practice OB

The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? 1. Soft abdomen 2. Uterine tenderness 3. Absence of abdominal pain 4. Painless, bright red vaginal bleeding

2. Uterine tenderness

The nurse is assessing a 70-year-old female patient in the family practice clinic. The patient states that she has been experiencing sudden heavy vaginal bleeding the past 3 months. What is the expected diagnostic procedure for this patient? 1. Cervical conization 2. Colposcopy 3. Dilation and curettage 4. Endometrial biopsy

4. Endometrial biopsy

The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate nursing action? 1. Administer oxygen via face mask. 2. Place the mother in a supine position. 3. Increase the rate of the oxytocin intravenous infusion. 4. Document the findings and continue to monitor the fetal patterns.

1. Administer oxygen via face mask

The nurse is assessing a 42-year-old patient who presents to the gynecology office with complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health care provider has diagnosed the patient with leiomyoma of the uterus. What are the treatment options for this condition? Select all that apply. 1. Routine pelvic examinations to assess rate of disease process 2. Oral contraceptives to control the bleeding and pain 3. Myomectomy for women who desire pregnancy 4. Hysterectomy for women who do not desire pregnancy 5. Antibiotic therapy with NSAIDS for symptom management

1. Routine pelvic examinations to assess rate of disease process 3. Myomectomy for women who desire pregnancy 4. Hysterectomy for women who do not desire pregnancy

The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health? 1. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. 2. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts. 3. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk. 4. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.

2 Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts

A patient is confirmed to be pregnant. Obstetric history includes two sets of twins born at 30 and 32 weeks gestation, respectively, a singleton birth born at 39 weeks gestation, and two pregnancies lost in the first trimester. In which way will the nurse define the patient's obstetrical history? 1. G4, T3, P2, A2, L3 2. G6, T1, P4, A2, L5 3. G5, T1, P2, A2, L5 4. G6, T4, P0, A4, L3

2. G6, T1, P4, A2, L5

The nurse assisted with the birth of a newborn. Which nursing action is most effective in preventing heat loss by evaporation? 1. Warming the crib pad 2. Closing the doors to the room 3. Drying the infant with a warm blanket 4. Turning on the overhead radiant warmer

3. Drying the infant with a warm blanket

In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply. 1. Bleeding that soaks a pad per hour 2. A bad headache with vision changes 3. Thoughts of hurting self or baby 4. Signs an incision is not healing 5. A red, swollen leg painful to touch

3. Thoughts of hurting self or baby

The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most appropriate? 1. Notify the health care provider of the findings. 2. Reposition the mother and check the monitor for changes in the fetal tracing. 3. Take the mother's vital signs and tell the mother that bed rest is required to conserve oxygen. 4. Document the findings and tell the mother that the pattern on the monitor indicates fetal well-being.

4. Document the findings and tell the mother that the pattern on the monitor indicates fetal well-being.

A patient who is pregnant asks the nurse when her baby is due to be born. The patient reports her last menstrual period (LMP) date as April 14. Using Naegele's rule, the nurse will set the estimated date of delivery (EDD) as what date? 1. July 21 2. January 7 3. July 14 4. January 21

4. January 21

The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction? 1. Variability 2. Accelerations 3. Early decelerations 4. Variable decelerations

4. Variable decelerations