OB Quizzes
Once oogenesis is complete, the resultant gamete cell contains how many chromosomes? a) 47 b) 46 c) 23 d) 45
C) 23
After delivery the nurse examines the umbilical cord and documents the cord and documents the cord is normal. This means the cord has a) Two arteries and two veins b) Two arteries and one vein c) One artery and one vein d) One artery and two veins
b) Two arteries and one vein
A woman is to receive 2.4 million units of penicillin G IM for syphilis. The medication is available as 1,200,000 units/mL. How many ml should the nurse administer? a) 2 ml b) 4 ml c) 1 ml d) 1.5 ml
a) 2 ml
A nurse is discussing risk factors for urinary tract infections with a newly licensed nurse. Which of the following conditions should the nurse include in her teaching? Select all that apply. a) Epidural anesthesia b) Urinary bladder catheterizations c) Frequent pelvic examinations d) History of UTIs e) Vaginal birth
a) Epidural anesthesia b) Urinary bladder catheterizations c) Frequent pelvic examinations d) History of UTIs
The postpartum perineal assessment of a woman include ( select all that apply). a) Redness b) Discharge c) Ecchymosis d) Dryness e) Edema
a) Redness c) Ecchymosis e) Edema
A pregnant client asks about the functions of placenta. What information should the nurse include in the teaching plan? Select all that apply a) Substances are exchanged by the placenta without mixing maternal and fetal blood b) The placenta filters alcohol from the mother's blood c) Fetal respiration, nutrition, and excretion are carried out by placenta d) The fluid provide the fetus with a stable thermal environment e) Fetal and maternal blood mix in the placenta to exchange nutrients f) The placenta filters fetal urine
a) Substances are exchanged by the placenta without mixing maternal and fetal blood b) The placenta filters alcohol from the mother's blood c) Fetal respiration, nutrition, and excretion are carried out by placenta d) The fluid provide the fetus with a stable thermal environment
When teaching a mother about her newborns care, she asked the nurse what she should do about the baby's umbilical cord. The nurse responds by stating that: select all that apply. a) The cord should be kept dry always b) Full diapers below the cord to prevent contamination c) Apply antibiotic ointment daily around the cord d) Observe for any bleeding, redness, drainage or foul odor from the cord stump and report immediately e) Apply a dressing over the cord to prevent infection
a) The cord should be kept dry always b) Full diapers below the cord to prevent contamination d) Observe for any bleeding, redness, drainage or foul odor from the cord stump and report immediately
Which of the following factors would a nurse consider to be the greatest risk while delivering an infant while breech presentation? a) Umbilical cord prolapse b) Placenta previa c) Postpartum hemorrhage d) Abruption of placenta
a) Umbilical cord prolapse
The fetus receives all oxygen and nutrients from the mother through a) Umbilical vein b) Aorta c) Umbilical arteries d) Amniotic sac
a) Umbilical vein
High risk factors for postpartum Hemorrhage include (select all that apply) a) Uterine atony b) Retained placenta c) Grand multiparity d) Rapid or prolonged labor e) Normal pre-pregnancy weight
a) Uterine atony b) Retained placenta c) Grand multiparity d) Rapid or prolonged labor
A nurse is assessing a 38 week gestation gravid client in a clinic. It has been 2 weeks since the client's last prenatal visit. The nurse should highlight which of the following findings for the client's primary health care practitioner? Select all that apply a) Weight change from 146 lb to 158 lb b) Fetal heart change from 160 BPM to 148 BPM c) Decrease fundal height d) Dysuria e) Orthopnea
a) Weight change from 146 lb to 158 lb d) Dysuria
A client at 33 weeks gestation has been diagnosed with mild preeclampsia and she is on bed rest at home. The nurse instructs her to contact her primary care provider immediately if she feels any of the following symptoms. Select all that apply. a) Back ache b) Vision changes c) Epigastric pain d) Heartburn e) Constipation
b) Vision changes c) Epigastric pain
