OB Final Exam (questions)
The nurse is caring for a patient in the post-anesthesia care unit (PACU) immediately following cesarean delivery. During fundal assessment, the patient reports discomfort and exhaustion and asks the nurse, "Why do you keep poking at me?" Which response from the nurse is appropriate? A) "I'll wait until you're on the postpartum floor to assess you again." B) "I need to do this assessment to make sure your incision is healing correctly." C) "This assessment must be done every 30 minutes until you transfer out of the recovery room." D) "A cesarean delivery puts you at risk for excessive bleeding, so it's important to assess you frequently."
"A cesarean delivery puts you at risk for excessive bleeding, so it's important to assess you frequently"
The postpartum nurse is talking with the patient following a cesarean delivery with a Pfannenstiel skin incision and low transverse uterine incision. The patient asks the nurse to describe the procedure, since the surgical draping prevented her from seeing the operation. Which response from the nurse is appropriate? A) "An incision was made on the uterus that goes up toward your navel." B) "The layer of skin and fat is cut open and then a uterine incision is made." C) "Are you sure you're comfortable hearing details about the procedure?" D) "An incision was made on the uterus that looks a lot like the scar on your abdomen."
"An incision was made on the uterus that looks a lot like the scar on your abdomen"
A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breast-feeding their newborns. Which of the following statements by a member of the group requires clarification? A. "I am glad I can have my morning coffee" B. "I know that certain foods that I eat will affect my baby" C. "I will continue adding 330 calories per day to my diet" D. "I will continue my Ca supplements because I don't like milk"
"I am glad I can have my morning coffee"
Which statement by the client would alert the nurse that she should not take oral contraceptives? A) "I am trying to limit cigarettes to one pack per week" B) "I try to have my boyfriend wear a condom every time we have sex" C) "I am slightly overweight and have a difficult time fitting exercise into my schedule" D) "I drink one to two alcohol drinks a few times a week"
"I am trying to limit cigarettes to one pack per week"
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction? A) "Any sexually active individuals can be infected with chlamydia" B) "Individuals can only spread the infection if symptomatic" C) "All pregnant women should be screened for chlamydia" D) "Treatment is also required for individuals who are asymptomatic"
"Individuals can only spread the infection if symptomatic"
The nurse is assessing a patient who had a cesarean delivery. The patient is silent during the physical assessment, but when asked how she feels responds, "I feel like I can't do anything right. How am I supposed to raise a child?" Which response from the nurse is most appropriate? A) "Tell me why you feel this way." B) "I can bring your baby in from the nursery so the two of you can bond." C) "Everyone is concerned about their first child. I can give you some printed material that can help." D) "I can give you contact information for a support group for new parents, if you feel overwhelmed."
"Tell me why you feel this way."
The antepartum nurse is caring for a patient with a body mass index (BMI) of 30 who is scheduled for a planned cesarean delivery. The patient asks the nurse why the provider has told her that a midline vertical incision will be done for the procedure. Which explanation by the nurse is accurate? A) "The midline vertical incision is less likely to lead to hernia formation later in life." B) "The midline vertical incision will heal more quickly than a Pfannenstiel incision." C) "The midline vertical incision will cause less postoperative pain and allow for earlier ambulation." D) "The midline vertical incision is a better option for larger patients because more of the uterus is exposed."
"The midline vertical incision is less likely to lead to hernia formation later in life."
A woman who has a seizure disorder and takes barbituates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurse's most appropriate response would be: A) "This is a highly effective method, but it has some side effects" B) "Your current medications will decrease the effectiveness of the pill" C) "The pill will decrease the effectiveness of your seizure medication" D) "This is a good choice for your age and personal history"
"Your current medications will decrease the effectiveness of the pill"
Biophysical profiles are designed to detect fetal compromise under many high risk circumstances. Choose the types of high risk situations it is used for: A) Decreased fetal movement B) IUGR C) HTN D) PROM E) Post Dates F) Polyhydraminos G) Oligohydraminos H) Maternal Diabetes I) Rh incompatibility
-decreased fetal movement -IUGR -HTN -Post Dates -Polyhydraminos -Oligohydraminos -Maternal death - Rh incompatibility
After a molar pregnancy, how long should a woman wait before trying to conceive again? A) 6 months B) 3 months C) 12 months D) 9 months
12 months
A pregnant patient has a history of genital herpes lesions and has experienced outbreaks periodically throughout the pregnancy. What should the nurse instruct the patient regarding this virus if lesions are present at the time of delivery? Select one: a. A cesarean section will be advised at the time of birth. b. There are no precautions needed at the time of birth. c. The patient will need medication immediately after birth. d. The baby will be given a vaccination against the virus at birth.
