OB NCLEX Questions And Answers
Which wof wthe wfollowing wtasks wmay wbe wdelegated wto wthe wnursing wassistant?
a. wchecking wthe wcervix wof wthe wpatient wwho wis wless wlikely wto wdeliver wsoon
b. wadministering woxygen wto wthe wmother wwho whas wdecreasing woxygen wsaturations
c. wproviding wice wchips wfor wa wmother wwho wcomplains wof wa wdry wmouth
d. wTearing woff wa wstrip wof wpaper wfrom wthe wfetal wheart wrate wmonitor wand wputting wit win wthe wchart w-
wAnswer w- wC- wWhen wworking win wL&D wthe wUAP wcan whelp wwith wADLs. wThey wcannot wbe wdelegated wtasks
wthat wrequire wformulating wa wcare wplan, wtaking woff worders, wor wadministering wmedications
Which wof wthe wfollowing wsituations wwould wmost wlikely wwarrant wcontact wwith wa wphysician wfor wfurther
worders wfor wcare wor wtreatment?
A. wA wpatient whas wa w3rd wdegree wperineal wlaceration wafter wdelivery
B. wA wpatient whas wlost w100 wmL wof wblood wwith wdelivery
C. wA wpatient whas wa wboggy wuterus wthat wdoes wnot wfirm wwith wmassage
D. wA wpatient wis whaving wrectal wpain w- wAnswer w- wC. wWhen wcaring wfor wpostpartum wpatients, wthe wnurse
wmust wbe wfamiliar wwith wwhat wconditions ware wcommon woccurrences wfollowing wdelivery wand wwhat
wsituations wwarrant wa wcall wto wthe wphysician wfor wfurther whelp. wPostpartum wcomplications woften
winclude winfection, wblood wclots, wand whemorrhage. wExcess wbleeding wmay woccur wwhen wthe wuterus wis
wboggy wand wit wdoes wnot wfirm wup wwith wmassage.
Following wremoval wof wthe wepidural, wthe wpatient wdevelops wa wsevere wheadache wwhen wshe wsits wup win
wbed. wThe wphysician whas winstructed wthe wpatient wthat wshe wwill wneed wa wblood wpatch. wWhich wbest
wdescribes wthis wprocedure?
A. wRemoving wblood wfrom wa wvein win wthe wpatient wand winjecting wit winto wthe wepidural wspace win wthe wback
B. wPlacement wof wa wlarge wbandage wover wthe wsite wof wthe wepidural winsertion.
C. wReplacement wof wthe wepidural wcatheter winto wthe wsame wspace wfor wlong-term wcontrol
D. wPlacement wof wa wnerve wblock win wthe wspinal wcolumn wat wthe wlocation wof wthe waffected wepidural wspace
w- wAnswer w- wA- wWhen wCSF wleaks wout wof wthe wepidural wspace wa wsevere wheadache win wthe wpatient wcan
woccur. wA wblood wpatch wcan wbe wperformed wby wa wphysician wto wclose wthe wsite. wThe wsmall wamount wof
wblood wis wwithdrawn wfrom wthe wmother's warm wand wthe wblood wclots win wthe wspace.
Which wof wthe wpatients wdescribed wshould wthe wnurse wsee wfirst?
