FULD review OB exam 1
A woman comes to the clinic complaining of intense pruritus and a thick curd-like vaginal discharge. On examination white plaques are observed on the vaginal wall. The nurse suspects which of the following? A. Chlamydia B. Bacterial Vaginosis C. Vulvovaginal candidiasis D. Trichomoniasis
Answer: C
During an examination of the client, the nurse will question the women concerning their LMP. This indicates: A. The length of their menstrual periods B. the last day of their menstrual period C. the first day of their menstrual period D. the level of menstrual pain
Answer: C
On a routine hematocrit screen during a prenatal visit, you notice that the client is mildly anemic. When discussing this with the couple, the husband hints that she might be eating unusual things. As a nurse, you recognize which of the following disorders should the client be evaluated for? A. vegan diet B. food craving C. Pica D. food allergy
Answer: C
The client has been diagnosed with trichomoniasis. The nurse recognizes one of the following treatments of choice is: A. Monistat B. Penicillin G C. Metronidazole D. Diflucan
Answer: C
A mother comes in which her 17-year-old daughter to find out why she has not have a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24cm. This can indicate that the young female is approximately how many weeks pregnant? A. 22 B. 20 C. 18 D. 24
Answer: D
A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. The nurse should advise the client to take the iron supplements with which of the following? A. ice water B. low-fat or whole milk C. Tea or coffee D. orange juice
Answer: D
A potential complication for the mother and fetus is Rh incompatibility; therefore assessment should include blood typing. If the mother is Rh negative, her antibody titer should be evaluated. If treatment with RhoGAM is indicated, when should it be given? A. at 36 weeks B. at 32 weeks C. only at birth D. at 28 weeks
Answer: D
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following is an appropriate response by the nurse? A. "This episode is due to an increase in blood volume" 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
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements by the client requires clarification? A."I will report cramping or signs of infection to the physician" B. "I should drink lots of fluids during the 24 hours following the procedure" C. "I need to have a full bladder at the time of the procedure" D. "The test is done to detect genetic abnormalities"
Answer: C
A client who is at 7 weeks gestation is experiencing nausea and vomiting in the morning. The nurse in the prenatal clinic provides teaching that should include which of the following? A. eat crackers or plain toast before getting out of bed B. awaken during the night to eat a snack C. skip breakfast, and eat lunch after nausea has subsided D. eat a large evening meal
Answer: A
A nurse in the prenatal clinic is providing education to a client who is in the 8th week gestation. The client states that she does not like milk. WHat is a good source of calcium that the nurse can recommend to the client? A. Dark green, leafy vegetables B. deep red or orange vegetables C. white breads and rice D. meat, poultry, and fish
Answer: A
A nurse is caring for a client who has a diagnosis of gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftiaxone (Rocephin) B. Fluconazole (Diflucan) C. Metronidazole (Flagyl) D. Zidovudine (Retrovir)
Answer: A
A nurse is caring for a client who is pregnant and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included? A. vaginal bleeding B. swelling of the ankles C. heartburn after eating D. lightheadedness when laying on back
Answer: A
A woman has contracted herpes simplex 2 for the first time. Which of the following signs/symptoms is the client likely to complain of? A. Flu-like symptoms B. Amenorrhea C. Increased discharge D. Abdominal cramping
Answer: A
A nurse in an antepartum clinic is providing care for a client. Which of the following clinical finding are suggestive of a TORCH infection? Select all that apply A. Joint pain B. Malaise C. Rash D. Urinary infrequency E. Tender lymph nodes
Answer: A, B, C, E
A nurse on the obstetrical unit is admitting a client who is in labor. The client has a positive HIV status. The nurse is aware that which of the following is contraindicated for this client? Select all that apply. A. Episiotomy B. Vacuum extraction C. Forceps D. Cesarean birth E. internal fetal monitoring
Answer: A,B, C, E
A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by how much per week? A. 1.5lb B. 1 lb C. 2/3 lb D. 2lb
Answer: B
There is a concern that your client is not obtaining enough folic acid. Which test can be used to evaluate the fetus for potential neural tube defects? A. amniocentesis B. Alpha-fetoprotein analysis C. doppler flow study D. glucose tolerance test
Answer: B
What of the following is an adaptation by the cardiovascular system occurs during pregnancy? A. decreased heart rate B. increased blood volume C. increased blood pressure until midpregnancy D. decreased number of red blood cells
Answer: B
A pregnant woman comes to the clinic for a visit. This is her third pregnancy. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using GTPAL system, the nurse would document this woman's obstetric history at: A. 31021 B. 20111 C. 21212 D. 30111
Answer: D
At the first prenatal visit, the client reports her LMP was November 11, 2011. You determine the estimated date of birth to be: A. August 13, 2012 B. August 3, 2012 C. September 1, 2012 D. August 23, 2012
Answer: D
Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and delivery. All clients should be screened for gestational diabetes at which time during the pregnancy? A. between 20 and 24 weeks' gestation B. between 29 and 32 weeks' gestation C. between 15 and 19 weeks' gestation D. between 24 and 28 weeks' gestation
Answer: D
The CDC has identified the most common bacterial STI in the United States to be: A. Vaginosis B. Syphilis C. Gonorrhea D. Chlamydia
Answer: D