OB quizzes

A woman who is recovering following a late first trimester spontaneous abortion is being seen at the gynecologist office.. At this time, it is essential for the nurse to check which of the following?

The correct answer is: Maternal blood type.

Aclient with Type 1 Diabetes Mellitus is being seen for preconception counseling. The nurse should emphasize that during the first trimester the woman may experience which of the following?

The correct answer is: Need for less insulin than she normally injects.

Which finding should the nurse expect when assessing a client with placenta previa?

Painless vaginal bleeding

The nurse is assessing a client 6 hours after a normal vaginal delivery. The priority assessment should be

The correct answer is: Assess the fundus

A client has severe pre-eclampsia. The fetus of the client should be assessed for

Intrauterine growth restriction

Which nursing action should take priority when caring for a client with suspected ectopic pregnancy?

Monitor vital sign.

Aclient with a 28 week gestation pregnancy is being seen in the prenatalclinic. She states, "I have had a terrible headache for the past 2 days." Which of the following is the most appropriate action for the nurse to perform next?

The correct answer is: Take the woman's blood pressure.

Once oogenesis is complete, the resultant gamete cell contains how many chromosomes?

23

Which of the following would be the highest priority of the nurse caring for a laboring patient?

Assessing the fetal heart rate frequently.

Anurse discusses teratogens with a client during prenatal counseling. The client demonstrates understanding by making which statement?

"Exposure to teratogens poses the greatest risk during the first eight weeks."

A client has completed a home pregnancy test with positive results. Which client statement indicates that she understands the meaning of her test result?

"I understand that this means I might be pregnant".

Anantenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.

Amenhorrea., Breast tenderness., Quickening., Frequent urination.

Second stage of labor. Select all that apply.

Indicates delivery of the baby., Lasts about 1-2 hours

The nurse wishes to assess the variability of the fetal heart rate. Which of the following actions must the nurse perform at this time?

Carefully analyze the baseline data on the monitor tracing.

Apregnant client with history of placenta previa is admitted to the L & D suit at 39 weeks of gestation. Which of the orders will you question the physician as inappropriate? Select all that apply.

Check the dilation and effacement by vaginal exam, Start Pitocin drip

Aclient with a 26 week gestation pregnancy is diagnosed with pre-eclampsia with HELLP syndrome. The nurse will assess for which of the following signs/symptoms?

Epigastric pain.

Awoman provides the nurse with the following obstetrical history. Delivered a son, now 7 years old, at 28 weeks' gestation; delivered a daughter, now 5 years old, at 39 weeks gestation'; had a miscarriage 3 years ago; and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of the woman's gravidity and parity (TPAL)?

G5 P1122.

Which of the following actions would be appropriate for the nurse to delegate to a doula (labor assistant) providing continuous labor support?

Give the laboring mother a back rub., Assist the mother with her breathing

The nurse is assessing a client who states "I think I am in labor". Which of the following findings would positively confirm the client's belief?

Her cervix is dilated from 2 cm to 4 cm

Which of the hormone elevations will indicate a high probability that a client is pregnant?

Human Chorionic gonadotropin.

Youare teaching potential mothers about complications of uncontrolled diabetes in a growing fetus. It will be accurate for you to say Select one:

Hyperglycemia in early pregnancy can lead to congenital anomalies in the baby

Which statement made by the laboring client indicates a need for further education?

I will need an epidural as this is my first pregnancy

Thenurse auscultates a fetal heart rate of 150 on a client in early labor. Which of the following actions by the nurse is appropriate?

Inform the mother that the fetal heart rate is normal.

Apregnant woman informs the nurse that her last normal menstrual period was on September 20, 2018. Using Nagele rule, the nurse calculates the client's estimated date of delivery as:

June 27, 2019.

Thenurse is providing single peri-menopausal woman with contraceptive counselling. The woman has four sex partners and smokes 1 pack of cigarettes a day. Which of the following methods is best suited for thisclient?

Male condom.

The fetal head is determined to be presenting in a complete flexed position. The L & D nurse should most probably anticipate which type of labor and delivery?

Normal labor and spontaneous vaginal delivery

A gravida G1 P0000 is having her first prenatal physical exam. Which of the following assessments will she have that day? Select all that apply.

Pap smear., Complete blood count.

TheUnited States has a high infant mortality rate and that preterm labor and delivery of low-birth-weight infants can be linked to the lack of prenatal care. The nurse suspects which of the following as a reason whymany clients are unable to obtain prenatal care?

Prenatal care services and providers are not available in certain areas.

A38 week gestation client with pre-eclampsia is receiving magnesium sulfate and Pitocin IV for induction of labor. What is the expected effect of magnesium sulfate on this client?

She will have no seizures

A client is in her 10th week of her pregnancy. Which of the following symptoms with the nurse expect the client to exhibit?

Urinary frequency., fatigue

The patient is having contractions every 5-7 minutes for the last six hours. What factors would you use to determine whether this is true labor? Select all that apply.