A new nurse is being taught about the symptoms of neonatal abstinence syndrome. Which of the statements by the new nurse indicates an understanding of the teaching? Select all that apply. a) The newborn will have decrease muscle tone b) the newborn will have continuous high-pitched cry c) the newborn will sleep for 3 to 4 hours after feeds d) the newborn will have difficulty feeding e) the newborn will have jitteriness and tremors
b) the newborn will have continuous high-pitched cry d) the newborn will have difficulty feeding e) the newborn will have jitteriness and tremors
Which of the following findings in a newborn would the nurse document as abnormal when assessing the newborn head? a) Two soft spots palpated between the cranial bones b) A spongy area of Edema outlined on the occipital area c) Head circumference 32cm, chest circumference 34 cm d) Asymmetry of head with overriding bones
c) Head circumference 32cm, chest circumference 34 cm
What factors would change during pregnancy if the hormone progesterone were reduced or withdrawn? a) Hyperemesis gravidarum b) Inhibition of prolactin hormone by pituitary gland c) Increased peristalsis and uterine contractility d) Gingivitis and gum bleeding
c) Increased peristalsis and uterine contractility
Postpartum depression is one of the mood disorders found in many woman. Which of the following clients would you consider to be at risk for postpartum depression? A client who: select all apply. a) Is unmarried primipara with family support b) Has history of postpartum Blues with previous pregnancy c) Is primipara living alone and consistently ambivalent about her pregnancy d) Has a history of depression with no supportive relationship
c) Is primipara living alone and consistently ambivalent about her pregnancy d) Has a history of depression with no supportive relationship
You are conducting a physical examination on a 28 weeks gestation infant 12 hours after delivery. The expected findings include a) Fused eyes b) Chubby cheeks c) Lanugo d) Vernix caseosa covering the body
c) Lanugo
1st day of last menstrual period for a pregnant client is January 21, 2020. The expected data of childbirth using Nagele's Rule will be a) October 21, 2020 b) November 1, 2020 c) October 28, 2020 d) October 14, 2020
c) October 28, 2020
A 32 weeks gestational client was last seen in the perinatal clinic at 28 weeks gestation. Which of the following changes should the nurse bring to the attention of the provider? a) Blood pressure changes from 120 / 80 to 118 / 78 b) Pulse rate changes from 88 bpm to 92 bpm c) Respiratory rate changes from 16 RPM to 20 RPM d) Weight change from 128 lbs to 138 lbs
d) Weight change from 128 lbs to 138 lbs
What are the priority concerns of caring for newborn immediately after birth is? a) initiating breastfeeding b) giving vitamin K injection c) initial physical assessment d) prevent heat loss by covering the newborn's head with a cap
d) prevent heat loss by covering the newborn's head with a cap
The nurse is developing a plan of care for the postpartum client during the " taking hold" phase. Which of the following should the nurse include in the plan? a) Offer the client of sandwich b) ask the client about her delivery experience c) give the client a bed bath d) show the client of video on Child Care techniques
d) show the client of video on Child Care techniques
Which of the following clients is the highest risk for developing a hypertensive illness of pregnancy? a) G3 P1011, age 20 with history of celiac disease b) G3 P1102, age 38 with history of scoliosis c) G2 P0101, age 34 with the history of rheumatic fever d) G1 P0000, Age 41 with the history of diabetes mellitus
G1 P0000, Age 41 with the history of diabetes mellitus
A pregnant type 1 diabetic mother who is B negative blood group will have to undergo the following specific test to determine the fetal risk associated with their history. a) Glucose Tolerance test b) CBC with differential c) Direct Coombs test d) AFP test e) Indirect Coombs test
a) Glucose Tolerance test e) Indirect Coombs test
Fatigue in pregnancy is common, especially in early and late pregnancy. True or False?
