OB Final Review

The nurse is assessing a patient who has been admitted for preeclampsia. Which findings would indicate severe features of preeclampsia? Select all that apply. A. BP 158/98 B. PLT 99,000 C. Severe headache D. Visual changes E. Non-pitting edema of lower extremities

B. PLT 99,000 C. Severe headache D. Visual changes

The nurse understands that which of the following is a reason women stop breastfeeding before the eighth week? A. Engorgement B. Painful nipples C. Mastitis D. Thrush

B. Painful nipples

A couple visiting the clinic voiced their concern that their unborn baby might have trisomy 21 at birth. Which test would the nurse recommend for this couple? A. Carrier testing B. Prenatal testing C. Newborn screening D. Preimplantation testing

B. Prenatal testing

A female client with endometriosis reports painful menstruation. The nurse knows this symptom is associated with which menstrual abnormality? A. Primary dysmenorrhea B. Secondary dysmenorrhea C. Premenstrual syndrome D. Oligomenorrhea

B. Secondary dysmenorrhea

The nurse is recalling the steps in cell division, beginning at conception and ending with fetal development. List the following steps in order of development: Embryo Zygote Blastocyst Fetus

Zygote Blastocyst Embryo Fetus

A gravid female has bacterial vaginosis. Which pregnancy complication would the nurse educate the client to watch for? A. Preterm labor B. Oligohydramnios C. Placental abruption D. Polyhydramnios

A. Preterm labor

How many chromosomes are present in the human cell?

46

The nurse is teaching a female client who desires pregnancy about the female reproductive cycle. Which are the main sites of regulation of the menstrual cycle? Select all that apply. A. Hypothalamus B. Posterior pituitary C. Ovaries D. Adrenal glands E. Hippocampus

A. Hypothalamus C. Ovaries

The nurse is planning to assess a neonate born at 25 weeks. Which would be an expected assessment finding? Select all that apply. A. Hypotonic muscles B. Creases on feet C. Skin is pale D. Lack of lanugo E. Fused eyelids

A. Hypotonic muscles E. Fused eyelids

The postpartum nurse is preparing to administer Rho (D) immune globulin (RhoGAM) to a post-cesarean section client on the mother-baby unit. What statements made by the client indicate an understanding of RhoGAM? Select all that apply A. I need this because my blood type is Rh negative and my baby is Rh positive B. I will avoid pregnancy for 4 weeks C. This med will help protect my future babies D. I only need this once in my lifetime E. I need to receive RhoGam within 48 hours of giving birth

A. I need this because my blood type is Rh negative and my baby is Rh positive C. This med will help protect my future babies

Which antepartum condition puts a client at risk for disseminated intravascular coagulation? A. Preeclampsia B. Thrombophlebitis C. Placenta Previa D. Hyperemesis gravidarum

A. Preclampsia

The nurse is teaching the new pregnant mother about the placenta and its many roles in fetal development. Which statements show an understanding of the hormones the placenta produces? Select all that apply. A. Progesterone is the hormone that makes you feel bloated B. Testosterone is only produced if you are having a boy C. hCG doubles or triples the longer you are pregnant D. Human placental lactogen helps in the production of breast milk E. Estrogen is the reason for my pregnancy glow

A. Progesterone is the hormone that makes you feel bloated D. Human placental lactogen helps in the production of breast milk E. Estrogen is the reason for my pregnancy glow

Which is an appropriate assistance the nurse can provide to the couple who found out during pregnancy that their child has a genetic disorder? Select all that apply. A. Provide credible websites containing info specific about the genetic disorder B. Leave the couple be C. Encourage them to communicate with one another D. Find a support group for the couple E. Ask closed-ended questions

A. Provide credible websites containing info specific about the genetic disorder C. Encourage them to communicate with one another D. Find a support group for the couple

Which statements indicate a phenotype? Select all that apply A. The child has brown hair B. Wow, he sounds exactly like his father C. She has the most beautiful blue eyes D. I carry the mutation in my genes for diabetes E. He is short like his mother

A. The child has brown hair B. Wow, he sounds exactly like his father C. She has the most beautiful blue eyes E. He is short like his mother

When assessing the newborn, the nurse notes two vessels in the umbilical cord. What should the nurse do next? A. Call the pediatrician B. Start an IV on the infant C. Check the infant's pulse oximetry D. Listen to the infant's heart sounds

