OB quizzes
After the examination is completed, the patient asks the nurse why Chadwick's sign occurs during pregnancy. What would the nurse explain as the cause of Chadwick's sign?
Vascular congestion in the pelvic area
What will the nurse begin with when asking a patient about drug use during a prenatal history?
"What over-the-counter and prescription drugs have you taken in the past 3 months?"
During the fourth stage of labor, which actions by the nurse will promote parent-newborn attachment? Select all that apply.
-Delay administration of eye ointment until parents have held newborn. -Initiate skin-to-skin contact with a warm blanket over the neonate and parent. -Explain expected neonatal characteristics such as molding, milia, and lanugo.
What services are birthing centers able to provide? (Select all that apply.)
-Labor and delivery services -Classes for new mothers -Family planning -Prenatal care
The nurse is monitoring the fetal heart rate (FHR) tracing and sees that her patient has a tracing with a baseline of 120bpm, moderate variability, with absence of decelerations and accelerations. According to the National Institute of Child Health and Human Development tier system, what category tracing does the patient's fall into?
A Category I tracing
The obstetric nurse is managing her laboring patients while covering for another nurse who is on a break. Which patient is the lowest priority?
A patient with Category I FHR tracings
The nurse is caring for a 24-year-old woman who is G1P0 at 40 weeks, 1 day gestation and in active labor. She has just received an epidural and now complains of "an itchy feeling all over." Her vitals are as follows: HR 120, RR 12, BP 130/74, T 98.8, and O2sat 98% on room air. Which action should the nurse take first?
Call the health care provider regarding the patient's pruritus to order an antipruritic medication.
The nurse educator is in a childbirth education class discussing nonpharmacological ways nurses can assist to enhance labor and spontaneous vaginal delivery. Which of the following facts regarding nonpharmacologic approaches will the nurse use to help illustrate its benefits?
Effleurage is performed in rhythm with breathing during a contraction.
The nurse is preparing a pregnant patient for an abdominal ultrasound at 8 weeks' gestation. What intervention will the nurse implement before this diagnostic test?
Encourage the patient to drink 1 to 2 quarts of water before the test.
The nurse is reviewing the chart of a 35-year-old G4P2012 woman. The patient is at 38 weeks, 4 days and is in active labor with SROM clear fluid 2 hours ago. What action should the nurse take?
Help the patient change her position from side to side every 30 minutes.
The nursing is caring for a 31-year-old female patient who is pregnant at 37 weeks and 5 days gestation. The patient is having contractions every 3 minutes and was found to have a platypelloid pelvis upon examination. The fetus has an estimated fetal weight of 7 lbs and is in the LOA position. This patient is laboring on the birth ball, and her mother-in-law is helping her labor. The nurse is concerned about the five Ps and their effect on the patient's labor. Which P is the nurse most likely concerned about based on the patient's history?
Passage
What is the focus of current maternity practice?
A quality family experience for each patient
White, pimple-like spots on a newborns face is normal.
True
True labor is when......
the cervix dilates
The nurse is explaining telemetry to the patient, who has just begun active labor. The patient would like to have a labor in which she is mobile, able to change positions, and use hydrotherapy. Which response by the nurse is most appropriate?
"We can start using telemetry now, and if there are no problems with the signal, we can continue it throughout your labor until delivery."
Of what is the normal umbilical cord comprised?
2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus
A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status?
12
The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern?
Asymmetrical Moro reflex
A newborns normal heart rate is 100-160 bpm and respiratory rate is 30-60 bpm.
True
Stage two labor is defines as?
Complete cervical dilation and ends with delivery of baby.
The nursing is caring for a patient in active labor with significant back pain. The patient has requested nonpharmacologic methods of pain relief. The nurse thinks that sterile water injections may help with her pain management. Which of the following explanations should the nurse explain to the patient?
"We will inject 0.5 mL of sterile water subcutaneously, and it will last for an hour to 90 minutes."
How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?
48
What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select all that apply.)
-Use of specialized obstetric instruments -Physicians' closer relationships with hospitals -Use of anesthesia
A woman's prepregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy?
25 to 35 pounds
A pregnant patient asks the nurse when her infant's heart will begin to pump blood. What will the nurse reply?
By the end of week 3
The nurse is providing care for a neonate during the fourth stage of labor. Which action does the nurse take during this stage?
Dry the neonate immediately.
A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments?
Every 4 weeks until the 7th month, after which appointments will become more frequent
A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?
Have crackers handy at the bedside, and eat a few before getting out of bed.
A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." What will the nurse explain to this woman?
If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
What is the most common site for fertilization?
Outer third of the fallopian tube near the ovary