OB exam #4 questions and answers 2024\2025 A+
Grade
What statement made by a primiparous patient 4 hours post-delivery requires further assessment by
the nurse?
A: "Is it normal for it to burn when I go pee?"
B: "My uterus is cramping really bad."
C: "I think I want to try breastfeeding."
D: "Will you take the baby to the nursery so I can nap?"
- correct answer B
A G4P4 patient who is 6 hours post-delivery is complaining of severe cramp-like uterine pains. What is a
therapeutic nursing response?
A: "The cramping should go away when you start breastfeeding."
B: "The pains are caused by your uterus contracting and should get better in a few days."
C: "Afterpains are usually the worse with your first baby."
D: "The contractions will subside over the next 6 weeks as your uterus goes back to its normal size."
- correct answer B
A G6P5 patient who is 24-hours post vaginal delivery reports severe cramp-like uterine pain. What is the
priority nursing intervention for this patient?
A: Document the pain score in the electronic medical record.
B: Assess the perineum for a vaginal hematoma.
C: Encourage warm packs to the abdomen.
D: Notify the healthcare provider STAT.
- correct answer C
A multiparous patient asks the nurse why she is feeling contractions 8 hours after giving birth. What
information should the nurse include in her teaching? Select all that apply.
,A: "The intensity of the afterpains should decrease in a few days."
B: "The pains are from your abdominal muscles stretching during pregnancy."
C: "You probably don't remember feeling afterpains after your first baby."
D: "The afterpains are more intense because you are not breastfeeding."
E: "Because you had Pitocin during labor, you will feel more contractions after delivery."
- correct answer A, C
A postpartum nurse is caring for a G1P1 patient 24 hours post-vaginal delivery. What is the priority
action for the nurse when preparing to assess for uterine involution?
A: Assist the woman to a supine.
B: Instruct the woman to void.
C: Reassure the woman that she will not feel pain during the procedure.
D: Notify the woman that you will be visualizing her perineum.
- correct answer B
During routine assessment, a nurse caring for a postpartum patient notes the uterus is shifted to the
side. What is the priority nursing action?
A: Notify the physician or midwife.
B: Document the findings in the electronic medical record.
C: Perform gentle fundal massage.
D: Assist the woman to the bathroom.
- correct answer D
A nurse is caring for a patient who gave birth 30 minutes ago. Upon fundal assessment, the nurse notes
moderate vaginal bleeding and a boggy uterus that does not respond to fundal massage. What is the
priority nursing action?
A: Continue fundal massage.
B: Document the findings and reassess in 5 to 10 minutes.
C: Increase IV Oxytocin rate.
D: Administer misoprostol 600mg rectally.
- correct answer C
,A patient on the postpartum unit reports passing an egg-sized clot. What are the priority nursing
interventions for this patient? Select all that apply.
A: Weigh the clot.
B: Report the findings to the physician or midwife.
C: Assist the patient to the bathroom.
D: Administer Oxytocin 10U IM.
E: Call for rapid response.
- correct answer A, B
A postpartum nurse caring for a patient 3 days post-delivery notes brown vaginal discharge. How should
the nurse document this finding in the electronic health record?
A: Lochia rubra
B: Lochia serosa
C: Lochia alba
D: Brown vaginal discharge
- correct answer B
A postpartum nurse is caring for multiple patients on the mother-baby unit. Which patient should the
nurse evaluate first?
A: A G1P1 who gave birth 30 minutes ago and reports uncontrollable shaking
B: A G6P5 who gave birth 6 hours ago and reports passing a basketball-sized blood clot
C: A G3P1 who is 3 days post-op cesarean section and reports cracked and bloody nipples
D: A G2P1 who is 2 days post-op cesarean section and reports 7/10 abdominal pain
- correct answer B
A postpartum nurse is caring for multiple patients on the mother-baby unit. Which task can the nurse
delegate to the Licensed Practical Nurse (LPN)?
A: Re-admit a patient 2 weeks post-op cesarean section with an infection
B: A G1P1 needing discharge teaching
C: A G2P1 who gave birth yesterday and has moderate lochia rubra
D: A G6P6 2 days post-op cesarean section at 34 weeks gestation
- correct answer C
, The nurse has just completed discharge teaching for a primiparous patient. Which statement by the
patient indicates to the nurse understanding of discharge instructions following vaginal delivery of a
term infant?
A: "I will call my doctor if my uterus is squishy when I massage it."
B: "I will experience heavy bleeding for the first week"
C: "I should change my peripad twice a day."
D: "I might notice a foul smell to my discharge."
- correct answer A
The postpartum nurse is caring for a patient who gave birth vaginally 2 hours ago. The nurse notices
continued heavy bleeding with firm fundal tone. What nursing action is a priority for this patient?
A: Assess for the presence of a vaginal hematoma
B: Perform vigorous fundal massage
C: Manually extract retained placental fragments
D: Document the findings as within normal limits
- correct answer A
The postpartum nurse is caring for a patient with an anterior laceration following the vaginal delivery of
a 9 lb infant. What information is a priority for the nurse to include in her teaching?
A: "You might have difficulty with bowel movement because of the tear."
B: "Make sure you take a stool softener and laxative at home."
C: "You may experience difficulty with urination because of swelling."
D: "You will probably experience mild pain for a few days."
- correct answer C
A nurse is educating a patient on the mother-baby unit about breastfeeding. Which statements made by
the patient indicate need for further teaching? Select all that apply.
A: "During the first 24 hours postpartum, my breasts should be soft and non-tender."
B: "Colostrum gives my baby protection from viruses and bacteria."
C: "Colostrum is thick and whitish in color."
D: "Colostrum has more carbohydrates than breast milk."
