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OB SEMI OBSTESTRICAL NURSING EXAM
WITH QUESTIONS AND ANSWERS-2026
LATEST VERSION
• A client with severe preeclampsia is admitted with of BP
160/110, proteinuria, and severe pitting edema. Which of the following
would be most important to include in the client’s plan of care?
A. Daily weights
B. Seizure precautions
C. Right lateral positioning
D. Stress reduction
• A postpartum primipara asks the nurse, “When can we have
sexual intercourse again?” Which of the following would be the
nurse’s best response?
A. “Anytime you both want to.”
B. “As soon as choose a contraceptive method.”
C. “When the discharge has stopped and the incision is healed.”
D. “After your 6 weeks examination.”
• When preparing to administer the vitamin K injection to a
neonate, the nurse would select which of the following sites as
appropriate for the injection?
A. Deltoid muscle
B. Anterior femoris muscle
C. Vastus lateralis muscle
D. Gluteus maximus muscle
• When performing a pelvic examination, the nurse observes
a red swollen area on the right side of the vaginal orifice. The
nurse would document this as enlargement of which of the
following?
A. Clitoris
B. Parotid gland
C. Skene’s gland
D. Bartholin’s gland
• To differentiate as a female, the hormonal stimulation of the
embryo that must occur involves which of the following?
A. Increase in maternal estrogen secretion
B. Decrease in maternal androgen secretion
,2
C. Secretion of androgen by the fetal gonad
D. Secretion of estrogen by the fetal gonad
• A client at 8 weeks’ gestation calls complaining of slight nausea
in the morning hours. Which of the following client interventions
should the nurse question?
A. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water
B. Eating a few low-sodium crackers before getting out of bed
C. Avoiding the intake of liquids in the morning hours
D. Eating six small meals a day instead of thee large meals
• The nurse documents positive ballottement in the client’s
prenatal record. The nurse understands that this indicates which of
the following?
A. Palpable contractions on the abdomen
B. Passive movement of the unengaged fetus
C. Fetal kicking felt by the client
D. Enlargement and softening of the uterus
• During a pelvic exam the nurse notes a purple-blue tinge of the
cervix. The nurse documents this as which of the following?
A. Braxton-Hicks sign
B. Chadwick’s sign
C. Goodell’s sign
D. McDonald’s sign
• During a prenatal class, the nurse explains the rationale for
breathing techniques during preparation for labor based on the
understanding that breathing techniques are most important in achieving
which of
the following?
A. Eliminate pain and give the expectant parents something to do
B. Reduce the risk of fetal distress by increasing uteroplacental
perfusion
C. Facilitate relaxation, possibly reducing the perception of pain
D. Eliminate pain so that less analgesia and anesthesia are needed
• After 4 hours of active labor, the nurse notes that the contractions of
a primigravida client are not strong enough to dilate the cervix. Which of
the following would the nurse anticipate doing?
A. Obtaining an order to begin IV oxytocin infusion
B. Administering a light sedative to allow the patient to rest for several
hour
C. Preparing for a cesarean section for failure to progress
, 3
D. Increasing the encouragement to the patient when pushing begins
• A multigravida at 38 weeks’ gestation is admitted with painless,
bright red bleeding and mild contractions every 7 to 10 minutes.
Which of
the following assessments should be avoided?
A. Maternal vital sign
B. Fetal heart rate
C. Contraction monitoring
D. Cervical dilation
OB SEMI OBSTESTRICAL NURSING EXAM
WITH QUESTIONS AND ANSWERS-2026
LATEST VERSION
• A client with severe preeclampsia is admitted with of BP
160/110, proteinuria, and severe pitting edema. Which of the following
would be most important to include in the client’s plan of care?
A. Daily weights
B. Seizure precautions
C. Right lateral positioning
D. Stress reduction
• A postpartum primipara asks the nurse, “When can we have
sexual intercourse again?” Which of the following would be the
nurse’s best response?
A. “Anytime you both want to.”
B. “As soon as choose a contraceptive method.”
C. “When the discharge has stopped and the incision is healed.”
D. “After your 6 weeks examination.”
• When preparing to administer the vitamin K injection to a
neonate, the nurse would select which of the following sites as
appropriate for the injection?
A. Deltoid muscle
B. Anterior femoris muscle
C. Vastus lateralis muscle
D. Gluteus maximus muscle
• When performing a pelvic examination, the nurse observes
a red swollen area on the right side of the vaginal orifice. The
nurse would document this as enlargement of which of the
following?
A. Clitoris
B. Parotid gland
C. Skene’s gland
D. Bartholin’s gland
• To differentiate as a female, the hormonal stimulation of the
embryo that must occur involves which of the following?
A. Increase in maternal estrogen secretion
B. Decrease in maternal androgen secretion
,2
C. Secretion of androgen by the fetal gonad
D. Secretion of estrogen by the fetal gonad
• A client at 8 weeks’ gestation calls complaining of slight nausea
in the morning hours. Which of the following client interventions
should the nurse question?
A. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water
B. Eating a few low-sodium crackers before getting out of bed
C. Avoiding the intake of liquids in the morning hours
D. Eating six small meals a day instead of thee large meals
• The nurse documents positive ballottement in the client’s
prenatal record. The nurse understands that this indicates which of
the following?
A. Palpable contractions on the abdomen
B. Passive movement of the unengaged fetus
C. Fetal kicking felt by the client
D. Enlargement and softening of the uterus
• During a pelvic exam the nurse notes a purple-blue tinge of the
cervix. The nurse documents this as which of the following?
A. Braxton-Hicks sign
B. Chadwick’s sign
C. Goodell’s sign
D. McDonald’s sign
• During a prenatal class, the nurse explains the rationale for
breathing techniques during preparation for labor based on the
understanding that breathing techniques are most important in achieving
which of
the following?
A. Eliminate pain and give the expectant parents something to do
B. Reduce the risk of fetal distress by increasing uteroplacental
perfusion
C. Facilitate relaxation, possibly reducing the perception of pain
D. Eliminate pain so that less analgesia and anesthesia are needed
• After 4 hours of active labor, the nurse notes that the contractions of
a primigravida client are not strong enough to dilate the cervix. Which of
the following would the nurse anticipate doing?
A. Obtaining an order to begin IV oxytocin infusion
B. Administering a light sedative to allow the patient to rest for several
hour
C. Preparing for a cesarean section for failure to progress
, 3
D. Increasing the encouragement to the patient when pushing begins
• A multigravida at 38 weeks’ gestation is admitted with painless,
bright red bleeding and mild contractions every 7 to 10 minutes.
Which of
the following assessments should be avoided?
A. Maternal vital sign
B. Fetal heart rate
C. Contraction monitoring
D. Cervical dilation