A. call the pediatrician

The labor and delivery unit has had four patients admitted for preterm labor. The nurse recognizes that which patient is not a candidate for tocolysis? A. G1P0 at 33 weeks gestation with a UTI B. G3P1 at 30 weeks gestation with placental abruption C. G4P3 at 34 weeks gestation with positive group B strep D. G1P0 at 35 weeks with diabetes and amniocentesis confirming immaturity of the fetal lungs

B. G3P1 at 30 weeks gestation with placental abruption

A male client is seen at the provider's office for infertility. Which issue would the nurse disregard as a possible cause of male infertility? A. Attending daily cycling classes at the local gym B. Having an overweight body mass index (BMI) C. Smoking two to three cigarettes a day D. Taking a calcium channel blocker for hypertension

B. Having an overweight body mass index (BMI)

Which response by a postpartum client indicates to the nurse the client understands uterine involution? Select all that apply. A. My uterus will stay this big until I get my period again B. It will take between 6 and 8 weeks for my uterus to return to the normal size C. Contractions will cause my uterus to shrink D. In about 7 week I won't be able to feel my uterus E. If there are any complications like infection, my uterus won't shrink as much

B. It will take between 6 and 8 weeks for my uterus to return to the normal size C. Contractions will cause my uterus to shrink E. If there are any complications like infection, my uterus won't shrink as much

A woman experiencing preterm labor has an order for betamethasone. Which statement is correct regarding antenatal corticosteroids? Select all that apply A. They reduce the risk of GBS sepsis in a newborn B. Most beneficial from 24-34 weeks C. Accelerate fetal lung maturity D. Reduce risk of necrotizing enterocolitis in neonates E. Decrease contractility of uterus

B. Most beneficial from 24-34 weeks C. Accelerate fetal lung maturity D. Reduce risk of necrotizing enterocolitis in neonates

A breastfeeding mother is planning to return to work and asks the nurse how to store her breast milk. What is the best response by the nurse? A. Keep the milk warm in a thermos at your desk B. You can store the milk for 6 to 8 hours at room temp C. Expressed milk can remain in the fridge for a month D. Do not store breast milk in a freezer as it damages the milk proteins

B. You can store the milk for 6 to 8 hours at room temp

During a health assessment, a client was asked to state her last menstrual period. She replied, "This is my second day of having my menstrual flow." Which phase of the ovarian cycle would the nurse determine the client is in currently? A. Luteal phase B. Proliferative phase C. Follicular phase D. Ovulatory phase

C. Follicular phase

The nurse is admitting a 28-week neonate to the neonatal intensive care unit (NICU). Which assessment would indicate an intraventricular hemorrhage (IVH)? A. Tachycardia B. Hypoglycemia C. Hypotonia D. Hypertension

C. Hypotonia

A woman diagnosed with pregestational diabetes is discussing her diagnosis with the nurse at her first prenatal appointment. What anticipatory guidance would the nurse provide this patient? A. Insulin needs will most likely decrease over the course of pregnancy B. The risk for DKA is highest in the first tri C. Watch for signs and symptoms of preterm labor D. If your fasting blood glucose is under 95, you do not have to check it again

C. Watch for signs and symptoms of preterm labor

The nurse has been following a gravid patient since her first trimester. The patient has high blood pressure and later develops proteinuria in her third trimester. Which condition is the patient most likely experiencing? A. Preeclampsia B. Eclampsia C. Gestational Diabetes D. Chronic hypertension with superimposed preeclampsia

D. Chronic hypertension with superimposed preeclampsia

A nurse is giving instructions on how to feed a newborn. Which of the following indicates an understanding of the teaching? A. Parent places a few drops of water on the nipple B. Parent gently removes nipple from infant's mouth to break suction C. When they are ready to breastfeed, the mom strokes infant's neck D. When latched on the infant's cheek, chin, and nose all touch the breast

D. When latched on the infant's cheek, chin, and nose all touch the breast

What is endometriosis?

Inflammation of abnormal endometrial tissue found outside the uterus

A nurse is caring for a client in the immediate postpartum period. Upon assessment, the nurse notes heavy bleeding and a boggy uterus that does not respond to fundal massage. What are the priority nursing actions? Place in the correct order. Notify the physician or midwife of blood loss Increase frequency of vital signs Titrate the standing order of oxytocin as appropriate Perform fundal massage

Perform fundal massage Titrate Notify Increase vitals