OB Exam 1 Practice Questions

A nurse is teaching a new mother about her newborn's immune status. The nurse determines that the teaching was successful when the mother states which immunoglobulin as having crossed the placenta?

IgG

Client teaching is conducted throughout a client's hospitalization and is reinforced before discharge. Which self-care items are to be reinforced before discharge?

Resumption of intercourse activity signs and symptoms of infection

Which positions would be most appropriate for the nurse to suggest as a comfort measure to a woman who is in the first stage of labor? Select all that apply.

Walking with partner support Straddling with forward leaning over a chair Rocking back and forth with foot on chair

When assessing a woman at follow up prenatal visits, the nurse would anticipate which procedure to be performed?

fundal height measurement

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?

0

A nursing student doing a clinical rotation at a prenatal clinic correctly identifies the following as the primary reason for an amniocentesis:

genetic testing

A woman delivered her infant 2 hours ago and calls to tell the nurse that she needs to go to the bathroom. When the nurse arrives, the mother is getting out of bed alone. What should the nurse do?

have the client sit dangling her legs off the side of the bed for 5 minutes

A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures:

immunity to German measles

A new mother asks the nurse, "Why has my baby lost weight since he was born?" The nurse integrates knowledge of which cause when responding to the new mother?

insufficient calorie intake

A nurse is assessing a newborn who is about 4½ hours old. The nurse would expect this newborn to exhibit which behavior? Select all that apply.

interest in environmental stimuli passage of meconium

A client has not received any medication during her labor. She is having frequent contractions about every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating:

late active phase of the first stage of labor

Which factors could increase the risk of overheating in a newborn?

limited ability of diaphoresis isolette that is too warm

A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom?\

moderately strong contractions every 4 minutes, lasting about 1 minute

A nurse is assessing a pregnant woman in her last trimester. Which question would be mostappropriate to use to gather information about weight gain and fluid retention?

"How swollen do your ankles appear before you go to bed?"

A client at 10 weeks gestation comes to the clinic for a prenatal follow up. The client reports experiencing morning sickness. She states, "It happens at any time of the day. Is there anything I can do?" Which suggestions by the nurse would be most helpful?

"Try eating some dry crackers before you getting out of bed in the morning." "Avoid any strong food odors as much as possible." "Limit your intake of fluids when you eat your meals."

A pregnant woman in her second trimester tells the nurse, "I've been passing a lot of gas and feel bloated." Which suggestion would be helpful for the woman?

"Watch how much beans and onions you eat." "Try exercising a little more." "Some say that eating mints can help." "Cut down on your intake of cheeses."

A client has been discharged from the hospital after a cesarean birth. Which instruction should the nurse include in the discharge teaching?

"You should be seen by your healthcare provider if you have blurred vision."

During labor, progressive fetal descent occurs. Place the stations listed in their proper sequence from first to last

-4 station -2 station 0 station +2 station +4 station

The nurse is teaching a postpartum woman and her spouse about postpartum blues. The nurse would instruct the couple to seek further care if the client's symptoms persist beyond which time frame?

2 weeks

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks' gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 6 weeks' gestation. Using the GTPAL method, the nurse would document her obstetric history as:

4 1 1 1 3

The nurse is assessing the Apgar score for a 1-minute-old newborn and notes the following: HR 105 bpm, a pink body with blue feet, a strong cry, sneezing and minimal flexion. Which Apgar score will the nurse document as appropriate for this infant?

8

As a woman enters the second stage of labor, her membranes spontaneously rupture. When this occurs, what would the nurse do next?

Assess the fetal heart rate for fetal safety

The parents of a newborn are upset that their newborn needs treatment for ophthalmia neonatorum. The nurse should explain this is related to which maternal infection? Select all that apply.

Chlamydia Gonorrhea

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

Help the woman change positions

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include?

Engagement Descent Flexion Internal Rotation Extension External Rotation Explusion

A nurse is conducting a class for a group of nurses who are newly hired for the labor and birth unit. After teaching the group about fetal heart rate patterns, the nurse determines the need for additional teaching when the group identifies which finding as indicating normal fetal acid-base status?