A. w20 wyr wold wpatient wwho wjust whad wher wfirst wbaby wand wdoesn't wknow whow wto wbreastfeed
,B. w27 wyr wold wdiabetic wpatient wwho wdelivered wher wsecond wchild wyesterday wand wneeds wher wmorning
wdose wof winsulin
C. w24 wyr wold wpatient wwho whas whad wa wlarge wamount wof wlochia wand whas wdeveloped wa whematoma won
wher wperineum
D. w30 wyr wold wpatient wwho wneeds wto wtake wa wshower wand weat wbreakfast wbefore wthe wphysician wcomes
wto wdismiss wher w- wAnswer w- wC. wA wpatient wwith wa whematoma wis wat wrisk wof whemorrhage wand wthe wnurse
wshould wassess wher wfirst
On wthe wfirst wfollowing wdelivery, wthe wphysician wordered wa whemoglobin wlevel wfor wthe wpatient; wthe
wresult wwas w9.9 wg/dL. wThe wphysician wdid wnot wlist wany wother worders win wthe wpatient's wchart wsince wthat
wtime. wWhich wresponse wof wthe wnurse wis wmost wappropriate> w
A. wcall wthe wphysician wand wask wif whe wwants wa wblood wtransfusion wfor wthe wpatient
B. wask wthe wphysician wabout wthe whemoglobin wlevel wwhen whe wcomes win wfor wrounds
C. wContact wthe wlaboratory wand wask wthem wto wrepeat wthe wtest
D. wcontinue wto wmonitor wthe wpatient wand wdocument wthe wresult w- wAnswer w- wB. wA wpostpartum wpatient
wis wat wrisk wof whemorrhage wfollowing wdelivery; woften wthe wphysician wwill worder wa whemoglobin wlevel w1-2
wdays wafter wdelivery wto wcheck wthe wmother's wrisk wstatus. wA wlevel wof w9.9 wg/dL wis wlower wthan wnormal
wfor wa wfemale wpatient, wbut wis wnot wnecessarily wlow wenough wto wwarrant wa wblood wtransfusion.
The wpatient's wmedical wrecord wstates wthat wshe wtested wpositive wfor wgroup wB wStreptococcus winfection.
wwhich wof wthe wfollowing wprecautions wshould wbe wgiven win wthis wsituation?
A. wthe wpatient wshould wreceive wantibiotics wat wthis wtime
b. wthe wpatient wshould wbe wgiven wantibiotics wduring wlabor
c. wthe wfetus wshould wreceive wantibiotics was wa wprenatal winfusion w
d. wthere wis wno wtreatment wnecessary w- wAnswer w- wB- wB. wStreptococcus wcan wbe wtransferred wto wthe wbaby
wduring wdelivery wto wcause wan winfection. wthe wtest wfor wthe wbacteria wis wperformed wat wapproximately w35
wweeks wgestation, wbut wantibiotics ware wtypically wnot wgiven wuntil wthe wmother wis win wlabor wto wreduce wthe
wchance wthat wshe wwill wpass wthe winfection wto wher wchild
When wreviewing winformation wabout winfant wcare, wthe wnurse wshould wexplain wthat wthe wpostpartum
wclient wshould wcall wthe wphysician wif wher winfant wdeveloped wwhich wof wthe wfollowing wconditions?
A. wThe winfant wis wonly wsleeping w4 whours wat wnight
B. wthe wbaby wwants wto weat wevery whour
C. wThe wbaby's wcord whas wnot wfallen woff wwithin w7 wdays
D. wThe wbaby whas wa wdry wmouth w- wAnswer w- wD- wIf wa wbaby whas wdry wmouth wor wdry wmucous wmembranes,
whe wor wshe wcould wbe wdehydrated wand wnot wgetting wenough wto weat.
, Which wof wthe wfollowing wpatients wwould wbe wat whigh wrisk wof wdeveloping wpre-eclampsia? wSelect wall wthat
wapply.
A. wA wpatient wwho wis wpregnant wwith wher w3rd wchild
B. wA wpatient wwho wis wmarried
C. wA wpatient wwho wis w40 wyrs wold
D. wA wpatient wwho wis woverweight
E. wA wpatient wwho wis wpregnant wwith wtwins w- wAnswer w- wC, wD, wE-Pre-eclampsia wis wa wstate wthat wdevelops
wduring wpregnancy win wwhich wa wmother whas whigh wblood wpressure wand wstarts wlosing wprotein winto wthe
wurine.Certain wrisks wthat wincrease wsuch was wa wfirst wtime wpregnancy, wadvanced wmaternal wage,
woverweight wor wobesity win wthe wmother, wand wpregnancy wwith wmultiple wbabies
A whigh wrisk wpregnant wpatient whas whad wa wcomplicated wdelivery wand wis win wthe wrecovery wroom wwith
wactive wbleeding. wThe wphysician whas wordered whetastarch win wsodium wchloride w(Hespan) wIV winfusion.
wWhich wbest wdescribes wthe windications wfor wthis wfluid?
