OB Day Final

a nurse is caring for a patient who is in the first stage of labor and is encouraging the patient to void every 2 hours. which of the following statement justifies the nurse's intervention "A full bladder increased the risk for fetal trauma." "A full bladder increased the risk for bladder infection." "A distended bladder will be traumatized by frequent pelvic exams." "A distended bladder reduces pelvic space needed for birth."

"A distended bladder reduces pelvic space needed for birth."

A maternity nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of new nurses. Which of the following statement made by a nurse indicates understanding of the teaching? "Obtain a vaccination against rubella early in pregnancy." "Seek prophylactic treatment if cytomegalovirus is detected." "A woman should avoid handling dog feces." "A woman should avoid consuming undercooked meat."

"A woman should avoid consuming undercooked meat."

a nurse report is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? "Apply cold compresses between feedings." "Take a warm shower right after feedings." "Apply breast milk to the nipples and allow them to air dry." "Use the various infant positions for feedings."

"Apply cold compresses between feedings."

A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborn. Which of the following statements by one of the mothers indicates an understanding of the teaching? "I will continue my calcium supplements because I don't like milk." "I will continue my calcium supplements because I don't like milk." "I will continue my calcium supplements because I don't like milk." "I will continue my calcium supplements because I don't like milk."

"I will continue my calcium supplements because I don't like milk."

A nurse caring for a pregnant patient that is undergoing a non stress test. The patient asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? "It is used to stimulate uterine contractions." "It will decrease the incidence of uterine contractions." "It lulls the fetus to sleep." "It awaken a sleeping fetus."

"It awaken a sleeping fetus."

A patient who is 8 weeks pregnant tells the nurse that she is not happy about the pregnancy. Which of the following responses should the nurse take? "I will inform the provider that you are having these feelings." "It is normal to have these feelings during the first few months of pregnancy." "You should be happy that you are going to bring new life into the world." "I am going to make an appointment with the counselor for you to discuss these thoughts."

"It is normal to have these feelings during the first few month of pregnancy."

A nurse is teaching a newly license nurse about neonate abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching? "The newborn will have decreased muscle tone." "The newborn will have a continuous high-pitched cry." "The newborn will sleep for 2 to 3 hours after a feeding." "The newborn will have mild tremors when disturbed."

"The newborn will have a continuous high-pitched cry."

a nurse is caring for a patient in second stage of labor. The patient's significant order ask the nurse to explain how he will know when crowning occurs . Which of the following responses should the nurse make? "The placenta will protrude from the vagina." "Your partner will report a decrease in the intensity of contractions." "The vaginal area will bulge as the baby's head appears." "Your partner will report less rectal pressure."

"The vaginal area will bulge as the baby's head appears."

A nurse educator in the labor and delivery unit is reviewing the use of chemical agents to promote cervical ripening with a group of newly hired nurses. Which of the following statements by a nurse indicates understanding of the teaching? "They are administered in an oral form." "They act by absorbing fluid from tissues." "They promote dilation of the os." "They include an amniotomy."

"They are administered in an oral form."

A nurse in a prenatal clinic is teaching a pregnant patient about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? "You will report cramping or signs of infection to the physician." "You should drink lots of fluids during the 24 hours following the procedure." "You should empty your bladder prior to the procedure." "The test is done to detect genetic abnormalities."

"You should empty your bladder prior to the procedure."

The neonatologist orders 4 mg/kg of beractant (Survanta) for a preterm infant weighing 2 lbs. The medication is available 25 mg/2 ml. How many ml should the nurse administer for the correct dose (to the nearest hundredth). 0.45 0.29 0.36 0.14

0.29

A patient is diagnosed with a sexually transmitted infection. The physician orders Penicillin 1,200,000 units IM x 1. The label reads, Penicillin 1,000,000 units/2 ml. How many ml should the nurse give? 12ml 2.1ml 2.4ml 1.2ml

2.4ml

the nurse is caring a postpartum client who is bleeding excessively . the nurse is about to weight the pad she just removed from the client. the pad weighs 275 grams. what is the blood loss in milliliters? 275 ml 275 ml 275 ml 275 ml

275 ml

a nurse in a prenatal clinic is caring for four pregnant patients.. which of the following patient's weight gain should the nurse report to the provider? 1.8kg (4lb) weight gain and is in her first trimester 3.6kg (8lb) weight gain and is in her first trimester 6.8kg (15lb) weight gain and is in her second trimester 11.3kg (25lb) weight gain and is in her third trimester

