OB Exam 3 questions

A nurse is discussing risk factors for UTI with a newly licensed nurse. Which of the following conditions should the nurse include in the teaching? SATA A. Epidural anesthesia B. Urinary bladder cath C. Frequent pelvic examinations D. History of UTI E. Vaginal birth

A, B, C, D

A nurse is caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression? SATA A. Fatigue B. Insomnia C. Euphoria D. Flat affect E. Delusions

A, B, D

A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborns birth weight is 1100 g. Which of the following are expected findings in the newborn? SATA A. Lanugo B. Long nails C. Weak grasp reflex D. Translucent skin E. Plump face

A, C, D

A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected deep vein thrombosis. Which of the following clinical findings should the nurse expect? SATA A. Calf tenderness to palpation B. Mottling of the affected extremity C. Elevated temperature D. Area of warmth E. Report of nausea

A, C, D

A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching. SATA A. Precipitous delivery B. obesity C. Inversion of the uterus D. Oligohydramnios E. Retained placental fragments

A, C, E

A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? SATA A. Hypospadias B. Hydrocele C. Family history of hemophilia D. Hyperbilirubinemia E. Epispadias

A, C, E

A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as an early indication of hypovolemia caused by hemorrhage. A. Increased pulse and decreased blood pressure B. Dizziness and increasing respiratory rate. C. Cool, clammy skin, and pale mucous membranes D. Altered mental status and level of consciousness

A. Increasing pulse and decreasing blood pressure

A nurse is caring for a client who has disseminated intravascular coagulation. Which of the following antepartum complications should the nurse understand is a risk factor for the condition. A. Preeclampsia B. Thrombophlebitis C. Placenta Previa D. Hyperemesis gravidarum

A. Preeclampsia

A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? A. Staphylococcus B. Chlamydia C. Klebsiella pneumonia D. Clostriudium

A. Staphylococcus

A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborns lower back. The nurse should include which of the following information in the teaching? A. This is frequently seen in newborns who have dark skin B. This is a finding indicating hyperbilirubinemia C. This is a forceps mark from an operative delivery D. This is related to prolonged birth or trauma during delivery

A. This is frequently seen in newborns who have dark skin

A nurse is assessing a client who has postpartum depression. The nurse should expect which of the following findings? SATA A. Paranoia that her infant will be harmed B. Concerns about lack of income to pay bills C. Anxiety about assuming a new role as a mother D. Rapid decline in estrogen and progesterone E. Feeling of inadequacy with the new role as a mother

B, C, D, E

A nurse is reviewing discharge teaching with a client who has a UTI. which of the following statements by the client indicated understanding of the teaching? SATA A. I will perform peri care and apply a perineal pad in back to front direction B. I will drink cranberry and prune juices to make mt urine more acidic C. I will drink large amounts of fluids to flush bacteria from my urinary tract D. I will go back to breastfeeding after i have finishes taking the antibiotic E. I will take Tylenol for any discomfort

B, C, E

A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of a postpartum infection? A. A client who experienced a precipitous labor less than 3 hr in duration B. A client who had premature rupture of the membranes and prolonged labor C. A client who delivered a large for gestational age infant D. A client who has a boggy uterus that was not well contracted

B. A client who had premature rupture of membranes and prolonged labor

A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3200 g and is in the 60th percentile for weight. based on the weight and gestational age, the nurse should classify this neonate as which of the following? A. Low birth weight B. Appropriate for gestational age C. Small for gestational age D. Large for gestational age

B. Appropriate for gestational age

A nurse is caring for a client who has postpartum psychosis. Which of the following actions is the nurses priority? A. Reinforce the need to take anti psychotics as prescribed B. Ask the client if she has thoughts of harming herself or her infant C. Monitor the infant for indications of failure to thrive D. Review the clients medical record for a history of bipolar disorder

B. Ask the client if she has thoughts of harming herself or her infant

A nurse is caring for a newborn. Which of the following actions by the newborn indicated readiness to feed? A. Spits up clear mucus B. Attempts to place his hand in his mouth C. Turns his head toward sound D. Lies quietly with his eyes open

B. Attempts to place his hands in his mouth

A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching? A. The newborn will have decreased muscle tone B. The newborn will have a continuous high pitched cry C. The newborn will sleep for 2-3 hours after feeding D. The newborn will have mild tremors when disturbed.

