ESTUDYR
OB FINAL UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. The nurse is reviewing the record of a pregnant client seen for the first prenatal visit. Which data
would alert the nurse that the client is at risk for a spontaneous abortion?
A. History of hypertension
B. History of syphilis
✅C. History of syphilis
D. Previous cesarean section
Rationale: A history of syphilis is a significant risk factor for spontaneous abortion due to its potential to
cross the placenta and affect fetal development.
2. Which assessment findings predispose a client to an ectopic pregnancy? Select all that apply.
A. History of endometriosis
✅B. Use of fertility medications
✅C. History of pelvic inflammatory disease (PID)
✅D. Use of an intrauterine device (IUD)
✅E. History of Chlamydia infection
Rationale: PID, Chlamydia, IUD use, and fertility treatments all increase the risk of ectopic pregnancy by
causing damage or blockage in the fallopian tubes.
3. A client is at her first prenatal visit. Which historical data places her at risk for gestational diabetes?
A. Previous miscarriage
✅B. Previous baby weighing 10 pounds
C. Maternal age under 25
D. Vegetarian diet
Rationale: A history of a macrosomic (large) baby is a red flag for gestational diabetes in subsequent
pregnancies due to glucose metabolism issues.
4. A pregnant diabetic client asks about insulin changes during pregnancy. What is the best response
by the nurse?
,ESTUDYR
A. "Insulin needs remain the same throughout pregnancy."
✅B. "Insulin requirements increase during the second half of pregnancy."
C. "You’ll need to reduce insulin to prevent hypoglycemia."
D. "Oral hypoglycemics will be used instead of insulin."
Rationale: Hormonal changes in the second and third trimesters increase insulin resistance, thus
requiring increased insulin.
5. A home care nurse is monitoring a client with mild preeclampsia. What is the priority nursing
intervention?
A. Monitor maternal heart rate
B. Check urine color
✅C. Monitor for fetal movement
D. Encourage daily walks
Rationale: Monitoring fetal movement helps assess fetal well-being and oxygenation status, which may
be compromised in preeclampsia.
6. A pregnant client with severe preeclampsia is being admitted. Which nursing intervention is most
important?
A. Encourage family visitation
✅B. Reduce external stimuli
C. Elevate the head of bed 90 degrees
D. Promote ambulation every hour
Rationale: Reducing external stimuli helps prevent seizures associated with eclampsia by minimizing
environmental triggers.
7. Which is the most appropriate room assignment for a client with severe preeclampsia?
A. A shared room with a stable postpartum client
✅B. A private room two doors from the nurses’ station
C. A room with a cardiac monitor
D. A room across from the waiting area
Rationale: A private room near the nurse's station allows for close monitoring and minimizes
noise/stimulation.
, ESTUDYR
8. The nurse is educating a pregnant client with gestational diabetes. Which are appropriate teaching
points? Select all that apply.
✅A. Weekly nonstress tests begin at 32 weeks
✅B. Referral to a dietitian for nutritional counseling
C. Bed rest is recommended after 30 weeks
D. Avoid all carbohydrate intake
Rationale: NSTs monitor fetal well-being in high-risk pregnancies, and dietitians help develop an
appropriate meal plan. Carb restriction must be balanced, not eliminated.
9. A nurse is preparing care items for a preeclamptic client on magnesium sulfate. What is the priority
item to have available?
A. Seizure pads
✅B. Calcium gluconate injection
C. Oxygen tubing
D. Blood pressure cuff
Rationale: Calcium gluconate is the antidote for magnesium toxicity, which can cause respiratory
depression and cardiac arrest.
10. A 36-week pregnant woman feels dizzy while fundal height is measured. What causes this?
A. Hypoglycemia
✅B. Compression of the inferior vena cava
C. Fetal movement
D. Supine hypertension from high blood pressure
Rationale: Supine hypotension syndrome occurs due to compression of the inferior vena cava when
lying flat, decreasing venous return.
11. Which statement by a 16-year-old client with gestational hypertension requires immediate follow-
up?
A. “I have mild swelling in my ankles.”
B. “Sometimes my urine looks foamy.”
✅C. “My vision has been really fuzzy for two days.”
