OB Exam #2

A nurse is presenting a discussion on sexual violence at a local community college. When describing the incidence of sexual violence, the nurse would identify that a woman has which chance of experiencing a sexual assault in her lifetime? A. 1 in 5 B. 1 in 3 C. 3 in 20 D. 2 in 15

A. 1 in 5

Which suggestion by the nurse about pushing would be most appropriate to a woman in the second stage of labor? A. "Choose whatever method you feel most comfortable with for pushing." B. "Lying flat with your head elevated on two pillows makes pushing easier." C. "Bear down like you're having a bowel movement with every contraction." D. "Let me help you decide when it is time to start pushing."

A. "Choose whatever method you feel most comfortable with for pushing."

A client is admitted in the healthcare facility with pelvic inflammatory disease (PID). When reviewing the client's history, which of the following would the nurse identify as a risk factor? A. Frequent douching B. Environmental exposure C. Genetic predisposition D. Gestational diabetes

A. Frequent douching

A nurse is reviewing a journal article about vaccines used to prevent STIs. The nurse would expect to find information about vaccines for which STIs? Select all that apply. A. HPV B. HIV C. HAV D. HBV E. HSV

A. HPV C. HAV D. HBV

A nurse is teaching a group of college students about rape and sexual assault. The nurse determines that additional teaching is necessary based on which statements by the group? Select all that apply. A. Most victims of rape tell someone about it. B. Women have rape fantasies desiring to be raped. C. Medication and counseling can help a rape victim cope. D. Few women falsely cry "rape." E. A rape victim feels vulnerable and betrayed afterwards.

A. Most victims of rape tell someone about it. B. Women have rape fantasies desiring to be raped.

A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which area? A. at the level of the umbilicus B. midway between the pubis and umbilicus C. just above the symphysis pubis D. midway between the umbilicus and xiphoid process

A. at the level of the umbilicus

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation? A. finger pads B. back of the hand C. finger tips D. palm of the hand

A. finger pads

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate? A. "Once you have the infection, you develop an immunity to it." B. "There is no cure, but drug therapy helps to reduce symptoms and recurrences." C. "There is a new vaccine available that prevents the infection from returning." D. "All you need is a dose of penicillin and the infection will be gone."

B. "There is no cure, but drug therapy helps to reduce symptoms and recurrences."

When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate partner abuse and its effects on children. When addressing these statistics, the nurse would identify what rate of the cases involving a parent being abused would the children be abused also? A. 1 in 10 B. 1 in 8 C. 1 in 3 D. 1 in 5

B. 1 in 8

Which finding would the nurse expect to find in a client with bacterial vaginosis? A. vaginal pH of 3 B. fish-like odor of discharge C. cervical bleeding on contact D. yellowish-green discharge

B. fish-like odor of discharge

During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. The nurse would develop a plan of care identifying interventions to promote which area as the priority? A. activity B. gas exchange C. anxiety D. tissue perfusion

B. gas exchange

The nurse is assessing a pregnant woman in the second trimester. Which tasks would indicate to the nurse that the client is incorporating the maternal role into her personality? A. The client demonstrates unconditional acceptance without rejection. B. The woman acknowledges the fetus as a separate entity within her. C. The woman demonstrates concern for herself and her fetus as a unit. D. The client identifies what she must give up to assume her new role.

B. The woman acknowledges the fetus as a separate entity within her.

After teaching a refresher class to a group of prenatal clinic nurses about pregnancy, insulin, and glucose, the nurse determines that additional teaching is needed when the group identifies which hormone as being involved with opposing insulin? A. estrogen B. aldosterone C. prolactin D. progesterone

B. aldosterone

A pregnant woman asks the nurse, "I've heard that I should avoid eating certain types of fish. So what fish can I eat?" Which type of fish would the nurse recommend? Select all that apply. A. shark B. catfish C. salmon D. shrimp E. tilefish

B. catfish C. salmon D. shrimp

A woman in labor is to receive continuous internal electronic fetal monitoring. The nurse prepares the client for this monitoring based on the understanding that which criterion must be present? A. a neonatologist to insert the electrode B. cervical dilation of 2 cm or more C. floating presenting fetal part D. intact membranes

B. cervical dilation of 2 cm or more

A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description? A. somehow triggered by the victim's behavior B. characterized by tension-building and minor battery C. associated with loss of physical and emotional control D. like a honeymoon that lulls the victim

B. characterized by tension-building and minor battery

The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. What would the nurse identify as the goal of this therapy? A. conduct additional drug research B. improve morbidity and mortality rates C. promote the progression of disease D. intervene in late-stage AIDS

B. improve morbidity and mortality rates

Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in: A. transition phase of the first stage. B. latent phase of the first stage. C. perineal phase of the second stage. D. active phase of the first stage.

