Inpatient Obstetric Nurse Online Study Course With Exam
Questions And Correct Answers With Rationales
Inpatient Obstetric Nurse – Online Study Course
Module 1: Antepartum Nursing Care
1. Which is the primary goal of antepartum nursing care?
A. Manage labor
B. Ensure maternal and fetal well-being
C. Perform cesarean sections
D. Prescribe medications
Correct Answer: B
Rationale:
Antepartum nursing focuses on monitoring mother and fetus, preventing complications, and
promoting healthy outcomes.
2. A gravida 2, para 1 woman reports mild vaginal bleeding at 12 weeks. What is the nurse’s
priority?
A. Reassure and discharge
B. Assess for signs of miscarriage or ectopic pregnancy
C. Schedule routine checkup in a month
D. Provide prenatal vitamins
Correct Answer: B
Rationale:
Early pregnancy bleeding may indicate miscarriage or ectopic pregnancy, requiring prompt
assessment.
3. Which vital sign change may indicate preeclampsia?
A. HR 80, BP 110/70
B. HR 72, BP 160/100
C. HR 90, BP 120/80
D. HR 75, BP 115/75
Correct Answer: B
,Rationale:
Elevated BP with or without other symptoms can indicate preeclampsia, requiring immediate
evaluation.
4. What is the recommended weight gain for a woman with normal BMI during pregnancy?
A. 5–10 lbs
B. 11–20 lbs
C. 25–35 lbs
D. 40–50 lbs
Correct Answer: C
Rationale:
25–35 lbs is standard for women with normal BMI to support healthy fetal growth.
5. Which lab test assesses risk for gestational diabetes?
A. CBC
B. Glucose tolerance test
C. Hemoglobin A1C
D. Liver function tests
Correct Answer: B
Rationale:
Glucose tolerance testing screens for gestational diabetes, typically at 24–28 weeks.
6. Which condition requires immediate hospitalization in the antepartum period?
A. Mild nausea
B. Threatened preterm labor
C. Occasional heartburn
D. Varicose veins
Correct Answer: B
Rationale:
Preterm labor before 37 weeks requires hospitalization and monitoring to prevent preterm birth.
7. Which fetal assessment is appropriate at 32 weeks?
A. Fetal MRI
B. Ultrasound for growth and amniotic fluid
C. Chorionic villus sampling
D. Preconception counseling
Correct Answer: B
, Rationale:
Ultrasound evaluates fetal growth, amniotic fluid, and anatomy in the third trimester.
8. Which intervention reduces the risk of deep vein thrombosis (DVT) in hospitalized antepartum
patients?
A. Bed rest only
B. Early ambulation and compression devices
C. Restrict fluids
D. High-protein diet
Correct Answer: B
Rationale:
Mobility and compression improve circulation and reduce DVT risk.
9. Which symptom is an emergency in antepartum care?
A. Mild back pain
B. Vaginal bleeding with cramping
C. Occasional heartburn
D. Swelling in hands
Correct Answer: B
Rationale:
Bleeding with cramping may indicate miscarriage or placental complications, requiring urgent
assessment.
10. Which medication is used to manage preterm labor?
A. Oxytocin
B. Tocolytics (e.g., nifedipine)
C. Methyldopa
D. Magnesium sulfate for seizure prophylaxis
Correct Answer: B
Rationale:
Tocolytics inhibit uterine contractions to delay preterm birth.
11. Which assessment is critical for fetal well-being?
A. Maternal blood pressure only
B. Fetal heart rate and movement
C. Maternal pulse only
D. Maternal temperature only
Questions And Correct Answers With Rationales
Inpatient Obstetric Nurse – Online Study Course
Module 1: Antepartum Nursing Care
1. Which is the primary goal of antepartum nursing care?
A. Manage labor
B. Ensure maternal and fetal well-being
C. Perform cesarean sections
D. Prescribe medications
Correct Answer: B
Rationale:
Antepartum nursing focuses on monitoring mother and fetus, preventing complications, and
promoting healthy outcomes.
2. A gravida 2, para 1 woman reports mild vaginal bleeding at 12 weeks. What is the nurse’s
priority?
A. Reassure and discharge
B. Assess for signs of miscarriage or ectopic pregnancy
C. Schedule routine checkup in a month
D. Provide prenatal vitamins
Correct Answer: B
Rationale:
Early pregnancy bleeding may indicate miscarriage or ectopic pregnancy, requiring prompt
assessment.
3. Which vital sign change may indicate preeclampsia?
A. HR 80, BP 110/70
B. HR 72, BP 160/100
C. HR 90, BP 120/80
D. HR 75, BP 115/75
Correct Answer: B
,Rationale:
Elevated BP with or without other symptoms can indicate preeclampsia, requiring immediate
evaluation.
4. What is the recommended weight gain for a woman with normal BMI during pregnancy?
A. 5–10 lbs
B. 11–20 lbs
C. 25–35 lbs
D. 40–50 lbs
Correct Answer: C
Rationale:
25–35 lbs is standard for women with normal BMI to support healthy fetal growth.
5. Which lab test assesses risk for gestational diabetes?
A. CBC
B. Glucose tolerance test
C. Hemoglobin A1C
D. Liver function tests
Correct Answer: B
Rationale:
Glucose tolerance testing screens for gestational diabetes, typically at 24–28 weeks.
6. Which condition requires immediate hospitalization in the antepartum period?
A. Mild nausea
B. Threatened preterm labor
C. Occasional heartburn
D. Varicose veins
Correct Answer: B
Rationale:
Preterm labor before 37 weeks requires hospitalization and monitoring to prevent preterm birth.
7. Which fetal assessment is appropriate at 32 weeks?
A. Fetal MRI
B. Ultrasound for growth and amniotic fluid
C. Chorionic villus sampling
D. Preconception counseling
Correct Answer: B
, Rationale:
Ultrasound evaluates fetal growth, amniotic fluid, and anatomy in the third trimester.
8. Which intervention reduces the risk of deep vein thrombosis (DVT) in hospitalized antepartum
patients?
A. Bed rest only
B. Early ambulation and compression devices
C. Restrict fluids
D. High-protein diet
Correct Answer: B
Rationale:
Mobility and compression improve circulation and reduce DVT risk.
9. Which symptom is an emergency in antepartum care?
A. Mild back pain
B. Vaginal bleeding with cramping
C. Occasional heartburn
D. Swelling in hands
Correct Answer: B
Rationale:
Bleeding with cramping may indicate miscarriage or placental complications, requiring urgent
assessment.
10. Which medication is used to manage preterm labor?
A. Oxytocin
B. Tocolytics (e.g., nifedipine)
C. Methyldopa
D. Magnesium sulfate for seizure prophylaxis
Correct Answer: B
Rationale:
Tocolytics inhibit uterine contractions to delay preterm birth.
11. Which assessment is critical for fetal well-being?
A. Maternal blood pressure only
B. Fetal heart rate and movement
C. Maternal pulse only
D. Maternal temperature only
