OB FINAL

After teaching the parents of a newborn with retinopathy of prematurity (ROP) about the disorder and treatment, which statement by the parents indicates that the teaching was successful? "Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?" "We can fix the problem with surgery." "We'll make sure to administer eye drops each day for the next few weeks." "I'm sure the baby will grow out of it."

"Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?"

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? "I need to make visits every 2 months until I'm 36 weeks pregnant." "From now until I'm 28 weeks, I'll be coming once a month." "I'll make sure to get a day off every 2 weeks to make my visits." "Once I get to 28 weeks, I have to come three times a month."

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

When assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention? "What size maternity clothes are you wearing now?" "What's your usual dietary intake for a typical day?" "How swollen do your ankles appear before you go to bed? "What's your usual dietary intake for a typical day?"

"How swollen do your ankles appear before you go to bed?

The nurse is assessing a postmenopausal client. Which client statement indicates the need for further assessment by the nurse? "Sex certainly takes longer than it used to, but I'm getting used to that." "I am so glad that I don't need to worry about sex anymore." "I use water-soluble lubricant to treat my vaginal dryness." "For some reason, I have more sexual desire than ever."

"I am so glad that I don't need to worry about sex anymore."

A client wants to use the vaginal sponge as a method of contraception. Which statements indicate that the client needs further instruction about use of this method? Select all that apply. "I need to add spermicidal cream to the sponge prior to having sex." "I need to moisten the sponge with water prior to use." "I can insert the sponge up to 24 hours before having sex." "I should never leave the sponge in for more than 6 hours." "I need to use a lubricant prior to insertion of the sponge."

"I need to add spermicidal cream to the sponge prior to having sex." "I should never leave the sponge in for more than 6 hours." "I need to use a lubricant prior to insertion of the sponge."

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she's 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." "The contractions slow down when I walk around." "If I try to talk to my partner during a contraction, I can't." "I'm feeling contractions mostly in my back."

"I'm feeling contractions mostly in my back."

A pregnant woman in her second trimester tells the nurse, "I've been passing a lot of gas and feel bloated." Which of the following suggestions would be helpful for the woman? Select All that apply "Cut down on your intake of cheeses." "Limit the amount of fluid you drink with meals" "Some say that eating mints can help." "Watch how much beans and onions you eat." "Try exercising a little more."

"Some say that eating mints can help." "Watch how much beans and onions you eat." "Try exercising a little more."

A nurse is caring for a client who wants more information about fertility awareness-based contraceptive methods. Which statement made by the nurse provides the client with correct information? "The calendar method is the most reliable fertility awareness-based method of contraception." "To use the calendar rhythm method, a woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles." "The calendar rhythm method is based on the assumption that ovulation tends to occur about 7 days before the start of a woman's next menstrual period." "For women, the fertility window occurs between days 19 and 26 of the menstrual cycle."

"To use the calendar rhythm method, a woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles."

The nurse is instructing the parents who delivered their first child at 34 weeks' gestation. Which statements made by the parents indicate that additional teaching is needed? Select all that apply. "Tube feedings will be required because his stomach is small." "Breathing might be harder for our baby because he is early." "Our baby will be in an incubator to keep him warm." "The growth of our baby will be slower than if he were term." "Because he came early, he will not produce urine for 2 days."

"Tube feedings will be required because his stomach is small." "Because he came early, he will not produce urine for 2 days."

A pregnant woman comes to the labor and birth unit in labor. The woman tells the nurse, "Yesterday, I had this burst of energy and cleaned everything in site, but I don't know why," Which response by the nurse would be most appropriate? "You were looking forward to the birth of your baby." "You felt your mind telling you that you were about to go into labor." "You were trying to get everything ready for your baby." "You had a burst of adrenaline, which is common before labor."

"You had a burst of adrenaline, which is common before labor."