Grade
What statement made by a primiparous patient 4 hours post-delivery requires further assessment by
the nurse?
A: "Is it normal for it to burn when I go pee?"
B: "My uterus is cramping really bad."
C: "I think I want to try breastfeeding."
D: "Will you take the baby to the nursery so I can nap?"
- correct answer B
A G4P4 patient who is 6 hours post-delivery is complaining of severe cramp-like uterine pains. What is a
therapeutic nursing response?
A: "The cramping should go away when you start breastfeeding."
B: "The pains are caused by your uterus contracting and should get better in a few days."
C: "Afterpains are usually the worse with your first baby."
D: "The contractions will subside over the next 6 weeks as your uterus goes back to its normal size."
- correct answer B
A G6P5 patient who is 24-hours post vaginal delivery reports severe cramp-like uterine pain. What is the
priority nursing intervention for this patient?
A: Document the pain score in the electronic medical record.
B: Assess the perineum for a vaginal hematoma.
C: Encourage warm packs to the abdomen.
D: Notify the healthcare provider STAT.
- correct answer C
A multiparous patient asks the nurse why she is feeling contractions 8 hours after giving birth. What
information should the nurse include in her teaching? Select all that apply.
,A: "The intensity of the afterpains should decrease in a few days."
B: "The pains are from your abdominal muscles stretching during pregnancy."
C: "You probably don't remember feeling afterpains after your first baby."
D: "The afterpains are more intense because you are not breastfeeding."
E: "Because you had Pitocin during labor, you will feel more contractions after delivery."
- correct answer A, C
A postpartum nurse is caring for a G1P1 patient 24 hours post-vaginal delivery. What is the priority
action for the nurse when preparing to assess for uterine involution?
A: Assist the woman to a supine.
B: Instruct the woman to void.
C: Reassure the woman that she will not feel pain during the procedure.
D: Notify the woman that you will be visualizing her perineum.
- correct answer B
During routine assessment, a nurse caring for a postpartum patient notes the uterus is shifted to the
side. What is the priority nursing action?
A: Notify the physician or midwife.
B: Document the findings in the electronic medical record.
C: Perform gentle fundal massage.
D: Assist the woman to the bathroom.
- correct answer D
A nurse is caring for a patient who gave birth 30 minutes ago. Upon fundal assessment, the nurse notes
moderate vaginal bleeding and a boggy uterus that does not respond to fundal massage. What is the
priority nursing action?
A: Continue fundal massage.
B: Document the findings and reassess in 5 to 10 minutes.
C: Increase IV Oxytocin rate.
D: Administer misoprostol 600mg rectally.
- correct answer C
,A patient on the postpartum unit reports passing an egg-sized clot. What are the priority nursing
interventions for this patient? Select all that apply.
A: Weigh the clot.
B: Report the findings to the physician or midwife.
C: Assist the patient to the bathroom.
D: Administer Oxytocin 10U IM.
E: Call for rapid response.
- correct answer A, B
A postpartum nurse caring for a patient 3 days post-delivery notes brown vaginal discharge. How should
the nurse document this finding in the electronic health record?
A: Lochia rubra
B: Lochia serosa
C: Lochia alba
D: Brown vaginal discharge
- correct answer B
A postpartum nurse is caring for multiple patients on the mother-baby unit. Which patient should the
nurse evaluate first?
A: A G1P1 who gave birth 30 minutes ago and reports uncontrollable shaking
B: A G6P5 who gave birth 6 hours ago and reports passing a basketball-sized blood clot
C: A G3P1 who is 3 days post-op cesarean section and reports cracked and bloody nipples
D: A G2P1 who is 2 days post-op cesarean section and reports 7/10 abdominal pain
- correct answer B
A postpartum nurse is caring for multiple patients on the mother-baby unit. Which task can the nurse
delegate to the Licensed Practical Nurse (LPN)?
A: Re-admit a patient 2 weeks post-op cesarean section with an infection
B: A G1P1 needing discharge teaching
C: A G2P1 who gave birth yesterday and has moderate lochia rubra
D: A G6P6 2 days post-op cesarean section at 34 weeks gestation
- correct answer C
, The nurse has just completed discharge teaching for a primiparous patient. Which statement by the
patient indicates to the nurse understanding of discharge instructions following vaginal delivery of a
term infant?
A: "I will call my doctor if my uterus is squishy when I massage it."
B: "I will experience heavy bleeding for the first week"
C: "I should change my peripad twice a day."
D: "I might notice a foul smell to my discharge."
- correct answer A
The postpartum nurse is caring for a patient who gave birth vaginally 2 hours ago. The nurse notices
continued heavy bleeding with firm fundal tone. What nursing action is a priority for this patient?
A: Assess for the presence of a vaginal hematoma
B: Perform vigorous fundal massage
C: Manually extract retained placental fragments
D: Document the findings as within normal limits
- correct answer A
The postpartum nurse is caring for a patient with an anterior laceration following the vaginal delivery of
a 9 lb infant. What information is a priority for the nurse to include in her teaching?
A: "You might have difficulty with bowel movement because of the tear."
B: "Make sure you take a stool softener and laxative at home."
C: "You may experience difficulty with urination because of swelling."
D: "You will probably experience mild pain for a few days."
- correct answer C
A nurse is educating a patient on the mother-baby unit about breastfeeding. Which statements made by
the patient indicate need for further teaching? Select all that apply.
A: "During the first 24 hours postpartum, my breasts should be soft and non-tender."
B: "Colostrum gives my baby protection from viruses and bacteria."
C: "Colostrum is thick and whitish in color."
D: "Colostrum has more carbohydrates than breast milk."
