OB exam 3 questions
A male baby is born with scant amounts of vernix cases in his axillae and groin, scan amounts of lanugo on his shoulders, testes in his scrotum, and a strong suck. The nurse would estimate that the baby is which of the following gestational ages?
38 weeks
A neonate with jaundice must have a heel stick to assess bilirubin levels. Which of the following actions should the nurse make during the procedure?
allow the site to dry after rubbing it with an alcohol swab.
the nurse is caring for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. Which of the following interventions should the nurse perform?
apply an ice pack to the perineum
A baby has just been circumcised. If bleeding occurs, which of the following actions should be taken first?
apply light pressure to the area with a sterile gauze
A laboring women who was 6cm dilated 1 hour ago cries "I have to poop!" the nurse notes that there is an increase in bloody show. Which of the following actions by the nurse is appropriate?
assess cervical dilation
A client recieved general anesthesia during her c-section 4 hours ago. Which of the following interventions is important for the nurse to make?
auscultate the lung fields
The nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching parents how to care for the umbilical cord?
call the dr if green drainage appears
The client informs the nurse that she is very constipated. Which of the following foods should the nurse recommend?
celery it is high in fiber
Which of the following complications of labor and delivery may develop when a baby enters the pelvis in the left mentum posterior position (select all that apply)
cephalopelvic disproportion prolapsed cord
A women states that she "thinks" she might be in labor. which of the following assessments will provide the nurse with the most valuable information regarding the clients labor status?
cervical examination
A women suddenly develops an amniotic fluid embolism or anaphylactoid syndrome of pregnancy. Which of the following signs/symptoms would the nurse observe?
chest pain with dyspnea and cyanosis
A baby has just been admitted into the newborn nursery, before taking vital signs the nurse should warm her hands and the stethoscope to prevent heat loss resulting from which of the following?
conduction
A client delivered a 9lb 9oz baby 10 min ago with a forceps assist. The physician performed a right mediolateral episiotomy. The baby has a cleft lip. Which of the following is highest priority at this time?
Preventing postpartum hemorrhage
A women is being interviewed by a triage nurse at a medical doctors office. Which of the following signs/symptoms by the client would warrant the nurse to suggest that a pregnancy test be done? (select all that apply)
Amenorrhea fatigue nausea
In which of the following situations would the nurse report a possible deep vein thrombosis?
The calf of one women's legs is swollen, red, and warm to the touch
A client at 36 weeks gestation is having an amniocentesis. For which of the following reasons is the test likely being done?
Assessment of fetal lung maturation
A client complaining of frequency, urgency, and burning on urination is seen by her provider. Which of the following factors places the client at risk for these complaints?
The client uses a diaphragm as a family planning method
The women is in transition phase of labor. Which of the following comments should the nurse expect to hear?
I can't stand this pain any longer
The nurse is providing information to a client who plans to bottle feed her newborn. Which of the following should be included in the education?
If the bottle nipple is not filled with formula throughout the feeding, the baby may take in large amounts of air
A fetus is in the left occiput anterior (LOA) position in utero. Which of the following findings would the nurse observe when doing Leopold maneuvers?
small objects on the right side of the uterus
A breastfeeding client asks the nurse to confirm that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?
The babies lower lip is curled under
The nurse is evaluating the uterine involution of a client who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal?
The fundus 3 cm below the umbilicus, lochia rubra
The nurse is caring for a postoperative c-section client. The women is obese and has insulin-dependent diabetes. Which of the following complications should the nurse carefully monitor?
Wound dehiscence
Oxygenated blood goes back to the fetus through what?
The umbilical vein
A nurse who is providing nutrition counseling to a new, pregnant client advises the women that a serving of meat is approximately equal in size to white of the following items?
deck of cards; 2-3 oz serving
A client whose most recent cervical exam was 6cm and 90% effaced has just recieved fentanyl for pain. Which of the following fetal heart changes would the nurse expect to observe?
decrease in baseline variability
The nurse monitors postpartum clients carefully because which of the following physiological changes occurs during the early postpartum period?
decrease in blood volume
The nurse is educating a pregnant women regarding the moves the fetus makes during the birthing process. Place the following cardinal movements in order
descent internal rotation extension external rotation expulsion
The fetus descending through the birth canal is going through the cardinal movements of labor. Place the following moves in chronological order
flexion internal rotation extension external rotation expulsion
A nurse is performing a postpartum assessment on a client on postpartum day one. The nurse notes the following signs/symptoms. Which one should the nurse report to the healthcare provider?
foul-smelling lochia
A women has just completed her first trimester of pregnancy, Which of the following fetal structures can the nurse tell the women are well formed at this time
genitals heart fingers kidneys
the nurse is caring for a client who had a c-section under spinal anesthesia less than 2 hours ago. Which of the following nursing actions is appropriate at this time?
have her turn, cough and deep breathe every 2 hours
A newborn nursery nurse notes the a 36 hour old babys body is slightly jaundice. Which of the following nursing interventions will be most therapeutic?
have the mother feed the baby (bilirubin is extreted through the bowel, the more they feed the more they will expel)
A provider has just ordered carboprost for a client who is actively hemorrhaging during the immediate post partum phase of care. Which of the following maternal findings would warrant questioning the order?