True
Labor induction should only be performed after cephalopelvic disproportion has been ruled out. True or False?
True
Premature rupture of membranes indicates that the fetus is over 37 weeks gestation and the membranes ruptured 24 hours prior to the beginning of the labor process. True or False?
True
A client is scheduled for an ultrasound at her first prenatal visit. She asks the nurse why she is having the test done. Which of the following is the appropriate answer? a) "The test will help determine how many weeks you have been pregnant" b) "The test will determine if your baby is in a good position for delivery" c) "The test will determine if your baby has intrauterine growth restriction" d) " The tests will predict the gender of your baby"
a) "The test will help determine how many weeks you have been pregnant"
A client just had an amniocentesis. Which of the following interventions is the highest priority at this time? a) Assess fetal heart rate b) Check the client's temperature c) Answer questions about genetic abnormality d) Acknowledge her anxiety about possible findings
a) Assess fetal heart rate
A client enters the labor and delivery unit stating, " after I ruptured membranes at home a long cord came out of my vagina." Which of the following actions should the nurse perform first? a) Assess the fetal heart rate b) Place the client in bed in the knee chest position c) Call the primary health care practitioner d) Inform the client that she will have a cesarean
a) Assess the fetal heart rate
Location related to prevention of preterm Labor include (Select all that apply ) a) Avoiding use of substances such as cocaine, heroin, and marijuana b) The need for cesarean section delivery c) Avoiding heavy lifting d) Screening lower genital tract for infections prior to 37 weeks e) The need for a balanced nutrition
a) Avoiding use of substances such as cocaine, heroin, and marijuana c) Avoiding heavy lifting d) Screening lower genital tract for infections prior to 37 weeks e) The need for a balanced nutrition
The nurse knows that severe preeclampsia is suspected when a) BP is 160/110 and proteinuria +3 or +4 b) BP is 140/90 and proteinuria +3 or +4 c) BP is 100/70 and proteinuria +3 or +4 d) BP is 130/80 and proteinuria +1 or +2
a) BP is 160/110 and proteinuria +3 or +4
A pregnant client with a history of placenta previa is admitted to L&D suite at 39 weeks of gestation. Which of the orders will you question the physician as inappropriate? Select all that apply. a) Check the dilation and effacement of vaginal exam b) Start pitocin drip c) Monitor for vaginal bleeding d) Check the vital signs e) Monitor the fetal heart rate
a) Check the dilation and effacement of vaginal exam b) Start pitocin drip
A client who is 41 weeks gestation just had a biophysical profile with a score of 2. What is the highest priority nursing intervention at this time? a) Contact the physician immediately as there is a probable need for delivery b) Tell the mother it indicates fetal well being c) Schedule the mother for a repeat in 3 days d) Recognize this as equivocal and have the mother come back tomorrow for a repeat
a) Contact the physician immediately as there is a probable need for delivery
A nurse is caring for a postpartum mother who delivered her third infant 6 days ago. Which of the following are suggestive of postpartum depression: select all that apply. a) Fatigue b) Insomnia c) Euphoria d) Flat affect e) Hallucinations
a) Fatigue b) Insomnia d) Flat affect
A rupture of the membrane of a laboring client showed meconium stained amniotic fluid. this could lead to? a) Fetal distress b) Normal amniotic fluid c) Prolonged rupture of membrane d) Maternal hemorrhage
a) Fetal distress
To report the status of a laboring client to a healthcare practitioner, which of the following assessments should the nurse perform? Select all that apply. a) Fetal heart rate b) Biophysical profile c) Contraction pattern d) Urine analysis e) Vital signs
a) Fetal heart rate c) Contraction pattern e) Vital signs
The home care nurse is caring for a postpartum client and suspects the development of postpartum psychosis. Which client findings support the nurse's judgment? Select all that apply. a) Has a history of bipolar disorder b) Reports voice is telling her the baby is evil and must die c) Unable to remember details of delivery or when she last fed the baby d) Is tearful without any identifiable reason e) Is calm and seated and answers all the questions