A nurse is caring for the 1-hour-old newborn of a mother with diabetes mellitus. Which actions will the nurse include in the newborn's plan of care? Select all that apply. Assess blood glucose frequently. Assess for SGA. Assess for hyperthyroidism. Assess the newborn's temperature hourly. Assess for hyperbilirubinemia.

Assess blood glucose frequently. Assess for hyperbilirubinemia.

Which of the following is a priority when caring for a woman during the fourth stage of labor? Offering fluids as indicated Assisting with perineal care Assessing the uterine fundus Encouraging the woman to void

Assessing the uterine fundus

A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which of the following would be included as part of this assessment? (Select all that apply.) Ballottement Absence of menstruation Auscultation of a fetal heart beat Ultrasound visualization of the fetus Softening of the cervix Positive pregnancy test

Ballottement Softening of the cervix Positive pregnancy test

When applying the ultrasound transducers for continuous external electronic fetal monitoring, at which location would the nurse place the transducer to record the FHR? Between the umbilicus and the symphysis pubis Between the xiphoid process and umbilicus Above the umbilicus toward the right side of the diaphragm Over the uterine fundus where contractions are most intense

Between the umbilicus and the symphysis pubis

The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the following would the nurse expect to find? (Select all that apply.) Pale skin color Buffalo hump Distended upper abdomen Excessive subcutaneous fat Long slender neck

Buffalo hump Distended upper abdomen Excessive subcutaneous fat

During a vaginal exam, the nurse notes that there is significant softening of the vaginal portion of the cervix. The nurse documents this finding as: Goodell's sign Chadwick's sign Ortolani's sign Hegar's sign

Chadwick's sign

When administering an intramuscular dose of vitamin K (phytonadione) to a newborn, which actions by the nurse are appropriate? Select all that apply. Using a 23-gauge 1/2-inch needle. Cleaning the skin with an alcohol swab Preparing 5 mg of the medication for injection Using the middle third of the vastus lateralis muscle Washing the skin with soap and water

Cleaning the skin with an alcohol swab Using the middle third of the vastus lateralis muscle

The nurse is providing care to a client in labor who experiences spontaneous rupture of membranes. The fetus is in the vertex position. The nurse notes that the amniotic fluid is meconium stained. Based on this data, which is the priority action by the nurse? Notifying the healthcare provider that birth is imminent. Changing the client's position in bed Continuous fetal heart rate monitoring Administering oxygen at 2 liters per minute

Continuous fetal heart rate monitoring

The nurse is caring for a young adult client who reports that she has painful periods. Which assessment findings suggest that this client is experiencing primary dysmenorrhea? Select all that apply. Scant Menses Diarrhea Bleeding between menstrual periods Headache Fatigue

Diarrhea Headache Fatigue

You administer Oxytocin (Pitocin) to a patient to induce labor. You should monitor her for which of the following potential adverse reactions to pitocin? Select all that apply Duration of the contractions Level of consciousness Fetal heart rate Urine output Blood pressure

Duration of the contractions Fetal heart rate Urine output Blood pressure

A nurse is developing a teaching plan about nutrition for a group of pregnant women. Which of the following would the nurse include in the discussion? (Select all that apply.) Limit the use of salt in cooking Eat three meals with snacking Avoid using diuretics Keep weight gain to 15 lb Participate in physical activity

Eat three meals with snacking Avoid using diuretics Participate in physical activity

When preparing a woman for an amniocentesis, the nurse would instruct her to do which of the following? Lie on her left side Shower with an antiseptic scrub Swallow the preprocedure sedative Empty her bladder

Empty her bladder

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? Every 2 to 4 hours Every 15 to 30 minutes Every 10 to 15 minutes Every 45 to 60 minutes

Every 15 to 30 minutes

A client's last menstrual period was May 12, 2020. Using Nagele's rule, her expected date of birth (EDB. would be: February 5, 2021 March 9, 2021 January 20, 2021 February 19, 2021

