OB Exam 1 Practice Ch's 1 2 3 4 5 6
An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of this infant is an important indicator of what? Select all that apply. -Morbidity rate -Prenatal care -Mortality rate -Infant health outcome -Postpartum care
ANS: 1, 3, 4
A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands? ―Due to my weight, there is a possibility that I may develop gestational diabetes.‖ ―I am not overweight, but I am still at risk for gestational diabetes.‖ ―My mother had preeclampsia during one of her pregnancies.‖ ―I will need to do a glucose tolerance test in my second trimester
ANS: 1
The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following? ―My child may be at increased risk for birth injury.‖ ―My child may have a decreased risk of developing childhood diabetes.‖ ―I will probably give birth vaginally.‖ ―I have a lower risk of developing gestational hypertension.‖
ANS: 1
A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-term effects should the nurse be concerned about with the infant being born at this gestation? Select all that apply. -Cerebral palsy -Respiratory disorders -Developmental delays -Visual impairments -Hearing impairments
ANS: 1, 2, 3, 4, 5
A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate? -The patient's infant is at increased risk of neonatal blindness. -The patient's infant has a decreased risk of birth injury. -The patient will have increased risk of wound infection. -The patient will have a decreased risk of preeclampsia.
ANS: 3
The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition? A:Diabetes B:Blindness C:Pneumonia D:Hypertension
Ans:B
The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence? A:Hypertension B:Diabetes C:Alcohol abuse D:Intraventricular bleeding
Ans:C
The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different? A:Fetal monitoring throughout labor B:Postpartum stay of 10 days C:Expectant partner and family in operating room for cesarean birth D:Hospital support for breastfeeding
Ans:D This is correct. Hospital support for breastfeeding, including a lactation consultant and employment of the Baby-Friendly Hospital Initiative, were both enacted during the early 1990s. A:This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this likely would have occurred during the mother's labor and delivery during the 1980s. B:This is incorrect. In the past, the average hospital postpartum stay was 10 days. Presently, the average postpartum stay is 48 hours or less. C:This is incorrect. In the past, expectant partners and families were excluded from the labor and birth experience. Present trends involve the expectant partner and family in the labor and birth experience, including presence in the operating room for cesarean births.
A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient's blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death? A:Early maternal death B:Late maternal death C:Direct obstetric death D:Indirect obstetric death
Ans:D This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during pregnancy. A:This is incorrect. Early maternal death is not an example of maternal death. Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric death, and pregnancy-related death B:This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect obstetric cause. C:This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or postpartum period.
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient? A:Uses of extracorporeal membrane oxygenation therapy (ECMO) B:Uses of exogenous pulmonary surfactant. C:The Baby-Friendly Hospital Initiative D:The Safe to Sleep campaign
Ans:D This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to promote healthy infant sleeping habits. The decrease in SIDS from 1995 to 2015 was attributed to the Safe to Sleep campaign.