a) Has a history of bipolar disorder b) Reports voice is telling her the baby is evil and must die c) Unable to remember details of delivery or when she last fed the baby
A woman has just completed her 1st trimester. Which of the fetal structures are well formed at this time? Select all that apply a) Heart b) Fingers c) Genitals d) Kidneys e) Alveoli
a) Heart b) Fingers c) Genitals d) Kidneys
The most common and serious postpartum complications include ( select all that apply) a) Hemorrhage b) Infection c) Postpartum Blues d) Anemia e) Thrombophlebitis
a) Hemorrhage b) Infection e) Thrombophlebitis
Which of the following would the nurse view as normal when evaluating the lab reports of a 34-weeks gestation client? Select all that apply. a) Increase in white blood cells b) Mild increase in fibrinogen c) Thrombocytopenia d) Polycythemia e) Mild anemia
a) Increase in white blood cells b) Mild increase in fibrinogen e) Mild anemia
The nurse is providing contraceptive counselling to a single peri-menopausal women. The woman has four sex partners and smokes 1 pack of cigarettes a day. Which of the following methods is best suited for this client? a) Males condom b) NuvaRing c) Oral contraceptives d) Intrauterine device
a) Males condom
During the initial physical assessment of a newborn, the nurse is holding the newborn in a semi sitting position and allows the newborn's head and trunk to fall backward. This is done to elicit what reflex? a) Moro reflex b) Grasp reflex c) Rooting reflex d) Tonic neck reflex
a) Moro reflex
Following amniotomy, the nurse would carry out which of the following interventions as important nursing actions? select all that apply. a) Observe and document the color and consistency of fluid b) Please clean under pads on the bed c) Monitor for hypotension d) Check for crowning e) Check the fetal heart rate
a) Observe and document the color and consistency of fluid b) Please clean under pads on the bed e) Check the fetal heart rate
A pregnant woman is admitted to the ER after an automobile accident. She has no obvious external injuries. The nurse monitors a woman for which of the following complications? Select all apply. a) Placenta abruption b) Preterm labor c) Transverse fetal lie d) Placenta previa e) Severe preeclampsia
a) Placenta abruption b) Preterm labor
The patient is having an amniocentesis test. What are the potential complications of this test? Select all that apply. a) Premature labor b) Gestational hypertension c) RH incompatibility d) Bleeding e) Infection
a) Premature labor d) Bleeding e) Infection
Which of the following factors could delay uterine involution in a postpartum client? Select all that apply. a) Prolonged labor b) Grand multipara c) The use of epidural anesthesia d) Uterine infection e) Distended urinary bladder
a) Prolonged labor b) Grand multipara d) Uterine infection e) Distended urinary bladder
A mother is experiencing nipple pain and discomfort while breastfeeding. What should be the first priority in the plan of care? a) Remove the baby from the breast and reposition b) Allow the mother to pump until the nipples heal and bottle feed the breast milk to the baby c) Provide a nipple shield to wear while breastfeeding d) Provide formula to the baby until the nipples are healed
a) Remove the baby from the breast and reposition
A gravida, G4 P1203, is 25 weeks pregnant. She denies experiencing quickening. The nurse concludes which of the following? a) She may be having difficulty accepting her pregnancy b) She made delivered the baby prematurely c) Her pregnancy is progressing normally d) She should see a nutritionist as soon as possible
a) She may be having difficulty accepting her pregnancy
The nurse documents that a newborn is post-term based on the understanding that the baby was born after: a) 37 weeks b) 42 weeks c) 44 weeks d) 40 weeks
b) 42 weeks
A postpartum mother complains of "afterpains" while breastfeeding her baby. The best nursing intervention should be a) Massage the fundus b) Administer an analgesic c) Gently ask her to stop breastfeeding d) Assess her vital signs
b) Administer an analgesic
