OB EXAM

1. A pregnant woman can reduce her risk for toxoplasmosis by * a. Avoiding the handling of cat litter, soil, or raw meat b. Practicing good genital hygiene c. Using safer sex methods such as condoms during intercourse d. Maintaining a nutritious diet during pregnancy

. Avoiding the handling of cat litter, soil, or raw meat

1. Which of the following, if exhibited by a pregnant woman, represents a positive sign of pregnancy? * a. Morning sickness b. Quickening c. Positive pregnancy test d. Fetal heart beat auscultated with Doppler or fetoscope

Fetal heart beat auscultated with Doppler or fetoscope

1. When assessing a woman who is suspected of having an ectopic pregnancy, the nurse would report which of the following as a risk factor? * a. A history of using intrauterine devices for birth control b. Nausea and vomiting during early pregnancy c. A soft, nontender abdomen with active bowel sounds d. Absence of vaginal bleeding or menstrual flow

a. A history of using intrauterine devices for birth control

1. When performing a postpartum check, the nurse should * a. Instruct the woman to empty her bladder prior to the check b. Place the woman in a supine position with her arms overhead for the examination of her breast and fundus c. Perform the check as quickly as possible d. Wear sterile glove when assessing the pad and perineum

a. Instruct the woman to empty her bladder prior to the check

1. When planning a diet with a pregnant woman, the nurse first action would be to * a. Review the woman dietary intake b. Teach the woman about the food pyramid c. Caution the woman to avoid large doses of vitamins d. Instruct the woman to limit the intake of fatty foods

a. Review the woman dietary intake

1. Which of the following would not be included in the care management of pregnant woman with heart disease? * a. Digoxin b. Coumadin c. Dietary restriction of sodium d. Limitation of weight gain to approximately 24 pounds

b. Coumadin

1. Immediately following administration of an epidural anesthesia, the nurse must monitor the mother for which of the following? * a. Paresthesia in her feet and legs b. Drop in blood pressure c. Increased central venous pressure d. Fetal heart acceleration

b. Drop in blood pressure

1. Flexing the lumbar spine can relieve backache during pregnancy and early labor. This exercise is called: * a. Kegal exercise b. Pelvic rocking c. Squatting d. Pelvic tailoring

b. Pelvic rocking

1. Which of the following amniocentesis results reflects adequate fetal lung maturity? * a. L/S ratio 1:1 b. Alpha-fetoprotein level within the normal range c. L/S ratio 2:1 d. Creatinine present

c. L/S ratio 2:1

1. While interviewing a woman in labor, the nurse would address which of the following? * a. Whether the pregnancy was planned b. The use of drugs or medications during pregnancy c. Maternal concerns regarding fetal health d. All of the above

d. All of the above

1. After the third stage of labor, the nurse may have which of the following responsibilities? * a. Administration of intramuscular oxytocin to facilitate uterine contractility b. Monitoring for blood loss greater than 60 ml, which would indicate gross hemorrhage c. Noting if the placenta makes a Schultze presentation, which is a sign of gross complications d. Pushing down on relaxed uterus to aid in the removal of the placenta

a. Administration of intramuscular oxytocin to facilitate uterine contractility

1. A pregnant woman, age 25, is unemployed and on welfare. She smokes about ¼ pack of cigarettes each day and drinks occasionally. Six months ago, she divorced her husband and moved to another state to "get away from everyone." The factor that is LEAST likely to contribute to her risk status and to increase the chance of infant mortality would be her * a. Age b. Economic status c. Use of alcohol and tobacco d. Limited support system

a. Age

1. A laboring woman's amniotic membranes has ruptured. The immediate action of the nurse would be to * a. Assess the FHR pattern b. Perform a vaginal examination c. Inspect the characteristics of the fluid d. Asses maternal temperature along with pulse, respirations, and BP

a. Assess the FHR pattern

1. When performing vaginal examination on women in labor the nurse should be guided by which o f the following principles? * a. Cleanse the vulva and the perineum before and after the examination as needed b. Wear a clean glove lubricated with tap water to reduce discomfort c. Perform the examination every hour during the active phase of the first stage of labor d. Perform immediately if bleeding is present