A. wincreasing wplasma wvolume wduring wshock wor wbleeding
B. wCausing wblood wcoagulation wto wpromote wblood wclotting
C. wImproving wcirculation wby wcausing wvasodilation
D. wIncreasing wcardiac wcontractility wto wimprove wcirculation w- wAnswer w- wA- wHetastarch win wsodium
wchloride w(Hespan) wis wa wtype wof wplasma wexpanding wsolution wthat wis wused wto wincrease wthe wvolume wof
wthe wintravascular wsystem wduring wtimes wof wblood wloss. wHespan wis wtypically wused wfor wvolume
wreplacement wto wprevent wcomplications wof wsevere whemorrhage, wsuch was whypovolemic wshock
A wpatient wwith whigh wbp wduring wlabor whas wbeen wgiven wmagnesium wsulfate wIV. wIn waddition wto
wregulation wof wbp, wwhich wof wthe wfollowing wresults wwould wthe wnurse wexpect wto wsee wafter
wadministration wof wthis wmedication?
A. wcool, wpale wskin
B. wConstipation
C. wMuscle wweakness
D. wNeck wpain w- wAnswer w- wC- wAdministration wof wmagnesium wsulfate wis wa wform wof wtreatment wused wfor
wsome wwomen wwho whave wpre-eclampsia wduring wpregnancy wand wlabor. wMagnesium wsulfate wis wgiven
wto wprevent wpreterm wdelivery wbut wit wcan walso wcause wsome wnegative weffects win wthe wmother, wincluding
wmuscle wweakness, wblurred wvision, wheadache, wnausea, wand wvomiting
A wpatient wreceiving wTPN wwith wlipids wthru wa wcentral wline wplaced win wthe wsubclavian wvein. wWhich
wcomplication wis wmost wclosely wassociated wwith wthis wtype wof wfluid wadministration?
A. wFractured wribs
B. wPneumothorax
Which wof wthe wfollowing wtasks wmay wbe wdelegated wto wthe wnursing wassistant?
a. wchecking wthe wcervix wof wthe wpatient wwho wis wless wlikely wto wdeliver wsoon
b. wadministering woxygen wto wthe wmother wwho whas wdecreasing woxygen wsaturations
c. wproviding wice wchips wfor wa wmother wwho wcomplains wof wa wdry wmouth
d. wTearing woff wa wstrip wof wpaper wfrom wthe wfetal wheart wrate wmonitor wand wputting wit win wthe wchart w-
wAnswer w- wC- wWhen wworking win wL&D wthe wUAP wcan whelp wwith wADLs. wThey wcannot wbe wdelegated wtasks
wthat wrequire wformulating wa wcare wplan, wtaking woff worders, wor wadministering wmedications
Which wof wthe wfollowing wsituations wwould wmost wlikely wwarrant wcontact wwith wa wphysician wfor wfurther
worders wfor wcare wor wtreatment?
A. wA wpatient whas wa w3rd wdegree wperineal wlaceration wafter wdelivery
B. wA wpatient whas wlost w100 wmL wof wblood wwith wdelivery
C. wA wpatient whas wa wboggy wuterus wthat wdoes wnot wfirm wwith wmassage
D. wA wpatient wis whaving wrectal wpain w- wAnswer w- wC. wWhen wcaring wfor wpostpartum wpatients, wthe wnurse
wmust wbe wfamiliar wwith wwhat wconditions ware wcommon woccurrences wfollowing wdelivery wand wwhat
wsituations wwarrant wa wcall wto wthe wphysician wfor wfurther whelp. wPostpartum wcomplications woften
winclude winfection, wblood wclots, wand whemorrhage. wExcess wbleeding wmay woccur wwhen wthe wuterus wis
wboggy wand wit wdoes wnot wfirm wup wwith wmassage.