February 19, 2021

After teaching a group of students about fetal heart rate patterns, the instructor determines the need for additional teaching when the students identify which of the following as indicating normal? Select all that apply Absence of late decelerations Fetal bradycardia Sinusoidal pattern Recurrent variable decelerations Moderate baseline variability

Fetal bradycardia Sinusoidal pattern Recurrent variable decelerations

A nurse is completing the assessment of a woman admitted to the labor and birth suite. Which of the following would the nurse expect to include as part of the physical assessment? Select all that apply Contraction pattern Membrane status Fundal height measurement Support system Current pregnancy history

Fundal height measurement

After administering Terbutaline (Brethine) to inhibit preterm labor, the hcp should assess which of the following? Temperature Vision Peripheral pulses Heart rate

Heart rate

A pregnant woman needs an update in her immunizations. Which of the following vaccinations would the nurse ensure that the woman receives? Hepatitis B Mumps Tetanus Rubella

Hepatitis B

The nurse is assessing the sexual health of a 20-year-old female client. Which of the following findings should the nurse identify as risk factors for dysfunctional uterine bleeding? Select all that apply. High level of stress Limited intake of high-fat foods History of peptic ulcer disease Weight gain of 20 pounds in 2 months Use of birth control pills for contraception

High level of stress weight gain of 20 pounds in 2 months Use of birth control pills for contraception

A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, which of the following would the nurse expect to find? (Select all that apply) Hyperemic gums Nausea Increased peristalsis Complaints of bloating Heartburn

Hyperemic gums Nausea Complaints of bloating Heartburn

A healthcare professional is caring for a patient who is receiving methylergonovine (Methergine) to stop postpartum hemorrhage. The Health Care Provider should monitor the patient for which of the following adverse effects? Select all that apply Hypertension Bradycardia Water intoxication Bronchospasm Seizure activity

Hypertension Bradycardia Seizure activity

Which of the following would the nurse expect to assess in a newborn who develops sepsis? Increased urinary output Interest in feeding Hypothermia Wakefulness

Hypothermia

A nurse working on an antepartum unit is providing care for a client with preeclampsia. Which laboratory value does the nurse anticipate for this client Decreased blood urea nitrogen Increased platelet count Decreased liver enzymes Increased serum creatinine

Increased serum creatinine

A client experienced prolonged labor with prolonged premature rupture of membranes. The nurse would be alert for which of the following in the mother and the newborn? Infection Hemorrhage Trauma Hypovolemia

Infection

When assessing the postpartum woman, the nurse uses indicators other than pulse rate and blood pressure for postpartum hemorrhage based on the knowledge that: The body's compensatory mechanisms activate and prevent any changes These measurements may not change until after the blood loss is large They relate more to change in condition than to the amount of blood lost Maternal anxiety adversely affects these vital signs

Maternal anxiety adversely affects these vital signs

A primary care provider has prescribed a Dinoprostone (Cervidil) vaginal insert to promote cervical ripening in a patient who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the health care professional take? Select all that apply Monitor for uterine hyperstimulation Remove the pouch when active labor begins Monitor the patient's temperature Encourage the patient to walk after insertion Have the patient urinate prior to insertion

Monitor for uterine hyperstimulation Remove the pouch when active labor begins Monitor the patient's temperature Have the patient urinate prior to insertion

A female client is prescribed an androgen medication to treat an estrogen-sensitive type of breast cancer. What should the nurse instruct the client about this medication? Select all that apply. Monitor your weight on a weekly basis when using this medication. This medication is associated with an increased risk of multiple births. When taking this medication, immediately report any calf pain or dyspnea to your healthcare provider Secondary male sex characteristics may develop from use of this medication.

Monitor your weight on a weekly basis when using this medication. Secondary male sex characteristics may develop from use of this medication.

