OB MATERNAL PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATEST UPDATE 2026/2027 | GRADED A+ | 100% PASS.

OB MATERNAL PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATEST UPDATE 2026/2027 | GRADED A+ | 100% PASS. The nurse instructs a client in the second trimester at the prenatal clinic about nutrition during pregnancy. The nurse determines teaching is successful if the client makes which statement? "I will add one nutrient dense 300 calorie snack per day." During auscultation of the fetal heart rate (FHR) during labor, the nurse assesses a rate of 50 beats/minute. Which actions does the nurse take first? Turns the client on the left side, administers oxygen by nasal cannula, and verifies IV access. The nurse teaches a class about gonorrhea. Which client statement indicates the teaching is successful? "I've heard that having gonorrhea can make you unable to have children." The nurse provides care for a client receiving an oxytocin infusion to induce labor. The nurse stops the infusion if which occurs? Contractions are at 2 minute intervals and last 90 to 120 seconds. The nurse counsels clients in the prenatal clinic. The nurse is most concerned of a client makes which statement? "I clean the cat's litter box daily." The home health care nurse makes a visit to the pregnant clinic diagnosed with type 1 diabetes mellitus. The client states, "I have been nauseated for 24 hours." It is most important for the nurse to ask which question? "Have you taken your insulin today?" The nurse provides instruction to a new parent on how to care for the newborn's umbilical cord. The nurse determines teaching is effective is the parent makes which statement? "I will clean the cord and the skin around it with water." "I will allow the cord to fall off on its own." The nurse provides postnatal care for a client diagnosed with gestational diabetes who delivered by cesarean delivery at 37 weeks gestation about 3 hours ago. The infant's Apgar scores were 6 and 8 and birth weight 10lbs (4535.9g). The client tells the nurse, "I can't believe how big my baby is, and I even delivered early." Which response by the nurse is best? "The baby's large size is due to the amount of glucose received in utero." The nurse assesses a client in the family planning clinic. Which client statement suggests the client has been exposed to gonorrhea? "My partner has the drip." The nurse assesses the fundus of a client 12 hours after delivery of a 7lb 2oz (3,240g) newborn. Which action should the nurse take if the fundus is noted to be approximately 1cm above the the umbilicus? Document the results in the client's record. The nurse provides care for a newborn delivered by a client addicted to narcotics. At which time is the nurse most likely to observe symptoms of narcotic withdrawal? Within 24-72 hours after birth. The nurse provides care for a primigravida client who is 34 weeks pregnant. Which client is of most concern to the nurse? "This is not a good time for me to have a baby." A client admitted to the hospital and is scheduled to have a modified radical mastectomy. The client asks the nurse about the surgical procedure. Which explanation does the nurse give? "The breast, axillary nodes, and superior apical nodes are removed, but the muscles are preserved." The nurse instructs a client about dietary adjustments that may be necessary during breastfeeding. Which client statement indicates to the nurse that the client understands the instructions? "There are no specific restrictions on food or drinks." The client is pregnant for the third time. The client has one living child and has had one abortion. Which description does the nurse record? Gravida III, para I. While in active labor, the multigravid client received magnesium sulfate for treatment of gestational hypertension. Due to the effects of magnesium sulfate, which newborn symptom is expected? Hypotonia The nurse provides care for a client in labor. The nurse is most concerned the fetus is experiencing distress if which heart rate pattern is observed? Late decelerations By the fifth month of pregnancy, a 32-year-old multipara client of average prenatal height and weight has gained 14 pounds. Which action by the nurse is most important? Inform the client the weight gain is appropriate and the present diet should be maintained. The nurse provides care for a client in the second stage of labor. The nurse notes the client is tiring after a few hours of pushing, and is no longer making progress. Which does the nurse anticipates the health care provider will ask for? Forceps and vacuum. The nurse provides care for a client in labor about to deliver twins. For which complication does the nurse identify that this client is at higher risk? Urine dysfunction The horse makes a home visit to a postpartum client and the two week old infant. The client is breastfeeding and tells the nurse the baby nurses 8-9 times per day, has regained all of the lost birth weight, has 6-8 wet diapers per day, and usually has one bowel movement per day. Which response by the nurse is best? "Your baby is doing very well. Keep up the good work!" The nurse provides care for a 4lb 10oz (2100.13g) infant delivered at 32 weeks gestation. The nurse notes the infant has mottling of the skin, and lab values indicate metabolic and respiratory acidosis. The nurse recognizes these findings are signs of which problem? Cold stress A client receives magnesium sulfate intravenously for treatment of preeclampsia. The client's assessments reveals: BP 110/70 mm Hg, P 98 beats/minute, hyproreflexia, and a urine output of 20 mL/hour. Which analysis by the nurse is best? Maternal toxicity has occurred.