3.6 kg (8lb) weight gain and is in her first trimester

Baby weighs 4,000 grams at birth and is admitted for dehydration. the baby now weighs 3.746 grams. Calculate the percentage weight 6.50% 6.25% 7.00% 6.35%

6.35%

a maternity nurse is performing a fundal assessment for a patient who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small cloths. which of the following findings should the nurse document? Moderate lochia rubra Excessive blood loss Light lochia rubra Scant lochia serosa

A moderate lochia rubra

which intrapartum assessment should be avoided when caring for a patient with HELLP syndrome? Abdominal palpation Venous sample of blood Checking deep tendon reflexesd. Auscultation of the heart and lungs

Abdominal palpations

Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy? Assessment of pain level Administration of methotrexate Administration of Rh immune globulin Explanation of the common side effects of the treatment plan

Administration of methotrexate

A pregnant patient presents to labor and delivery with a positive Group B Streptococcus (GBS) result. The woman wants to know about this infection. What information about GBS is correct? Antibiotic will be administered during labor before vaginal delivery to prevent the neonate from getting infection Antibiotic will be administered during labor before vaginal delivery to prevent the neonate from getting infection Antibiotic will be administered during labor before vaginal delivery to prevent the neonate from getting infection Antibiotic will be administered during labor before vaginal delivery to prevent the neonate from getting infection

Antibiotic will be administered during labor before vaginal delivery to prevent the neonate from getting infection

A patient with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a? Diuretic. Tocolytic. Anticonvulsant. Antihypertensive

Anticonvulsant

a nurse is completing a newborn assessment. Which of the following data indicate the newborn is adapting to extrauterine life (Select All) Expiratory grunting Inspiratory nasal flaring Apnea for 10-second periods Obligatory nose breathing Crackles and wheezing

Apnea for 10 second periods Obligatory nose breathing

A nurse is caring for a neonate born at 38 weeks gestation, weighs 3200 g and in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? Low birth weight Appropriate for gestational age Small for gestational age Large for gestational age

Appropriate for gestational age

a nurse is caring for a patient who has postpartum psychosis. which of the following actions is the nurse's priority? Reinforce the need to take antipsychotics as prescribed. Ask the client if she has thoughts of harming herself or her infant. Monitor the infant for indications of failure to thrive. Review the client's medical record for a history of bipolar disorder

Ask the patient if she has thought of harming herself or her infant

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action? Ask the patient when she last had anything to eat or drink. Take a culture of the lesions to verify the involved organism. Ask the patient if she has had unprotected sex since her outbreak. Use electronic fetal surveillance to determine a baseline fetal heart rate.

Ask the patient when she last had anything to eat or drink.

A nurse is caring for a patient in labor. Her vaginal exam 2 hrs ago revealed cervix 3 cm, dilated, 100% effaced, -2 station with membranes intact. The patient suddenly states "My water broke." The monitor reveals a FHR of 80 to 85 b/min, and the nurse performs a vaginal exam noticing clear fluid and a pulsating loop of umbilical cord in the patient's vagina. Which of the following priority action should the nurse perform Place the client in the Trendelenburg position. Apply pressure to the presenting part with her fingers. Administer oxygen at 10 L/min via a face mask. Call for assistance.

Call for assistance.

a nurse is teaching a patient who is breastfeeding and has mastitis. Which of the following responses should the nurse make? "Limit the amount of time the infant nurses on each breast." "Nurse the infant only on the unaffected breast until resolved," "Completely empty each breast at each feeding or use a pump." "Wear a tight-fitting bra until lactation has ceased."

Completely empty each breast at each feeding or use a pump

A labor and delivery nurse is planning care for a newly admitted patient who reports that she is in labor and has had vaginal bleeding for 2 weeks. Which of the following should the nurse include in her plan of care? Inspect the introitus for a prolapsed cord. Perform a test to identify the ferning pattern. Monitor station of the presenting part. Defer vaginal examinations.

