Inpatient OB Review Questions and
Answers Updated 2026
ABclientBhadBaBnonreactiveBNSTBandBwasBsentBforBaBBPP.BWhichBofBtheBfollowingBBPPBfindin
gsBwouldBconfirmBpoorBoxygenationBtoBtheBfetus?
TwoBpocketsBofBamnioticBfluid
Well-flexedBextremities
DecreasedBmuscleBtone
PresenceBofBfetalBbreathingBmovementB-BAnswerDecreasedBmuscleBtone
RATIONALE:BdecreasedBmuscleBtoneBwouldBbeBindicativeBofBfetalBhypoxia.
ABpatient'sBperceptionBofBpainBmayBmanifestBasBallBofBtheBfollowingBEXCEPT:B-
BAnswerIncreasedBrationalityBandBproblem-solving
RATIONALE:BPerceptionBofBpainBoccursBwhenBstimulusBfromBperipheralBorBvisceralBnerveBsites
BreachBtheBCNSBpainBcenter.BTheBbodyBthenBrespondsBphysicallyBandBemotionallyBinBrespons
eBtoBthisBpainBperception.
AB32-
weekBgestationBclientBpresentsBtoBtheBunitBwithBcomplaintBofB"myBwaterBjustBbroke."BSheBd
eniesBhavingBanyBcontractions.BHerBprenatalBrecordBrevealsBsheBhasBaBvasaBprevia.BTheBnurs
eBanticipates:
GivingBtheBpatientBBMZBandBwaitingB24BhoursBtoBdeliver
AdmBtheBptBandBmonitoringBfetalBstatusBuntilBfetalBlungBmaturityBisBachieved
ABscheduledBc/sBdeliveryBunderBspinalBanesthesia
AnBemergencyBc/sBdeliveryBunderBgeneralBanesthesiaB-
BAnswerAnBemergencyBcesareanBsectionBdeliveryBunderBgeneralBanesthesia
RATIONALE:BFetalBbloodBvesselsBcrossBoverBtheBcervicalBosBandBmayBruptureBwhenBtheBamni
oticBsacBruptures.
, ABclientBinBtheBlatentBphaseBofBlaborBcallsBtheBnurseBintoBtheBroomBstatingBherB"waterBjust
Bbroke."BTheBnurseBnotesBtheBfetalBheartBrateBisB60BBPM.BWhatBisBtheBnurse'sBinitialBaction
?
PerformBaBvaginalBexam
PrepareBforBanBemergencyBcesareanBsection
TurnBtheBpatientBsupine
StartBaBsecondBIVBsiteB-BAnswerPerformBaBvaginalBexam
WhichBconditionBmayBbeBmissedBifBanBinfantBhasBtheBnewbornBscreeningBtestBperformedBbef
oreBheBhasBtoleratedBproteinBfeedingsBforBatBleastB24-48Bhours?
Hypothyroidism
SickleBcellBanemia
CysticBfibrosis
PhenylketonuriaB-BAnswerPhenylketonuria
RATIONALE:BforBphenylketonuriaBtoBbeBdetectedBinBtheBnewbornBscreeningBbloodBtest,Bcertai
nBaminoBacidsBfoundBinBbreastBmilkBorBformulaBmustBfirstBaccumulate.BThenBtheBdeficiencyB
ofBtheBenzymeBthatBshouldBmetabolizeBtheseBproteinsBcanBbeBdetected.
WhichBoneBofBtheBfollowingBsexuallyBtransmittedBinfectionsB(STIs)BdoesBNOTBcrossBtheBplacen
ta?
NeisseriaBgonorrhea
HIV
Syphilis
ChlamydiaB-BAnswerNeisseriaBgonorrhea
InBtheBlow-
riskBpatientBwhoBisBinBtheBactiveBstageBofBlaborBandBbeingBmonitoredBelectronically,BtheBfeta
lBheartBshouldBbeBassessedBevery:B-BAnswer30Bminutes
Answers Updated 2026
ABclientBhadBaBnonreactiveBNSTBandBwasBsentBforBaBBPP.BWhichBofBtheBfollowingBBPPBfindin
gsBwouldBconfirmBpoorBoxygenationBtoBtheBfetus?