The cervix is 50% effaced and 5 cm dilated, The station of the fetus is +1, The contractions are increasing in intensity and duration

A postpartal mother complains of "afterpains" while breastfeeding her baby. The best nursing intervention should be

The correct answer is: Administer an analgesic

The nurse is developing a plan of care for a post partum client during the 'taking hold phase'. Which of the following should the nurse include in her care plan?

The correct answer is: Assure her that she is an excellent mother

A25 year old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat seen on ultrasound. The nurse would expect the doctor to write an order to prepare the client for which of the following?

The correct answer is: Dilation and curettage.

After analyzing the fetal monitor tracing, the nurse determines that there ismoderate fetal heart rate variability. Which of the following interpretations should the nurse make in relation to this finding?

The fetus has a healthy nervous system.

Awoman asks the nurse about the function of amniotic fluid. Which of thefollowing statements by the woman indicates that the teaching was successful? Select all that apply.

The fluid cushions the fetus from injury., The fluid enables the fetus to grow., The fluid provide the fetus with a stable thermal environment., The fluid enables the fetus to practice swallowing.

You are providing breast feeding instructions to a postpartum client. To prevent breast engorgement you should instruct the client to

Thecorrect answers are: Wear a supportive bra, Apply warm compressesif breasts feel full, Encourage her to breast feed her infant frequently

After delivery the nurse examines the umbilical cord and documents the cord is normal. This means the cord has

Two arteries and one vein.

Anurse who is assessing a pregnant type 1 diabetic patient should monitor her for which of the following? Select all that apply.

Urinary tract infection, Metabolic acidosis

A woman who is in active labor is told that her baby is in 'flexed attitude'. This statement means that the

baby's chin is resting on its chest.

Anursing student who is pregnant asks the antenatal nurse why childbearing is considered a developmental crisis for a family. What should be included in a response by the nurse?

It is a period of physical, psychological, and social change causing a sense of disorganization.

Youare providing discharge teaching to a client who underwent evacuation of her hydatidiform molar pregnancy. Which response by the client indicates understanding of the teaching?

"I will need to see the doctor regularly for follow up".

Aftersex education class, the school nurse hears an adolescent woman discussing safe sex practices. Which of the following comments by the young woman indicates that teaching about infection control was effective?

"Teen women are most high risk for sexually transmitted infections (STI)".

Awomen, whose menstrual cycle is 35 days long, states that she often hasa slight pain on one side of her lower abdomen on day 21 of her cycle. She wonders whether she has ovarian cancer. Which of the following is the nurse's best response?

"Women often feel a slight twinge when ovulation occurs".

A women is a carrier for Hemophilia A, an x-linked recessive illness. Her husband has normal genotype. The nurse can advise the couple that the probability of their daughter having the disease is:

0% probability

Thenurse working in an outpatient clinic assesses four primigravid clients. Which of the client findings should the nurse highlight for thephysician? Select all that apply.

24 weeks gestation, fundal height at the umbilicus., 34 weeks gestation, experiences uterine cramping.

A client is complaining of severe back labor. Which of the following nursing interventions would be most effective?

Provide direct sacral pressure.

A36 week pregnant client is presented to the L & D unit with historyof sudden severe abdominal pain and moderate dark colored bleeding. Contractions are strong, every 2 minutes apart lasting about 60 seconds.She has a history of cocaine use during pregnancy. You suspect the client is presenting with?

Abruptio Placenta.

Athird trimester client is seen at the clinic for routine prenatal care.Which of the following assessments will the nurse perform during the visit? Select all that apply.

Blood pressure., Fetal heart rate., Urine protein.

Alaboring client's fetal heart rate (FHR) at 9 am was 140. At 10 am the FHR is 100 and progressively decreasing. This could indicate (select all that apply).

Cord compression, Fetal distress

Adeceleration of the fetal heart rate from 145 to 80 beats per minute with contractions followed by a rapid return to baseline rate is most likely indicative of

Fetal head compression

Thenurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?

Fetal heart rate via Doppler.

Awoman has just arrived at the labor and delivery suite. To report a client's status to her primary healthcare practitioner, which of the following assessments should the nurse perform? Select all that apply.

Fetal heart rate., Contraction pattern., Vital signs.

Aclient taking oral contraceptive pills calls the clinic and reports thepresence of chest pain and shortness of breath. The nurse should instruct the client to do which of the following?

Go to the nearest ER to be evaluated

A vaginal examination of a laboring mother shows- 5 cm dilated, 90% effaced, and at station -2. Which of the following has the nurse palpated?

Head at the pelvic outlet.

Theblood of a pregnant client was initially assessed at 10 weeks' gestation and reassessed at 38 weeks' gestation. Which of the following results would the nurse expect to see?

Rise in white blood cells from 5,000 cells/mm3 to 15,000 cells/mm3 .

You are providing an explanation to the client regarding the role of sedation during the latent phase of the labor process by saying.

Sedation helps to provide needed rest and allows time for the uterine contractions to be more coordinated to enhance progress of labor

A woman asks the obstetrician's nurse about cord blood banking. Which of the following responses by the nurse would be best?

The cord blood is frozen in case your baby develops a serious illness in the future".

A multigravid post partum woman reports severe abdominal cramping whenever she nurses her baby. Which of the following responses is appropriate?

