EXAM 4 QUESTIONS OB
Part of the health assessment of a newborn includes observing the newborn's breathing pattern. A full-term newborn's breathing pattern is predominantly:
Abdominal with synchronous chest movements
A nurse is evaluating an infant that is scheduled for discharge later on in the day. Which of the following are considered normal assessment characteristics in the newborn? Select all that apply -A small birthmark near the right eye -Small amounts of lanugo around the shoulders -Numerous milia on the nose and chin -Erythema toxicum under the arms and around the base of neck
All the above
A client comes to the clinic for her 6-weeks postpartum checkup. Her presentation is disheveled. The client states that she is not sleeping well and that she has been feeling "sad and overwhelmed". The priority action would be to:
Assist in having the client complete the Edinburgh Postnatal Depression scale screening tool
The client comes into OB triage and states that she has not received any prenatal care. Upon questioning, the client states that her last menstrual period (LMP) was 10/30/2020. Determine the client's estimated date of confinement (EDC) using Naegele's rule:
August 6, 2021
When educating a client regarding methods to be used for contraception, one of the most important concepts to emphasize is that?
Barrier methods must be used consistently every single time intercourse occurs
A postpartum client who has a cesarean birth states that whenever she is breastfeeding her infant, she experienced more intense abdominal cramping. Which of the following is the best explanation to give the client?
Breastfeeding causes the release of oxytocin, which causes the uterus to contract
A client is admitted to the labor and delivery unit of the hospital. After being evaluated she is sent home because she is not in labor. The nurse explains to the client that which of the following indicates that a client is in true labor:
Cervical dilation and effacement
A couple visiting the infertility clinic for the first time states that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, the nurse determines that an appropriate outcome for the couple would be to accomplish which of the following by the end of this visit?
Describe each of the potential causes and possible treatment modalities
A nurse is caring for a client for a 6 hour postpartum. The client is Rh-negative and the newborn is Rh-positive. The client asks why the healthcare provider ordered an indirect Coombs test. Which of the following is an appropriate response by the nurse?
It detects Rh-positive antibodies in the mother's blood
Which of the following assessment findings by the nurse would require obtaining a blood glucose level on the newborn?
Jitteriness of the newborn
Parents of a newborn are asking questions about how to care for the umbilical cord site of their infant. In teaching the parents about cord care, which principle is important?
Keeping the cord dry will decrease bacterial growth
A nurse is inspecting a client's recent episiotomy laceration. In the acronym REEDA, the A reminds the nurse to assess:
The edges of the wound
A nurse is assisting a client that is postpartum with the first breastfeeding experience. When the client asks how much of the nipple should be put into the newborn's mouth, which of the following responses should the nurse make?
You should place your nipple and some of the areola into their mouth.
which of the following preterm infants is position to promote Optimum respiratory function? An infant that is:
In prone position with his head turned to one side
A small gestational age (SGA) newborn has experienced cold stress. Which of the following nursing actions should be included in the care plan?
Initiate monitoring of blood glucose plan
After conducting a presentation to a group of adolescent parents on the topic of adolescent pregnancy, the nurse determines that one of the parents needs further instructions when the parent says that adolescents are at greater risk for the following?
Congenital anomalies
Which of the following medications, commonly given in the labor and delivery setting are typically considered "high risk" and should have a second RN as verification. Select all that apply. Insulin Oxytocin Magnesium sulfate
Insulin Oxytocin Magnesium sulfate
The nurse is assessing a newborn with developmental dysplasia of the hip (DDH). Which of the following assessment findings would the nurse expect to see?
Lengthened stye on the affected side
When administering an intravenous solution of 250 mL of normal saline with 50 grams of Magnesium sulfate, the nurse calculates that how many solutions will deliver 5 grams of Magnesium sulfate to the patient?
25 mL
The nurse is receiving a shift report in the newborn nursery. Which infant should the nurse evaluate first?
40 weeks gestation newborn with reported poor feed at last attempt
An insulin IV infusion is ordered to be administered at 10 units of regular insulin per hour. Available in the Pyxis machine is an IV solution of 500 mL of normal saline with 1000 units of regular insulin. How many mLs per hour should the nurse infuse?
