OB exam possible questions

A client is scheduled for an amniocentesis to determine if the clients fetus has present genetic disorders. at what week would the mother expect to have this procedure? A 12 weeks B 16 weeks C 22 weeks D 34 weeks

16 weeks -at 14 weeks the uterus becomes an abdominal organ therefore an amniocentesis is possible after week 14

A type 1 diabetic is being seen for preconception counseling. The nurse should emphasize that during the first trimester the woman may experience which of the following? A Need for less insulin than she normally needs B An increased risk for hyperglycemic episodes C Signs and symptoms of hydramnios D A need to be hospitalized for fetal testing.

A

A woman is being admitted at 37 weeks gestation with a blood pressure of 146/92, 2+ proteinuria, and edema of the hands and face. Which questions are a priority for the nurse to ask the patient? a. "Have you been experiencing visual disturbances, headaches, or bleeding? b. "Have you been eating a high protein diet?" c. "Have you been experiencing constipation, visual disturbances, or slurred speech?" d. "Did you receive Rhogam after your last delivery?"

A

The nurse administers Rhogam to a postpartum patient. Which of the following is the goal of the medication? a. Inhibit the mother's active immune response. b. Aggressively destroy the Rh antibodies produced by the mother. c. Prevent fetal cells from migrating throughout the mother's circulation. d. Change the maternal blood type to Rh-positive.

A

A nurse is caring for a patient who is pregnant and is to have a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply.) A Decreased fetal movement B Intrauterine growth restriction C Post maturity D advanced maternal age E Amniotic fluid emboli

A,B, C

A patient at 38 weeks gestation with a diagnosis of pregnancy induced hypertension has undergone several assessments to identify complications frequently seen with this diagnosis. What assessments would require additional interventions from the nurse?Select all that apply. a. Positive contraction stress test b. Negative contraction stress test c. Reactive non-stress test d. Patient reports no fetal movement for past 24 hours. e. 3+ DTR

ADE

The patient is 41 weeks gestation and has just had a biophysical profile with a score of six. Which of the following is a correct interpretation of this score? A Normal low risk for chronic asphyxia. B Suspect chronic asphyxia. C Suspect fetal demise. D Strongly suspect chronic asphyxia.

B

A nurse who is caring for a pregnant diabetic should carefully monitor the patient for which of the following? Select all that apply. A Urinary tract infection B Multiple gestation C Pathological hypotension D Hypolipidemia E Metabolic acidosis

A, E

A 39-year-old, at 16 weeks gestation has had an amniocentesis. Before discharge, the nurse teaches the woman to call her doctor if she experiences any of the following side effects. Select all that apply. A Fever or chills B Lack of fetal movements C Abdominal pain D Rash or pruritus E Vaginal bleeding

A,B,C,E

A nurse is admitting a patient who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this patient? A Episiotomy B Oxytocin infusion C Forceps D Cesarean birth E Internal fetal monitoring

A,C, E

The patient with heart disease has been prescribed digoxin during her pregnancy. The nurse evaluates that patient teaching has been effective when the patient states A "I will avoid eating foods high in potassium while taking this medication." B "I will check my pulse and not take the medication if it is less than 60." C "I will not take antibiotics at the same time as this medication." D "I will take this medication with a full glass of water before breakfast."

B

The nurse is having a patient sign an informed consent to have an amniocentesis performed. The risks of the procedure include: (Select all that apply). A Placenta previa B Premature rupture of membranes C Infection D Eclampsia E Maternal hemorrhage

B,C,E

A nurse is reviewing a new prescription for ferrous sulfate with a patient at 12 weeks gestation. Which of the following statements by the patient indicates understanding of the teaching? A "I will take this pill with my breakfast." B "I will take this medication with a glass of milk." C "I plan to drink more orange juice while taking this pill." D "I plan to add more calcium-rich foods to my diet while taking this medication.

C

A nurse is teaching a patient who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? A "You will lay prone during the procedure." B "You should not eat or drink anything for 24 hours prior to the procedure." C "You should empty your bladder prior to the procedure." D "The test is done to determine gestational age."

C

A baby is in the NICU whose mother was addicted to heroin during the pregnancy. Which of the following nursing action would be appropriate? a. Tightly swaddle the baby. b. Place the baby prone in the crib. c. Provide needed stimulation to the baby. d. Feed the baby half-strength formula.

A

The nurse is especially interested in which of the following lab tests, which provide the nurse with the best information about ongoing control of type 1 diabetes mellitus in a pregnant adolescent? A Fasting blood glucose level. B Glycosylated hemoglobin (HbA1c) level C Oral Glucose tolerance test D Two-hour post-prandial blood glucose

B

A patient has just done a fetal kick count assessment. She noted 6 movements during the past hour. If taught correctly, what should her next action be? A Call the doctor to set up a non stress test. B Redo the test within the next half hour. C Nothing because further action is not warranted. D Drink a glass of orange juice and redo the test.

C

A woman at 42 weeks gestation, has just had a 20-minute nonstress test(NST). Which of the following results would the nurse interpret as a reactive test? A Moderate fetal heart baseline variability B Maternal heart rate accelerations to 140 bpm lasting at least 20 seconds C Two fetal heart rate accelerations of 15 bpm lasting at least 15 seconds D Absence of maternal premature vascular contractions

C

The gravid patient is to be screened for gestational diabetes with an oral glucose tolerance test (OGGT) using a 50 gram glucose load. The nurse explains that the patient should schedule the test to be done at what point in the pregnancy? A 12 weeks' gestation. B 16 weeks' gestation. C 24 weeks' gestation. D 36 weeks' gestation.

C

The nurse is caring for a baby in the NICU whose mother is HIV positive. A nursing diagnosis of risk for infection related to perinatal exposure to HIV/AIDS is made. Which of the following interventions should the nurse make in relation to the diagnosis? a. Monitor the viral load laboratory reports. b. Check the baby's viral antibody status. c. Obtain an order for antiviral medication. d. Place the baby on strict precautions.

C

A patient with Class II heart disease is being seen for her first prenatal visit. Which of the following teaching points would the nurse stress for the patient? Select all that apply. A Avoid all over-the-counter medications during pregnancy. B Regular exercise will help increase cardiac capacity during pregnancy. C It's important to take prenatal vitamins and iron as prescribed. D The patients fetus will probably have a similar congenital heart defect. E Adequate nutrition to prevent anem

C,E????

A baby has just been admitted into the NICU with a diagnosis of intrauterine growth restriction. Which of the following maternal factors would predispose the baby to this diagnosis? Select all that apply. a. Hyperopia b. Gestational diabetes c. Substance abuse d. Chronic hypertension e. Advanced maternal age

CDE

The patient, who is 41 weeks gestation, has just had a biophysical profile with a score of 2. Which if the following nursing interventions would be most appropriate? A Tell the mother that this indicates fetal well-being. B Reschedule the mother for a repeat of the test in 1 week. C Recognize this as an equivocal test and schedule a repeat of it for the next day. D Consult the physician as this score indicates a probable need for immediate delivery.

D