OB Final Exam Questions with
Accurate Answers
1. A woman presents to your clinic with a positive HCG test. You know that which
type of hepatitis is included in all prenatal screening labs?
a. HAV, HEV
b. HBV
c. HCV
d. All of the above are included in prenatal screening labwork correct answer HBV
3) The couple above is now pregnant and would like to know what option is the
best for delivery?
a) The largest risk of HIV transmission to the baby occurs during weeks 3 to 8
gestation so you can have a normal vaginal delivery without intervention.
b) A vaginal delivery with the use of antiretroviral therapy has the greatest
reduction of risk in transmitting HIV to the baby.
c) Cesarean delivery combined with antiretroviral therapy throughout pregnancy
reduces transmission rates greater than vaginal delivery.
d) There is no way to reduce the risk of transmission of HIV in delivery. The baby
will need antiretroviral therapy after delivery regardless of which method is used.
correct answer Cesarean delivery combined with antiretroviral therapy
throughout pregnancy reduces transmission rates greater than vaginal delivery.
,A 22 week gestation, 35 year old, G1P0 patient reports "Not feeling my baby
move at all today". She is anxious but otherwise appears healthy. Lab values are
unremarkable. No fetal heart tones are noted with doppler. How would you
diagnostically confirm fetal signs of life or lack thereof?
a. Sequential urine hCG tests for three
b. Abdominal palpation and assessment
c. Fetal genetic testing
d. Sonographic visualization of the four heart chambers correct answer
Sonographic visualization of the four heart chambers
A 43 y/o, 17 week pregnant woman presents to your clinic with complaints of
heavy vaginal bleeding, high blood pressure and grape like cluster vaginal
discharge. What do you immediately suspect?
A) Dysmenorrhea
B) Dysfunctional uterine bleeding
C) Molar pregnancy
D) Uterine fibroids correct answer Molar pregnancy
A client comes to a community clinic after being informed by a sexual partner of
possible recent exposure to syphilis. The nurse will examine the client for which
clinical manifestation in the primary stage?
A) Flu-like symptoms
B) Condyloma lata
,C) Chancre
D) Copper-colored rash involving the trunk and extremities correct answer
Chancre
A client is experiencing back labor and complains of intense pain in her lower
back. Which measure would best support this woman in labor?
a. Counterpressure against the sacrum
b. Pant-blow (breaths and puffs) breathing techniques
c. Effleurage
d. Conscious relaxation or guided imagery correct answer Counterpressure
against the sacrum
A client is in early labor, and her nurse is discussing the pain relief options she is
considering. The client states that she wants an epidural "no matter what!" What
is the nurse's best response?
a. "I'll make sure you get your epidural."
b. "You may only have an epidural if your physician allows it."
c. "You may only have an epidural if you are going to deliver vaginally."
d. "The type of analgesia or anesthesia used is determined, in part, by the stage of
your labor and the method of birth." correct answer The type of analgesia or
anesthesia used is determined, in part, by the stage of your labor and the method
of birth
A client who is undergoing ovarian stimulation for infertility calls the infertility
nurse and states, "My abdomen feels bloated, my clothes are very tight, and my
, urine is very dark." Which if the following is the appropriate statement for the
nurse to make at this time?
A) It is important for you to come into the office to be examined today
B) Those changes indicate that you are likely already pregnant
C) Please take an urine sample to the lab so they can check it for an infection
D) Abdominal bloating is an expected response to the medication correct answer
It is important for you to come into the office to be examined today
A client, 34 weeks pregnant, arrives at the ER with SEVERE abdominal pain,
uterine tenderness and an increased uterine tone. The client denies vaginal
bleeding. The external fetal monitor shows fetal distress with severe, variable
decels. The client most likely has which of the following?
A) Placenta previa
B) Molar pregnancy
C) Abruptio placentae
D) Ectopic pregnancy correct answer Abruptio placentae
A couple is seeking infertility counseling. During the history, it is noted that the
man is a cancer survivor, drinks one beer every night with dinner, and takes a
sauna every day after work. The response provided by the nurse should be based
on which of the following?