5 mL/hr
Early postpartum hemorrhage is defined as a blood loss greater than ________ mL in the first________ hours after___________delivery
500; 24 ; vaginal
Barrier methods must be used consistently every single time intercourse occurs Six hours after the birth of a full-term infant who is awake and alert, the nurse performs an assessment on the newborn and notes that the respiratory rate is 44 beats per minute. The respirations are shallow with periods of apnea lasting up to 5 seconds. The heart rate is 160 beats per minute. The skin is pink except for some cyanosis on the soles of the feet. Based on this assessment date the nurse would:
Continue routine assessments
A client complains that during her first few months of pregnancy she has been urinating more frequently. The nurse correctly explains that:
Diuresis is common experience
During a vaginal delivery, the healthcare provider declares that a shoulder dystocia has occurred. Which of the following actions by the nurse is appropriate at this time?
Flex the client's thighs sharply toward her abdomen
Which comment made by a client in her first trimester indicates ambivalent feelings?
I wanted to become pregnant, but I'm scared about being a mother
The nurse determines that a client does not understand what to expect during cesarean delivery, when the client states:
I will receive a blood transfusion during surgery
The most important nursing intervention after a client has received epidural anesthesia is monitoring:
Maternal blood pressure and fetal heart tones
The nurse performs an assessment on a multiparous client on the postpartum unit. The assessment reveals that the fundus is boggy, lochia is heavy, and vital signs are: BP 128/78, HR 90, T 100.1 degrees F, and O2 sats 98%. The nurse has the client empty her bladder, and again massage the fundus. The fundus remains soft and the lochia remains heavy. The next action by the nurse would be to:
Notify the clients health care provider
Which assessment finding of a newborn requires prompt action by the nurse?
Pause in breathing lasting 20 seconds
A client who has been diagnosed with deep vein thrombosis suddenly complains of chest pain, difficulty breathing and becomes very anxious. The first action that the nurse should take is to:
Position the client in semi-fowlers
The postpartum nurse is reviewing the charts of a client and her newborn being admitted 2 hours after delivery. On the chart of the newborn, the nurse sees a notation of caput succedaneum. Which of the following assessment data from the client's chart would be a contributing factor for caput succedaneum of the newborn?
Prolonged second stage of labor
The nurse assesses the newborn and the following behaviors are noted: nasal flaring and facial grimacing. Based on the assessment data, the nurse is most concerned about:
Respiratory distress
The nurse explains to a client that her newborn will receive routine newborn testing before discharge and that this will include a test for Phenylketonuria (PKU). In order for the test to be successful, the nurse assures that the following is completed:
Successful feedings for at least the past 24 hours
The nurse has determined that a postpartum client is hemorrhaging. Unit personnel arrive to assist. Which of the following tasks could be delegated to the unlicensed professional assistant (UAP)?
Taking the client's vital signs
Which of the following client behaviors noted in the postpartum client would alert the nurse to perform additional follow-up assessments?
The client response hesitantly when the infant cries
The nurse performs assessment of the fetal monitor tracing. The nurse notes that the fetal heart rate decelerates after the peak of the contraction and does not return to baseline until after the contraction has ended. Which nursing action indicates the proper evaluation of this situation?
The declarations pattern is associated with uteroplacental insufficiency, so the nurse acts quickly to improve placental blood flow and fetal oxygen supply.
How should the nurse explain milk supply and demand when responding to the question, "will I produce enough milk for my baby as she grows and needs more milk for each feeding?"
The mother's milk supply will increase as the baby demands more at each feeding
The client is a one-day old, full-term newborn. To this point, the infant has not experienced any complications. The nurse assesses the client's blood glucose level as 60 mg/dL. Following this assessment finding the nurse should:
record the assessment in the client's charting
The nurse performs assessment of the fetal monitor tracing. The nurse notes that the fetal heart rate decelerates after the peak of a contraction and does not return to Baseline until after the contraction has ended. Which nursing action indicates the proper evaluation of this situation?
the deceleration pattern associated with uteroplacental insufficiency, so the nurse asked quickly to improve placental blood flow and fetal oxygen supply