D. “I’ve gained 1 pound this week.”
OB FINAL UPDATED EXAM WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. The nurse is reviewing the record of a pregnant client seen for the first prenatal visit. Which data
would alert the nurse that the client is at risk for a spontaneous abortion?
A. History of hypertension
B. History of syphilis
✅C. History of syphilis
D. Previous cesarean section
Rationale: A history of syphilis is a significant risk factor for spontaneous abortion due to its potential to
cross the placenta and affect fetal development.
2. Which assessment findings predispose a client to an ectopic pregnancy? Select all that apply.
A. History of endometriosis
✅B. Use of fertility medications
✅C. History of pelvic inflammatory disease (PID)
✅D. Use of an intrauterine device (IUD)
✅E. History of Chlamydia infection
Rationale: PID, Chlamydia, IUD use, and fertility treatments all increase the risk of ectopic pregnancy by
causing damage or blockage in the fallopian tubes.
3. A client is at her first prenatal visit. Which historical data places her at risk for gestational diabetes?
A. Previous miscarriage
✅B. Previous baby weighing 10 pounds
C. Maternal age under 25
D. Vegetarian diet
Rationale: A history of a macrosomic (large) baby is a red flag for gestational diabetes in subsequent
pregnancies due to glucose metabolism issues.
4. A pregnant diabetic client asks about insulin changes during pregnancy. What is the best response
by the nurse?
,ESTUDYR
A. "Insulin needs remain the same throughout pregnancy."
✅B. "Insulin requirements increase during the second half of pregnancy."
C. "You’ll need to reduce insulin to prevent hypoglycemia."
D. "Oral hypoglycemics will be used instead of insulin."
Rationale: Hormonal changes in the second and third trimesters increase insulin resistance, thus
requiring increased insulin.
5. A home care nurse is monitoring a client with mild preeclampsia. What is the priority nursing
intervention?
A. Monitor maternal heart rate
B. Check urine color
✅C. Monitor for fetal movement
D. Encourage daily walks
Rationale: Monitoring fetal movement helps assess fetal well-being and oxygenation status, which may
be compromised in preeclampsia.
6. A pregnant client with severe preeclampsia is being admitted. Which nursing intervention is most
important?
A. Encourage family visitation
✅B. Reduce external stimuli
C. Elevate the head of bed 90 degrees
D. Promote ambulation every hour
Rationale: Reducing external stimuli helps prevent seizures associated with eclampsia by minimizing
environmental triggers.
7. Which is the most appropriate room assignment for a client with severe preeclampsia?
A. A shared room with a stable postpartum client
✅B. A private room two doors from the nurses’ station
C. A room with a cardiac monitor
D. A room across from the waiting area
Rationale: A private room near the nurse's station allows for close monitoring and minimizes
noise/stimulation.
, ESTUDYR
8. The nurse is educating a pregnant client with gestational diabetes. Which are appropriate teaching
points? Select all that apply.
✅A. Weekly nonstress tests begin at 32 weeks
✅B. Referral to a dietitian for nutritional counseling
C. Bed rest is recommended after 30 weeks
D. Avoid all carbohydrate intake
Rationale: NSTs monitor fetal well-being in high-risk pregnancies, and dietitians help develop an
appropriate meal plan. Carb restriction must be balanced, not eliminated.
9. A nurse is preparing care items for a preeclamptic client on magnesium sulfate. What is the priority
item to have available?
A. Seizure pads
✅B. Calcium gluconate injection
C. Oxygen tubing
D. Blood pressure cuff
Rationale: Calcium gluconate is the antidote for magnesium toxicity, which can cause respiratory
depression and cardiac arrest.
10. A 36-week pregnant woman feels dizzy while fundal height is measured. What causes this?
A. Hypoglycemia
✅B. Compression of the inferior vena cava
C. Fetal movement
D. Supine hypertension from high blood pressure
Rationale: Supine hypotension syndrome occurs due to compression of the inferior vena cava when
lying flat, decreasing venous return.
11. Which statement by a 16-year-old client with gestational hypertension requires immediate follow-
up?
A. “I have mild swelling in my ankles.”
B. “Sometimes my urine looks foamy.”
✅C. “My vision has been really fuzzy for two days.”
D. “I’ve gained 1 pound this week.”