a. Cleanse the vulva and the perineum before and after the examination as needed

1. The first day of a woman's last menstrual period (LMP) was May 3, 2021, and it ended on May 7. Using Negele's rule, this woman's estimated date of birth (EDB) would be * a. February 10, 2022 b. February 14, 2022 c. July 31, 2022 d. August 14, 2022

a. February 10, 2022

1. Upon completion of vaginal examination on a laboring woman, the nurse records: 25%, 5cm, -1. Which of the following is a correct interpretation of the data? * a. Fetal presenting part is 1cm above the ischial spine b. Effacement is 5 cm from completion c. Dilatation is 25% complete a. Acceleration phase of the first stage of labor is about to begin

a. Fetal presenting part is 1cm above the ischial spine

1. Based on genetic testing of a new born, a diagnosis of Dwarfism was made. The parents asked the Nurse if this could happen to future children. Since this is an example of autosomal dominant inheritance, the nurse would tell the parents * a. For each pregnancy, there is a 50% chance that the child will be affected with Dwarfism. b. This will not happen again since the Dwarfism was caused by the harmful genetic effects of the infection you had during pregnancy. c. For each pregnancy, there is 25% chance the child will be a carrier of the defective gene but unaffected by the disorder d. Since you already have had an affected child there is a decrease chance for this to happen in future pregnancies.

a. For each pregnancy, there is a 50% chance that the child will be affected with Dwarfism.

1. Uterine dystocia maybe associated with a pattern of hypotonic uterine contractions. Nurses should realize that * a. Hypotonic contraction typically occurs during the active phase of the first stage of labor b. Nulliparous women are most likely to exhibit this type of contraction pattern c. Hypotonic contractions are characteristically regular, of low intensity, and occur at a frequency of 4 or fewer in a 10 minute period d. Management often involves therapeutic rest using sedatives

a. Hypotonic contraction typically occurs during the active phase of the first stage of labor

1. associated with internal monitoring is * a. Infection b. Bleeding from the fetal presenting part at the point of attachment of the cardiotachometer c. Maternal fear and anxiety d. Limitation on maternal activity such ambulation

a. Infection

1. Which of the instructions would provide inaccurate information to teach a woman regarding vaginal births following cesarean birth? * a. Instructions regarding the labor process are not needed b. Many women will respond as if this is their first pregnancy c. Cephalopelvic disproportion is not present d. There is less blood loss in vaginal delivery than cesarean birth

a. Instructions regarding the labor process are not needed

1. Which of the following women is least likely to experience afterpains? * a. Primiparous, bottle-feeding woman who delivered a 7 pound baby at 40 weeks gestation b. Multiparous woman who delivered twin boys at 27 weeks' gestation c. Primiparous breastfeeding woman who delivered an 8-pound baby at 42 weeks' gestation d. Multiparous, gestational diabetic woman who delivered an 11 pound macrosomic baby at 38 weeks' gestation

a. Primiparous, bottle-feeding woman who delivered a 7 pound baby at 40 weeks gestation

1. While her fundal height is being measured, a pregnant woman at 20 weeks' gestation begins to complain of dizziness and lightheadedness. The nurse notes that the woman's skin has become pale and diaphoretic. This woman was is most likely experiencing * a. Supine hypotension b. Anxiety reaction to pregnancy c. Postural hypotension d. Circulatory collapse

a. Supine hypotension

1. Linda, age 14, is in her fourth month of pregnancy. To help prevent the development of anemia, the nurse would do which of the following? * a. Tell Linda she needs to eat a balanced meal so that she will be well nourished b. Instruct Linda to report black stools, which indicate that she is bleeding internally due to iron intake. c. Instruct Linda regarding the signs of labor before she completes her fifth month of pregnancy. d. Tell Linda if she takes an iron supplement each day she won't have to eat foods like liver.

a. Tell Linda she needs to eat a balanced meal so that she will be well nourished