B. latent phase of the first stage.

When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction? A. mild B. moderate C. intense D. strong

B. moderate

A nurse is explaining the use of effleurage as a pain relief measure during labor. Which statement would the nurse most likely use when explaining this measure? A. "This technique focuses on manipulating body tissues." B. "The technique requires focusing on a specific stimulus." C. "The technique involves light stroking of the abdomen with breathing." D. "This technique redirects energy fields that lead to pain."

C. "The technique involves light stroking of the abdomen with breathing."

A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest? A. "Limit your intake of fluids." B. "Eliminate salt from your diet." C. "Try elevating your legs when you sit." D. "Wear spandex-type full-length pants."

C. "Try elevating your legs when you sit."

When a nurse suspects that a client may have been abused, the first action should be to: A. encourage the client to leave the batterer immediately. B. set up an appointment with a domestic violence counselor. C. ask the client about the injuries and if they are related to abuse. D. ask the suspected abuser about the victim's injuries.

C. ask the client about the injuries and if they are related to abuse.

A client states, "I think my waters broke! I felt this gush of fluid between my legs." The nurse tests the fluid with a Nitrazine swab and confirms membrane rupture if the swab turns: A. olive green. B. pink. C. blue. D. yellow.

C. blue.

A nurse is teaching a pregnant client in her first trimester about discomforts that she may experience. The nurse determines that the teaching was successful when the woman identifies which discomfort as common during the first trimester? Select all that apply. A. leg cramps B. backache C. breast tenderness D. urinary frequency E. cravings

C. breast tenderness D. urinary frequency E. cravings

The nurse notes persistent early decelerations on the fetal monitoring strip. Which action would the nurse do next? A. Perform a vaginal exam to assess cervical dilation and effacement. B. Stay with the client while reporting the finding to the primary care provider. C. Administer oxygen after turning the client on her left side. D. Continue to monitor the FHR because this pattern is benign.

D. Continue to monitor the FHR because this pattern is benign.

When assessing fetal heart rate, the nurse finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which action would the nurse perform next? A. Have the woman change her position. B. Continue to monitor the pattern every 15 minutes. C. Administer oxygen. D. Notify the health care provider.

D. Notify the health care provider.

After teaching a community group about sexually transmitted infections, the nurse determines that the teaching was successful when the group identifies which statement as true? A. Individuals readily view the diagnosis of STI openly. B. Most individuals with STIs are over the age of 30. C. STIs have been addressed more on a global scale. D. STIs can affect anyone if exposed to the infectious organism.

D. STIs can affect anyone if exposed to the infectious organism.

A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees, and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time? A. in 1 month B. in 3 months C. in 4 months D. in 2 months

D. in 2 months

A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy? Select all that apply. A. follows a vegetarian diet B. quit smoking 4 years ago C. has a BMI of 22 D. uses ibuprofen daily E. drinks wine 3 to 4 times/week

D. uses ibuprofen daily E. drinks wine 3 to 4 times/week

A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating? A. umbilical cord shortens B. fetal head at vaginal opening C. mucous plug is expelled D. uterus becomes globular

D. uterus becomes globular

A pregnant woman comes to the clinic and tells the nurse that she has been having a whitish vaginal discharge. The nurse suspects vulvovaginal candidiasis based on which assessment finding? A. urinary frequency B. incontinence C. fever D. vaginal itching

D. vaginal itching

A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes. Which factors would the nurse expect to include as possible precipitating factors for a recurrent outbreak? Select all that apply. A. emotional stress B. sexual intercourse C. use of corticosteroids D. exercise E. exposure to ultraviolet light

A. emotional stress B. sexual intercourse C. use of corticosteroids E. exposure to ultraviolet light

A biophysical profile has been completed on a pregnant woman. The nurse interprets which score as normal? A. 9 B. 5 C. 3 D. 7

A. 9

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed? A. fundal height measurement B. hemoglobin and hematocrit C. fetal ultrasound D. urine for culture