Defer vaginal examination

A maternity nurse is caring for a postpartum patient. The nurse is assessing for maternal adaptation and mother infant bonding. Which of the following behaviors by the patient indicates the need for the nurse to intervene? (Select All) Demonstrates apathy when the infant cries Touches the infant and maintains close physical proximity Views the infant's behavior as uncooperative during diaper changing Identifies and relates infant's characteristics to those of family members Interprets the infant's behavior as meaningful and a way of expressing needs

Demonstrates apathy when the infant cries. Views the infant's behavior as uncooperative during diaper changing.

which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa? Determining cervical dilation and effacement Monitoring FHR and maternal vital signs Observing vaginal bleeding or leakage of amniotic fluidd. Determining frequency, duration, and intensity of contractions

Determining cervical dilation and effacement

a nurse is caring for a labor patient who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter placed to monitor uterine contraction. For which of the following contraction patterns should the nurse discontinue the infusion? Frequency of every 2 min Duration of 90 to 120 seconds Intensity of 60 to 90 seconds Resting tone of 15 mmHG

Duration of 90 to 120 seconds

a nurse is reviwing contraindications for circumsion with a student nurse. which of the following conditions are contraindicated for this procedure? hypospadias hydrocele Family history of hemophilia Hyperbilirubinemia Epispadias

Epispadias family history of hemophilia hypospadias

a nurse is completing a newborn assessment and observes small white nodules on the roof the newborn's mouth. this finding is a characteristic of which of the following conditions? Mongolian spots Milia spots Erythema toxicum Epstein's pearls

Epstein pearls

A nurse is caring for a patient who has been in labor for 12 hours with intact membranes. The provider decides to perform an amniostomy to facilitate the progess of labor. The doctor performs a vaginal examination to ensure of the following priority to the performation of the amniotomy? Fetal engagement Fetal lie Fetal attitude Fetal position

Fetal engagement

A nurse is admitting a client who is in labor and has hiv. which of the following intervention should the nurse identify as contraindicated for this client? Episiotomy Oxytocin infusion Forceps Cesarean birth Internal fetal monitoring

Forceps delivery Internal fetal monitoring Episiotomy

a maternity nurse is caring for a patient who is in active labor and reports sever back pain. During assessment the fetus is noted to be in the occipital posterior position. Which of the following maternal positions should the nurse suggest to the client to facilitate normal labor process? Hands and knees Lithotomy Trendelenburg Supine with rolled towel under one hip

Hands and knees

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on which of the following? Bed rest and analgesics are the recommended treatment. She will be unable to conceive in the future. A D&C will be Performed to remove the products of conception. Hemorrhage is the major concern.

Hemorrhage is the major concern.

A nurse is assessing the reflexes of a newborn in checking for the moro reflex, the nurse should perform which of the following? Make a loud noise such as clapping hands together over the newborn's crib Stimulate the pads of the newborn's hands with stroking or massage Stimulate the soles of the newborn's feet on the other lateral surface of each foot Hold the newborn in a semi sitting position, then allow the newborn's head and trunk to fall backward

Hold the newborn in a semi-sitting position, then allow the head and trunck to fall backwards

A nurse is reviewing car seat safety with the parents of a newborn. Which of the following statement if made by the patent indicates further teaching is required regarding car seats safety? I will place the infant front seat, rear-facing position. I will place the infant front seat, forward-facing position. I will place the infant back seat, rear-facing position. I will place the infant back seat, forward-facing position.

I will place the infant in the front seat, forward-facing position.

A cesearean section client who was diagnoses gestational hypertension in the labor is transferred to the postpartum unit post delivery. upon revewing the orders by the postpartum nurse, which prescription should the nurse clarify?

Ibuprofen

A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? Apply palms of both hands to sides of uterus. Palpate the fundus of the uterus. Grasp the lower uterine segment between thumb and fingers. Stand facing client's feet with fingertips outlining cephalic prominence.

Palpate the fundus of the uterus.

A nurse is teaching a 16 year old about contraception. What statement by the client indicate need for further teaching? (Select All) If I take my birth control pill every other day at 4 pm, it is guaranteed to work. I can use my diaphram during my menses Using a spermicide during intercourse will guarantee I will not get pregnant or sexually transmitted disease I will always require that my partner wear a condom even if I am on the pill I cannot get pregnant if my partner "pulls out".

If I take my birth control pill every other day at 4pm, it is guaranteed to work Using spermicide during intercourse will guarantee that I will not get pregnant or sexually I cannot get pregnant if my partner pulls out

which instructions should the nurse include when teaching a pregnant patient with Class 2 heart disease? Advise her to gain at least 30 pounds. Instruct her to avoid strenuous activity. Inform her of the need to limit fluid intake. Explain the importance of a diet high in calcium.

Instruct her to avoid strenuous activity.

a nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st 2020. which of the following is the client's estimate date of delivery? January 8, 2021 January 15, 2021 February 8, 2021 February 15, 2021

January 8, 2021

a nurse is reviewing care of the umbilical chord with the parent of a newborn. which of the following instruction should the nurse include in her teaching? Cover the cord with a small gauze square. Trickle clean water over the cord with each diaper change. Apply hydrogen peroxide to the cord twice a day Keep the diaper folded below the cord.