1. Post mature pregnancy is dangerous to the fetus in which of the following ways? * a. The fetus may suffer from decreased blood perfusion b. Fetal inhalation results in aspiration of amniotic fluid c. Hydramnios leading to decreased fetal circulation will occur d. Microcephaly may result in increased biparietal diameter

a. The fetus may suffer from decreased blood perfusion

1. Margaret returns for another NST. She tells the nurse that she had a reactive NST 1 week ago and asks the nurse, "What does that mean?" The best response by the nurse is to instruct the patient that the reactive NST indicates fetal: * a. Well-being b. Heart rate deceleration c. Demise d. Growth

a. Well-being

1. Contraceptive method with a 0% failure rate * a. Condom b. Tubal ligation a. abstinence b. Pills

a. abstinence

1. A pregnant woman's pre pregnant weight is 125 pounds and her BMI is 24. By the end of her pregnancy, her weight shall fall between what range of pounds? * a. 140 to 150 b. 150 to 160 c. 153 to 165 d. 160 to 180

b. 150 to 160

1. A nurse is explaining to a client about monthly hormonal changes. Starting with Day 1 of the menstrual cycle, place the following four hormones in the chronological order in which they elevate during the menstrual cycle. 1. Follicle stimulating hormone 2. Gonadotropin- releasing hormone 3. Luteinizing hormone 4. Progesterone * a. 1, 2, 3,4 b. 2, 1, 3, 4 c. 2, 1, 4, 3, d. 2, 3, 1, 4

b. 2, 1, 3, 4

1. A breastfeeding woman would demonstrate the need for further instruction regarding breast care if she * a. Washes the nipple and areola of each breast with warm water b. Applies vitamin E cream to each nipple and areola just prior to breast-feeding her baby c. Avoid use of soap to nipples and areola d. Uses colostrums or milk to sooth and protect the nipples and areola

b. Applies vitamin E cream to each nipple and areola just prior to breast-feeding her baby

1. When assessing the fetal heart rate (FHR) of a woman of a 30 weeks gestation, the nurse counts a rate of 82 beats per minute. Initially, the nurse should * (Uterine souffle maternal pulse) a. Recognize that the rate is within normal limits and record it b. Assess the woman's radial pulse c. Notify the physician d. Allow the woman to hear the heart beat

b. Assess the woman's radial pulse

1. Mrs Bell telephones the nurse in a well health care center because she would like information regarding ovulation. She states that she has a 27-day menstrual cycle and would like to know when she should expect ovulation to occur, in advising Mrs. Belle, the nurse would know that: * a. Ovulation occurs at the midpoint of the menstrual cycle b. Basal body temperature is affected by the production of progesterone and lowered just before ovulation c. Ovulation occurs 14 days after the first day of menstrual cycle - should be before d. Ovulation occurs due to a drop of LH (leutinizing hormone) - should be increased

b. Basal body temperature is affected by the production of progesterone and lowered just before ovulation

1. Margaret, a primipara, has been experiencing regular contractions with cervical dilatation at 2 cm. The nurse could use which of the following pain relief measures safely? * a. Acetylsalicylic acid b. Breathing exercises c. Narcotic analgesic d. Pressure anesthesia

b. Breathing exercises

1. Small, rounded organ of erectile tissue at the forward function of the labia minora; sensitive to touch and temperature and is the site of sexual arousal: * a. Mons veneris b. Clitoris c. fourchette D. hymen

b. Clitoris

1. Lina has been experiencing severe constipation during 8th month of pregnancy. An appropriate goal or outcome criterion for Lina would be to: * a. Become accustomed to the constipation and accept it as unavoidable b. Consume a diet containing fiber, fruit, and extra amount of fluids c. Have a bowel movement every other day to avoid daily straining activity d Refrain from taking her iron supplement because it probably caused the problem

b. Consume a diet containing fiber, fruit, and extra amount of fluids

1. A woman, who wishes to use the calendar method for contraception, reports that her last 6 menstrual cycles were 28, 32, 29, 36, 30, and 27 days long, respectively. In the future, if used correctly, she should abstain from intercourse on which of the following days of her cycle? * a. Days 10-15 b. Days 9-25 c. Days 11-20 d. Days 12-17

b. Days 9-25

1. Which of the following characteristics is associated with false labor contractions? * a. Pain from abdomen to back b. Decrease in intensity with activity such as ambulation c. egular pattern of frequency is established d. Progressive in terms of intensity and duration

b. Decrease in intensity with activity such as ambulation

1. The risk for constipation in the postpartum period is unrelated to * a. Tenderness of the episiotomy b. Decreasing level of estrogen c. Decreased abdominal muscle tone d. Fear of pain and of ripping stitches during a bowel movement