Following wremoval wof wthe wepidural, wthe wpatient wdevelops wa wsevere wheadache wwhen wshe wsits wup win
wbed. wThe wphysician whas winstructed wthe wpatient wthat wshe wwill wneed wa wblood wpatch. wWhich wbest
wdescribes wthis wprocedure?
A. wRemoving wblood wfrom wa wvein win wthe wpatient wand winjecting wit winto wthe wepidural wspace win wthe wback
B. wPlacement wof wa wlarge wbandage wover wthe wsite wof wthe wepidural winsertion.
C. wReplacement wof wthe wepidural wcatheter winto wthe wsame wspace wfor wlong-term wcontrol
D. wPlacement wof wa wnerve wblock win wthe wspinal wcolumn wat wthe wlocation wof wthe waffected wepidural wspace
w- wAnswer w- wA- wWhen wCSF wleaks wout wof wthe wepidural wspace wa wsevere wheadache win wthe wpatient wcan
woccur. wA wblood wpatch wcan wbe wperformed wby wa wphysician wto wclose wthe wsite. wThe wsmall wamount wof
wblood wis wwithdrawn wfrom wthe wmother's warm wand wthe wblood wclots win wthe wspace.
Which wof wthe wpatients wdescribed wshould wthe wnurse wsee wfirst?
A. w20 wyr wold wpatient wwho wjust whad wher wfirst wbaby wand wdoesn't wknow whow wto wbreastfeed
,B. w27 wyr wold wdiabetic wpatient wwho wdelivered wher wsecond wchild wyesterday wand wneeds wher wmorning
wdose wof winsulin
C. w24 wyr wold wpatient wwho whas whad wa wlarge wamount wof wlochia wand whas wdeveloped wa whematoma won
wher wperineum
D. w30 wyr wold wpatient wwho wneeds wto wtake wa wshower wand weat wbreakfast wbefore wthe wphysician wcomes
wto wdismiss wher w- wAnswer w- wC. wA wpatient wwith wa whematoma wis wat wrisk wof whemorrhage wand wthe wnurse
wshould wassess wher wfirst
On wthe wfirst wfollowing wdelivery, wthe wphysician wordered wa whemoglobin wlevel wfor wthe wpatient; wthe
wresult wwas w9.9 wg/dL. wThe wphysician wdid wnot wlist wany wother worders win wthe wpatient's wchart wsince wthat
wtime. wWhich wresponse wof wthe wnurse wis wmost wappropriate> w
A. wcall wthe wphysician wand wask wif whe wwants wa wblood wtransfusion wfor wthe wpatient
B. wask wthe wphysician wabout wthe whemoglobin wlevel wwhen whe wcomes win wfor wrounds
C. wContact wthe wlaboratory wand wask wthem wto wrepeat wthe wtest
D. wcontinue wto wmonitor wthe wpatient wand wdocument wthe wresult w- wAnswer w- wB. wA wpostpartum wpatient
wis wat wrisk wof whemorrhage wfollowing wdelivery; woften wthe wphysician wwill worder wa whemoglobin wlevel w1-2
wdays wafter wdelivery wto wcheck wthe wmother's wrisk wstatus. wA wlevel wof w9.9 wg/dL wis wlower wthan wnormal
wfor wa wfemale wpatient, wbut wis wnot wnecessarily wlow wenough wto wwarrant wa wblood wtransfusion.
The wpatient's wmedical wrecord wstates wthat wshe wtested wpositive wfor wgroup wB wStreptococcus winfection.
wwhich wof wthe wfollowing wprecautions wshould wbe wgiven win wthis wsituation?
A. wthe wpatient wshould wreceive wantibiotics wat wthis wtime
b. wthe wpatient wshould wbe wgiven wantibiotics wduring wlabor
c. wthe wfetus wshould wreceive wantibiotics was wa wprenatal winfusion w
d. wthere wis wno wtreatment wnecessary w- wAnswer w- wB- wB. wStreptococcus wcan wbe wtransferred wto wthe wbaby
wduring wdelivery wto wcause wan winfection. wthe wtest wfor wthe wbacteria wis wperformed wat wapproximately w35
wweeks wgestation, wbut wantibiotics ware wtypically wnot wgiven wuntil wthe wmother wis win wlabor wto wreduce wthe
wchance wthat wshe wwill wpass wthe winfection wto wher wchild
When wreviewing winformation wabout winfant wcare, wthe wnurse wshould wexplain wthat wthe wpostpartum
wclient wshould wcall wthe wphysician wif wher winfant wdeveloped wwhich wof wthe wfollowing wconditions?
