OB NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
1. Which of the following tasks C- When working in L&D the UAP can help
may be delegated to the with ADLs. They cannot be delegated tasks
nursing assistant? that require formulating a care plan, taking off
a. checking the cervix of the orders, or administering medications
patient who is less likely to
deliver soon
b. administering oxygen to
the mother who has decreas-
ing oxygen saturations
c. providing ice chips for a
mother who complains of a
dry mouth
d. Tearing off a strip of paper
from the fetal heart rate mon-
itor and putting it in the chart
2. Which of the following situa- C. When caring for postpartum patients, the
tions would most likely war- nurse must be familiar with what conditions
rant contact with a physician are common occurrences following delivery
for further orders for care or and what situations warrant a call to the
treatment? physician for further help. Postpartum com-
A. A patient has a 3rd degree plications often include infection, blood clots,
perineal laceration after de- and hemorrhage. Excess bleeding may occur
livery when the uterus is boggy and it does not firm
B. A patient has lost 100 mL up with massage.
of blood with delivery
C. A patient has a boggy
uterus that does not firm with
massage
D. A patient is having rectal
pain
3. Following removal of the A- When CSF leaks out of the epidural space
epidural, the patient devel- a severe headache in the patient can occur. A
ops a severe headache when blood patch can be performed by a physician
she sits up in bed. The physi- to close the site. The small amount of blood
cian has instructed the pa- is withdrawn from the mother's arm and the
tient that she will need a blood clots in the space.
blood patch. Which best de-
, OB NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
scribes this procedure?
A. Removing blood from a
vein in the patient and inject-
ing it into the epidural space
in the back
B. Placement of a large ban-
dage over the site of the
epidural insertion.
C. Replacement of the
epidural catheter into the
same space for long-term
control
D. Placement of a nerve block
in the spinal column at the lo-
cation of the affected epidur-
al space
4. Which of the patients de- C. A patient with a hematoma is at risk of
scribed should the nurse see hemorrhage and the nurse should assess her
first? first
A. 20 yr old patient who
just had her first baby and
doesn't know how to breast-
feed
B. 27 yr old diabetic patient
who delivered her second
child yesterday and needs
her morning dose of insulin
C. 24 yr old patient who
has had a large amount of
lochia and has developed a
hematoma on her perineum
D. 30 yr old patient who
needs to take a shower
and eat breakfast before the
physician comes to dismiss
her
5.
, OB NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
On the first following deliv- B. A postpartum patient is at risk of hemor-
ery, the physician ordered a rhage following delivery; often the physician
hemoglobin level for the pa- will order a hemoglobin level 1-2 days after
tient; the result was 9.9 g/dL. delivery to check the mother's risk status.
The physician did not list A level of 9.9 g/dL is lower than normal for
any other orders in the pa- a female patient, but is not necessarily low
tient's chart since that time. enough to warrant a blood transfusion.
Which response of the nurse
is most appropriate>
A. call the physician and ask
if he wants a blood transfu-
sion for the patient
B. ask the physician about
the hemoglobin level when
he comes in for rounds
C. Contact the laboratory and
ask them to repeat the test
D. continue to monitor the
patient and document the re-
sult
6. The patient's medical record B- B. Streptococcus can be transferred to the
states that she tested pos- baby during delivery to cause an infection. the
itive for group B Strepto- test for the bacteria is performed at approxi-
coccus infection. which of mately 35 weeks gestation, but antibiotics are
the following precautions typically not given until the mother is in labor
should be given in this situ- to reduce the chance that she will pass the
ation? infection to her child
A. the patient should receive
antibiotics at this time
b. the patient should be given
antibiotics during labor
c. the fetus should receive
antibiotics as a prenatal infu-
sion
d. there is no treatment nec-
essary
7.
1. Which of the following tasks C- When working in L&D the UAP can help
may be delegated to the with ADLs. They cannot be delegated tasks
nursing assistant? that require formulating a care plan, taking off
a. checking the cervix of the orders, or administering medications
patient who is less likely to
deliver soon
b. administering oxygen to
the mother who has decreas-
ing oxygen saturations
c. providing ice chips for a
mother who complains of a
dry mouth
d. Tearing off a strip of paper
from the fetal heart rate mon-
itor and putting it in the chart
2. Which of the following situa- C. When caring for postpartum patients, the
tions would most likely war- nurse must be familiar with what conditions
rant contact with a physician are common occurrences following delivery
for further orders for care or and what situations warrant a call to the
treatment? physician for further help. Postpartum com-
A. A patient has a 3rd degree plications often include infection, blood clots,
perineal laceration after de- and hemorrhage. Excess bleeding may occur
livery when the uterus is boggy and it does not firm
B. A patient has lost 100 mL up with massage.
of blood with delivery
C. A patient has a boggy
uterus that does not firm with
massage
D. A patient is having rectal
pain
3. Following removal of the A- When CSF leaks out of the epidural space
epidural, the patient devel- a severe headache in the patient can occur. A
ops a severe headache when blood patch can be performed by a physician
she sits up in bed. The physi- to close the site. The small amount of blood
cian has instructed the pa- is withdrawn from the mother's arm and the
tient that she will need a blood clots in the space.
blood patch. Which best de-
, OB NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
scribes this procedure?
A. Removing blood from a
vein in the patient and inject-
ing it into the epidural space
in the back
B. Placement of a large ban-
dage over the site of the
epidural insertion.
C. Replacement of the
epidural catheter into the
same space for long-term
control
D. Placement of a nerve block
in the spinal column at the lo-
cation of the affected epidur-
al space
4. Which of the patients de- C. A patient with a hematoma is at risk of
scribed should the nurse see hemorrhage and the nurse should assess her
first? first
A. 20 yr old patient who
just had her first baby and
doesn't know how to breast-
feed
B. 27 yr old diabetic patient
who delivered her second
child yesterday and needs
her morning dose of insulin
C. 24 yr old patient who
has had a large amount of
lochia and has developed a
hematoma on her perineum
D. 30 yr old patient who
needs to take a shower
and eat breakfast before the
physician comes to dismiss
her
5.
, OB NCLEX TEST QUESTIONS WITH 100% VERIFIED ANSWERS
On the first following deliv- B. A postpartum patient is at risk of hemor-
ery, the physician ordered a rhage following delivery; often the physician
hemoglobin level for the pa- will order a hemoglobin level 1-2 days after
tient; the result was 9.9 g/dL. delivery to check the mother's risk status.
The physician did not list A level of 9.9 g/dL is lower than normal for
any other orders in the pa- a female patient, but is not necessarily low
tient's chart since that time. enough to warrant a blood transfusion.
Which response of the nurse
is most appropriate>
A. call the physician and ask
if he wants a blood transfu-
sion for the patient
B. ask the physician about
the hemoglobin level when
he comes in for rounds
C. Contact the laboratory and
ask them to repeat the test
D. continue to monitor the
patient and document the re-
sult
6. The patient's medical record B- B. Streptococcus can be transferred to the
states that she tested pos- baby during delivery to cause an infection. the
itive for group B Strepto- test for the bacteria is performed at approxi-
coccus infection. which of mately 35 weeks gestation, but antibiotics are
the following precautions typically not given until the mother is in labor
should be given in this situ- to reduce the chance that she will pass the
ation? infection to her child
A. the patient should receive
antibiotics at this time
b. the patient should be given
antibiotics during labor
c. the fetus should receive
antibiotics as a prenatal infu-
sion
d. there is no treatment nec-
essary
7.
