OB Exam Study Guide

A nurse is proving teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?

You should leave the diaphram in place for at least 6 hours after intercourse

A nurse is reviewing laboratory results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?

bilirubin 9 mg/dl

A nurse is caring for a client who is breast-feeding and states that her nipples are sore. Which of the following interventions should the nurse suggest?

change the newborns position on the nipples with each feeding

A nurse is caring for a client who just delivered a newborn. Following the delivery which nursing action should be done first to care for the newborn?

clear the respiratory tract

A nurse is planning care for a client who is 2hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?

demonstrate to the client how to perform a newborn bath

A nurse is teaching a client who is 35 weeks of gestation about manifestations potential pregnancy complications to report to the provider/ which of the following manifestations should the nurse include?

headache that is unrelieved by analgesia

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports having in red vaginal bleeding. The bleeding started spontaneously in the morning and it's not accompanied by contractions. The client is not in distress and she states that she can" feel the baby moving. And ultrasound is scheduled stat. The nurse should explain to the client of the purpose of the ultrasound is to determine which of the following?

location of the placenta

A nurse on a postpartum unit is caring for a pt. who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?

massage the clients fundus

A nurse is reviewing the medical record of a newly admitted client who is 32 weeks gestation. Which of the following condition is an indication for fetal assessment using electronic fetal monitoring?

oligohydramnios

A nurse is proving discharge teaching two the parents of a newborn about car seat safety. Which of the following instructions should the nurse take?

place the retainer clip at the level of the newborn's armpits.

A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

swelling of the face

A nurse is proving discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor and report to the provider?

unilateral breast pain.

A nurse is teaching a client who is 36 weeks of gestation and a prescription for a non stress test. Which of the following statements should the nurse include in the teaching?

you will be offered orange juice to drink during a test.

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborns mother asked about the swollen area on her sons head. After palpation to identify that the swelling crosses the suture line which of the following is an appropriate response by the nurse?

"A caput Succedaneum occurs due to compression of blood vessel."

A nurse is teaching a client who has pre gestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

"I will continue to take my insulin if i experience nausea and vomiting."

A nurse is caring of a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?

"This medication stimulates fetal lung maturity."

Nurse is reinforcing teaching about reducing perennial infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching?

- Blot the perineal area dry after voiding. - Clean perineal area from front to back. - Perform hand hygiene before and after voiding.

A nurse is caring for a client who is to undergo a biophysical profile. The client asked the nurse what is being evaluated during this test. Which of the following should the nurse include?

- Fetal breathing - fetal motion - amniotic fluid volume

A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings as an indication for the administration of the medication?

- Flaccid uterus - Excess vaginal bleeding

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications with the nurse anticipate administering?

- Hepatitis B immunization - Vitamin K injection - antibiotic ointment to both eyes

A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states "Administer 1 g orally now". Available is 250 mg tablets. How many tablets should the nurse administer?

4 tablets

A nurse observes that a newborn has a pink trunk and head wash hands and feet and flex extremities five minutes after delivery. He has a we can slow cry a heart rate of 130 bpm and cries in response to suctioning. The nurse should document what Apgar score for this infant?

8

A nurse is planning discharge for client who is 3 days postpartum. Which of the following nonpharmacoligical interventions should the nurse include in the plan of care for lactation suppression?

Apply cabbage leaves to the breasts.

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding the vagina. After calling for the assistance, which of the following actions should the nurse take next?

Apply internal upward pressure to the presenting part using two gloved fingers

A nurse is caring for a client who is in labor and whose fetus is in the right occuiput posterior position. The client is dialed to 8 cm and reports back pain. Which of the following actions should the nurse take?

Apply sacral counterpressure

A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates the uterus to the right above the umbilicus. Which of the following interventions should the nurse preform?

Assist the client to empty her bladder.

A nurse is reviewing the laboratory report of a newborn who is 24 hours old. Which of the following results should the nurse report to the provider?

Blood glucose 30 mg/dL

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of Lucia Rubia and several small clots on the clients perennial pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take ?

Document the findings and continue to monitor the client

A nurse is caring for a client who has preeclampsia and has a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

Have calcium gluconate readily available

A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?

Just above the symphysis pubis

A nurse is caring for a client who is at 36 weeks of gestation and who has A suspected placenta previa. Which of the following findings support this diagnosis?

Painless red vaginal bleeding

A nurse is reviewing the medical record of a client who is a postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?

Platelets 50,000/mm^3

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurses priority?

Respiratory distress

A nurse is calculating expected date of birth using Nagel's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?

September 3rd