A cesarean section will be advised at the time of birth.
A client, 34 weeks pregnant, arrives at the ER with SEVERE abdominal pain, uterine tenderness and an increased uterine tone. The client denies vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decels. The client most likely has which of the following? A) Placenta previa B) Molar pregnancy C) Abruptio placentae D) Ectopic pregnancy
Abruptio placentae
After delivery of the placenta, a patient's uterus is sluggish to contract. What should the nurse prepare to do to assist the patient at this time? Select one: a. Administer intravenous fluids. b. Measure blood pressure every 15 minutes. c. Administer Postpartum Pitocin via IV d. Prepare to administer blood products as prescribed.
Administer Postpartum Pitocin via IV
The postpartum nurse is caring for a patient who experienced a cesarean delivery and whose vertical skin incision is closed with sutures and surgical glue. Which step should the nurse take to ensure the patient's comfort during the assessment? A) Assist the patient to extend her legs prior to palpating the fundus. B) Avoid palpating the area around the incision during assessment. C) Decrease the frequency of assessments to allow for patient rest. D) Administer the patient's pain medication before fundal assessment.
Administer the patient's pain medication before fundal assessment
The nurse assists while a pregnant patient has an amniotomy. Which action should the nurse take immediately at the conclusion of the procedure? Select one: a. Assess fetal heart rate. b. Adjust intravenous fluid infusion rate. c. Assist the patient to wash the perineum. d. Assist the patient to wash the perineum. a. Assess fetal heart rate.
Assess fetal heart rate
During the active stage of labor, a patient's membranes spontaneously rupture. Which action should the nurse do first after this occurs? Select one: a. Turn the patient onto the left side. b. Assess fetal heart rate for fetal safety. c. Test a sample of amniotic fluid for protein. d. Instruct to bear down with the next contraction.
Assess fetal heart rate for fetal safety
The fetal heart rate baseline is 140 beats per minute. When contractions begin, the fetal heart rate drops suddenly to 120 and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best? Select one: a. Assist the patient to change from Fowler's to left lateral position. b. Apply oxygen to the patient at 2 liters per nasal cannula. c. Notify the operating room of the need for a cesarean birth. d. Determine the color of the leaking amniotic fluid.
Assist the patient to change from Fowler's to left lateral position
You assess a postpartal woman's fundal height every 15 minutes during the first hour postpartum. At which of the following locations would you expect to assess the height of her fundus? Select one: a. Two fingerbreadths under the umbilicus b. One fingerbreadth under the umbilicus c. At the umbilicus d. Two fingerbreadths above the symphysis pubis
At the umbilicus
Her period started on November 21, 2018. When will be the mother's due date? A) August 28, 2019 B) August 21, 2019 C) August 28, 2018 D) September 21, 2019
August 28, 2019
A man smokes two packs of cigarettes per day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is: A) "your sperm count seems to be okay in the first semen analysis" B) "smoking can decrease quality of your sperm" C) "Smoking can give you lung cancer, even though it has no effect on sperm" D) "Only marijuana cigarettes affect sperm counts"
B) "smoking can decrease quality of your sperm"
Which of the following complaints of pregnancy is most common among mothers? A) Nausea/Vomiting B) Weight gain C) Backache D) Edema
Backache
Which of the following contraceptive methods best protects against sexually transmitted infections or HIV? A) periodic abstinence B) barrier methods C) hormonal methods D) They all protect the same
Barrier methods
Ultrasound is used to evaluate fetal activities such as breathing and fetal movement. What is the name of this test?