b. Decreasing level of estrogen

1. The nurse would perform a nitrazine test to * a. Determine if blood is present in the amniotic sac b. Distinguish between amniotic fluid and urine by testing the pH c. Distinguish between maternal feces and meconium d. Determine the specific gravity of urine

b. Distinguish between amniotic fluid and urine by testing the pH

1. Effective therapeutic measures designed to deal with postpartum blues would include each of the following EXCEPT * a. Involve members indentifying typical blues behaviors and implementing appropriate support measures b. Encourage the primiparous woman to gain self-confidence by taking care of her new baby on her own c. Provide positive reinforcement for the mother's efforts in caring for her baby d. Inform the postpartum woman about the common stressors of this period and appropriate coping mechanisms to deal with them

b. Encourage the primiparous woman to gain self-confidence by taking care of her new baby on her own

1. A primigravida at 36 weeks gestation tells the nurse that she has moderate breast tenderness. After providing the patient with some suggestions for relief measures, the nurse determines that the patient needs further instructions when the patient says: * a. I should wear a supportive bra at all times b. I should cleanse my nipples with soap c. I should change my sleeping positions I should clean up the colostrum withwater

b. I should cleanse my nipples with soap

1. A pregnant woman at 15 weeks' gestation is scheduled for a transabdominal ultrasound to assess fetal size and confirm the estimated date of birth. Which of the following is an appropriate nursing measure for this test? * a. Obtain a written, informed consent from the woman b. Instruct the woman to drink 1 to 1 ½ liters of water within 2 hours of the test c. Place the woman in a lithotomy position in preparation for the test d. Instruct the woman not to eat or drink for 6 hours prior to the test

b. Instruct the woman to drink 1 to 1 ½ liters of water within 2 hours of the test

1. The breasts of a breastfeeding woman are engorged. Which of the following would not be recommended as a relief measure? * a. Wear a supportive bra b. Limit frequency of feeding until engorgement subsides c. Apply warm packs prior to a feeding and then measure the breast to express some milk and stimulate the let down reflex d. Apply cold packs to breast after feeding

b. Limit frequency of feeding until engorgement subsides

1. A pregnant adolescent may have difficulty accomplishing the developmental task of pregnancy. Behaviors reflective of this difficulty would include all except which of the following? * a. Denial of the pregnancy b. Participation in early and ongoing parental care c. Limitation of nutritional intake to conceal pregnancy d. Refusal to alter habits that could be harmful to the developing fetus

b. Participation in early and ongoing parental care

1. A person's physical appearance as determined by the manner in which their genetic makeup is expressed is termed * a. Genotype b. Phenotype c. Karyotype d. Dominant Inheritance

b. Phenotype

1. Labor may be induced in which of the following women? A woman with: * a. A fetus in transverse lie b. Presenting part engaged c. A premature fetus d. Cephalopelvic disproportion

b. Presenting part engaged

1. During a physical examination of a woman who suspects she is pregnant, the nurse records the following findings; darkening of nipples and areola, Hegar's, Goodel's, Chadwick's signs present. These findings would be considered what kind of pregnancy changes. * a. Presumptive b. Probable c. Positive d. Subjective-objective

b. Probable

1. Which of the following observations might indicate fetal death? * a. Failure of labor to begin before the 42nd week of gestation b. Reports that the fetus has been very lazy and has not moved or kicked c. Sonogram readings that reveal a rapid heart rate and rhythm d. Absence of fetal movement in the period of pregnancy before quickening

b. Reports that the fetus has been very lazy and has not moved or kicked

1. Which of the following is UNCHARACTERISTIC of placenta previa? * a. Implantation of the placenta in the lower uterine segment b. Severe pelvic pain c. Separation of the placenta as the cervix ripens d. Bright red bleeding, with amount dependent on degree of placental separation

b. Severe pelvic pain

1. A maternal serum alpha-fetoprotein (MsAFP) test is performed at 16 to 18 weeks' gestation. An elevated level has been associated with * a. Down syndrome b. Sickle-cell anemia c. Cardiac defects d. Open neural tube defects (spina bifida)

b. Sickle-cell anemia

1. Frances is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of her abdomen. The nurse would recognize which of the following? * a. Frances will probably deliver very quickly and without problems b. This indicate Frances will probably have a breech delivery c. The fetus is in the most common anterior fetal position d. This position is referred to as left anteropelvic

