OB FINAL EXAM PREP U COMPLETE QUESTION
BANK AND EXPLANATIONS 2026
◉ 2. Which condition would require prophylaxis to prevent subacute
bacterial endocarditis (SBE) both antepartum and intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
d. Postmyocardial infarction. Answer: : A
Prophylaxis for intrapartum endocarditis and pulmonary infection
may be provided for women who have mitral valve prolapse.
Prophylaxis for intrapartum endocarditis is not indicated for a client
with congestive heart disease, underlying arrhythmias, or
postmyocardial infarction.
DIF: Cognitive Level: Understand REF: p. 712
TOP: Nursing Process: Implementation
◉ 3. Which information should the nurse take into consideration
when planning care for a postpartum client with cardiac disease?
a. The plan of care for a postpartum client is the same as the plan for
any pregnant woman.
b. The plan of care includes rest, stool softeners, and monitoring of
the effect of activity.
,c. The plan of care includes frequent ambulating, alternating with
active range-of-motion exercises.
d. The plan of care includes limiting visits with the infant to once per
day.. Answer: : B
Bed rest may be ordered, with or without bathroom privileges.
Bowel movements without stress or strain for the woman are
promoted with stool softeners, diet, and fluids. Care of the woman
with cardiac disease in the postpartum period is tailored to the
woman's functional capacity. The woman will be on bed rest to
conserve energy and to reduce the strain on the heart. Although the
woman may need help caring for the infant, breastfeeding and infant
visits are not contraindicated.
DIF: Cognitive Level: Understand REF: pp. 718-719 TOP: Nursing
Process: Planning
◉ 4. A woman has experienced iron deficiency anemia during her
pregnancy. She had been taking iron for 3 months before the birth.
The client gave birth by cesarean 2 days earlier and has been having
problems with constipation. After assisting her back to bed from the
bathroom, the nurse notes that the woman's stools are dark
(greenish-black). What should the nurse's initial action be?
a. Perform a guaiac test, and record the results.
b. Recognize the finding as abnormal, and report it to the primary
health care provider.
c. Recognize the finding as a normal result of iron therapy.
,d. Check the woman's next stool to validate the observation..
Answer: : C
The nurse should recognize that dark stools are a common side
effect in clients who are taking iron replacement therapy. A guaiac
test would be indicated if gastrointestinal (GI) bleeding was
suspected. GI irritation, including dark stools, is also a common side
effect of iron therapy. Observation of stool formation is a normal
nursing activity.
DIF: Cognitive Level: Apply REF: p. 716 TOP: Nursing Process:
Evaluation
◉ 5. A woman with asthma is experiencing a postpartum
hemorrhage. Which drug should be avoided when treating
postpartum bleeding to avoid exacerbating asthma?
a. Oxytocin (Pitocin)
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl. Answer: : C
Prostaglandin derivatives should not be used to treat women with
asthma, because they may exacerbate symptoms. Oxytocin is the
drug of choice to treat this woman's bleeding; it will not exacerbate
her asthma. NSAIDs are not used to treat bleeding. Fentanyl is used
to treat pain, not bleeding.
DIF: Cognitive Level: Analyze REF: p. 722 TOP: Nursing Process:
Planning
, ◉ 6. Which important component of nutritional counseling should
the nurse include in health teaching for a pregnant woman who is
experiencing cholecystitis?
a. Assess the woman's dietary history for adequate calories and
proteins.
b. Teach the woman that the bulk of calories should come from
proteins.
c. Instruct the woman to eat a low-fat diet and to avoid fried foods.
d. Instruct the woman to eat a low-cholesterol, low-salt diet..
Answer: : C
Eating a low-fat diet and avoiding fried foods is appropriate
nutritional counseling for this client. Caloric and protein intake do
not predispose a woman to the development of cholecystitis. The
woman should be instructed to limit protein intake and choose foods
that are high in carbohydrates. A low-cholesterol diet may be the
result of limiting fats. However, a low-salt diet is not indicated.