Biophysical Profile
As part of a biophysical profile, "ultrasound" is used to evaluate fetal activities. Which activities should be noted? A) Heart rate B) Breathing C) Gross body movements D) Baby picking its nose E) Amniotic fluid evaluation F) Tone
Breathing Gross body movements Amniotic fluid evaluation Tone
What is the leading cause of maternal death? A) infection/sepsis B) Non-CV disease C) CV disease
CV disease
Which anomaly has soft, pits on pressure? A) caput succedaneum B) Cephalohematoma
Caput succedaneum
Recommendation for preventing neonatal herpes
Carefully examining and questioning all women about symptoms at onset of labor.
3) The couple above is now pregnant and would like to know what option is the best for delivery? a) The largest risk of HIV transmission to the baby occurs during weeks 3 to 8 gestation so you can have a normal vaginal delivery without intervention. b) A vaginal delivery with the use of antiretroviral therapy has the greatest reduction of risk in transmitting HIV to the baby. c) Cesarean delivery combined with antiretroviral therapy throughout pregnancy reduces transmission rates greater than vaginal delivery. d) There is no way to reduce the risk of transmission of HIV in delivery. The baby will need antiretroviral therapy after delivery regardless of which method is used.
Cesarean delivery combined with antiretroviral therapy throughout pregnancy reduces transmission rates greater than vaginal delivery.
A client comes to a community clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the client for which clinical manifestation in the primary stage? A) Flu-like symptoms B) Condyloma lata C) Chancre D) Copper-colored rash involving the trunk and extremities
Chancre
A nurse is teaching a community health class of women and explains that an STI is associated with an increase in risk for infertility in women. Which STI should the nurse identify? A) HPV B) Chlamydia C) HSV-2 D) Syphilis
Chlamydia
What is the most common bacterial STI in the U.S. leading cause of infertility? A) Gonorrhea B) Syphillis C) Chlamydial Infections D) Bacterial Vaginosis
Chlamydial Infections
Endometrosis is a chronic GYN condition characterized by what 2 hallmark symptoms?
Chronic pelvic pain infertility
In order to reassure and educate pregnant clients about changes in their blood pressure, maternity nurses should be aware that: A. A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high B. Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit C. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant D. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy
Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy
Molar pregnancies are often treated by: A) D & C B) Watchful waiting C) Methotrexate D) Sterilization
D & C The pregnancy msut be terminated and HCG levels monitored afterward to make sure growth is ceased.
A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. What is a good source of Ca 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
Dark green, leafy vegetables
All of the following may be clinical signs of a molar pregnancy except: A) Elevated HCG B) Elevated blood pressure C) Grape like cluster vaginal discharge D) Detectable fetal heart tones on pelvic ultrasound E) Abnormally enlarged uterus for gestational age
Detectable fetal heart tones on pelvic ultrasound
What are risk factors for endometriosis?
Early menarche (<11y) Shorter cycle interval Prolonged heavy bleeding
A pregnant woman experiencing nausea and vomiting should: A. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning B. Eat small, frequent meals (every 2 to 3 hours) C. Increase her intake of high-fat foods to keep the stomach full and coated D. Limit fluid intake throughout the day B. Eat small, frequent meals (every 2 to 3 hours)
Eat small, frequent meals (every 2 to 3 hours)
An abnormal implantation of a fertilized egg outside of the uterus, most often in the outer third portion of the fallopean tube:
Ectopic Pregnancy
Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)? A. Radioimmunoassay B. Radioreceptor assay C. Latex agglutination test D. Enzyme-linked immunosorbent assay (ELISA)
Enzyme-linked immunosorbent assay (ELISA)
The baseline fetal heart rate is 135 beats per minute. Following contractions, the fetus develops late decelerations. Which nursing intervention should be implemented first? Select one: a. Alert the physician/CNM of the fetal status. b. Administer oxygen to the patient at 4 liters per minute via nasal cannula. c. Decrease the rate of infusion of intravenous fluids. d. Facilitate a maternal left lateral position.