A postpartum mother verbalizes that she does not want to breastfeed her newborn son. What action should you take to suppress milk production? Select all that apply a) Administer medications to suppress breast milk production b) Apply ice packs to the breast c) Apply warm compresses to the breast d) Encourage her to pump the breast to empty the breast e) Advise her to wear supportive bra
b) Apply ice packs to the breast
A woman is in the 2nd stage of Labor. Which of the following assessments should the nurse make / observe for? Select all that apply. a) Uterus rising in the abdomen and feeling globular b) Assessment of the fetal heart rate c) Lengthening of the umbilical cord d) Maternal complaints of intense rectal pressure e) Cervix is dilated to 10 cm
b) Assessment of the fetal heart rate d) Maternal complaints of intense rectal pressure e) Cervix is dilated to 10 cm
A laboring client is in transition phase of 1st stage of Labor. Which of the following signs or symptoms would indicate that the woman is progressing into the second stage of Labor? Select all that apply. a) Inability to breathe through contractions b) Bulging perineum c) Spontaneous rupture of membranes d) Increase bloody show e) Uncontrollable urge to push
b) Bulging perineum d) Increase bloody show e) Uncontrollable urge to push
A client receiving magnesium sulfate IV presents with a respiratory rate of 12 and diminished deep tendon reflexes. The nurse should anticipate administering which of the following medications? a) Lanoxin b) Calcium gluconate c) Narcan d) Potassium gluconate
b) Calcium gluconate
Which of the hormone elevations will indicate a high probability that a client is pregnant? a) Prolactin b) Chorionic gonadotropin c) Luteinizing hormone d) Oxytocin
b) Chorionic gonadotropin
A 25 year old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat detected on ultrasound. The nurse would expect the provider to write an order to prepare the client for which of the following? a) Amniocentesis b) Dilation and curettage c) Cervical cerclage d) Non stress testing
b) Dilation and curettage
After teaching a group of students about fertilization, the instructor determines that the teaching was effective when the group identifies which as the usual site of fertilization? a) Endometrium of the uterus b) Distal portion of the fallopian tube c) Follicular tissue of the ovary d) Fundus of the uterus
b) Distal portion of the fallopian tube
The nurse notes the presence of transient fetal heart rate accelerations of the fetal monitoring strip. Which intervention would be most appropriate at this time? a) Begin a hundred percent oxygen via face mask b) Document this as an indicating a normal pattern c) Call the healthcare provider immediately d) Reposition the client on the left side
b) Document this as an indicating a normal pattern
The nurse is assessing the uterine fundus of a client 8 hours after a c / s and finds it firm, round, 2 cm above the umbilicus and displaced to the right. the most appropriate intervention you should do is a) Check the lochia for excessive bleeding b) Encourage the client to empty the bladder and reassess the fundus c) Notify the physician d) Massage the fundus
b) Encourage the client to empty the bladder and reassess the fundus
A laboring client's fetal heart rate at 9 am was 144. At 10 am the FHR is 100 and progressively decreasing. This could indicate: a) Maternal fever b) Fetal distress c) Twin gestation d) Cord compression e) Utero-placental insufficiency
b) Fetal distress d) Cord compression
A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and shortness of breath. The nurse should instruct the client to do which of the following? a) Eat smaller meals more frequently to prevent gastric distension b) Go to the nearest ER to be evaluated c) Wait for the physician to return a telephone call to the client d) Stop taking the pills and use a non hormonal contraceptive method
b) Go to the nearest ER to be evaluated
The nurse is assessing a client who states " I think I'm in labor". Which of the following findings would positively confirm the client's belief? a) The fetal head is engaged b) Her cervix is dilated from 2 cm to 4cm c) Her membranes have ruptured d) She is contracting q 5 minutes x 60 seconds
b) Her cervix is dilated from 2 cm to 4cm
As labor progresses the uterine contractions should a) Increase in duration and decrease in frequency b) Increase in intensity, frequency, and duration c) Increase in frequency and duration d) Increase in intensity and frequency