A client who is at 12 weeks' gestation is experiencing nausea, breast tenderness, and fatigue. She tells the nurse her husband is upset with her constant complaints. Which is the priority nursing diagnosis based on this data? Dysfunctional family process Nausea Ineffective breastfeeding Fatigue

Nausea

A client's maternal serum alpha-fetoprotein (MSAFP. level was unusually elevated at 17 weeks. The nurse suspects which of the following? Fetal hypoxia Down syndrome Open spinal defects Maternal hypertension

Open spinal defects

A female client complains of having a "strange discharge" from her vagina and "stinging" when voiding urine. Which diagnostic test(s) would be useful to aid in the diagnosis of this client's disorder? Select all that apply. Serum hormone levels Pregnancy test Biopsy Papanicolaou test Urine culture

Papanicolaou test Urine culture

The nurse conducting a 5-minute Apgar assessment on a newborn assigns the following ratings: Heart rate <100 beats per minute (1 point); slow, irregular respirations (1 point); some flexion of the extremities (1 point); a vigorous cry with flicking of the baby's foot (2 points); and a pink body with blue extremities (1 point). Based on this data, which nursing action is appropriate? Having the aide reassess the newborn's heart rate and respiratory rate when admitted to the nursery Swaddling the newborn to decrease the risk of increased energy expenditure Placing the newborn in the mother's arms and asking her to monitor her baby's breathing Repeating the assessment every 5 minutes for up to 20 minutes

Repeating the assessment every 5 minutes for up to 20 minutes

The nurse is proving care to a 1-hour-old newborn who was born at 39 weeks' gestation. Which assessment data is cause for concern? Select all that apply. Respiratory rate of 82 breaths per minute Negative Babinski reflex Mean blood pressure of 52 mmHg Acrocyanosis Presence of soft heart murmur

Respiratory rate of 82 breaths per minute Negative Babinski reflex

Which vaccine is not safe to give during pregnancy? Tetanus Rubella Pertussis Annual Influenza

Rubella

The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. The client had preeclampsia during the last 3 weeks of pregnancy. Which interventions are appropriate for this client within the first 48 hours after birth? Select all that apply Seizure precautions Vital sign assessment Assessment of intake and output Oxygen 2 liters nasal cannula as prescribed Assessment of deep tendon reflexes

Seizure precautions Vital sign assessment Assessment of intake and output Assessment of deep tendon reflexes

During an evaluation for infertility, a male client is asked to provide a sperm sample. What information from the client's health history could impact the quality and effectiveness of the client's sperm? Select all that apply. Smoking use of over-the-counter analgesics Activity level Number of siblings Mumps after adolescence

Smoking use of over-the-counter analgesics Mumps after adolescence

During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the nurse assesses the following: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood noted from the vagina. Which assessment finding requires immediate follow-up? moderate lochia rubra Steady trickle of blood Fundus at the umbilical level Firm fundus

Steady trickle of blood

The nurse is assessing a premature newborn who is being cared for in the newborn intensive care unit (NICU). Which assessment finding indicates the newborn is experiencing respiratory distress? Acrocyanosis Respiratory rate of 58 breaths per minute Substernal and intercostal retractions Abdominal breathing

Substernal and intercostal retractions

An older adult client tells the nurse that he still has erections and wants to have sex with his wife, but she does not have the same interest in sexual activity as he does. What should the nurse do to assist this client? Encourage the client to ask his wife to discuss her lack of interest in sexual activity with her healthcare provider. Explain that women lose interest in sex as part of the aging process. Suggest that the client wait a while and his urge to have sex will pass. Ask what the client has been doing to fulfill himself sexually

Suggest that the client wait a while and his urge to have sex will pass.

The nurse is providing care to a client who is experiencing nausea and vomiting during the first trimester of pregnancy. Which actions by the nurse are appropriate based on this data? Select all that apply. Caution the client against using over-the-counter medications such as over-the-counter antihistamines. Teach the client that ginger may relieve her symptoms. Suggest the client use acupressure to pressure points on the wrist. Notify the healthcare provider that the client is experiencing hyperemesis gravidarum. Educate the client to notify the healthcare provider if she vomits once per day.