A. fundal height measurement

A group of nurses are researching information about risk factors for intimate partner violence in men. They are preparing a community presentation for the local health center. When describing the information, which factors would the nurses discuss as being associated with the relationship? Select all that apply. A. dysfunctional family system B. economic stress C. victim of childhood violence D. low academic achievement E. heavy alcohol consumption

A. dysfunctional family system B. economic stress E. heavy alcohol consumption

A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, what would the nurse expect to find? Select all that apply. A. heartburn B. increased peristalsis C. nausea D. hyperemic gums E. complaints of bloating

A. heartburn C. nausea D. hyperemic gums E. complaints of bloating

The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase? A. increment B. decrement C. acme D. peak

A. increment

A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, "Do you feel as though you are reliving the trauma?" The nurse is assessing for which effect of the trauma? A. intrusive thoughts B. avoidance C. hyperarousal D. physical symptoms

A. intrusive thoughts

A nurse is assessing a client diagnosed with pelvic inflammatory disease (PID). Which findings would the nurse most likely assess? Select all that apply. A. painful urination B. tenderness with cervical motion C. right upper quadrant pain D. negative pregnancy history E. oral temperature of 102 degrees F F. Clear vaginal discharge

A. painful urination B. tenderness with cervical motion D. negative pregnancy history E. oral temperature of 102 degrees F

A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which finding would the nurse most likely assess? Select all that apply. A. positive pregnancy test B. ultrasound visualization of the fetus C. ballottement D. absence of menstruation E. auscultation of a fetal heart beat F. softening of the cervix

A. positive pregnancy test B. ultrasound visualization of the fetus C. ballottement D. absence of menstruation E. auscultation of a fetal heart beat

A nurse is working with a victim of intimate partner violence and helping her develop a safety plan. Which items would the nurse suggest that the woman take with her? Select all that apply. A. Social Security number B. driver's license C. cash D. health insurance cards E. phone cards

A. social security number B. driver's license C. cash D. health insurance cards

A woman comes to the clinic reporting vaginal discharge. The nurse suspects trichomoniasis based on which symptoms? Select all that apply. A. urinary frequency B. yellow/green discharge C. joint pain D. blister-like lesions E. muscle aches

A. urinary frequency B. yellow/green discharge

A nurse is reviewing the results of four clients who have undergone amniocentesis. Which client would the nurse recommend that the health care provider see first? A. client at 34 weeks' gestation with gestational diabetes and L/S ratio of 2:1 B. client at 38 weeks' gestation with fetal heart rate of 110 and green amniotic fluid sample C. client at 36 weeks' gestation with preeclampsia and amniotic fluid negative for bilirubin D. client at 16 weeks' gestation with placenta previa and high alpha-fetoprotein level

B. client at 38 weeks' gestation with fetal heart rate of 110 and green amniotic fluid sample

A nurse is caring for a woman who was recently raped. The nurse would expect this woman to experience which phase first? A. reorganization B. disorganization C. integration D. denial

B. disorganization

A nurse is monitoring a client's hCG levels because she has had a previous ectopic pregnancy and one spontaneous abortion. Which finding would the nurse interpret as indicating that the pregnancy is progressing appropriately? A. plateauing of the level at 7 days B. doubling of the level every 2 to 3 days C. abruptly declining levels after 60 days D. gradually increasing levels every month

B. doubling of the level every 2 to 3 days

A woman has just entered the second stage of labor. The nurse would focus care on which intervention? A. palpating the woman's fundus for position and firmness B. encouraging the woman to push when she has a strong desire to do so C. alleviating perineal discomfort with the application of ice packs D. completing the identification process of the newborn with the mother

B. encouraging the woman to push when she has a strong desire to do so

A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which sign would confirm the pregnancy? A. morning sickness B. palpable fetal movement C. abdominal enlargement D. absence of menstrual period

B. palpable fetal movement

A nurse is working with a victim of violence to develop a safety plan. The nurse teaches the client about the necessary items to take with her when leaving. The nurse determines that additional teaching is needed when the client identifies which items? Select all that apply. A. health insurance cards B. phone cards C. cash D. most of her clothing E. photo ID

B. phone cards D. most of her clothing

A nurse is working with a woman who is a victim of violence. Which intervention would be most important for this client? A. documenting the abuse B. providing for the client's safety C. reassuring her she is not alone D. educating about the cycle of violence

B. providing for the client's safety

While talking with a woman in her third trimester, which behavior indicates to the nurse that the woman is learning to give of oneself? A. unconditionally accepting the pregnancy without rejection B. questioning ability to become a good mother C. showing concern for self and fetus as a unit D. longing to hold infant