Fetal bradycardia Sinusoidal pattern Recurrent variable decelerations

A community health nurse is leading a discussion at a health fair for college students on the topic of the signs of pregnancy. The nurse determines more teaching is necessary when the students choose which sign as a probable sign of pregnancy?

Fetal movement felt by examiner

When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which underlying reason for the effect would the nurse include?

Glucose moves through the placenta to assist the fetus

A client's last menstrual period was April 11. Using the Naegele rule, her estimated date of delivery (EDD) would be:

January 18

The student nurse is preparing to assess the fetal heart rate (FHR). She has determined that the fetal back is located toward the client's left side, the small parts toward the right side, and there is a vertex (occiput) presentation. The nurse should initially begin auscultation of the fetal heart rate in the mother's:

LLQ

Which assessment finding 1 hour after birth should be reported to the health care provider?

Lochia rubra is saturating a pad every 45 to 60 minutes

A woman gave birth vaginally approximately 12 hours ago, and her temperature is now 100.8° F (38.2° C). Which action would be most appropriate for the nurse to take?

Notify the health care provider about this elevation; this finding reflects possible infection.

The nursing student is preparing a pamphlet that will illustrate the various hormones involved with a pregnancy. Which hormone should the nurse indicate is responsible for the let-down of breast milk in this pamphlet?

Oxytocin

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

Provide knowledge and skills to actively participate in birth and parenting

Parents tell the nurse that their 3-year-old son has begun to have "accidents" at home following the arrival of his baby sister and wants to sit in his mother's lap all the time now. What advice would the nurse offer these parents? Select all that apply.

Set aside time every day for the parents to focus on the big brother exclusively. Buy the older sibling a doll for him to care for, as the mother is caring for the new baby. Be aware of potential aggressive behaviors from the older sibling.

The nurse is helping a pregnant client adapt psychologically. What outcome best demonstrates that the client has successfully adapted to the second trimester?

The client accepts the reality and uniqueness of the baby

The nurse is preparing discharge training for a G2P2 client who will breast-feed her infant. The client mentions she wants more children but wants to wait a couple years and asks about birth control. Which time frame for using a birth control method should the nurse point out will best help the client achieve her goals?

When she resumes sexual activity

A nurse is assessing a client during the postpartum period. Which findings indicate normal postpartum adjustment? Select all that apply.

active bowel sounds passing gas nondistended abdomen

During a routine assessment the nurse notes the postpartum client is tachycardic. Which possible cause should be ruled out?

delayed hemorrhage

Which finding is most worrisome in a client in her 26th week of pregnancy?

facial edema

A nurse is conducting an in-service program for a group of nurses working in the labor and birth suite of the facility. After teaching the group about the factors affecting the labor process, the nurse determines that the teaching was successful when the group identifies which component as part of the true pelvis?

pelvic inlet mid pelvis pelvic outlet

The nurse is assisting a postpartum woman out of bed to the bathroom for a sitz bath. Which action would be a priority?

placing the call light within her reach

The nurse wants to maintain a neutral thermal environment for her assigned neonatal clients. Which intervention would best ensure that this goal is met?

promote early breastfeeding for the infants

During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. This occurs about 4 or 5 times during the testing period. The nurse interprets this as:

reactive pattern

To assess the frequency of a woman's labor contractions the nurse would time:

the beginning of one contraction to the beginning of the next

A nurse is assessing a female client in the labor admission unit. The client has been having contractions every 5 minutes for the past 6 hours. Which finding would the nurse use to determine if the client is experiencing true labor?

the cervix has changes of effacement and dilation

The nurse is assessing an infant's reflexes. While eliciting a rooting reflex, the infant strongly sucks on the nurse's finger. How does the nurse interpret this finding?

the rooting reflex was tested incorrectly

A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating?

uterus becomes globular

The nurse is assisting a young mother who has decided not to breastfeed her infant. The nurse should make which suggestions to the client to ease discomfort and prevent breast engorgement? Select all that apply.

wear tight supportive bra 24 hours each day apply ice to the breast for approximately 15 to 20 minutes every other hour avoid sexual stimulation