Faciliate a maternal left lateral position
The nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach? a. Primary care b. Team nursing c. Case management d. Family-centered care
Family-centered care
After an examination, an advanced practice nurse confirms that a patient is pregnant. What did the nurse assess in this patient? (Select all that apply.) Select one or more: a. Painful breast tissue b. Positive pregnancy test c. Fetal movements felt by the nurse d. Visualization of the fetus by ultrasound e. Fetal heart rate separate from the patient's
Fetal movements felt by the nurse visualization of the fetus by ultrasound Fetal heart rate separate from the patient's
G/T/P/A/L She is pregnant again A) G(2), T(0), P(0), A(0), L (2) B) G(2), T(1), P(0), A(0), L(1) C) G(1), T(2), P(0), A(0), L(1) D) G(2), T(2), P(0), A(1), L(2)
G(2), T(1), P(0), A(0), L(1)
G/T/P/A/L Her second pregnancy ends in miscarriage at 10 weeks. A) G(1), T(0), P(0), A(0), L(2) B) G(2), T(1), P(0), A(0), L(1) C) G(2), T(1), P(0), A(1), L(1) D) G(1), T(2), P(0), A(1), L(1)
G(2), T(1), P(0), A(1), L(1)
What causes a molar pregnancy? A) Lack of folic acid B) Low sperm count in men C) Genetic error D) Abnormally high levels of estrogen
Genetic error
The nurse understands that the women is demonstrating probable signs of pregnancy when which of the following signs are observed by the primary care provider? SELECT ALL THAT APPLY A. Cholasma B. Goodell's sign C. Ballottement D. Chadwick's sign E. Quickening
Goodell's Sign, Ballottement, Chadwick's sign
Identify a step in the fetal loss grieving process. A) shame B) Guilt C) Anticipation D) Ambivalence
Guilt
1. A woman presents to your clinic with a positive HCG test. You know that which type of hepatitis is included in all prenatal screening labs? a. HAV, HEV b. HBV c. HCV d. All of the above are included in prenatal screening labwork
HBV
the earliest biochemical marker of pregnancy is known as ______
HCG (Human Chorionic gonadotropin) (Beta-hCG >25 units/L = pregnant).
During a client's physical examination, the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as: A. Hegar sign B. McDonald sign C. Chadwick sign D. Goodell sign
Hegar sign
Which of the following symptoms described by a woman is characteristic of premenstrual syndrome (PMS)? A) "I feel irritable and moody a week before my period is supposed to start" B) "I have lower abdominal pain beginning the third day of my menstrual period" C) "I have nausea and headaches after my period starts, and they last 2 or 3 days" D) "I experience abdominal bloating and breast pain after a couple of days of my period"
I feel irritable and moody a week before my period is supposed to start
Which statement made by the client indicates the nurse's teaching about the IUD is effective? A) I will need to have the IUD replaced every year B) I will need to check the attached string every month C) This device will keep me from getting STIs D) I will need to have my IUD placed one week after my period
I will need to check the attached string every month
Women with an inadequate weight gain during pregnancy are at higher risk of giving birth to an infant with: A. Spina bifida B. Intrauterine growth restriction C. Diabetes mellitus D. Down syndrome
Intrauterine growth restriction
Which minerals and vitamins usually are recommended to supplement a pregnant woman's diet? A. Fat-soluble vitamins A and D B. Water-soluble vitamins C and B6 C. Iron and folate D. Calcium and zinc
Iron and folate
When explaining what will occur during the first prenatal visit physical examination, a pregnant patient asks why a Papanicolaou smear is being done at this time. What should the nurse respond to the patient? a. It helps to date the pregnancy. b. It detects if uterine cancer is present. c. It predicts whether cervical cancer will occur. d. It detects cancer cells of the cervix, vulva, or vagina.