B. questioning ability to become a good mother

Which positions would be most appropriate for the nurse to suggest as a comfort measure to a woman who is in the first stage of labor? Select all that apply. A. closed knee-chest position B. straddling with forward leaning over a chair C. rocking back and forth with foot on chair D. walking with partner support E. supine with legs raised at a 90-degree angle

B. straddling with forward leaning over a chair C. rocking back and forth with foot on chair D. walking with partner support

A primiparous client is being seen in the clinic for her first prenatal visit. It is determined that she is 11 weeks pregnant. The nurse develops a teaching plan to educate the client about what she will most likely experience during this period. Which possible effect would the nurse include? A. ankle edema B. urinary frequency C. hemorrhoids D. backache

B. urinary frequency

A nurse is describing the various birth methods to pregnant couples. Which information would the nurse include as part of the Lamaze method? A. concentration on sensations while turning on to own bodies B. use of specific breathing and relaxation techniques C. interruption of the fear-tension-pain cycle D. focus on the pleasurable sensations of childbirth

B. use of specific breathing and relaxation techniques

A pregnant woman is scheduled for chorionic villus sampling. The nurse is describing the procedure and the potential for complications. When providing care to the client after the testing, the nurse would be alert for which complication as the most common? Select all that apply. A. spontaneous abortion B. vaginal bleeding C. rupture of membranes D. cramping E. hematoma

B. vaginal bleeding D. cramping

A woman telephones her health care provider and reports that her water just broke. Which suggestion by the nurse would be most appropriate? A. "Come in as soon as you feel the urge to push." B. "Call us back when you start having contractions." C. "Come to the clinic or emergency department for an evaluation." D. "Drink 3 to 4 glasses of water and lie down."

C. "Come to the clinic or emergency department for an evaluation."

A nurse is working with a pregnancy woman to schedule follow-up visits for her pregnancy. Which statement by the woman indicates that she understands the scheduling? A. "Once I get to 28 weeks, I have to come twice a month." B. "I need to make visits every 2 months until I'm 36 weeks pregnant." C. "From now until I'm 28 weeks, I'll be coming once a month." D. "I'll make sure to get a day off every 2 weeks to make my visits."

C. "From now until I'm 28 weeks, I'll be coming once a month."

A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful? A. "I won't drink too much fluid so I don't have to urinate so often." B. "I'll sit in a window seat so I can focus on the sky to help relax me." C. "I'll get up and walk around the airplane about every 2 hours." D. "I'll do some upper arm stretches while sitting in my seat."

C. "I'll get up and walk around the airplane about every 2 hours."

A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage? A. regular contractions B. fetal movement through the birth canal C. cervical dilation D. placental separation

C. cervical dilation

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply. A. cervical effacement of 90% B. strong desire to push C. contractions every 2 to 3 minutes D. contractions every 90 seconds E. cervical dilation of 6 cm

C. contractions every 2 to 3 minutes E. cervical dilation of 6 cm

When planning the care of a woman in the active phase of labor, the nurse would anticipate assessing the fetal heart rate at which interval? A. every 45 to 60 minutes B. every 10 to 15 minutes C. every 15 to 30 minutes D. every 2 to 4 hours

C. every 15 to 30 minutes

A nurse is auscultating the chest of a client at 16 weeks' gestation. The nurse immediately notifies the health care provider about which finding? A. soft systolic murmur B. clear breath sounds C. heart rate 25 bpm above baseline D. symmetrical chest movement.

C. heart rate 25 bpm above baseline

When developing a teaching plan for a community group about HIV infection, which group would the nurse identify as an emerging risk group for HIV infection? A. new health care workers B. Asian immigrants C. heterosexual women D. Native Americans

C. heterosexual women

A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which area would be most important to assess initially? A. the woman's family and living arrangements B. the woman's financial situation and insurance C. the woman's beliefs and education D. the woman's activity level and nutrition

C. the woman's beliefs and education

After teaching a class at a local college campus on date rape, the nurse determines that the teaching was successful when the class identifies which substance as the most common date rape drug? A. liquid ecstasy B. ketamine C. gamma hydroxybutyrate D. rohypnol

D. rohypnol

A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate? A. Nagele's rule B. gestational wheel C. birth calculator D. ultrasound

D. ultrasound

After teaching a group of prospective new parents about the different perinatal education methods, the nurse determines that the teaching was successful when the parents identify which method as the Bradley method?

partner-coached method