b) Increase in intensity, frequency, and duration
A mother has just experienced quickening. Which of the following developmental changes would the nurse expect to occur at the same time in the woman's pregnancy? a) Fetal heart begins to beat b) Lanugo covers the fetal body c) Alveoli starts to develop d) Kidneys secretes urine
b) Lanugo covers the fetal body
A nurse who is assessing a pregnant type 1 diabetic patient should monitor her for which of the following? Select all that apply a) Hyperlipidemia b) Metabolic acidosis c) Maternal hypertension d) Urinary tract infection e) Multiple gestation
b) Metabolic acidosis d) Urinary tract infection
A type 1 diabetic pregnant woman is seen for preconception counseling. The nurse should emphasize that during the first trimester the woman may experience which of the following? a) Signs and symptoms of hydramnios b) Need for Less insulin than she normally injects c) A need to be hospitalized for fetal testing d) An increase risk for hypoglycemic episodes
b) Need for Less insulin than she normally injects
A client in active labor is complaining of severe back pain during contractions. Which of the following is most likely the fetal position to cause the pain? a) Left occiput anterior b) Right occiput posterior c) Right occiput anterior d) Shoulder position
b) Right occiput posterior
A laboring client is having contractions every 5-7 minutes for the last six hours. What factors would you use to determine whether this is true labor? Select all that apply. a) The client has three previous children and says she's in labor b) The cervix is 50% effaced and 5 cm dilated c) The station of the fetus is at 0 d) The contractions are increasing in intensity and duration e) The patient is complaining of low abdominal pain
b) The cervix is 50% effaced and 5 cm dilated c) The station of the fetus is at 0 d) The contractions are increasing in intensity and duration
The newborn nursery nurse is working with a client who is planning to place her infant for adoption. When considering the legal issues of this situation, rather than ethical aspects, the nurse should look to a) Values and beliefs b) The rules and regulations c) Motives, attitudes, and culture d) What is good for the individual
b) The rules and regulations
A non stress is considered reactive when which of the following occur? a) There is a increase fetal movement b) There are two or more accelerations of 15 beats per minute lasting 15 seconds or more over a 20 minute period c) There is a decreased fetal movement d) There is one acceleration of 15 beats per minute lesson 20 seconds over a 20 minute period
b) There are two or more accelerations of 15 beats per minute lasting 15 seconds or more over a 20 minute period
A nurse discusses teratogens with a client during prenatal counseling. The client demonstrates understanding by making the statement? a) "I should stop taking all medications while I am pregnant" b) "The fetus is at greatest risk for developing anomalies during the first 16 weeks of pregnancy" c) "Exposure to teratogens poses the greatest risk during the first eight weeks" d) "After 12 weeks the placenta protects the fetus from teratogens"
c) "Exposure to teratogens poses the greatest risk during the first eight weeks"
A 36 week pregnant client is presented to the L & D unit with history of sudden severe abdominal pain and moderate dark colored bleeding. Contractions are strong, every 2 minutes apart lasting about 60 seconds. She has a history of cocaine use during pregnancy. You suspect the client is presenting with? a) Ectopic pregnancy b) Rupture of uterus c) Abruptio Placenta d) Placenta previa
c) Abruptio Placenta
You're providing breast feeding instructions to a postpartum client. To prevent breast engorgement you should instruct the client to- select all that apply. a) Wear are tight supportive bra b) Alternative breastfeeding with bottle-feeding to rest the breast c) Apply warm compresses if breast feel full d) Encourage her to breastfeed her infant frequently e) Teach breast feeding techniques soon after delivery and continued support
c) Apply warm compresses if breast feel full d) Encourage her to breastfeed her infant frequently e) Teach breast feeding techniques soon after delivery and continued support
