OB Final Review

A 34 week gestation woman call the OB office stating "Since last night I have had three nosebleeds." Which of the following responses by the nurse is appropriate? "You should see the Dr. to make sure you are not becoming anemic." "Do have a fever?" "Hormonal changes of pregnancy makes the nasal passages prone to bleeding." "Do you use any inhaled medications?"

"Hormonal changes of pregnancy makes the nasal passages prone to bleeding"

A client asks what it meant when the midwife told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey?" "It is a purplish stretch mark on your abdomen." "It means you are having heart palpitations." "It is a bluish coloration of your cervix and vagina." "It means the doctor felt your baby move."

"It is a bluish coloration of your cervix and vagina"

The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development? "the fertilized egg has yet to implant into the uterus." "The lung fields are finally completely formed." "The sex of the fetus can be clearly identified." "the eyelids are unfused and begin to open and close."

"The fertilized egg has yet to implant into the uterus"

Four newborns are in the neonatal nursery, none of whom are crying or in distress. Which of the babies should the nurse report to the neonatalogist? 16-hour-old baby who has yet to pass meconium 16-hour-old baby whose blood glucose is 50mg/dL 2-day-old baby who is breathing irregularly at 70 breaths per minute 2-day-old baby who is excreting a milky discharge from both nipples

2-day old baby who is breathing irregularly at 70 breaths per minute

Once oogenesis is complete, the resultant gamete cell contains how many chromosomes? 23 46 47 92

23

Which of the following clients, who are all seeking a family planning method, is the best candidate for the birth control pill? 19-year old with multiple sex partners 27-year old who bottle-feeds her newborn 29-year old who has chronic hypertensions 37-year old who smokes one pack per day

27 year old who bottle-feeds her newborn

A client in labor is talkative and happy. How many cm dilated would a nurse suspect that the client is at this time? 2 cm 4 cm 8 cm 10 cm

2cm

The nurse notes that newborn, who is 5 minutes old, exhibits the characteristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby's Apgar score is? 6 7 8 9

8

A woman is menstruating. If hormonal studies were to be done at this time, which of the following levels would the nurse expect to see? Both estrogen and progesterone are high Estrogen is high and progesterone is low Estrogen is low and progesterone is high Both estrogen and progesterone are low

Both estrogen and progeterone are low

A nurse describes a client's contraction pattern as: frequency every 3 minutes and duration as 60 sec. Which of the following responses corresponds to this description? Contractions lasting 60 seconds followed by a 1-minute rest period Contractions lasting 120 seconds followed by a two-minute rest period Contractions lasting two minutes followed by a 60 second rest period Contractions lasting 1 minute followed by a 120-second rest period

Contractions lasting 1 minute followed by a 120-second rest period

A woman has a history of toxic shock syndrome. Which of the following forms of birth control should be avoided? Diaphragm IUD Birth control pills Depo-provera

Diaphragm

A woman is 36 weeks pregnant. Which of the following tests will be done at her prenatal visit? Glucose challenge test Amniotic fluid volume assessment Group B strep vaginal and rectal cultures Karotype analysis

Group B strep vaginal and rectal cultures

The nurse is assessing the fetal station during a vaginal exam. Which of the following structures should the nurse palpate? Sacral promontory Ischial spines Cervix Symphysis pubis

Ishial spines

During vaginal exam, the nurse palpates fetal buttocks that are facing left posterior and are 1cm above the ischial spines. Which of the following is consistent with this assessment LOA -1 station LSP -1 station LMP +1 station LSA +1 station

LSP - 1 stations

The nurse is educating a group of adolescents regarding STIs. The nurse knows that learning is achieved when a group member states that the most common sign/symptom of STIs is which of the following? Menstrual cramping Heavy menstrual periods Flu-like symptoms Lack of signs of symptoms

Lack of signs of symptoms

A woman seen in the ER, is diagnosed with pelvic inflammatory disease (PID). Before discharge, the nurse should provide the woman with health teaching regarding which of the following? Endometriosis Menopause Ovarian hyperstimulation STIs

STIs

An infertile couple has been diagnosed with endometriosis. She asks the nurse why that condition has made her infertile. Which of the following explanations is appropriate for the nurse to make? "Scarring surrounds the ends of your tubes, preventing the eggs from being fertilized by sperm." "You are probably producing insufficient amounts of FSH needed to mature an egg every month." "Inside your uterus is a benign tumor that makes it impossible for the fertilized egg to implant." "You have a chronic infection of the vaginal tract that makes the secretions hostile to your partner's sperm."

Scarring surrounds the ends of your tubes preventing the egss from being fertilized by sperm

It is day 17 of a woman's menstrual cycle. She is complaining of breast tenderness and pain in her lower left quadrant. The woman states that her cycle is usually 31 days long. Which of the following is an appropriate reply by the nurse? "You are probably ovulating." "Your hormone levels should be checked." "You will probably menstruate early this cycle." "Your breast changes are a worrisome sign."

You are probably ovulating

A mother, who gave birth 5 minutes ago, states that she would like to breastfeed. The baby's Apgar score is 9/9. Which of the following actions should the nurse perform first? Assist the woman to breastfeed Dress the baby in a shirt and diaper Administer antibiotic eye ointment Takes the baby's rectal temperature

assist the woman to breastfeed

A 36-week gestation pregnant mom lies flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe? Hypertension Dizziness Rales Heart palpitations

dizziness

A 29-week gestation woman is diagnosed with severe preeclampsia with HELLP syndrome. The nurse will assess for which of the following signs? Low serum creatinine High serum protein Bloody stools Epigastric pain

epigastric pain

A nurse is educating a group of women about osteoporosis. The nurse should include in her discussion that which of the following is a risk factor for the disease process? Multiparity Increased body weight Late onset menopause Heavy alcohol intake

heave alcohol intake

A woman has been diagnosed with primary syphilis. Which of the following physical findings would the nurse expect to see? Cluster of vesicles Pain-free lesion Macular rash Foul-smelling discharge

pain-free lesions

An ultrasound report states "the fetal head has entered the pelvic inlet." What does the nurse interpret this to mean? The fetus has become engaged The fetus has entered the true pelvis The fetal head is horizontal The fetus is in the extended attitude

the fetus has become engaged

A pregnant woman must have a glucose tolerance test. Which of the following should be included in the pre-procedure teaching? Fast for 12 hours before the test Bring a urine sample to the lab on the day of the test Be prepared to have 4 blood samples taken on the day of the test The test should take one hour to complete

the test should take one hour to complete

A 12 week gestation client tells the nurse that she and her husband eat sushi at least once a week. She states "I know fish is good for me so I try to eat it regularly." Which of the responses by the nurse is appropriate? "You are correct. Fish is healthy for you." "You can eat fish but sushi is too salty for pregnancy." "Sushi is general raw. Raw fish is especially high is mercury." "It is recommended that fish be cooked to destroy harmful bacteria."

"It is recommended that fish be cooked to destroy harmful bacteria"

A woman whose prenatal weight was 105 lbs weighs 109 lbs at her 12 week visit. Which of the following comments by the nurse is appropriate at this time? "We expect you to gain one pound per week so your weight gain is low at this point." "Most women gain no weight during the first trimester, so I suggest you eat fewer desserts for the next few weeks." "You entered pregnancy well under weight so I suggest you check your diet to make sure you are getting the nutrients you need." "your weight gain is exactly what we would expect at this point."

"your weight gain is exactly what we would expect at this point"