Keep the diaper folded below the cord

a nurse is teaching a group of new parents about proper technique for bottle feeding. which of the following instruction should the nurse provide? Burp the newborn at the end of the feeding. Hold the newborn close in a supine position. Keep the nipple full of formula throughout the feeding. Refrigerate any unused formula.

Keep the nipple full of formula throughout the feeding.

a nurse is caring a patient who is preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess fetal lung maturity? Alpha-fetoprotein (AFP) Lecithin/sphingomyelin (L/S) ratio Kleihauer-Betke test Indirect Coomb's test

Lecithin/spingomyelin (L/S) ratio

A nurse is taking a newborn to a mother following circumcision. Which of the following actions should the nurse take for security purposes? Ask the mother to state her full name Look at the name on newborn's bassinet Match the mother's identification band with the newborn's band. Compare name on the bassinet and room number

Match the mother's identification band with the newborn's band.

A client who is 38 weeks gestation comes to the clinic for routine examination. the nurse is preparing discharge teaching for this client. What is the priority teaching for this client in 38 weeks gestation? Maternal nutrition Maternal nutrition Maternal nutrition Maternal nutrition

Maternal nutrition

A nurse in the postpartum unit is planning care for a patient who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? Apply cold compresses to the affected extremity. Massage the affected extremity. Allow the client to ambulate. Measure leg circumferences.

Measure leg circumference.

A nurse is interviewing a pregnant patient during a prenatal visit. Which patient statement might suggest a need to evaluate further for preeclampsia? My work shoes don't fit me any more My work shoes don't fit me any more My work shoes don't fit me any more My work shoes don't fit me any more

My work shoes don't fit me any more

Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication? Drowsiness Urinary output of 20 mL/hr Normal deep tendon reflexes Respiratory rate of 10 to 12 breaths/min

Normal deep tendon reflexes

A nurse is caring for a preterm newborn with respiratory distress syndrome. which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant? Oxygen saturation Body temperature Serum bilirubin Heart rate

Oxygen saturation

a nurse is caring for a laboring patient who is using patterned breathing during labor. the patient reports numbness and tingling of the fingers. what priority intervention will the nurse perform first place? Administer oxygen via nasal cannula at 2L . Apply a warm blanket. Assist the client to a side-lying position. Place an oxygen mask over the client's nose and mouth.

Place an oxygen mask over the client's nose and mouth.

A nurse is caring for a newborn immediately following birth. Which of the following is the highest priority action by the nurse at this time? Place the newborn directly on the client's chest Administer erythromycin ophthalmic ointment Give the newborn vitamin K IM Perform a detailed physical assessment

Place the newborn directly on the client's chest

A nurse is reviewing formula preparation with parents who plan to bottle-feed their newborn. Which of the following information should the nurse include in the teaching? (Select All) Use a disinfectant wipe to clean the lid of the formula can. Store prepared formula in the refrigerator for up to 72 hr. Place used bottles in the dishwasher. Check the nipple for appropriate flow of formula. Use tap water to dilute concentrated formula.

Place used bottles in the dishwater. Check the nipple for appropriate flow of formula. Use tap water to dilute concentrated formula

a nurse is assessing a postpartum patient who is exhibiting tearfulness, insomnia, lack of appetite and a feeling of letdown. which of the following conditions are associated with these clinical findings ? Postpartum fatigue Postpartum psychosis Letting-go phase Postpartum blues

Postpartum blues

A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching?(Select All) Precipitous delivery Lacerations Inversion of the uterus Oligohydramnios Retained placental fragments

Precipitous delivery Inversion of the uterus Retained placental fragments Lacerations

A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following antepartum complications is risk factor for this condition? Preeclampsia Thrombophlebitis Placenta previa Hyperemesis gravidarum

Preeclampsia

a maternity nurse caring for a patient in labor who is experiencing incomplete uterine relaxation. between hypertonic contractions. the nurse should identify that this contraction pattern increases the risk for which of the following complications? Prolonged labor. Reduced fetal oxygen supply. Relayed cervical dilation. Increased maternal stress.