Which of the following would be the highest priority of the nurse caring for a laboring patient? a) Checking the intake and output every hour b) Assessing pain and providing pain relief measures c) Assessing the fetal heart rate frequently d) Assuring her partner is with her in the room
c) Assessing the fetal heart rate frequently
A woman who is in active labor is told that her baby is in "flexed attitude". This statement means that a) Baby is in the horizontal line b) Baby is in breech position c) Baby's chin is resting on its chest d) Baby's presenting part is engaged
c) Baby's chin is resting on its chest
A third trimester client is seen at the clinic for routine prenatal care. Which of the following assessments will the nurse perform during the visit? Select all that apply. a) Pelvic ultrasound b) Blood glucose c) Blood pressure d) Fetal heart rate e) Urine protein
c) Blood pressure d) Fetal heart rate e) Urine protein
A client is receiving intravenous magnesium sulfate for severe preeclampsia. Which of the following assessment findings would make the nurse suspect that the client is developing hypermagnesemia? a) Cool skin temperature b) Tingling of her toes c) Decrease Patellar reflexes d) Rapid pulse rate
c) Decrease Patellar reflexes
When caring for a pregnant client with heart disease, which of the following symptoms would alert the nurse to suspect heart failure? a) Weight gain of one pound per week b) Intermittent nausea and vomiting c) Dyspnea d) Urinary frequency
c) Dyspnea
A nursing student who is pregnant asks the antenatal nurse why childbearing is considered a developmental crisis for a family. What should be included in the response by the nurse? a) It is an abnormal experience in the process of growth and development b) The family had already mastered the tasks of this maturational stage c) It is a period of physical, psychological, and social change causing a sense of disorganization d) It is stressful, unexpected event caused by external factors
c) It is a period of physical, psychological, and social change causing a sense of disorganization
Which activity would the nurse include in the teaching plan for parents with a newborn and an older child to reduce sibling rivalry when the newborn is brought home? a) Punishing the older child for bedwetting Behavior b) Sending the sibling to a grandparent's house c) Planning a daily " special time" for the older sibling d) Allowing The Sibling to share room with the infant
c) Planning a daily "special time" for the older sibling
A woman thinks she is pregnant and visits her obstetrician for confirmation of pregnancy. What are the positive signs of pregnancy? a) nausea/vomiting, weight gain, uterine growth b) Linea Nigra, positive urine dip test, examiner feeling fetal movements c) Positive fetal heart, visualization of fetus, examiner feeling fetal movements d) Positive heartbeat, chadwick's sign, positive urine drip test e) Uterine growth, fetal heart sounds, chloasma
c) Positive fetal heart, visualization of fetus, examiner feeling fetal movements
The nurse caring for an infant diagnosed with hyperbilirubinemia and is receiving phototherapy. Which of the following priority findings are a concern for you? Select all that apply. a) Conjunctivitis b) Bronze skin discoloration c) Sunken fontanelle d) Lethargic and not feeling well e) Maculopapular rash
c) Sunken fontanelle d) Lethargic and not feeling well
A new mother with mastitis is concerned about breastfeeding her baby with her active infection. How will you respond to this Mother's concern? a) Immunoglobulins in breast milk will protect the infant from getting infection b) Infant is protected from getting the infection as the gastric acid kills the organisms c) The organisms that cause mastitis is not passed in the breast milk d) Mastitis is not an infection
c) The organisms that cause mastitis is not passed in the breast milk
A client has completed a home pregnancy test with positive results. Which client statement indicates that she understands the meaning of the test results? a) "I understand that this means I am not pregnant" b) "I understand that this means I am pregnant" c) "I understand that I have ovulated in the past 24 hours" d) "I understand that this means I might be pregnant"
d) "I understand that this means I might be pregnant"