b. This indicate Frances will probably have a breech delivery

1. You are teaching a group of nursing students during their exposure in the delivery room, when you explained the fetal structure responsible for the transport of oxygen and nutrients to the fetus from the placenta and returns waste products from the fetus to the placenta is: * a. Placenta b. Umbilical cord c. wharton's jelly d. ductus venosus

b. Umbilical cord

1. Perineal care is an important infection control measure. When evaluating a postpartum woman's perineal care technique, the nurse would recognize the need for further instruction if the woman * a. Uses soap and warm water to wash the vulva and the perineum b. Washes the vulva and perineum from symphysis pubis back to episiotomy, then over the episiotomy to the anus c. Changes her perineal pad every 2 to 3 hours d. Uses the peribottle to rinse upward into her vagina

b. Washes the vulva and perineum from symphysis pubis back to episiotomy, then over the episiotomy to the anus

1. A pregnant woman has been told that her fetus will be born with Down Syndrome. Down Syndrome is an example of * a. Unifactorial Inheritance b. X-Linked recessive inheritance. c. Trisomy of chromosomes 21 d. Chromosomal translocation

c Trisomy of chromosomes 21

1. A woman is pregnant for the second time. Her first pregnancy resulted in the birth of twin boys at 35 weeks' gestation. The boys are now three years old. Using the 5-digit system to describe this woman's current obstetrical history, the nurse would record * a. 1-0-2-0-2 b. 1-1-0-0-2 c. 2-0-2-0-2 d. 2-2-0-0-1

c. 2-0-2-0-2

1. A pregnant woman at 36 weeks gestation is diagnosed with abruption placenta. Assessment findings would include * a. Placental location in the lower uterine segment b. Massive loss of bright red blood thru through the vagina c. Abdominal pain of increasing severity d. Rupture of the membrane

c. Abdominal pain of increasing severity

1. Mrs. C has a 4-year-old son at home and is concerned about his reaction to the new baby. The nurse might do which of the following to best assist this postpartal family? * a. Instruct Mrs. C to write her son a letter and include a picture of the new baby b. Encourage Mrs. C to have another family member spend a lot of time with her son c. Arrange for the son to visit with Mrs. C and the baby as soon as possible d. Discuss the dangers of sibling rivalry with Mrs. C and encourage strict discipline

c. Arrange for the son to visit with Mrs. C and the baby as soon as possible

1. Palpation of the fundus 18 hours after birth reveals that it is firm, 2 fingerbreaths above the umbilicus, and deviated to the left of midline. The nurse should * a. Massage the fundus b. Administer methergine 0.2mg, PO that has been ordered PRN c. Assist the woman to empty her bladder d. Recognize this as an expected assessment finding

c. Assist the woman to empty her bladder

1. A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs. The nurse should assess the patient's intake of: * a. Zinc b. Iron c. Calcium d. Niacin

c. Calcium

1. Margaret is a30-year-old insulin-dependent primigravida who is scheduled for a nonstress test (NST) at 32 weeks gestation. Her blood pressure is 128/78.Which factor in Margaret's history indicates that she's good candidate for nonstress testing? * a. Age b. Gravida c. Diabetes d. Blood pressure

c. Diabetes

1. A primigravida ask the nurse when her membranes are most likely to rupture. The nurse should tell her * a. Just before your labor begins b. During the latent phase of the first stage of labor between contractions c. During the active phase of the first stage of labor, usually at the peak of a contraction d. During the perineal phase of the second stage of labor as the head of the baby crowns

c. During the active phase of the first stage of labor, usually at the peak of a contraction

1. What is an appropriate measure in caring for the client who has experienced a fourth- degree laceration of the perineum? * a. Encourage her to douche at least once a week to reduce organisms that may come in contact with the perineal area b. Administer analgesic rectal suppositories to promote discomfort c. Encourage fluid intake and foods high in fiber d. Administer an enema when necessary to prevent constipation

c. Encourage fluid intake and foods high in fiber

1. Which of the following is an expected finding when assessing amniotic fluid? * a. Deep yellow color b. Pinkish color c. Ferning d. Cloudiness with particles of cellular debris

c. Ferning

1. Which of the following is true regarding chorionic villi sampling (CVS)? * a. It is usually performed at approximately 16 weeks' gestation b. Results are obtained in 3 to 4 weeks c. Fetal limb defects, such as missing digits can occur d. One purpose of the test is to determine fetal lung maturity

c. Fetal limb defects, such as missing digits can occur

1. The patient going through labor who knows her child will be born dead will likely experience which of the following emotions? * a. Relief that the pregnancy will be terminated early and she can begin to try again to have a baby b. Delight that she will not have to carry the heavy baby to term c. Grief at the loss of her infant and her inability to carry a pregnancy to term d. Confidence in her ability to conceive a child that will be viable

c. Grief at the loss of her infant and her inability to carry a pregnancy to term