It detects cancer cells of the cervix, vulva, or vagina
A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, "My abdomen feels bloated, my clothes are very tight, and my urine is very dark." Which if the following is the appropriate statement for the nurse to make at this time? A) It is important for you to come into the office to be examined today B) Those changes indicate that you are likely already pregnant C) Please take an urine sample to the lab so they can check it for an infection D) Abdominal bloating is an expected response to the medication
It is important for you to come into the office to be examined today
An absence of what may facilitate the occurrence of bacterial vaginosis? A) antibodies B) Gardnerella vaginalis C) Vaginal mucosa D) Lactobacillus acidophilus
Lactobacillus acidophilus
The nurse assesses a postpartum patient's discharge as being pink or browish. How should the nurse document the appearance of the lochia? Select one: a. Lochia alba b. Lochia rubra c. Lochia serosa d. Lochia normalia
Lochia serosa
Which best describes the signs and symptoms of trichomoniasis in women? A) foul, fishy odor and thick clumpy white vaginal discharge B) Dysuria and thin milky-white vaginal discharge C) Condition is asymptomatic D) Malodorous, frothy yellow-green vaginal discharge
Malodorous, frothy yellow-green vaginal discharge
What is the most common maternal condition associated with LGA?
Maternal Diabetes
Concerning endometrosis, nurses should be aware that it: A) is characterized by the presence and growth of endometrial tissue inside the uterus B) is found more often in AA women than caucasian or asian women C) May worsen with repeated cycles or remain asymptomatic and disappear after menopause D) Is unlikely to affect sexual intercourse or fertility
May worsen with repeated cycles or remain asymptomatic and disappear after menopause
Which medication would you expect to adminster as ordered for a client who is experiencing postpartum hemorrhage from uterine atony? Select one: a. Apresoline b. Zaroxolyn c. Methergine d. Proventil
Methergine
What is the recommended medication for ectopic pregnancy? A) Pitocin B)Terbutaline C)Methotrexate D)Acyclovioir
Methotrexate
A 43 y/o, 17 week pregnant woman presents to your clinic with complaints of heavy vaginal bleeding, high blood pressure and grape like cluster vaginal discharge. What do you immediately suspect? A) Dysmenorrhea B) Dysfunctional uterine bleeding C) Molar pregnancy D) Uterine fibroids
Molar pregnancy
What is the best indicator of health of a nation? A) Neonatal morbidity B) Mortality C) Morbidity D) Fertility
Morbidity
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. iron deficiency anemia B. poor bone formation C. macrosomic fetus D. neural tube defects
Neural tube defects
What level of alcohol is safe during pregnancy? A. It is low risk to partake in 1-2 glasses of wine per week in the third trimester B. No level of alcohol is definitely safe during pregnancy C. Alcohol consumption is irrelevant during pregnancy D. Safety of alcohol is individually dependent, consult with your primary care manager
No level of alcohol is definitely safe during pregnancy
The "non-sonographic" component of the biophysical profile that monitors fetal heart rate accelerations associated with fetal movement is called?
Non-stress test
Her last menstrual period was on January 3, 2019. When will be the mother's due date? A) October 3, 2019 B) September 27, 2019 C) October 10, 2019 D) October 10, 2018
October 10, 2019
What is the treatment or endometrosis
Oral contraceptives (shrink tissue)
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 supplement with which of the following? A. ice water B. low fat or whole milk C. tea or coffee D. Orange juice
Orange Juice
Which of the following statements concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate? A) Premenstual dysphoric disorder (PDD) is a milder form of premestrual syndrome (PMS) and more common in younger women. B) Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea C) PMS is a complex, poorly understood condition that may include any of a hundred symptoms D) The causes of PMS are now well established
PMS is a complex, poorly understood condition that may include any of a hundred symptoms
A postpartal woman calls you into her room because she is having very heavy lochia that also contains large clots. Your first action would be to Select one: a. Assess her blood pressure b. Palpate her fundus c. Have her turn on her left side d. Assess her perineum
Palpate her fundus
The nurse provides instructions to a patient with hyperemesis gravidarum. Which outcome indicates that teaching has been effective? Select one: a. Patient has vomiting episodes only in the morning. b. Patient is able to tolerate soft foods after episodes of vomiting. c. Patient is able to ingest clear liquids between episodes of vomiting. d. Patient is able to ingest a regular diet after progressing through clear liquids and soft foods.
