OB exam

A postpartum woman who has developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines additional teaching is needed when the woman makes which statement?

"I can take ibuprofen if I have any pain."

A nurse is assessing a postpartum client who is at home. Which statement by the client would lead the nurse to suspect that the client may be developing postpartum depression?

"I'm feeling so guilty and worthless lately."

A new mother is changing the diaper of her 12-hour old newborn and asks why the stool is black and sticky. which response by the nurse would be most appropriate?

"This is meconium stool and is normal for a newborn"

A nurse is assessing a pregnant woman on a routine checkup. When assessing the women's GI tract, what would the nurse expect to find?

-hyperemic gums -complaints of bloating -heartburn -nausea

The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statement made by the students indicated teaching was successful?

-only use latex condoms -place the condom on an erect penis -store the condoms in a cool, dry place

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess?

-significant difficulty breathing -tachycardia -pulmonary edema -bleeding with bruising

The nurse is developing a discharge teaching plan for a postpartum woman who has developed a postpartum infection. Which measures would the nurse most likely include in the teaching plan?

-taking prescribed antibiotics until it is finished -washing hands before and after perineal care -handling perineal pads by the edges

The nurse is teaching a pregnant woman about recommended weight gain. The woman has a pre-pregnancy BMI of 21. The nurse determines that the teaching was successful when the women states that she should gain no more than which amount during pregnancy?

25-35 pounds

A nurse measures a pregnant woman's fundal height and finds it to be 28 centimeters. The nurse interprets this to indicate that the client is how many weeks gestation?

28 weeks gestation

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as?

4 1 1 1 3

A pregnant woman test positive for HBV. What would the nurse expect to administer?

HBV immune globulin

During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as?

Hegars sign

A pregnant woman needs an update in her immunizations. Which vaccination would the nurse ensure that the woman receives?

Hepatitis B

After teaching a couple about what to expect with their planned C-section, which statement indicates the need for additional teaching?

I am going to have to wait a few days before I can start breast-feeding

After teaching a pregnant woman with iron deficiency anemia about her prescribed iron supplement, which statement included successful teaching?

I need to eat foods high in fiber

After teaching a woman who has had an evacuation for gestational trophoblastic disease about her condition, which statement indicated that the nurse's teaching was successful?

I will be sure to avoid getting pregnant for at least 1 year

A client's last menstrual period was April 11th. Using Nagele's rule, her estimated date of birth would be?

January 18th

A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I am on an emotional rollercoaster." Which response by the nurse would be most appropriate?

Mood swings are completely normal during pregnancy

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?

The contractions slow down when I walk around

Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following?

Thrombophlebitis

A pregnant woman is 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?

Try elevating your legs when you sit

A nurse is teaching a pregnant couple about childbirth education. The nurse determines that the teaching was successful when the couple makes which statement?

We'll know what to do to actively take part in our child's birth

Twenty minutes after birth, a baby begins to move his head from side-to-side, making eye contact with the mother, and pushed his tongue out several times. The nurse interprets this as?

a good time to initiate breast-feeding

A nurse suspects that a client may be developing DIC. The woman has a history of abruptio placenta during delivery. Which finding would help to support the nurse's suspicion?

appearance of petechiae

A women developed abruptio placenta during the birth of her neonate. The nurse would monitor the client closely for changes. Which finding would be a cause for alarm?

appearance of petechiae

A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure?

apply an ice pack to the site

The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they?

are unable to shiver effectively to increase heat production

It is determines that a client's blood is Rh negative and her partner's is positive. to help prevent Rh isoimmunization, the nurse would expect to administer Rho immune globulin at which time?

at 28 weeks gestation and again within 72 hours after delivery

A primipara woman gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpated the client's fundus. Which finding would the nurse identify as expected?

at the level of the umbilicus

A woman is at 20 weeks gestation. The nurse would expect to find the fundus at which area?

at the level of the umbilicus

When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?

blood pressure 90/50 mmHg

The nurse is conducting a class for postpartum women about mood disorders. The nurse describes a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse determines that the women understood the description when they identify the condition as postpartum?

blues

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse should suspect that the client has?

candidiasis

The nurse is making a follow-up home visit to a woman who is 12 days postpartum. Which finding would the nurse expect when assessing the client's fundus?

cannot be palpated

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the newborn?

cephalhematoma

The nurse encounters a female client with HPV to receive continued follow-up care because she is at risk for?

cervical cancer

An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would receive treatment for what?

chlamydia

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

cocaine

The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

conduction (direct contact?

A nurse is conducting a refresher in-service program to a group of NICU nurses. After teaching the group about hepatic system adaptations after birth, the nurse determines that the teaching was successful when the group identifies which process as reflective of the change of bilirubin from a fat-soluble product to a water-soluble product?

conjugation

When assessing cervical effacement of a client in labor, the nurse assesses which characteristic?

degree of thinning

A nurse is making a home visit to a postpartum client. which finding would most likely lead the nurse to suspect that a women is experiencing postpartum psychosis?

delirium

On a follow up visit to the clinic, a nurse suspects that a postpartum client is experiencing postpartum psychosis. Which finding would most likely lead the nurse to suspect this condition?

delusional beliefs

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?

diminished deep tendon reflexes

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which medication to be ordered?

docusate

After the birth of a newborn, which action would the nurse do first to assist in thermoregulation?

