OB MATERNAL NEWBORN PROCTORED
LATEST 2024 WITH UPDATED QUESTIONS
AND DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADYGRADED A+)
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an
amniocentesis. Which test assesses fetal lung maturity?
A. Alpha-fetoprotein (AFP)
B. Lecithin/sphingomyelin (L/S) ratio
C. Kleinbauer-Betke test
D. Indirect Coombs test - ANSWER-B. Lecithin/sphingomyelin (L/S) ratio
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which
statement should nurse include in the teaching?
A. You will lay on your right side during
B. You should be NPO for 24hrs before
C. You should empty your bladder prior
D. The test is done to determine gestational age - ANSWER-C. You should empty your
bladder prior
A nurse in the emergency department is caring for a client who reports abrupt sharp
right sided lower quadrant abdominal pain and bright red vaginal bleeding. The client
states she missed one menstrual cycle and can't be pregos bc she has an intrauterine
device. Which should the nurse expect?
A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. hydatidiform mole - ANSWER-B. Ectopic pregnancy
A nurse is providing care for a client who is at 32 weeks gestation and who has a
placenta previa. The nurse notes active bleeding. Which medication should be
prescribed?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - ANSWER-A. Betamethasone
A nurse is in prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension the client asked the nurse what causes these
episodes which of the following responses should the nurse make
A. This is due to an increase in blood volume
2 | P a g e
B. This is due to pressure from the uterus on the diaphragm
C. This is due to the weight of the uterus on the vena cava
D. This is due to increased cardiac output - ANSWER-C. This is due to the weight of the
uterus on the vena cava
A nurse is caring for a client who is pregnant and reviewing signs of complications the
client should report to the provider. Which of the following signs should the nurse
include in the teaching?
A. Vaginal bleeding
B. Swelling ankles
C. Heartburn after eating
D. Lightheadedness when supine - ANSWER-A. Vaginal bleeding
A nurse is reviewing postpartum nutrition needs with a group of new mothers who are
breastfeeding. Which statement indicates an understanding of the teaching?
A. I'm glad I can have morning coffee
B. I should take folic acid to increase my milk supply
C. I will continue adding 330 calories per day to my diet
D. I will continue my calcium supplements because I dont like milk - ANSWER-D. I will
continue my calcium supplements because I dont like milk
A nurse is reviewing findings of a client biophysical profile. Which of the following
variables should be included in the test? SATA
A. Fetal weight
B, Fetal breathing movement
C. Fetal position
D. Amniotic fluid volume - ANSWER-B, C, E
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