The correct answer is: Discuss the action of breastfeeding hormones

A woman with a history of congestive heart disease is 36 weeks pregnant. Which of the following findings should the nurse report to the primary healthcare practitioner?

The correct answer is: Dyspnea on exertion.

The nurse is assessing the uterine fundus of a client 8 hours after a C/S and finds it firm, round, 2 cm above the umbilicus and displaced to the right. The most appropriate intervention you should do is

The correct answer is: Encourage the client to empty the bladder and reassess the fundus

The nurse is evaluating the involution of a woman 3 days post partum. Whichof the findings would the nurse evaluate as normal?

The correct answer is: Fundus 2 cm below umbilicus, lochia rubra

Apregnant client asks about the functions of placenta. What items of information should the nurse include in the teaching plan? Select all that apply.

The placenta filters alcohol from the mother's blood., Substances are exchanged by the placenta without mixing maternaland fetal blood., Fetal respiration, nutrition, and excretion are carried out by placenta.

Aclient enters the labor and delivery suite stating she thinks she is inlabor. Which of the following information about the woman should the nurse note from the woman's prenatal record before proceeding with the physical assessment? Select all that apply

Weight gain., Ethnicity and Religion., Age., Gravidity and parity.

Abreastfeeding client, G10 P6408, delivered 10 minutes ago. Which of thefollowing maternal assessments is most important for the nurse to perform at this time?

The correct answer is: Fundus.

An insulin dependent woman with diabetes will require higher doses of insulin as which of the following pregnancy hormones increases?

The correct answer is: Human placental lactogen.

What signs of thrombophlebitis should a nurse include in her discharge teaching of a postpartal client?

The correct answer is: Localized calf tenderness, heat, and swelling

A woman, 32 weeks' gestation, contracting every 3 minutes X 60 seconds, is receiving magnesium sulfate. For which of the following maternal assessments is it critical for the nurse to monitor the client?

The correct answer is: Low urinary output.

AG2 P2002 who is 6-hours post partum after a normal spontaneous vaginal delivery is assessed. The fundus is firm at the umbilicus, there is heavy lochia rubra, and perineal sutures are intact. What action should the nurse take at this time?

The correct answer is: Notify the primary heath care provider

Afterdelivering a large for gestational age infant, the nurse notices brightred blood continuously trickling from the client's vagina. Her fundus is firm and midline. The nurse suspects the most likely cause of bleeding to be

The correct answer is: Perineal lacerations

The3rd stage of labor has just ended for a client who decided to bottle feed her baby. Which of the following hormones will increase sharply at this time?

The correct answer is: Prolactin

Awoman has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs/symptoms is characteristic of this diagnosis?

The correct answer is: Sharp unilateral pain.

A client has just been transferred to the postpartum unit from labor & delivery. Which of the following nursing care goals is of highest priority?

The correct answer is: She will have a moderate lochial flow

A32 week gestation client was last seen in the prenatal clinic at 28 weeks gestation. Which of the following changes should the nurse bring to the attention of the primary healthcare practitioner?

The correct answer is: Weight change from 128 pounds to 138 pounds.

Apostpartal mother verbalizes that she does not want to breast feed her newborn son. What actions should you take to suppress milk production?

The correct answers are: Apply Ice packs to the breast, Advise her to wear a supportive bra

Post partum assessment of a client delivered by c-section include- select all that apply

The correct answers are: Auscultate the abdomen, Palpate the fundus, Assess the nipple integrity, Auscultate the lung fields

Duringa postpartum assessment, the nurse assesses the calves of the client. The nurse is checking for which of the following S/S? Select all that apply

The correct answers are: Pain, Warmth, Redness

Assessment findings of the C/S incision wound of a client two days after delivery indicates the following- red, edematous, and tender to touch. This best initial nursing action would be

Assessment findings of the C/S incision wound of a client two days after delivery indicates the following- red, edematous, and tender to touch. This best initial nursing action would be

As labor progresses the uterine contractions should Select one:

Increase in intensity, frequency, and duration

A pregnant woman has just been admitted to the emergency department after an automobile accident. Her body appears to be uninjured. The nurse carefully monitors the woman for which of the following complications ofpregnancy?

The correct answers are: Placental abruption, Preterm labor.

One nursing diagnosis for a post partum client is risk for intrauterine infection related to vaginal delivery. Which of the following goals should the nurse include in her care plan? Select all that apply

The correct answers are: She will have a stable WBC count, She will have a normal temperature, She will have normal-smelling vaginal discharge

Which of the following factors could delay uterine involution in a postpartum client?

The correct answers are: Uterine infection, Prolonged labor, Distended urinary bladder, Grand multipara

Thenewborn nursery nurse is working with a client who is planning to placeher infant for adoption. When considering the legal issues of this situation, rather than ethical aspects, the nurse should look to

The rules and regulations.

Awoman had a baby by normal spontaneous vaginal delivery 10 minutes ago.The nurse notes a gush of blood was just expelled from the vagina and the umbilical cord lengthened. What should the nurse conclude?

The woman is about to deliver the placenta.