OB FINAL EXAM PREP U REVIEW QUESTIONS
AND ANSWER KEY 2026
◉ Pain originates from the cervix and lower uterine segment.
Answer: The nurse is preparing an educational event for pregnant
women on the topic of labor pain and birth. The nurse understands
the need to include the origin of labor pain for each stage of labor.
What information will the nurse present for the first stage of labor?
a. Pain originates from the cervix and lower uterine segment.
b. It is reported as the worst pain a woman will ever feel.
c. Pain is focal in nature.
d. Diffuse abdominal pain signals a complication with progression of
labor.
◉ Women report higher levels of satisfaction when they felt they
had a high degree of control over the pain experience. Answer:
There has been much research done on pain and the perception of
pain. What is the result of research done on levels of satisfaction
with the control of labor pain?
a. Women report higher levels of satisfaction when regional
anesthetics are used to control pain.
b. Women report higher levels of satisfaction when they felt they had
a high degree of control over the pain experience.
,c. Women report higher levels of satisfaction when the primary care
provider makes the decision on what type of pain control to use.
d. Women report higher levels of satisfaction when different types of
relaxation techniques are used to control pain.
◉ It can be administered by the nurse. Answer: There are
advantages and disadvantages to any kind of method used to control
pain during labor and birth. What is an advantage of opioid
administration?
a. Fetal monitoring can be safely discontinued.
b. It is generally given p.o.
c. It can be administered by the nurse.
d. It can be given frequently without risk to the fetus.
◉ Interference with blood coagulation with increased risk of
bleeding in mother or infant. Answer: Why should a woman be
cautioned against taking acetylsalicylic acid (aspirin) to relieve pain
in labor?
a. Competition with bilirubin-binding sites in fetal circulation
increases risk of kernicterus
b. Development of respiratory depression in the newborn
c. Interference with blood coagulation with increased risk of
bleeding in mother or infant
d. Interference with the ability to concentrate on contractions
,◉ I respect your preference, whether it is to have medication or not.
Answer: A woman states that she does not want any medication for
pain relief during labor. Her primary care provider has approved this
for her. What the nurse's best response to her concerning this
choice?
a. "That's wonderful. Medication during labor is not good for the
baby."
b. "Your health care provider is a man and has never been in labor;
he may be underestimating the pain you will have."
c. "I respect your preference, whether it is to have medication or
not."
d. "Let me get you something for relaxation if you don't want
anything for pain."
◉ This may prolong labor and increase complications. Answer: The
laboring client who is at 3 cm dilation (dilatation) and 25% effaced
is asking for analgesia. The nurse explains the analgesia usually is
not administered prior to the establishment of the active phase.
What is the appropriate rationale for this practice?
a. This would cause fetal depression in utero.
b. This may prolong labor and increase complications.
c. The effects would wear off before birth.
d. This can lead to maternal hypertension.
, ◉ naloxonenaloxone. Answer: A woman in labor who received an
opioid for pain relief develops respiratory depression. The nurse
would expect which agent to be administered?
a. butorphanol
b. fentanyl
c. naloxone
d. promethazine
◉ Regional anesthesia should be given with caution close to the time
of birth because it crosses the placenta and can cause respiratory
depression in the newborn. Answer: Which statement is true
regarding analgesia versus anesthesia?
a. Analgesia and anesthesia perform the same function when it
comes to blocking pain.
b. Increased FHR variability is a common side effect when regional
anesthesia is used.
c. Regional anesthesia should be given with caution close to the time
of birth because it crosses the placenta and can cause respiratory
depression in the newborn.
d. Hypertension is the most common side effect when systemic
analgesia is used.
◉ Stand next to the client at the side of the bed. Answer: A laboring
client is restless and moving frequently in the bed. She appears to be
more uncomfortable with the contractions but refuses pain
AND ANSWER KEY 2026
◉ Pain originates from the cervix and lower uterine segment.
Answer: The nurse is preparing an educational event for pregnant
women on the topic of labor pain and birth. The nurse understands
the need to include the origin of labor pain for each stage of labor.
What information will the nurse present for the first stage of labor?
a. Pain originates from the cervix and lower uterine segment.
b. It is reported as the worst pain a woman will ever feel.
c. Pain is focal in nature.
d. Diffuse abdominal pain signals a complication with progression of
labor.
◉ Women report higher levels of satisfaction when they felt they
had a high degree of control over the pain experience. Answer:
There has been much research done on pain and the perception of
pain. What is the result of research done on levels of satisfaction
with the control of labor pain?
a. Women report higher levels of satisfaction when regional
anesthetics are used to control pain.
b. Women report higher levels of satisfaction when they felt they had
a high degree of control over the pain experience.
,c. Women report higher levels of satisfaction when the primary care
provider makes the decision on what type of pain control to use.
d. Women report higher levels of satisfaction when different types of
relaxation techniques are used to control pain.
◉ It can be administered by the nurse. Answer: There are
advantages and disadvantages to any kind of method used to control
pain during labor and birth. What is an advantage of opioid
administration?
a. Fetal monitoring can be safely discontinued.
b. It is generally given p.o.
c. It can be administered by the nurse.
d. It can be given frequently without risk to the fetus.
◉ Interference with blood coagulation with increased risk of
bleeding in mother or infant. Answer: Why should a woman be
cautioned against taking acetylsalicylic acid (aspirin) to relieve pain
in labor?
a. Competition with bilirubin-binding sites in fetal circulation
increases risk of kernicterus
b. Development of respiratory depression in the newborn
c. Interference with blood coagulation with increased risk of
bleeding in mother or infant
d. Interference with the ability to concentrate on contractions
,◉ I respect your preference, whether it is to have medication or not.
Answer: A woman states that she does not want any medication for
pain relief during labor. Her primary care provider has approved this
for her. What the nurse's best response to her concerning this
choice?
a. "That's wonderful. Medication during labor is not good for the
baby."
b. "Your health care provider is a man and has never been in labor;
he may be underestimating the pain you will have."
c. "I respect your preference, whether it is to have medication or
not."
d. "Let me get you something for relaxation if you don't want
anything for pain."
◉ This may prolong labor and increase complications. Answer: The
laboring client who is at 3 cm dilation (dilatation) and 25% effaced
is asking for analgesia. The nurse explains the analgesia usually is
not administered prior to the establishment of the active phase.
What is the appropriate rationale for this practice?
a. This would cause fetal depression in utero.
b. This may prolong labor and increase complications.
c. The effects would wear off before birth.
d. This can lead to maternal hypertension.
, ◉ naloxonenaloxone. Answer: A woman in labor who received an
opioid for pain relief develops respiratory depression. The nurse
would expect which agent to be administered?
a. butorphanol
b. fentanyl
c. naloxone
d. promethazine
◉ Regional anesthesia should be given with caution close to the time
of birth because it crosses the placenta and can cause respiratory
depression in the newborn. Answer: Which statement is true
regarding analgesia versus anesthesia?
a. Analgesia and anesthesia perform the same function when it
comes to blocking pain.
b. Increased FHR variability is a common side effect when regional
anesthesia is used.
c. Regional anesthesia should be given with caution close to the time
of birth because it crosses the placenta and can cause respiratory
depression in the newborn.
d. Hypertension is the most common side effect when systemic
analgesia is used.
◉ Stand next to the client at the side of the bed. Answer: A laboring
client is restless and moving frequently in the bed. She appears to be
more uncomfortable with the contractions but refuses pain
