OB Exam #2 Questions with
Accurate Answers
A client has not received any meds during her labor. She is having frequent
contractions every 1 to 2 minutes and has become irritable with her coach and no
longer will allow the nurse to palpate her fundus during contractions. Her cervix is
8 cm dilated and 90% effaced. The nurse interprets these findings as:
a. latent phase of first stage of labor
b. active phase of first stage of labor
c. transition phase of the first stage of labor
d. pelvic phase of the second stage of labor correct answer Transition phase of
the first stage of labor
Transitional phase: cervical dilation 8-10cm, effacement 80%-100%, contractions
that are strong, painful, and frequent (every 1 to 2 min), and last 60 to 90
seconds, irritability, apprehension, and feelings of loss of control
A client is admitted to the labor and birthing suite in early labor. On review of her
medical record, the nurse determines that the clients pelvic shape as identified in
antepartal progress notes is the MOST FAVORABLE one for vaginal delivery.
Which pelvic shape would the nurse have noted? correct answer Gynecoid
A client states, "I think my water just broke! I felt this gush of fluid between my
legs." The nurse tests the fluid with Nitrazine paper and confirms membrane
rupture if the paper turns what color? correct answer Blue (amniotic fluid is
alkaline- turns blue)
Paper remains yellow to olive green- intact membranes
,A client who is breast-feeding her newborn tells the nurse, "I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having
contractions now?" Which response by the nurse would be most appropriate?
correct answer "The baby's sucking releases a hormone that causes the uterus to
contract."
A client's membranes spontaneously ruptured, as evidenced by a gush of clear
fluid with a contraction. Which of the following would the nurse do next?
a. Check the fetal heart rate
b. Perform a vaginal exam
c. Notify the physician immediately
d. Change the linen saver pad correct answer Check the fetal heart rate
Priority focus= assess FHR to identify a deceleration, which might indicate cord
compression secondary to cord prolapse
A father of a newborn tells the nurse, "I may not know everything about being a
dad, but I'm going to do the best I can for my son." The nurse interprets this as
indicating the father is in which stage of adaptation?
A) Expectations
B) Transition to mastery
C) Reality
D) Taking-in correct answer transition to mastery
, A fetus is assessed at 2 cm ABOVE the ischial spines. The nurse would document
fetal station as:
a. +4
b. +2
c. 0
d. -2 correct answer -2
Presenting part ABOVE= - station
Presenting part BELOW= + station
Presenting at 0= at level of ischial spines
A nursing priority in immediate care of the newborn with a APGAR score of 10
would be:
a. have dad bond with infant
b. bathe the infant
c. dry and warm the infant
d. have mom breastfeed infant correct answer Bathe the infant
A postpartum client comes to the clinic for her 6-week postpartum check-up.
When assessing the clients cervix, the nurse would expect the external cervical os
to appear:
a. shapeless
b. circular
c. triangular
d. slit-like correct answer slit-like
Accurate Answers
A client has not received any meds during her labor. She is having frequent
contractions every 1 to 2 minutes and has become irritable with her coach and no
longer will allow the nurse to palpate her fundus during contractions. Her cervix is
8 cm dilated and 90% effaced. The nurse interprets these findings as:
a. latent phase of first stage of labor
b. active phase of first stage of labor
c. transition phase of the first stage of labor
d. pelvic phase of the second stage of labor correct answer Transition phase of
the first stage of labor
Transitional phase: cervical dilation 8-10cm, effacement 80%-100%, contractions
that are strong, painful, and frequent (every 1 to 2 min), and last 60 to 90
seconds, irritability, apprehension, and feelings of loss of control
A client is admitted to the labor and birthing suite in early labor. On review of her
medical record, the nurse determines that the clients pelvic shape as identified in
antepartal progress notes is the MOST FAVORABLE one for vaginal delivery.
Which pelvic shape would the nurse have noted? correct answer Gynecoid
A client states, "I think my water just broke! I felt this gush of fluid between my
legs." The nurse tests the fluid with Nitrazine paper and confirms membrane
rupture if the paper turns what color? correct answer Blue (amniotic fluid is
alkaline- turns blue)
Paper remains yellow to olive green- intact membranes
,A client who is breast-feeding her newborn tells the nurse, "I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having
contractions now?" Which response by the nurse would be most appropriate?
correct answer "The baby's sucking releases a hormone that causes the uterus to
contract."
A client's membranes spontaneously ruptured, as evidenced by a gush of clear
fluid with a contraction. Which of the following would the nurse do next?
a. Check the fetal heart rate
b. Perform a vaginal exam
c. Notify the physician immediately
d. Change the linen saver pad correct answer Check the fetal heart rate
Priority focus= assess FHR to identify a deceleration, which might indicate cord
compression secondary to cord prolapse
A father of a newborn tells the nurse, "I may not know everything about being a
dad, but I'm going to do the best I can for my son." The nurse interprets this as
indicating the father is in which stage of adaptation?
A) Expectations
B) Transition to mastery
C) Reality
D) Taking-in correct answer transition to mastery
, A fetus is assessed at 2 cm ABOVE the ischial spines. The nurse would document
fetal station as:
a. +4
b. +2
c. 0
d. -2 correct answer -2
Presenting part ABOVE= - station
Presenting part BELOW= + station
Presenting at 0= at level of ischial spines
A nursing priority in immediate care of the newborn with a APGAR score of 10
would be:
a. have dad bond with infant
b. bathe the infant
c. dry and warm the infant
d. have mom breastfeed infant correct answer Bathe the infant
A postpartum client comes to the clinic for her 6-week postpartum check-up.
When assessing the clients cervix, the nurse would expect the external cervical os
to appear:
a. shapeless
b. circular
c. triangular
d. slit-like correct answer slit-like