dry the newborn thoroughly

A multipara client develops thrombophlebitis after delivery. Which assessment finding would lead the nurse to intervene immediately?

dyspnea, diaphoresis, hypotension and chest pain

A nurse is developing a plan of care for a woman who is at risk for thromboembolism. Which measure would the nurse include as the most cost-effective method for prevention?

early ambulation

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding?

elevated liver enzymes

Which finding would the nurse expect in a client with bacterial vaginosis?

fish-like odor of discharge

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections?

five different sexual partners

When assessing a woman at follow-up prenatal visits the nurse would anticipate which procedure to be performed?

fundal height measurement

The nurse would be alert for possible placental abruption during labor when assessment reveals which of the following?

gestational hypertension

A nurse is conducting an in service presentation to a group of perinatal nurses about STI's and their effect on pregnancy. The nurse determines the teaching was successful when the group identifies which infection as being responsible for ophthalamia neonatorum?

gonorrhea

A women gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventative measure related to which STI?

gonorrhea

A nurse is massaging a postpartum client's fundus and placed the nondominant hand on the area above the symphysis pubis based on the understanding that this action:

helps support the lower uterine segment

Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and a localized bluish bulging area just under the skin at the perineum. The woman also is complaining of significant pelvic pain and is experiencing problems with voiding. The nurse suspects which condition?

hematoma

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

hemorrhage

A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures?

immunity to German measles

A client experiences prolonged labor with prolonged rupture of membranes. The nurse would be alert for which condition in the mother and the newborn?

infection

A nurse is developing a program to help reduce the risk of late postpartum hemorrhage in clients in the labor and delivery unit. Which measures would the nurse emphasize as part of the program?

inspecting the placenta after the delivery for intactness

The nurse is developing a teaching plan for a client who has decided to bottle feed her newborn. Which information would the nurse include in the teaching plan to facilitate suppression of lactation?

instructing her to apply ice packs to both breasts every other hour

Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?

linea nigra

A pregnant client whose diabetes has been poorly controlled throughout her pregnancy is in labor. The nurse would assess the neonate closely at birth for which condition?

macrosomia

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which of the following?

mercury, which could harm the developing fetus if eaten in large amounts

A postpartum client comes to the clinic for her routine 6-week visit. The nurse assesses the client and suspects that she is experiencing sub-involution based on which finding?

moderate lochia serosa

A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following?

moderateley strong contractions every 4 minutes, lasting 1 minute

A nurse is observing a postpartum client interacting with her newborn and notes that the mother is engaging with the newborn in the en face position. Which behavior would the nurse be observing?

mother making eye-to-eye contact with the newborn

Assessment of a newborn reveals rhythmic spontaneous movements. The nurse interprets this as indicating?

motor maturity

A client expresses concern that her 2-hour newborn is sleepy and difficult to awaken. The nurse explains that this behavior indicates?

normal progression of behavior

A nurse is assessing a client who gave birth vaginally about 4 hours ago. The client tells the nurse that she changed her perineal pad about an hour ago. On inspection, the nurse notes that the pad is now saturated. The uterus is firm and approximately at the level of the umbilicus. Further inspection of the perineum reveals an area bluish in color and bulging just under the skin surface. Which action would the nurse do next?

notify the HCP

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?

one who had a previous cesarean section birth via a low transverse incision

A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no fetopelvic disproportion. Which group of medications would the nurse expect to administer?

oxytocin

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention?

pain relief measures

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as?

pica

A nurse is reviewing the medial record of a pregnant woman and notes that she is gravid II. the nurse interprets this to indicate the number of?

pregnancies

In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out, when I lie down flat on my back." The nurse integrates which of the following in to the explanation?

pressure of the gravid uterus on the vena cava

Which information on a client's history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

recurrent pelvic infections

After teaching a group of adolescents about HIV, the nurse asks them to identify the major means of which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?

sexual intercourse

A nurse is assessing a postpartum client. Which finding would cause the nurse the greatest concern?

sharp stabbing chest pain with SOB

The nurse is reviewing the physical examination findings for a client who is to undergo labor induction. Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction?

shortened

A postpartum client comes to the clinic for her 6-week postpartum check-up. When assessing the client's cervix, the nurse would expect the external cervical os to appear?

slit-like

A female sex trade worker has been diagnosed with secondary syphilis. which findings would most likely correlate with this diagnosis?

sore throat, flu-like signs and symptoms and a rash

A nurse is assessing a newborn. Which finding would alert the nurse to the possibility of respiratory distress in a newborn?

sternal retractions

A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem?

temperature of 101 degrees

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?

there is no cure, but drug therapy helps to reduce symptoms and recurrences

A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?

upright

A nurse is reviewing a journal article on the causes of postpartum hemorrhage. which condition would the nurse most likely find as the most common cause?

uterine atony

Which factor in a client's history would alert the nurse to an increased risk for postpartum hemorrhage?

uterine atony, placenta previa, operative procedures

A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also reports acute abdominal pain that is continuous. Which condition would the nurse suspect?

uterine rupture

A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating?

uterus becoming 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?

vaginal itching

When teaching new parents about the sensory capabilities of their newborn, which sense would the nurse identify as being the least mature?

vision

After teaching a women with postpartum infections about care after discharge, which client statement indicates the need for further teaching?

when i put on a new pad, ill start at the back and go forward