OB study questions
The triage nurse in an obstetric clinic received the following four messages during the lunch hour. Which of the women should the nurse telephone first?
"my section incision from last week is leaking whitish, yellow discharge and I have a fever. What should I do"
A school nurse is discussing the male reproductive system with the students in a high school health class. Which of the following information about the hormone testos- terone should be included in the discussion?
"testosterone is what makes boys more muscular than girls"
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 nurse would be concerned that a 26-week-gravid client is carrying an unwanted pregnancy when the client makes which of the following statements?
"the baby hasn't started to move yet"
In 2000, the perinatal mortality rate in one county was 16. The nurse interprets that information as which of the following?
16 babies died between 28 weeks and28 days of age per 1,000 live births
When providing contraceptive counseling to a woman, which of the following factors should the nurse consider? Select all that apply.
Age, obstetric history, religious belief
A woman is being interviewed by a triage nurse at a medical doctor's 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 Nauses
The nurse is caring for a client, 37 weeks' gestation, who was just told that she is group B strep + (positive). The client states, "How could that happen? I only have sex with my husband. Will my baby be OK?" Based on this information, which of the following should the nurse communicate to the client?
Antibiotics will be administered during labor to prevent vertical transmission
A laboring woman, G4 P3003, who was 6 cm dilated 1 hour ago cries, "Hurry. I have to go to the bathroom to have a bowel movement." 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 mother questions the nurse about when the newborn screening tests for inborn diseases will be performed. Which of the following is an appropriate response by the nurse?
Blood from the baby's heel was sent after the baby had been fed a few times
A woman, contracting every 3 min X 60 seconds, suddenly develops an amniotic fluid embolism. Which of the following signs/symptoms would the nurse observe?
Chest pain and dyspnea and cyanosis
A certified nursing assistant (CNA) is working with a registered nurse (RN) in the neonatal nursery. It would be appropriate for the nurse to delegate which of the following actions to the assistant?
Delegate the placement of a bag on the baby for urine collection
The nurse is caring for a client in labor and delivery with the following history: G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early decelerations. The client states, "I'm so scared. Please make sure the baby is OK!" Which of the following responses by the nurse is appropriate?
FHR is within normal limites
A baby is born addicted to crack cocaine. Which s/s would you expect to see
Hyperreflexia
A 42-week-gestation neonate is being assessed. Which of the following findings would the nurse expect to see?
Loose peeling skin
A 39-week-gestation client is admitted to the labor and delivery unit for a scheduled cesarean delivery. The nurse should inform the surgeon regarding which of the following admission laboratory findings?
Platelet count 75,000
A patient is placed on bed rest at home for mild preeclampsia at 38 weeks' gestation. Which of the following must the nurse teach the patient regarding her condition?
Report swollen hands/ face
A client complaining of frequency, urgency, and burning on urination is seen by her health care practitioner. Which of the following factors in the client's history places her at risk for these complaints?
The client uses a diaphragm as a family planning method
A client's amniocentesis results are reported as 45, X. How should the nurse interpret these findings?
The girl will be short and sterile
A woman is in the "taking-hold phase" of the postpartum period. Which of the following behaviors would the nurse expect to see?
The woman is interested in learning baby-care skills from the nurse
On the third postpartum day a client tells the nurse that she feels sad and that she cries easily. The nurse should explain about which of the following?
These feelings are normal and should diminish when the baby is a week or so old.
A young man is planning to use the condom as a contraceptive device. The nurse should teach him that which of the following actions is needed to maximize the condom's effectiveness?
Use only water-soluble lubriants
A nurse is reading a research study that states, "There is a strong negative correlation between the independent and dependent variables (r = -0.85)." The nurse interprets the statement as which of the following?
as the values of the independent variable go up, values of the depend variable go down.
A woman is admitted to the labor and delivery unit with active tuberculosis. She has not been under a physician's care and is not on medication. Which of the following actions should the nursery nurse perform when the neonate is delivered
keep the baby in regular care nursery but separate from the mother
A client has just received synthetic prostaglandins for the induction of labor. Monitor for what side effect
nausea and uterine tetany
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe during leopold's
small objects on the right side of the uterus
A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?
the method of infant feeding the mother plans on using
A women is seeking counseling regarding tubal ligation. Which of the following should the nurse include in her discussion
the woman will be under anesthesia during the procedure