1. What is the most important action to be taken by the nurse in reference to a postpartal client who has significant blood loss? * a. Assess the chart record for type and cross- matching results b. Assess the chart for any record of ABO incompatibility c. Immediately obtain a blood specimen for hematocrit and hemoglobin d. Place the client in a semi-fowler's position with extremities elevated

c. Immediately obtain a blood specimen for hematocrit and hemoglobin

1. Which of the following nursing diagnoses may be indicated for a patient diagnosed and treated for hydatidiform mole? * a. Altered nutrition, more than body requirements related to increase appetite b. Fluid overload related to polycythemia due to drug therapy c. Impaired adjustment related to incomplete grieving of lost pregnancy d. Ineffective family coping related to poor bonding with newborn

c. Impaired adjustment related to incomplete grieving of lost pregnancy

1. The nurse, in planning to help a woman adjust to her new baby, must consider which of the following? * a. The mother will require little assistance because parental love is instinctive b. The more difficult the labor process, the stronger the mother's bond with her child c. It may be natural for the mother to be hesitant initially when touching the child d. Holding the child immediately after birth is overwhelming to a new mother and should be avoided

c. It may be natural for the mother to be hesitant initially when touching the child

1. The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following? * a. Does not use any cream or jelly with it - increases the effectiveness of the diaphragm b. Douches promptly after its removal c. Leaves it in place for 6 hours following intercourse d. Inserts it at least 5 hours prior to having intercourse - before coitus

c. Leaves it in place for 6 hours following intercourse

1. Which of the following findings might be noted in a patient with a hydatidiform mole? * a. False negative blood test result for pregnancy b. Fetal heart tones that are louder and faster than normal c. Marked (extreme) nausea and vomiting noted in early pregnancy d. Uterine growth occurring more slowly than in normal pregnancy - should be enlarged abdomen)

c. Marked (extreme) nausea and vomiting noted in early pregnancy

1. Which of the following would be cause for concern if it were noted during prenatal assessment in the third trimester * a. Frequent painless urination b. Fetal movement after eating c. Meconium-appearing vaginal discharge - fetal distress d. Back pain and problems finding a comfortable sleeping position

c. Meconium-appearing vaginal discharge - fetal distress

1. The physician determines Mrs. Santos is hemorrhaging from uterine atony. The nurse may expect to administer: * a. Apresoline b. Zaroxolyn c. Methergine d. Proventil

c. Methergine

1. Which of the following would be a cause for concern if found during a postpartal assessement? * a. Diaphoresis during the period immediately after delivery b. Hair loss over the postpartal period c. Pale coloring of the inner conjunctiva d. Reports of slight breast tenderness

c. Pale coloring of the inner conjunctiva

1. Immediately after episiotomy repair, the nurse would do which of the following? * a. Cleanse the woman's anal area, then perineum and vulva, to remove any fecal incontinence or vaginal secretions b. Monitor the woman for shaking and complaints of chill sensations, which may indicate an adverse reaction to medications c. Palpate the uterine fundus for size, consistency, and position, and take vital signs to obtain baseline data d. Remove all coverings except a clean, light hospital gown to prevent the development of postpartal fever

c. Palpate the uterine fundus for size, consistency, and position, and take vital signs to obtain baseline data