A. wThe winfant wis wonly wsleeping w4 whours wat wnight
B. wthe wbaby wwants wto weat wevery whour
C. wThe wbaby's wcord whas wnot wfallen woff wwithin w7 wdays
D. wThe wbaby whas wa wdry wmouth w- wAnswer w- wD- wIf wa wbaby whas wdry wmouth wor wdry wmucous wmembranes,
whe wor wshe wcould wbe wdehydrated wand wnot wgetting wenough wto weat.
, Which wof wthe wfollowing wpatients wwould wbe wat whigh wrisk wof wdeveloping wpre-eclampsia? wSelect wall wthat
wapply.
A. wA wpatient wwho wis wpregnant wwith wher w3rd wchild
B. wA wpatient wwho wis wmarried
C. wA wpatient wwho wis w40 wyrs wold
D. wA wpatient wwho wis woverweight
E. wA wpatient wwho wis wpregnant wwith wtwins w- wAnswer w- wC, wD, wE-Pre-eclampsia wis wa wstate wthat wdevelops
wduring wpregnancy win wwhich wa wmother whas whigh wblood wpressure wand wstarts wlosing wprotein winto wthe
wurine.Certain wrisks wthat wincrease wsuch was wa wfirst wtime wpregnancy, wadvanced wmaternal wage,
woverweight wor wobesity win wthe wmother, wand wpregnancy wwith wmultiple wbabies
A whigh wrisk wpregnant wpatient whas whad wa wcomplicated wdelivery wand wis win wthe wrecovery wroom wwith
wactive wbleeding. wThe wphysician whas wordered whetastarch win wsodium wchloride w(Hespan) wIV winfusion.
wWhich wbest wdescribes wthe windications wfor wthis wfluid?
A. wincreasing wplasma wvolume wduring wshock wor wbleeding
B. wCausing wblood wcoagulation wto wpromote wblood wclotting
C. wImproving wcirculation wby wcausing wvasodilation
D. wIncreasing wcardiac wcontractility wto wimprove wcirculation w- wAnswer w- wA- wHetastarch win wsodium
wchloride w(Hespan) wis wa wtype wof wplasma wexpanding wsolution wthat wis wused wto wincrease wthe wvolume wof
wthe wintravascular wsystem wduring wtimes wof wblood wloss. wHespan wis wtypically wused wfor wvolume
wreplacement wto wprevent wcomplications wof wsevere whemorrhage, wsuch was whypovolemic wshock
A wpatient wwith whigh wbp wduring wlabor whas wbeen wgiven wmagnesium wsulfate wIV. wIn waddition wto
wregulation wof wbp, wwhich wof wthe wfollowing wresults wwould wthe wnurse wexpect wto wsee wafter
wadministration wof wthis wmedication?
A. wcool, wpale wskin
B. wConstipation
C. wMuscle wweakness
D. wNeck wpain w- wAnswer w- wC- wAdministration wof wmagnesium wsulfate wis wa wform wof wtreatment wused wfor
wsome wwomen wwho whave wpre-eclampsia wduring wpregnancy wand wlabor. wMagnesium wsulfate wis wgiven
wto wprevent wpreterm wdelivery wbut wit wcan walso wcause wsome wnegative weffects win wthe wmother, wincluding
wmuscle wweakness, wblurred wvision, wheadache, wnausea, wand wvomiting
A wpatient wreceiving wTPN wwith wlipids wthru wa wcentral wline wplaced win wthe wsubclavian wvein. wWhich
wcomplication wis wmost wclosely wassociated wwith wthis wtype wof wfluid wadministration?
A. wFractured wribs
B. wPneumothorax