A) It is unlikely that any of these factors is affecting his fertility
B) Sperm may be malformed when exposed to the heat of the sauna
C) Daily alcohol consumption could be altering his sperm count
Accurate Answers
1. A woman presents to your clinic with a positive HCG test. You know that which
type of hepatitis is included in all prenatal screening labs?
a. HAV, HEV
b. HBV
c. HCV
d. All of the above are included in prenatal screening labwork correct answer HBV
3) The couple above is now pregnant and would like to know what option is the
best for delivery?
a) The largest risk of HIV transmission to the baby occurs during weeks 3 to 8
gestation so you can have a normal vaginal delivery without intervention.
b) A vaginal delivery with the use of antiretroviral therapy has the greatest
reduction of risk in transmitting HIV to the baby.
c) Cesarean delivery combined with antiretroviral therapy throughout pregnancy
reduces transmission rates greater than vaginal delivery.
d) There is no way to reduce the risk of transmission of HIV in delivery. The baby
will need antiretroviral therapy after delivery regardless of which method is used.
correct answer Cesarean delivery combined with antiretroviral therapy
throughout pregnancy reduces transmission rates greater than vaginal delivery.
,A 22 week gestation, 35 year old, G1P0 patient reports "Not feeling my baby
move at all today". She is anxious but otherwise appears healthy. Lab values are
unremarkable. No fetal heart tones are noted with doppler. How would you
diagnostically confirm fetal signs of life or lack thereof?
a. Sequential urine hCG tests for three
b. Abdominal palpation and assessment
c. Fetal genetic testing
d. Sonographic visualization of the four heart chambers correct answer
Sonographic visualization of the four heart chambers
A 43 y/o, 17 week pregnant woman presents to your clinic with complaints of
heavy vaginal bleeding, high blood pressure and grape like cluster vaginal
discharge. What do you immediately suspect?
A) Dysmenorrhea
B) Dysfunctional uterine bleeding
C) Molar pregnancy
D) Uterine fibroids correct answer Molar pregnancy
A client comes to a community clinic after being informed by a sexual partner of
possible recent exposure to syphilis. The nurse will examine the client for which
clinical manifestation in the primary stage?
A) Flu-like symptoms
B) Condyloma lata
,C) Chancre
D) Copper-colored rash involving the trunk and extremities correct answer
Chancre
A client is experiencing back labor and complains of intense pain in her lower
back. Which measure would best support this woman in labor?
a. Counterpressure against the sacrum
b. Pant-blow (breaths and puffs) breathing techniques
c. Effleurage
d. Conscious relaxation or guided imagery correct answer Counterpressure
against the sacrum
A client is in early labor, and her nurse is discussing the pain relief options she is
considering. The client states that she wants an epidural "no matter what!" What
is the nurse's best response?
a. "I'll make sure you get your epidural."
b. "You may only have an epidural if your physician allows it."
c. "You may only have an epidural if you are going to deliver vaginally."
d. "The type of analgesia or anesthesia used is determined, in part, by the stage of
your labor and the method of birth." correct answer The type of analgesia or
anesthesia used is determined, in part, by the stage of your labor and the method
of birth
A client who is undergoing ovarian stimulation for infertility calls the infertility
nurse and states, "My abdomen feels bloated, my clothes are very tight, and my
, urine is very dark." Which if the following is the appropriate statement for the
nurse to make at this time?
A) It is important for you to come into the office to be examined today
B) Those changes indicate that you are likely already pregnant
C) Please take an urine sample to the lab so they can check it for an infection
D) Abdominal bloating is an expected response to the medication correct answer
It is important for you to come into the office to be examined today
A client, 34 weeks pregnant, arrives at the ER with SEVERE abdominal pain,
uterine tenderness and an increased uterine tone. The client denies vaginal
bleeding. The external fetal monitor shows fetal distress with severe, variable
decels. The client most likely has which of the following?
A) Placenta previa
B) Molar pregnancy
C) Abruptio placentae
D) Ectopic pregnancy correct answer Abruptio placentae
A couple is seeking infertility counseling. During the history, it is noted that the
man is a cancer survivor, drinks one beer every night with dinner, and takes a
sauna every day after work. The response provided by the nurse should be based
on which of the following?
A) It is unlikely that any of these factors is affecting his fertility
B) Sperm may be malformed when exposed to the heat of the sauna
C) Daily alcohol consumption could be altering his sperm count
