OB FINAL EXAM PREP U QUESTIONS AND
ANSWERS 2026
◉ Positive reinforcement. Answer: When going through the
transition phase of labor, women often feel out of control. What do
women in the transition phase of labor need the most?
a. Positive reinforcement
b. Their significant other beside them
c. Intense nursing care
d. Just to be left alone
◉ Fetal lie. Answer: What term is used to describe the position of the
fetal long axis in relation to the long axis of the mother?
a. Fetal presentation
b. Fetal attitude
c. Fetal position
d. Fetal lie
◉ turning inward to concentrate on body sensations. Answer:
During the second stage of labor, a woman is generally:
a. very aware of activities immediately around her.
b. anxious to have people around her.
,c. no longer in need of a support person.
d. turning inward to concentrate on body sensations
◉ duration. Answer: The nurse is measuring a contraction from the
beginning of the increment to the end of the decrement for the same
contraction. The nurse would document this as which finding?
a. duration
b. intensity
c. frequency
d. peak
◉ allowing the woman time to be alone. Answer: A nurse is
conducting an in-service program for staff nurses working in the
labor and birth unit. The nurse is discussing ways to promote a
positive birth outcome for the woman in labor. The nurse
determines that additional teaching is necessary when the group
identifies which measure?
a. promoting the woman's feelings of control
b. providing clear information about procedures
c. allowing the woman time to be alone
d. encouraging the woman to use relaxation technique
◉ degree of thinning. Answer: When assessing cervical effacement
of a client in labor, the nurse assesses which characteristic?
,a. extent of opening to its widest diameter
b. degree of thinning
c. passage of the mucous plug
d. fetal presenting part
◉ latent phase of the first stage. Answer: Assessment of a woman in
labor reveals cervical dilation of 3 cm, cervical effacement of 30%,
and contractions occurring every 7 to 8 minutes, lasting about 40
seconds. The nurse determines that this client is in:
a. latent phase of the first stage.
b. active phase of the first stage.
c. pelvic phase of the second stage.
d. early phase of the third stage.
◉ gynecoid. Answer: A client is admitted to the labor and birthing
suite in early labor. On review of her prenatal history, the nurse
determines that the client's pelvic shape as identified in the
antepartal progress notes is the most favorable one for a vaginal
birth. Which pelvic shape would the nurse have noted?
a. platypelloid
b. gynecoid
c. android
d. anthropoid
, ◉ occiput. Answer: Assessment reveals that the fetus of a client in
labor is in the vertex presentation. The nurse determines that which
part is presenting?
a. shoulders
b. occiput
c. brow
d. buttocks
◉ lie. Answer: The nurse assesses a client in labor and finds that the
fetal long axis is longitudinal to the maternal long axis. How should
the nurse document this finding?
a. presentation
b. attitude
c. lie
d. position
◉ effacement. Answer: When teaching a group of nursing students
about the stages of labor, the nurse explains that softening, thinning,
and shortening of the cervical canal occur during the first stage of
labor. Which term is the nurse referring to in the explanation?
a. crowning
b. effacement
c. dilation (dilatation)
d. molding
ANSWERS 2026
◉ Positive reinforcement. Answer: When going through the
transition phase of labor, women often feel out of control. What do
women in the transition phase of labor need the most?
a. Positive reinforcement
b. Their significant other beside them
c. Intense nursing care
d. Just to be left alone
◉ Fetal lie. Answer: What term is used to describe the position of the
fetal long axis in relation to the long axis of the mother?
a. Fetal presentation
b. Fetal attitude
c. Fetal position
d. Fetal lie
◉ turning inward to concentrate on body sensations. Answer:
During the second stage of labor, a woman is generally:
a. very aware of activities immediately around her.
b. anxious to have people around her.
,c. no longer in need of a support person.
d. turning inward to concentrate on body sensations
◉ duration. Answer: The nurse is measuring a contraction from the
beginning of the increment to the end of the decrement for the same
contraction. The nurse would document this as which finding?
a. duration
b. intensity
c. frequency
d. peak
◉ allowing the woman time to be alone. Answer: A nurse is
conducting an in-service program for staff nurses working in the
labor and birth unit. The nurse is discussing ways to promote a
positive birth outcome for the woman in labor. The nurse
determines that additional teaching is necessary when the group
identifies which measure?
a. promoting the woman's feelings of control
b. providing clear information about procedures
c. allowing the woman time to be alone
d. encouraging the woman to use relaxation technique
◉ degree of thinning. Answer: When assessing cervical effacement
of a client in labor, the nurse assesses which characteristic?
,a. extent of opening to its widest diameter
b. degree of thinning
c. passage of the mucous plug
d. fetal presenting part
◉ latent phase of the first stage. Answer: Assessment of a woman in
labor reveals cervical dilation of 3 cm, cervical effacement of 30%,
and contractions occurring every 7 to 8 minutes, lasting about 40
seconds. The nurse determines that this client is in:
a. latent phase of the first stage.
b. active phase of the first stage.
c. pelvic phase of the second stage.
d. early phase of the third stage.
◉ gynecoid. Answer: A client is admitted to the labor and birthing
suite in early labor. On review of her prenatal history, the nurse
determines that the client's pelvic shape as identified in the
antepartal progress notes is the most favorable one for a vaginal
birth. Which pelvic shape would the nurse have noted?
a. platypelloid
b. gynecoid
c. android
d. anthropoid
, ◉ occiput. Answer: Assessment reveals that the fetus of a client in
labor is in the vertex presentation. The nurse determines that which
part is presenting?
a. shoulders
b. occiput
c. brow
d. buttocks
◉ lie. Answer: The nurse assesses a client in labor and finds that the
fetal long axis is longitudinal to the maternal long axis. How should
the nurse document this finding?
a. presentation
b. attitude
c. lie
d. position
◉ effacement. Answer: When teaching a group of nursing students
about the stages of labor, the nurse explains that softening, thinning,
and shortening of the cervical canal occur during the first stage of
labor. Which term is the nurse referring to in the explanation?
a. crowning
b. effacement
c. dilation (dilatation)
d. molding