Patient is able to ingest a regular diet after progressing through clear liquids and soft foods
A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. The nurse should teach the women which of the following? SELECT ALL THAT APPLY A. Avoid any lifting B. Perform Kegel exercises twice a day C. Perform the pelvic rock exercise every day D. Use proper body mechanics E. Avoid constrictive clothing
Perform the pelvic rock exercise every day; proper body mechanics * lift with legs *Kegel exercises to strengthen perineal muscles * Avoid constrictive clothing to prevent UTIs, vaginal infections, varicosites and edema of lower extremities
An abnormal implantation over the cervical os instead of implantation on the fundus of the uterus is _____.
Placenta Previa
Which patient laboratory value would the nurse validate as part of routine preparation for cesarean delivery, in order to determine adequate fetal maturity? A) Rh-positive antibody test performed 4 weeks prior to surgery. B) Negative rubella titer performed 6 weeks prior to surgery. C) Positive serum pregnancy test performed at least 36 weeks prior to surgery. D) High serum alpha-fetoprotein (AFP) level performed 26 weeks prior to surgery.
Positive serum pregnancy test performed at least 36 weeks prior to surgery.
Amenorrhea is most commonly a result of: A) stress B) excessive exercise C) eating disorders D) pregnancy
Pregnancy
Which of the following is the most correct answer in regards to HIV testing in the prenatal setting a) All women are required to complete prenatal HIV testing; refusal is considered against medical advice and should be documented. b) HIV testing is only performed in the prenatal setting when women verbalize interest c) Prenatal HIV counseling is mandatory in most states; however, women may choose to opt out of testing. d) Prenatal HIV testing is seldom performed in the prenatal setting because of risks to the fetus.
Prenatal HIV counseling is mandatory in most states; however, women may choose to opt out of testing.
The primigravida in labor asks the nurse to explain the electronic fetal heart rate monitor strip. The fetal heart rate baseline is 150, with accelerations to 165, variable decelerations to 140, and moderate long-term variability. Which statement indicates that the patient understands the nurse's teaching? "The most important part of fetal heart monitoring is the Select one: a. absence of variable decelerations." b. presence of variability." c. fetal heart rate baseline." d. depth of decelerations.
Presence of variability
The nurse has received an end of shift report on the postpartum unit. Which patient should she see first? Select one: a. Multip, second day post-cesarean, moderate lochia serosa b. Primip, day of delivery, fundus firm 2 cm above umbilicus c. Multip, first postpartum day, 4 cm diastasis recti abdominis d. Primip, first postpartum day, hypoactive bowel sounds all quadrants
Primip, day of delivery, funds firm 2 cm above umbilicus
A laboring patient has received an order for epidural anesthesia. In order to prevent the most common complication associated with this procedure, the nurse would expect to do which of the following? Select one: a. Observe fetal heart rate variability. b. Rapidly infuse 500-1,000 mL of intravenous fluids. c. Place the patient in the semi-Fowler's position. d. Teach the patient appropriate breathing techniques. b. Rapidly infuse 500-1,000 mL of intravenous fluids.
Rapidly infuse 500-1,000 mL of IVF
The result that is desired from a non-stress test is: A) non-reactive NST B) reactive NST
Reactive NST
The mother is complains of dizziness, nausea, and clammy skin as she lays up in bed. What should the nurse suggest? A) Give patient emesis basin and fluids. B) Reposition patient on side until s/sx reside to normal limits, as this indictates signs of supine hypotension C) Tell patient to lay on their side D) Nothing, this is common with pregnancy.
Reposition patient on side until s/sx reside to normal limits, as this indicates signs of supine hypotension
All of the following are true statements EXCEPT: A. Use of a standardized screening tool at least once during the perinatal period is recommended for postpartum depression. B. Screening alone is sufficient to rule out postpartum depression C. OB staff should have a low threshold to send patients to mental health D. The Edinburgh Postnatal scale is generally identified as a comprehensive, reliable screening tool.
Screening alone is sufficient to rule out postpartum depression
You are performing preconception counseling with a discordant couple (one partner has HIV and the other does not have HIV) that wishes to conceive a child. Which of the following demonstrates a correct understanding from the patient? a) Now that my viral load has reached undetectable levels, we can have unprotected sexual intercourse with zero risk of my partner acquiring HIV. b) Since my viral load is undetectable right now and I am ovulating, it may be an option for conception but I understand that there is a chance of HIV transmission to my partner. c) Since we have had unprotected sex before and my partner did not contract HIV, the risk of transmission is less because he has had the chance to develop antibodies. d) The current options available for discordant couples do not reduce the risk of transmission of HIV and we need to look at options for adoption instead.