1. If a woman gives birth during the 41st week of her pregnancy, it would be considered what kind of birth * a. Preterm b. Term c. Postterm d. Gestational

c. Postterm

1. Shiela is in her first stage of labor and the nurse notices a distinct abdominal indentation that she recognizes as a retraction ring. The nurse should respond to these findings by doing which of the following? * a. Inform Sheila that this indentation is normal, to decrease her anxiety b. Instruct Sheila to lie on her right side to prevent pressure on her abdomen c. Recognize this as an indication that labor is almost complete d. Report this danger sign to the physician immediately

c. Recognize this as an indication that labor is almost complete

1. A nursing measure to prevent seizures in a woman with severe preeclampsia would include which of the following? * a. Pad siderails of the bed and maintain the bed in a low position b. Place the woman in the room next to the nurse's station for close observation c. Reduce environmental stimuli in the woman's room by turning off the TV and telephone and dimming the lights d. Tape a padded tongue blade to the woman's bed

c. Reduce environmental stimuli in the woman's room by turning off the TV and telephone and dimming the lights

1. Mrs. Dela Cruz is 2 months pregnant and has history of two spontaneous miscarriages. Which of the following assessment indicates a potential for a third miscarriage? * a. Lab results revealing an elevation in protein- bound iodine b. Dietary intake indicating 300 more calories than eaten by the non-pregnant c. Reports of exposure to child with rubella over a period of time d. Nervous, anxious behavior noted during the prenatal visits

c. Reports of exposure to child with rubella over a period of time

1. A woman with severe preeclampsia is being treated with an IV infusion of magnesium sulfate. This treatment will be evaluated as successful if * a. BP is reduced to prepregnant baseline b. Deep tendon reflexes c. Seizures do not occur d. Dieresis reduces fluid retention

c. Seizures do not occur

1. Located bilateral to the urinary meatus, supplies lubrication to external genitalia during coitus: * a. Bartholin's gland b. Vulvourethral gland - Cowper's gland c. Skene's gland d. clitoris

c. Skene's gland

1. Which of the following measures could a nurse take to facilitate comfort in the labor process? * a. Apply a sanitary pad to decrease discomfort from vaginal secretions b. If membranes are ruptured and fetus is not engaged, encourage ambulation around the room c. Smooth the wrinkles from bed linen and remove wet bedclothes d. Tell the woman to remain as still as possible throughout the labor process to decrease stimulation

c. Smooth the wrinkles from bed linen and remove wet bedclothes

1. A nulliparous woman in labor received an epidural block during the active phase of her labor. Shortly afterwards the progress of her labor slowed. Based on physician's order, the nurse could expect to use which action to augment the progress of this woman's labor? * a. Administer 10U of oxytocin (Pitocin) over 2 minutes directly into her vein (IV push) b. Assist with amnioinfusion c. Stimulate one nipple for short periods between contractions d. Apply prostaglandin E gel to her cervix

c. Stimulate one nipple for short periods between contractions

1. To determine the frequency of the uterine contractions, the nurse should * a. Time from the onset of the contraction until it ends b. Time from the beginning of one contraction until the end of the next c. Time from the onset of one contraction until the onset of the next d. Time from the end of one contraction until the end of the next

c. Time from the onset of one contraction until the onset of the next

1. Which of the following would be defined as hyperstimulation of the uterus and require that the uterine stimulation of a contraction stress test (CST) is discontinued? * **hyperstimulation- excessive oxytocin a. Uterine contraction of 3 in 10 minutes, each lasting 40 seconds b. Uterine contractions occurring every 3 minutes, each lasting 60 seconds c. Uterine contraction occurring every 2 minutes or less, each lasting 90 seconds or longer d. Uterine contraction of 3 in 15 minutes lasting 50 seconds each

c. Uterine contraction occurring every 2 minutes or less, each lasting 90 seconds or longer

1. When examining the umbilical cord immediately after birth, the nurse should expect to observe * a. One artery b. Two veins c. Whitish-gray coloration d. Slight odor

c. Whitish-gray coloration

1. A multigravid patient is admitted to the labor area from the emergency room. At the time of admission the fetal head is crowning, and the patient yells, "The baby is coming!" to help the patient remain calm and cooperative during the imminent delivery. Which of the following responses by the nurse would be most appropriate? * a. "You are right, the baby is coming, so just relax" b. "Please don't push because you'll tear your cervix" c. "Your doctor will be here as soon as possible" d. "I will explain what is happening to guide you as we go along"

d. "I will explain what is happening to guide you as we go along"

1. Ana tells the nurse that she usually takes herbal medicine her mother gives her every time she feels dizzy. The nurse recognizes which statement is the most culturally respectful response? * a. "Wonderful, I'm sure herbs will compliment what your doctor prescribed" b. "I wouldn't bother with that. Drugs are much more likely to be more effective." c. "Good. I understand you people often use home cures for many things." d. "Let's check first to be certain the herbs won't cause an interaction."

d. "Let's check first to be certain the herbs won't cause an interaction."