The nurse working in an outpatient clinic assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? select all that apply a) 27 weeks gestation, a salivates excessively b) 37 weeks gestation, complaints of hemorrhoidal pain c) 17 weeks gestation, denies feeling of fetal movement d) 24 weeks gestation, fundal height at umbilicus e) 34 weeks gestation, experiences uterine cramping
d) 24 weeks gestation, fundal height at umbilicus e) 34 weeks gestation, experiences uterine cramping
The nurse is determined that a client is at 20 weeks gestation. Which of the following findings has the nurse noted? a) Client experience lightning that morning b) Client has recurring bouts of nausea and amp; vomiting c) Client service has begun to dilate d) Clients fundal height is at the umbilicus
d) Clients fundal height is at the umbilicus
The nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? a) Over-the-shoulder b) Supine c) Chin supported d) Cradle
d) Cradle
Your client is receiving IV magnesium sulfate to stop premature labor. The most important nursing assessment to determine toxicity for this medication is? a) Check the intake and output, level of Consciousness, and BP b) Intake output, BP and reflexes c) BP, pulse, and uterine activity d) Deep tendon reflexes, hourly urine output, and respiratory rate
d) Deep tendon reflexes, hourly urine output, and respiratory rate
A perinatal lab finding of your client indicated that her blood group is O and Rh negative. She is required for the follow-up to identify a potential problem that could affect her unborn baby such as? a) Placenta previa b) Ectopic pregnancy c) Congenital anomalies d) Erythroblastosis fetalis
d) Erythroblastosis fetalis
A nurse is assisting the anesthesiologist with the insertion of an epidural catheter. Which of the following positions should the nurse assist her into? a) Lithotomy position b) Recumbent position c) Trendelenburg position d) Fetal position
d) Fetal position
A nurse is teaching a group of new parents about proper techniques of bottle feeding. Which of the following instructions should the nurse provide? a) Burp a newborn after every 10 minutes b) All the newborn clothes to Supine position c) Refrigerate any unused formula d) Keep the nipple full of formula during feeding to avoid baby ingesting air
d) Keep the nipple full of formula during feeding to avoid baby ingesting air
A fetus, 38 weeks gestation, is diagnosed as SGA ( small for gestational age) on ultrasound. Which of the following findings in the mother's history may be related to the fetal diagnosis? a) Mother has gestational diabetes b) Mother's fundal height is 30 cm c) Mother's pregnancy weight gain is 30 lb d) Mother has chronic hypertension
d) Mother has chronic hypertension
The fetal head is determined to be presenting in complete flexed position. The L&D nurse should most probably anticipate which type of labor and delivery? a) Prolonged labor and possible C/S b) Vacuum assisted vaginal delivery c) Precipitous labor d) Normal labor and spontaneous vaginal delivery
d) Normal labor and spontaneous vaginal delivery
A laboring client is complaining of intense back pain during contractions. The fetus likely in which of the following positions? a) Scapula anterior b) Mentum anterior c) Sacrum posterior d) Occiput posterior
d) Occiput posterior
Which findings should the nurse expect when assessing a client with placenta previa? a) Previous premature delivery b) History of pelvic inflammatory disease c) Severe headache d) Painless vaginal bleeding
d) Painless vaginal bleeding
The nurse knows that a newborn baby, whose apgar score were 9 and 9, is 8 minutes old. The baby's axillary temperature is 97 Fahrenheit. Which of the following actions should the nurse perform at this time? a) Report the temperature to the unit's neonatologist b) Perform a rectal temperature to confirm the abnormal results c) Immediately transfer the baby to a newborn Nursery d) Place the naked baby on the mother's chest and cover them both
d) Place the naked baby on the mother's chest and cover them both
A nurse is reviewing orders on a patient admitted for preterm premature rupture of membranes. Which physician order will the nurse question? a) Ampicillin 1 GM ivpb Q 6 hours b) Monitor maternal temperature every 4 hours c) Continuous fetal heart rate monitoring d) Preform of vaginal exam every shift
d) Preform of vaginal exam every shift