history of asthma
A baby is diagnosed with neonatal abstinence syndrome. Which of the following signs/symptoms would the nurse expect to see?
hyperreflexia
An infant of a mother with type 2 diabetes delivered at 40 weeks. The baby weighed 9 pounds has just been admitted to the neonatal nursery. The nurse will monitor this baby for what? (select all that apply)
hypoglycemia respiratory distress
it is noted that a baby admitted to the nurse has translucent skin with visible veins. Because of this finding, the nurse should monitor the baby carefully for what?
hypothermia
A nurse is caring for a laboring women who is in transition. She does not have an epidural for pain. Which of the following signs/symptoms would indicate that the women is processing into the second stage of labor? (select all that apply)
increased bloody show uncontrollable urge to push inability to breathe through contractions
The nurse administers Rh immune globulin to a postpartum client. Which of the following is the goal of the medication?
inhibit the mothers active immune response
A client asks the nurse to explain what luteinizing hormone does in the body. The nurse should make which of the following statements?
it stimulates the monthly release of a mature egg from your ovary
which of the following developmental features would be the nurse expect to be absent in a 41 week gestation fetus?
lanugo
When performing leopolds maneuver the nurse notes the fetus is in the LOA position. Which is the best position for the nurse to place the fetoscope to hear the FHR?
left lower quadrant
The client is in the 3rd stage of labor. Which of the following signs should the nurse observe for?
lengthening of the umbilical cord uterus rising in the abdomen and feeling globular
A full-term baby's bilirubin level is 12 mg/dL on day 3. Which of the following neonatal behaviors would the nurse expect to see?
lethargy is one of the most common signs of hyperbilirubinemia
A newborn at 42 weeks gestation is being assessed. Which of the following findings would the nurse expect to see?
loose and peeling skin
A client just received synthetic prostaglandins for the induction of labor. The nurse plans to monitor for which side effects?
nausea and uterine tetany
The Nurse is performing postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm uterus at the umbilicus with a heavy lochial flow. Which of the following actions should the nurse take?
notify the obstetrician the women is bleeding more than normal
During a postpartum exam the nurse notes that a clients left calf is warm and swollen. Which of the following actions by the nurse is appropriate?
notify the primary health care provider
A client whose labor was uneventful, delivered 1 min ago. The nurse dried, suctioned, and stabilized the baby. The babies APGAR score at this time is 3. Which of the following actions should the nurse do next?
obtain assistance for full neonatal resuscitation
The nurse enters the labor suite and the women is complaining of intense back pain with each contraction. The nurse concludes the fetus is likely in which position?
occiput posterior
which symptoms would the nurse expect to observe in a postpartum client with a vaginal hematoma?
pain
the nurse is developing a standard plan of care for the post c-section client. Which of the following should the Nurse plan to implement?
perform active range-of-motion exercises until ambulating
the four important landmarks of fetal development. place them in chronological order
respiratory movements begin surfactant is formed in the fetal lungs eyes begin to open and close spinal column is completely formed
The nurse is teaching a new mother about the physical characteristics and needs of her baby. Which of the following statements should the nurse include in her discussion?
the anterior fontanelle will close by the time the baby is 18 months of age
The doctor has ordered a non stress test for a client at 39 weeks. The nurse should interpret which of the following as a reactive test?
the baby moves spontaneously 3 times in 20 minutes
A breastfeeding mother and her baby are being discharged home after delivery. The nurse is providing guidance about what signs the mother should expect the baby to exhibit every 24 hours by the end of the first week. Which of the following should the nurse include?
the baby should have at least 6 wet diapers
A client who had a vaginal delivery 2 hours earlier has just been transferred to the postpartum unit from labor and delivery. Which of the following nurse care goals is of highest priority?
the client will have moderate lochial flow
The nurse is teaching a couple about fetal development. which statement by the nurse is correct about the morula stage of development?
the fertilized egg has yet to implant into the uterus
An ultrasound of a fetal heart shows that normal fetal circulation is occurring. Which of the following statements should the nurse interpret as correct?
the right atrium contains both oxygen-rich and oxygen-poor blood
the fetal heart sends blood to the placenta for oxygen through what?
the two umbilical arteries
During the 3rd stage of labor, the following physiological changes occur. Place the changes in chronological order
the uterus contracts the uterine surface area decreases hematoma forms behind placenta membranes separate from the uterine wall
A women is in the taking-hold phase of the postpartum period. Which of the following behaviors would the nurse expect to see?
the women is interested in learning baby-care skills from the nurse
Without doing a vaginal exam a nurse concludes that a primigravida who has recieved no medications during her labor is in transition. Which of the following signs/symptoms would lead the nurse to that conclusion?
the women yelled at her partner and vomited
The nurse is about to elicit the moro reflex. Which of the following responses should the nurse expect to see?
when the baby is suddenly lowered or startled, the neonates arms straighten outward and knees flex
at which times during the latent phase of labor should the nurse assess the FHR pattern of a low risk women? (select all that apply)
with vaginal exams before administering analgesics periodically throughout several contractions before ambulating
