1. A 30-year old gravida 2, para 1 client is admitted to the hospital at 26-weeks gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of this drug?
a. Maternal blood pr...
OB/Maternity Practice Exam Questions
& Answers
1. A 30-year old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of this drug?
a. Maternal blood pressure and respirations.
b. Maternal and fetal heart rates.
c. Hourly urinary output.
d. Deep tendon reflexes. - ANSWERSB
2. During labor, the nurse determines that a full-term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing actions?
(Place the first action on top and last action on the bottom.)
a. Reposition the client.
b. Call the healthcare provider.
c. Increase IV fluid.
d. Provide oxygen via face mask. - ANSWERSA, C, D, B
3. A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates underlying
uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high.
Based on these data, which intervention should the nurse implement first?
a. Provide oral hydration.
b. Have a complete blood count (CBC) drawn.
c. Obtain a specimen for urine analysis.
d. Place the client on strict bedrest. - ANSWERSC
4. A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
she could use a home pregnancy test to diagnose pregnancy. Which response is
appropriate?
a. "A home pregnancy test can be used right after your first missed period."
b. "These tests are most accurate after you have missed your second period."
c. "Home pregnancy tests often give false positives and should not be trusted."
d. "The test can provide accurate information when used right after ovulation." -
ANSWERSA
,5. When evaluating maternal bonding, which of the following maternal behaviors
exhibited by the client would the nurse most likely expect to see when a new mother
receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines the infant
completely.
b. Her arms and hands receive the infant and she then traces the infant's profile with her
fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant to her own
body.
d. She eagerly reaches for the infant and then holds the infant close to her own body. -
ANSWERSB
6. The nurse is performing a gestational age assessment on a full-term newborn during
the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment,
the nurse determines that the neonate has a maturity rating of 40-weeks. What findings
should the nurse identify to determine if the neonate is small for gestational age (SGA)?
(Select all that apply.)
a. Admission weight of 4 pounds, 15 ounces ( 2244 grams).
b. Head to heel length of 17 inches (42.5 cm).
c. Frontal occipital circumference of 12.5 inches (31.25 cm).
d. Skin smooth with visible veins and abundant vernix.
e. Anterior plantar crease and smooth heel surfaces.
f. Full flexion of all extremities in resting supine position. - ANSWERSA, B, C
7. When assessing a client who is at 12-weeks gestation, the nurse recommends that
she and her husband consider attending childbirth preparation classes. When is the
best time for the couple to attend these classes?
a. At 16-weeks gestation.
b. At 20-weeks gestation.
c. At 24-weeks gestation.
At 30-weeks gestation. - ANSWERSD
8. A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which response is best for the nurse provide?
"Weigh the baby daily, and if she is gaining weight, she is eating enough."
"Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day."
"Offer the baby extra bottle milk after her feeding, and see if she is still hungry."
"If you're concerned, you might consider bottle feeding so that you can monitor her
intake." - ANSWERSB
, 9. A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to augment labor.
Which adverse effect should the nurse monitor for during the infusion of Pitocin?
a. Dehydration.
b. Hyperstimulation.
c. Galactorrhea.
d. Fetal tachycardia. - ANSWERSB
10. The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates
the occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception?
a. Between the time the temperature falls and rises.
b. Between 36 and 48 hours after the temperature rises.
c. When the temperature falls and remains low for 36 hours.
d. Within 72 hours before the temperature falls. - ANSWERSA
11. A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the nurse is
best?
a. "This is not an unusual shaped head, especially for a first baby."
b. "It may look funny to you, but newborn babies are often born with heads like your
baby's."
c. "That is normal; the head will return to a round shape within 7 to 10 days."
d. "Your pelvis was too small, so the baby's head had to adjust to the birth canal." -
ANSWERSC
12. A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin)
to augment early labor. Which pattern of contractions should alert the nurse to
discontinue the oxytocin infusion?
a. Transition labor with contractions every 2 minutes, lasting 90 seconds each.
b. Early labor with contractions every 5 minutes, lasting 40 seconds each.
c. Active labor with contractions every 31 minutes, lasting 60 seconds each.
d. Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each. -
ANSWERSA
13. The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare provider?
a. Yellowish tinge to the skin.
b. Babinski reflex present bilaterally.
c. Pink papular rash on the face.
d. Moro reflex noted after a loud noise. - ANSWERSA
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