will need to have a cesarean birth with the Shirodkar cerclage in place"
correct answer 1. "Go the hospital to have the cerclage removed so your cervix
isn't injured and to allow the birth to progress"
A client who had no prenatal care presents to the labor and delivery unit with
moderate vaginal bleeding and severe abdominal pain. Fundal height is 34
centimeters. Contractions are every 1.5 minutes, lasting 60 seconds and strong
with increasing resting tones. The monitor shows consistent late decelerations.
What information obtained from the nursing assessment is most consistent with a
risk for placental abruption?
1. The client admits to using cocaine a few times weekly.
2. The client works part-time in a nearby department store.
3. The client is human immunodeficiency virus (HIV)-positive.
Accurate Answers
A 34-year-old client comes to the emergency room with cramping and vaginal
bleeding. She has missed two menstrual periods. Which statement by the nurse is
appropriate when the client is diagnosed with an incomplete abortion? Select all
that apply.
1. "I'm so sorry. This must be difficult for you"
2. "The doctor will clean out your womb with a D&C"
3. "Did you really want to be pregnant now"
4. "You'll still be able to have children after this is over"
5. "Would you like to speak with a hospital chaplain or counselor" correct answer
1. "I'm so sorry. This must be difficult for you"
5. "Would you like to speak with a hospital chaplain or counselor"
A client at 4 weeks' gestation, who has recently emigrated from Japan, comes to
the prenatal clinic because she is having dark brown vaginal spotting and is
experiencing severe nausea and vomiting. The nurse interprets that these
symptoms are compatible with which condition?
1. Gestational trophoblastic disease
2. Hyperemesis gravidarum
3. Placenta previa
4. Pregnancy-induced psychosis correct answer 1. Gestational trophoblastic
disease
,A client is being discharged from the hospital after evacuation of a molar
pregnancy. The nurse recognizes that additional discharge teaching is required
when the client makes which statement?
1. "I am so sad that I lost this baby"
2. "I may need to have chemotherapy after this"
3. "I will need to see the doctor yearly for follow-up"
4. "I will use contraception for the next year" correct answer 3. "I will need to see
the doctor yearly for follow-up"
A client is hospitalized on the antepartum unit with premature rupture of
membranes at 37 weeks' gestation. Which routine physician prescription would
the nurse question for this client?
1. Bedrest with bathroom privileges.
2. Diet as tolerated.
3. External fetal monitor prn
4. Vital signs every shift. correct answer 4. Vital signs every shift.
A client who admits to substance abuse during pregnancy tells the nurse. "I know
I am just a really weak persons, but I will try to cut down while I'm pregnant."
Which response by the nurse would be most therapeutic?
1. "I am concerned about you and your baby. What can I do to help you out?"
2. "I don't believe that you are weak at all. You just need to say no to drugs"
3. "I have heard that before. You need to get serious now or your baby will suffer"
, 4. "That is a very positive plan. Could you tell me more about feeling like a weak
person?" correct answer 4. "That is a very positive plan. Could you tell me more
about feeling like a weak person?"
A client who had an incompetent cervix with a previous pregnancy had a
Shirodkar cerclage procedure done at 18 weeks in the current pregnancy. The
client calls the clinic at 37 weeks' gestation because of irregular contractions
occurring every five to seven minutes. Which response by the nurse is most
appropriate?
1. "Go the hospital to have the cerclage removed so your cervix isn't injured and
to allow the birth to progress"
2. "Wait and come in when the contractions are closer and harder"
3. "You sound like you are worried about this baby. It must be frightening for you"
4. "You will need to have a cesarean birth with the Shirodkar cerclage in place"
correct answer 1. "Go the hospital to have the cerclage removed so your cervix
isn't injured and to allow the birth to progress"
A client who had no prenatal care presents to the labor and delivery unit with
moderate vaginal bleeding and severe abdominal pain. Fundal height is 34
centimeters. Contractions are every 1.5 minutes, lasting 60 seconds and strong
with increasing resting tones. The monitor shows consistent late decelerations.
What information obtained from the nursing assessment is most consistent with a
risk for placental abruption?
1. The client admits to using cocaine a few times weekly.
2. The client works part-time in a nearby department store.
3. The client is human immunodeficiency virus (HIV)-positive.