Since my viral load is undetectable right now and I am ovulating, it may be an option for conception but I understand that there is a chance of HIV transmission to my partner.
A 22 week gestation, 35 year old, G1P0 patient reports "Not feeling my baby move at all today". She is anxious but otherwise appears healthy. Lab values are unremarkable. No fetal heart tones are noted with doppler. How would you diagnostically confirm fetal signs of life or lack thereof? a. Sequential urine hCG tests for three b. Abdominal palpation and assessment c. Fetal genetic testing d. Sonographic visualization of the four heart chambers
Sonographic visualization of the four heart chambers
A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. The response provided by the nurse should be based on which of the following? A) It is unlikely that any of these factors is affecting his fertility B) Sperm may be malformed when exposed to the heat of the sauna C) Daily alcohol consumption could be altering his sperm count D) Cancer survivors have the same fertility rates as healthy males
Sperm may be malformed when exposed to the heat of the sauna
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couples infertility? A) The client was 13y when she started to menstruate B) The client is 36y C) The client jogs 2 miles/day D) The client works as a dental hygienist 3 days/week
The client is 36y
What important aspects do all the fertility awareness methods (FAMs) have in common? A) they all require the woman to be able to touch her genitals to measure cervical mucous B) They all involve abstinence at some point C) They all rely on measuring body temperature D) They all require the cooperation of the woman's partner(s)
They all require the cooperation of the woman's partner(s)
The RN is educating the newly pregnant mother at her first prenatal appointment about medications contraindicated in pregnancy. All the following except _____ should be ingested by the mother: A) tetracycline B) ibuprofen C) Sulfonamides D) ASA E) Tylenol F) Thalidomide G) Isotrenoin
Tylenol
To assess healing of the uterus at the placental site, the nurse assesses Select one: a. lab values. b. blood pressure. c. uterine size. d. type, amount, and consistency of lochia.
Type, amount, and consistency of lochia
When counseling a woman for primary dysmenorrhea, which of the following nonpharmacologic interventions would be used? A) increasing intake of red meat and simple carbs B) reducing intake of diuretic foods such as peaches & asparagus C) Temporarily substituting physical activity for a sedentary lifestyle D) Using a heating pad on the abdomen to relieve cramping
Using heating pad on abdomen to relieve cramping
Which of the following is the most frequent reason for postpartum hemorrhage? Select one: a. Endometritis b. Uterine atony c. Perineal lacerations d. Disseminated intravascular coagulation
Uterine Atony
A woman who's 36 weeks pregnant comes into the labor & delivery unit with mild contracts. Which of the following complications should the nurse watch out for when the client informs her that she has placenta prevue? a. sudden rupture of membranes b. vaginal bleeding c. emesis d. fever
Vaginal Bleeding
The client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following? A) if the cervix is incompetent B) Whether or not the ovaries are maturing properly C) If the endometrium is fully vascularized D) Whether or not the fallopian tubes are obstructed
Whether or not the fallopian tubes are obstructed
A patient enjoys exercising and wants to know if it can continue to be done while pregnant. What should the nurse instruct the patient about exercising at this time? (Select all that apply.) a. Drink plenty of liquids to prevent dehydration. b. Limit strenuous exercise to no longer than 20 minutes. c. Eat a low-protein, simple carbohydrate snack before exercising. d. Warm up for 5 minutes by walking or cycling on low resistance. e. Avoid exercises that require jumping or rapid changes in direction.
a, d, e
A woman is in labor. The fetus is in vertex position. When the patient's membranes rupture, the nurse sees that the amniotic fluid is meconium-stained. The nurse should immediately Select one: a. notify the physician that birth is imminent. b. change the patient's position in bed. c. administer oxygen at 2 liters per minute. d. continue continuous fetal heart rate monitoring. d. continue continuous fetal heart rate monitoring.
continue continuous fetal heart rate monitoring
What is the dominant hormone in pregnancy?
progesterone