Teach the client that ginger may relieve her symptoms. Suggest the client use acupressure to pressure points on the wrist.

A pregnant woman at 41 weeks' gestation has a Bishop score of 5. What does this score indicate? The cervix is favorable for a normal vaginal delivery. The cervix is unfavorable and induction of labor may be necessary. The cervix is favorable and labor has been successfully induced. The cervix is favorable and labor has been successfully induced.

The cervix is unfavorable and induction of labor may be necessary.

A nurse is evaluating the care provided to a client who is experiencing menopause. Which observation indicates that the client is successfully managing her menopausal symptoms? The client states that she is "doing fine" so there's no need for her to keep talking about menopause. The client has gained 8 pounds in 3 months despite regularly engaging in non-weight-bearing exercise. The client reports consuming about 800 mg of calcium per day. The client has lost 5 pounds in 4 months after starting an exercise program.

The client has lost 5 pounds in 4 months after starting an exercise program.

A client tells the nurse she plans to use oral contraceptives for birth control. Given this information, which client behavior would cause the nurse the most concern? The client has several sexual partners The client is being treated for bipolar disorder The client drinks one glass of wine each day The client smokes a pack of cigarettes each day

The client smokes a pack of cigarettes each day

When assessing a postterm newborn, which of the following would the nurse correlate with this gestational age variation? Moist, supple, plum skin appearance Abundant lanugo and vernix Thin umbilical cord Absence of sole creases

Thin umbilical cord

The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the following would the nurse expect to assess? (Select all that apply.) Tremors Diminished sucking Regurgitation Shrill, high-pitched cry Hypothermia

Tremors Regurgitation Shrill, high-pitched cry Frequent sneezing

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 of the following? Hematoma Laceration Bladder distention Uterine atony

Uterine atony

Which of the following factors in a client's history would alert the nurse to an increased risk for postpartum hemorrhage? Multiparity, age of mother, operative delivery Uterine atony, placenta previa, operative procedures Prematurity, infection, length of labor Size of placenta, small baby, operative delivery

Uterine atony, placenta previa, operative procedures

A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. The nurse interprets these changes as reflecting which of the following? Prolonged decelerations Variable decelerations Early decelerations Late decelerations

Variable decelerations

A nurse is assessing a newborn who has been classified as small for gestational age. Which of the following would the nurse expect to find? (Select all that apply.) Wasted extremity appearance Increased amount of breast tissue Sunken abdomen Adequate muscle tone over buttocks Wide skull sutures

Wasted extremity appearance Sunken abdomen Wide skull sutures

A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which of the following? (Select all that apply.) Weight loss Pale skin Fever Absence of edema Increased respiratory rate

Weight loss Fever Increased respiratory rate

The nurse is providing education to sexual partners about the importance of treatment for a chlamydia infection. Which client statements indicate this teaching was effective? Select all that apply. "Rashes commonly occur with this disease." "Chlamydia can spread to the uterus and fallopian tubes and result in infertility." "Chlamydia can result in pregnancy complications." "Severe vaginal itching can be a consequence of chlamydia." "Chlamydia can cause inflammation of the tube that carries urine from the bladder to outside the body."

cause inflammation of the tube that carries urine from the bladder to outside the body." spread to the uterus and fallopian tubes and result in infertility." result in pregnancy complications."

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which factors would the nurse most likely include when discussing measures to promote coping for a positive labor experience? Select all that apply. presence of a support partner participation in a pregnancy exercise program view of birth as a stressor fear of loss of control low anxiety level

presence of a support partner participation in a pregnancy exercise program low anxiety level

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating: transition phase of the first stage of labor. active phase of the first stage of labor. latent phase of the first stage of labor. pelvic phase of the second stage of labor.

transition phase of the first stage of labor.