Reduced fetal oxygen supply

A nurse is caring for a patient diagnosed with ruptured ectopic pregnancy. Which of the following finding is seen with this condition? No alteration in menses Transvaginal ultrasound indicating a fetus in the uterus Serum progesterone greater than the expected reference range Report of severe shoulder pain

Report of severe shoulder pain

A nurse is administering magnesium sulfate IV to a client who has severe pre-eclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (Select All) Respirations fewer than 12/min. Urinary output less than 30 mL/hr. Hyperreflexic deep-tendon reflexes. Decreased level of consciousness. Flushing and sweating

Respirations less than 12/min. Urinary output less than 30mL/hr. Decreased level of consciousness.

A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? Reduced menstrual flow. Breast tenderness. Shortness of breath. Headaches.

Shortness of Breath

A nurse is providing discharge instructions for a patient. At 4 weeks postpartum, the patient should contact her provider for which of the following findings? Scant, nonodorous white vaginal discharge. Uterine cramping during breastfeeding. Sore nipple with cracks and fissures. Decreased response with sexual activity

Sore nipples with cracks and fissures

A nursing is caring for an infant with hyperbilirubinemia and is receiving phototherapy. which of the following is a priority finding in the newborn? Conjunctivitis Bronze skin discoloration Sunken fontanels Maculopapular skin rash

Sunken fontanels

A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. The nurse should include and document which of the following information in the teaching? This is more commonly seen in newborns who have dark skin This is a finding indicating hyperbilirubinemia This is a forceps mark from an operative delivery This is related to prolonged birth or trauma during delivery.

This is more commonly seen in newborns who have dark skin

A nurse is caring for a pregnant patient with suspected hyperemesis gravidarum and is reviewing the laboratory reports. Which of the following findings is a manifestation of this condition? Hgb 12.2 g/dL Urine ketones present Alanine aminotransferase (ALT) 20 fU/L Serum glucose 114 mg/dL

Urine ketones present

a patient with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate: gastrointestinal upset. effects of magnesium sulfate. anxiety caused by hospitalization. worsening disease and impending convulsion.

Worsening disease and impending convulsion

During ambulation to the bathroom,, a one day postpartum section patient experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, at the midline and at the level of the umbilicus. How should the nurse interpret this data? evidence of a possible vaginal hematoma. an indication of a cervical or perineal laceration. a normal postural discharge of lochia. abnormally excessive lochia rub flow.

a normal postural discharge of lochia

The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to? monitor uterine contractions. assess fetal heart rate and maternal vital signs. place clean disposable pads to collect any drainage perform a venipuncture for hemoglobin and hematocrit levels.

assess fetal heart rate and maternal vital signs

a nurse is caring for a 1 hr postpartum patient following vaginal birth and experiencing uncontrollable shaking. the nurse should understand that shaking is due to which of following factors?(select All) Change in body fluids Metabolic effort of labor Diaphoresis Decrease in body temperature Decrease in prolactin levels

change in body fluid Metabolic effort of labor

A nurse is caring for a patient in labor who is receiving oxytocin for induction of labor with an intrauterine pressure catheter placed to monitor uterine contractions. For which of the following uterine contraction patterns should the nurse discontinue the infusion of oxytocin? Frequency of every 2 min Duration of 90 to 120 seconds Intensity of 60 to 90 seconds Resting tone of 15 mmHG

duration of 90 to 120 secs

A nurse in the labor and delivery unit is caring for patient in labor. The fetal heart rate is recorded 140 b/min. Contractions are occurring every 8 mins lasting 30 to 40 seconds. Vaginal exam revealed cervix 2 cm dilated, 50% effaced and -2 station. Which of the following stages and phases of labor is the patient experiencing? The 1st stage, latent phase The 1st stage, active phase The 1st stage, transition phase The 2nd stage of labor

first stage, active phase

A nurse is reviewing the health record of a pregnant patient. the provider indicated that the patient exhibits probably signs of pregnancy. Which of the following findings should the nurse expect? Montgomery's glands goodell's signs Ballottement Chadwick's signs Quickening

goodell's sign ballotment chadwick's sign

a nurse in a clinic is caring for a post operative patient following a salpingectomy due to an ectopic pregnancy. which statement. by the client requires clarification? It is good to know I won't have a tubal pregnancy in the future. The doctor said that this surgery can affect my ability to get pregnant again. I understand that one of my fallopian tubes had to be removed. Ovulation can still occur because my ovaries were not affected.

it is good to know that I won't have a tubal pregnancy in the future.

A maternity nurse is caring for a pregnant patient who is at 42 weeks of gestation and in active labor. Which of the following findings is the fetus at risk for developing? intrauterine growth restriction hyperglycemia meconium aspiration polyhydramnios

meconium aspiration