DIF: Cognitive Level: Apply REF: p. 728
TOP: Nursing Process: Implementation
◉ 7. Postoperative care of the pregnant woman who requires
abdominal surgery for appendicitis includes which additional
assessment?
a. Intake and output (I&O) and intravenous (IV) site
b. Signs and symptoms of infection
BANK AND EXPLANATIONS 2026
◉ 2. Which condition would require prophylaxis to prevent subacute
bacterial endocarditis (SBE) both antepartum and intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
d. Postmyocardial infarction. Answer: : A
Prophylaxis for intrapartum endocarditis and pulmonary infection
may be provided for women who have mitral valve prolapse.
Prophylaxis for intrapartum endocarditis is not indicated for a client
with congestive heart disease, underlying arrhythmias, or
postmyocardial infarction.
DIF: Cognitive Level: Understand REF: p. 712
TOP: Nursing Process: Implementation
◉ 3. Which information should the nurse take into consideration
when planning care for a postpartum client with cardiac disease?
a. The plan of care for a postpartum client is the same as the plan for
any pregnant woman.
b. The plan of care includes rest, stool softeners, and monitoring of
the effect of activity.
,c. The plan of care includes frequent ambulating, alternating with
active range-of-motion exercises.
d. The plan of care includes limiting visits with the infant to once per
day.. Answer: : B
Bed rest may be ordered, with or without bathroom privileges.
Bowel movements without stress or strain for the woman are
promoted with stool softeners, diet, and fluids. Care of the woman
with cardiac disease in the postpartum period is tailored to the
woman's functional capacity. The woman will be on bed rest to
conserve energy and to reduce the strain on the heart. Although the
woman may need help caring for the infant, breastfeeding and infant
visits are not contraindicated.
DIF: Cognitive Level: Understand REF: pp. 718-719 TOP: Nursing
Process: Planning
◉ 4. A woman has experienced iron deficiency anemia during her
pregnancy. She had been taking iron for 3 months before the birth.
The client gave birth by cesarean 2 days earlier and has been having
problems with constipation. After assisting her back to bed from the
bathroom, the nurse notes that the woman's stools are dark
(greenish-black). What should the nurse's initial action be?
a. Perform a guaiac test, and record the results.
b. Recognize the finding as abnormal, and report it to the primary
health care provider.
c. Recognize the finding as a normal result of iron therapy.
,d. Check the woman's next stool to validate the observation..
Answer: : C
The nurse should recognize that dark stools are a common side
effect in clients who are taking iron replacement therapy. A guaiac
test would be indicated if gastrointestinal (GI) bleeding was
suspected. GI irritation, including dark stools, is also a common side
effect of iron therapy. Observation of stool formation is a normal
nursing activity.
DIF: Cognitive Level: Apply REF: p. 716 TOP: Nursing Process:
Evaluation
◉ 5. A woman with asthma is experiencing a postpartum
hemorrhage. Which drug should be avoided when treating
postpartum bleeding to avoid exacerbating asthma?
a. Oxytocin (Pitocin)
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl. Answer: : C
Prostaglandin derivatives should not be used to treat women with
asthma, because they may exacerbate symptoms. Oxytocin is the
drug of choice to treat this woman's bleeding; it will not exacerbate
her asthma. NSAIDs are not used to treat bleeding. Fentanyl is used
to treat pain, not bleeding.
DIF: Cognitive Level: Analyze REF: p. 722 TOP: Nursing Process:
Planning
, ◉ 6. Which important component of nutritional counseling should
the nurse include in health teaching for a pregnant woman who is
experiencing cholecystitis?
a. Assess the woman's dietary history for adequate calories and
proteins.
b. Teach the woman that the bulk of calories should come from
proteins.
c. Instruct the woman to eat a low-fat diet and to avoid fried foods.
d. Instruct the woman to eat a low-cholesterol, low-salt diet..
Answer: : C
Eating a low-fat diet and avoiding fried foods is appropriate
nutritional counseling for this client. Caloric and protein intake do
not predispose a woman to the development of cholecystitis. The
woman should be instructed to limit protein intake and choose foods
that are high in carbohydrates. A low-cholesterol diet may be the
result of limiting fats. However, a low-salt diet is not indicated.
DIF: Cognitive Level: Apply REF: p. 728
TOP: Nursing Process: Implementation
◉ 7. Postoperative care of the pregnant woman who requires
abdominal surgery for appendicitis includes which additional
assessment?
a. Intake and output (I&O) and intravenous (IV) site
b. Signs and symptoms of infection