B. The newborn will have continuous high pitched cry

A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? A. Initiating breastfeeding B. Performing the initial bath C. Giving a vitamin K injection D. Covering the newborns head with a cap

D. Covering the newborns head with a cap

A nurse is completing an assessment. Which of the following data indicates the newborn is adapting to extra-uterine life? SATA A. Expiatory grunting B. Inspiration nasal flaring C. Apnea for 10 second periods D. Obligatory nose breathing E. Crackles and wheezing

C, D

A nurse is reviewing formula preparation with parents who plan to bottle feed their newborn. Which of the following information should the nurse include in the teaching? SATA A. Use a disinfectant wipe to clean the lid of the formula can B. Store prepared formula in refrigerator for up to 72 hours C. Place used bottles in the dishwasher D. Check the nipple for appropriate flow of formula E. Use tap water to dilute concentrated formula

C, D, E

A nurse is caring for a newborn immediately following circumcision using Gomco procedure. Which of the following actions should the nurse implement? A. Apply gelfoam powder to the site B. Place the newborn in the prone position C. Apply petroleum gauze to the site D. Avoid changing the diaper until the first voiding

C. Apply petroleum gauze to the site

A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make? A. Limit the amount of time the infant nurses on each breast B. Nurse the infant only on the unaffected breast until resolved C. Completely empty each breast at each feeding or use a pump D. Wear a tight fitting bra until lactation has ceased.

C. Completely empty each breast at each feeding or use a pump

A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? A. Conduction B. Convection C. Evaporation D. Radiation

C. Evaporation

A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding B. Hold the newborn close in a supine position C. Keep the nipple full of formula throughout the feeding D. Refrigerat any unused formula

C. Keep the nipple full of formula throughout the feeding

A nurse is caring for an infant who has a high bilirubin level and is receiving photo therapy. Which of the following is the priority finding in the newborn? A. Conjunctivitis B. Bronze skin discoloration C. Sunken fontanels D. Maculopapular skin rash

C. Sunken fontanels

A nurse is completeing a newborn assessment and observes small white nodules on the roof of the newborns's mouth. This finding is a characteristic of which of the following conditions? A. Mongolian spots B. Milia spots C. Eryhema toxicum D. Epstein's pearls

D. Epstein's pearls

A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following? A. Hold the newborn vertically under arms and allow one foot to touch the table B. Stimulate the pads of the newborns hands with stroking or massage C. Stimulate the soles of the newborns feet on the outer lateral surface of each foot D. Hold the newborn in a semi sitting position, then allow the newborns head and trunk to fall backward

D. Hold the newborn in a semi sitting position, then allow the newborns head and trunk to fall backward

A nurse on the postpartum unit is planning care for a client who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? A. Apply cold compresses to the affected extremity B. Massage the affected extremity C. Allow the client to ambulate D. Measure leg circumference

D. Measure leg circumference

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. Which of the following conditions are associated with these clinical findings? A. postpartum fatigue B. Postpartum psychosis C. Letting go phase D. Postpartum blues

D. Postpartum blues

A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicated understanding of the teaching? A. The mother places a few drops of water on her nipple before feeding B. The mother gently removes her nipple from the infants mouth to break the suction C. When she is ready to breastfeed, the mother gently strokes the newborns neck with her finger D. When latched on, the infants nose, cheek, and chin are touching the breast

D. When latched on, the infants nose, cheek and chin are touching the breast

A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is premature. Which of the following statements should the nurse make? A. Your baby will have excess fat B. Your baby will have flat areola without breast buds C. Your baby's heels will easily move to his ears D. Your baby's skin will have a leathery appearance

D. Your baby's skin will have a leathery appearance