TwoBpocketsBofBamnioticBfluid
Well-flexedBextremities
DecreasedBmuscleBtone
PresenceBofBfetalBbreathingBmovementB-BAnswerDecreasedBmuscleBtone
RATIONALE:BdecreasedBmuscleBtoneBwouldBbeBindicativeBofBfetalBhypoxia.
ABpatient'sBperceptionBofBpainBmayBmanifestBasBallBofBtheBfollowingBEXCEPT:B-
BAnswerIncreasedBrationalityBandBproblem-solving
RATIONALE:BPerceptionBofBpainBoccursBwhenBstimulusBfromBperipheralBorBvisceralBnerveBsites
BreachBtheBCNSBpainBcenter.BTheBbodyBthenBrespondsBphysicallyBandBemotionallyBinBrespons
eBtoBthisBpainBperception.
AB32-
weekBgestationBclientBpresentsBtoBtheBunitBwithBcomplaintBofB"myBwaterBjustBbroke."BSheBd
eniesBhavingBanyBcontractions.BHerBprenatalBrecordBrevealsBsheBhasBaBvasaBprevia.BTheBnurs
eBanticipates:
GivingBtheBpatientBBMZBandBwaitingB24BhoursBtoBdeliver
AdmBtheBptBandBmonitoringBfetalBstatusBuntilBfetalBlungBmaturityBisBachieved
ABscheduledBc/sBdeliveryBunderBspinalBanesthesia
AnBemergencyBc/sBdeliveryBunderBgeneralBanesthesiaB-
BAnswerAnBemergencyBcesareanBsectionBdeliveryBunderBgeneralBanesthesia
RATIONALE:BFetalBbloodBvesselsBcrossBoverBtheBcervicalBosBandBmayBruptureBwhenBtheBamni
oticBsacBruptures.
, ABclientBinBtheBlatentBphaseBofBlaborBcallsBtheBnurseBintoBtheBroomBstatingBherB"waterBjust
Bbroke."BTheBnurseBnotesBtheBfetalBheartBrateBisB60BBPM.BWhatBisBtheBnurse'sBinitialBaction
?
PerformBaBvaginalBexam
PrepareBforBanBemergencyBcesareanBsection
TurnBtheBpatientBsupine
StartBaBsecondBIVBsiteB-BAnswerPerformBaBvaginalBexam
WhichBconditionBmayBbeBmissedBifBanBinfantBhasBtheBnewbornBscreeningBtestBperformedBbef
oreBheBhasBtoleratedBproteinBfeedingsBforBatBleastB24-48Bhours?
Hypothyroidism
SickleBcellBanemia
CysticBfibrosis
PhenylketonuriaB-BAnswerPhenylketonuria
RATIONALE:BforBphenylketonuriaBtoBbeBdetectedBinBtheBnewbornBscreeningBbloodBtest,Bcertai
nBaminoBacidsBfoundBinBbreastBmilkBorBformulaBmustBfirstBaccumulate.BThenBtheBdeficiencyB
ofBtheBenzymeBthatBshouldBmetabolizeBtheseBproteinsBcanBbeBdetected.
WhichBoneBofBtheBfollowingBsexuallyBtransmittedBinfectionsB(STIs)BdoesBNOTBcrossBtheBplacen
ta?
NeisseriaBgonorrhea
HIV
Syphilis
ChlamydiaB-BAnswerNeisseriaBgonorrhea
InBtheBlow-
riskBpatientBwhoBisBinBtheBactiveBstageBofBlaborBandBbeingBmonitoredBelectronically,BtheBfeta
lBheartBshouldBbeBassessedBevery:B-BAnswer30Bminutes
