OB quiz 2

A nurse is reviewing findings of the mother's biophysical profile. The nurse should expect which of the following variables to be included in this test? (Select all that apply). A. Fetal breathing movements B. Fetal Tone C. Fetal weight D. Amniotic Fluid Volume E. Fetal Position

A. Fetal breathing movements B. Fetal Tone D. Amniotic Fluid Volume

A nurse is caring for a patient who is pregnant and states that her last menstrual period was April 1st. Which of the following is the patient's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15

A. January 8

An antenatal patient 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). A. Amenorrhea B. Breast tenderness C. Quickening D. Frequent Urination E. Uterine Growth

A. Amenorrhea B. Breast tenderness C. Quickening D. Frequent Urination

Which of the following findings in an 8-week gestation patient G 1 P 0 should the nurse report to the nurse-midwife? (Select all that apply). A. Body mass index ( BMI) of 16 B. Rubella titer 1:8 - Nonimmune C. Blood pressure 100/60 mmHg D. Hematocrit - 25% E. Hemoglobin - 13.2 g/ dL

A. Body mass index ( BMI) of 16 B. Rubella titer 1:8 - Nonimmune D. Hematocrit - 25%

A woman is 36 weeks gestation. Which of the following tests will be done during her prenatal visit? A. Glucose challenge test B. Amniotic fluid evaluation C. Vaginal and Rectal cultures D. Karyotype analysis

C. Vaginal and Rectal cultures

A patient enters the prenatal clinic. She states she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the patient is pregnant? A. Human Chorionic Gonadotropin B. Oxytocin C. Prolactin D. Luteinizing hormone

A. Human Chorionic Gonadotropin

A nurse in a prenatal clinic is caring for a patient who is in the first trimester of pregnancy. The patient EHR (health record) states G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply). A. Patient has delivered one newborn at term B. Patient has experienced no preterm labor C. Patient has been through active labor D. Patient has had two prior pregnancies E. Patient has one living child

A. Patient has delivered one newborn at term D. Patient has had two prior pregnancies E. Patient has one living child

The nurse is caring for a patient who is pregnant and undergoing a contraction stress test (CST). Which of the following findings are indications for this procedure? A. Postmaturity of the infant B. Placenta previa C. Amniotic Fluid emboli D. Polyhydramnios

A. Postmaturity of the infant

Which of the following is the best description of the monitor strip pictured. A. Baseline 150; Variability: Marked Accelerations: Present Contractions: Every 2 minutes lasting 40 seconds in duration B. Baseline 170; Variability: Moderate Accelerations: Not Present Contractions: Every 3 to 4 minutes part lasting 60-70 seconds in duration C. Baseline 150; Variability: Moderate Accelerations: Not present Contractions: Every three minutes lasting 40 seconds in duration D. Baseline 135 Variability: Moderate Accelerations: Present Contractions: Every 2 to 3 minutes lasting 60 seconds in duration

B. Baseline 170; Variability: Moderate Accelerations: Not Present Contractions: Every 3 to 4 minutes part lasting 60-70 seconds in duration

A nurse is caring for a patient who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity. A. Alpha-fetoprotein (AFP) B. Lecithin/sphingomyelin (L/S) ratio C. Indirect Coombs Test D. Kleihauer-Betke test

B. Lecithin/sphingomyelin (L/S) ratio

The baby "drops" from 36 to 40 weeks during the pregnancy. The uterus goes down. What is the term to describe the dropping of the baby? A. Quickening B. Lightening C. Thunderstruck D. Goodell Sign

B. Lightening

The nurse-midwife tells a patient that the baby is growing, and ballotment is evident during the vaginal exam. How should the nurse explain what the nurse-midwife means? A. The nurse-midwife saw the mucous plug was intact. B. The nurse-midwife felt the baby rebound after being pushed. C. The nurse-midwife palpated the fetal parts through the uterine wall. D. The nurse-midwife assesses that the baby is head down.

B. The nurse-midwife felt the baby rebound after being pushed.

Which of the following vital sign changes should the nurse highlight and report to the pregnant women's obstetrician? B. The nurse-midwife felt the baby rebound after being pushed. B. The prepregnancy respiratory rate is 16 and the third trimester is 22 C. The prepregnancy heart rate is 76 and the third trimester is 88 D. The prepregnancy temperature was 98.6 F and third trimester T is 99.2F

B. The nurse-midwife felt the baby rebound after being pushed.

A patient is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the patient to exhibit? A. Backache B. Urinary Frequency C. Dyspnea on exertion D. Fatigue E. Diarrhea

B. Urinary Frequency D. Fatigue

A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate? A. During a period of rapid growth, the fertilized egg divided completely. B. When the woman ovulated, she expelled two mature ova. C. The babies share one placenta. D. The babies will be of the same sex and have the same blood type.

B. When the woman ovulated, she expelled two mature ova.

A woman provide 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 this woman's GPTAL? A. G4 T1 P2 A 2 L2 B. G 4 T 1 P 1 A 2 L 2 C. G 5 T 1 P 1 A 2 L 2 D. G 5 T2 P2 A 1 L2

C. G 5 T 1 P 1 A 2 L 2

A patient asks the nurse what was meant when the physician told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? A. It is a purplish stretch mark on your abdomen B. It means you are having heart palpitations C. It is a bluish discoloration of your cervix and vagina D. It means the doctor heard abnormal sounds when you breathed in

C. It is a bluish discoloration of your cervix and vagina

The nurse is evaluating the monitoring strip shown above for a patient who came in for a nonstress test. Which of the following describes the monitor strip best? A. The baseline heart rate is 140 with accelerations over 15 beats per minute for 15 seconds. This is a reactive nonstress test. B. The baseline is 180 with decelerations noted greater than 15 beats in 15 seconds. This is a non-reactive stress test. C. The baseline is 140 with marked variability. This is a non-reactive stress test. D. The baseline is 140 with five decelerations noted in the strip. This is a non-reactive stress test.

C. The baseline is 140 with marked variability. This is a non-reactive stress test.

Which of the following statements should a nurse include in teaching a patient having an amniocentesis procedure? A. You will lay on your right side during the procedure B. You should not eat anything for 24 hours prior to the procedure C. You should empty your bladder prior to the procedure D. Explain the test will show the baby's gestational age

C. You should empty your bladder prior to the procedure

The nurse is caring for a patient who is pregnant and undergoing a nonstress-test. The patient asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A. It is used to stimulate uterine contractions B. It will decrease the incidence of uterine contractions C. It lulls the baby to sleep D. It awakens a sleeping fetus

D. It awakens a sleeping fetus