1. Which of the following symptoms suggests a postpartal complication? * a. Lochia rubra 12 hours after birth b. Temperature of 100.4 degrees F or less c. Blood loss of more than 12 oz in 24 hours d. 20 to 24 sanitary pads saturated per 24 hours

d. 20 to 24 sanitary pads saturated per 24 hours

1. During the third trimester, the pregnant woman is working toward the accomplishment of which developmental task of pregnancy? * a. Acceptance of the pregnancy b. Identification of the fetus as distinct from herself c. Reduction in ambivalent feelings about being pregnant d. Acceptance of the reality of impending birth and parenthood

d. Acceptance of the reality of impending birth and parenthood

1. The following are the conditions which may place the patient at high risk for uterine rupture during the birthing process except: * a. Traumatic maneuvers of forceps or traction b. Multiple gestation c. Obstructed labor d. Decreased dosages of oxytocin

d. Decreased dosages of oxytocin

1. Two hours after giving birth a primiparous woman becomes anxious and complains of intense perineal pain with a strong urge to have a bowel movement. Her fundus is firm at the umbilicus and midline. Her lochia is moderate rubra with no clots. The nurse would suspect * a. Bladder distension b. Uterine atony c. Constipation d. Hematoma formation

d. Hematoma formation

1. A Female carries the gene for hemophilia on one of her X chromosomes. Now that she is pregnant she asked the Nurse how this might affect her baby. The Nurse should tell her * a. A Female baby has a 75% of also being a carrier. b. A Male baby can be a carrier or have Hemophilia. c. Female babies are never affected by the disorder. d. Hemophilia is always expressed if a male inherits the gene.

d. Hemophilia is always expressed if a male inherits the gene.

1. A woman with a fetus in occipitoposterior position would commonly demonstrate which of the following? * a. Precipitate labor b. Acute chest pain c. Increased energy level d. Intense backpressure

d. Intense backpressure

1. Mrs. M complained of discomfort after having had an amniocentesis procedure. She is at 20 weeks' gestation and is 45 years old. Which of the following symptoms would prompt immediate action? * a. Lab results reveal abnormal chromosome cell b. Amniotic fluid contains fetal urine c. Mrs. M describes symptoms of vaginal bleeding d. Mrs. M describes symptoms of Braxton hick's contraction

d. Mrs. M describes symptoms of Braxton hick's contraction

1. A woman is pregnant for the second time. Her first pregnancy ended in a spontaneous abortion at 12 weeks. The correct terms to use to describe this woman's obstetrical history would be * a. Primigravida, nullipara b. Multigravida, primipara c. Primigravida, primipara d. Multigravida, nullipara

d. Multigravida, nullipara

1. When assessing a multiparous woman on her first day postpartum, the nurse would expect to find * a. Fundus two fingerbreaths below the umbilicus, firm b, Lochia serosa, moderate, no clots or foul odor c. Full, non tender breasts d. Painful, intact episiotomy with some erythema, edema, and bruising

d. Painful, intact episiotomy with some erythema, edema, and bruising

1. Which finding would be a source of concern if noted during the assessment of a woman who is 12 hours postpartum? * a. Postural hypotension b. Temperature 100.4 F c. Bradycardia-pulse rate of 55 beats per minute d. Positive homan's sign

d. Positive homan's sign

1. If a woman experience a deficiency in the secretion of Leutenizing a a. Hormone(LH) from her pituitary gland, the result will be an interference with * b. Initial development of the Graafian follicle. à FSH c. Proliferation of the endometrium after menstruation à increase oxygen d. Release of the ovum from a ruptured follicle(ovulation)

d. Release of the ovum from a ruptured follicle(ovulation)

1. When planning comfort measures to help the woman in active labor tolerate her pain, the nurse must consider which of the following? * a. Early labor contractions are usually regular, coordinated and very painful b. If women are properly prepared, they will require no medication to manage their pain c. Pain medication given during the latent phase of labor is not likely to impair contractions d. The active phase of labor can be a time of true discomfort and high anxiety

d. The active phase of labor can be a time of true discomfort and high anxiety