OB test 2

A woman with hyperemesis gravidarum asks the nurse about suggestions to minimize nausea and vomiting. Which suggestion would be most appropriate for the nurse to make? A. "Try to eat three large meals a day with less snacking." B. "Lie down for about an hour after you eat." C. "Make sure that anything around your waist is quite snug." D. "Drink fluids in between meals rather than with meals."

"Drink fluids in between meals rather than with meals."

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful? A. "I will be sure to avoid getting pregnant for at least 1 year." B. "I won't use my birth control pills for at least a year or two." C. "My intake of iron will have to be closely monitored for 6 months." D. "My blood pressure will continue to be increased for about 6 more months."

"I will be sure to avoid getting pregnant for at least 1 year."

A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching? A. "I need to call my doctor if my temperature increases." B. "I need to keep a close eye on how active my baby is each day." C. "I can shower, but I shouldn't take a tub bath." D. "It's okay for my husband and me to have sexual intercourse."

"It's okay for my husband and me to have sexual intercourse."

On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as: A. Chadwick's sign. B. Hagar's sign. C. Homans' sign. D. Goodall's sign.

. Chadwick's sign.

When describing the structures involved in fetal circulation to a pregnant woman, the nurse describes which structure as the opening between the right and left atrium?

. foramen ovale

The nurse is teaching a pregnant woman with a prepregnancy body mass index of 26 about recommended weight gain. The nurse determines that the teaching was successful when the woman states that she should gain approximately how much during pregnancy?

15 to 25 pounds Women with a body mass index of 18.5 to 24.9 (considered healthy weight) should gain 25 to 35 pounds (11 to 18 kilograms). This client's BMI is 21 and is thus considered normal. A woman with a body mass index of 25 to 29.9 is considered overweight and should gain no more than 15 to 25 pounds (7 to 11 kilograms) during pregnancy. A woman with a body mass index less than 18.5 should gain 28 to 40 pounds (13 to 18 kilograms).

The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index (BMI) of 21. The nurse determines that the teaching was successful when the woman states that she should gain no more than which amount during pregnancy? A. 35 to 40 pounds B. 28 to 40 pounds C. 25 to 35 pounds D. 15 to 25 pounds

25-35

A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate that the client is at how many weeks' gestation?

28wks

A woman comes to the prenatal clinic for an evaluation because she thinks that she may be pregnant. The nurse is assisting the health care provider with the vaginal examination. The exam reveals a vaginal mucosa and cervix that are bluish-purple in color. Based on this information, the nurse suspects that the client is most likely how many weeks pregnant?

6 Weeks

A nurse is conducting an assessment of a woman who has experienced PROM. Which finding would lead the nurse to suspect infection as the cause of a client's PROM? A. yellow-green fluid B. foul odor C. ferning D. blue color on Nitrazine testing

A foul odor of the amniotic fluid indicates infection. Yellow-green fluid would suggest meconium. A blue color on Nitrazine testing and ferning indicate the presence of amniotic fluid.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? A. deep tendons reflexes 2+ B. urinary output of 20 mL per hour C. difficulty in arousing D. respiratory rate of 10 breaths/minute

A. deep tendons reflexes 2+

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding? A. elevated liver enzymes B. hyperglycemia C. elevated platelet count D. disseminated intravascular coagulopathy (DIC)

A. elevated liver enzymes

A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate?

A. ultrasound

When a nurse suspects that a client may have been abused, the first action should be to: A. ask the client about the injuries and if they are related to abuse. B. encourage the client to leave the batterer immediately. C. set up an appointment with a domestic violence counselor. D. ask the suspected abuser about the victim's injuries.

A. ask the client about the injuries and if they are related to abuse. Explanation: The first step is to screen for abuse and identify the connection between the woman's injuries and abuse. Once abuse is detected, the nurse should immediately isolate the woman to provide privacy and prevent retaliation by the abuser. Encouraging the woman to leave the batterer immediately is not realistic. Setting up an appointment with a counselor would be appropriate once the abuse is detected and the woman is safe. Questioning the suspected abuser might worsen the situation.

The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include? A. chorioamnionitis B. postterm labor C. hypertension of pregnancy D. placenta previa

Ans: B Feedback: Women assaulted during pregnancy are at risk for chorioamnionitis, placental abruption, preterm labor, stillbirth, miscarriage, uterine rupture, and injuries to the mother and fetus. Hypertension of pregnancy is not associated with violence during pregnancy.

A nurse is working with a pregnancy woman to schedule follow-up visits for her pregnancy. Which statement by the woman indicates that she understands the scheduling? A. "I need to make visits every 2 months until I'm 36 weeks pregnant." B. "Once I get to 28 weeks, I have to come twice a month." C. "I'll make sure to get a day off every 2 weeks to make my visits." D. "From now until I'm 28 weeks, I'll be coming once a month."

C) "From now until I'm 28 weeks, I'll be coming once a month."

A client's maternal serum alpha-fetoprotein (MSAFP) level was unusually elevated at 17 weeks. The nurse suspects which condition? A. maternal hypertension B. fetal hypoxia C. Down syndrome D. open spinal defects

B) Open spinal defects

A nurse is reviewing an article about preterm premature rupture of membranes. Which factors would the nurse expect to find placing a woman at high risk for this condition? Select all that apply. A. low socioeconomic status B. urinary tract infection C. single gestations D. high body mass index E. smoking

B) Urinary tract infection C) Low socioeconomic status E) Smoking

A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make?

B. "By the time you are 12 weeks pregnant, this frequent urination should really decrease, but it is likely to return toward the end of your pregnancy."

A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which finding would lead the nurse to suspect that the woman is developing an infection? Select all that apply. A. decreased C-reactive protein levels B. abdominal tenderness C. elevated maternal pulse rate D. cloudy malodorous fluid E. fetal bradycardia

B. abdominal tenderness C. elevated maternal pulse rate D. cloudy malodorous fluid

A nurse suspects that a pregnant client may be experiencing abruptio placenta based on assessment of which finding? Select all that apply. A. insidious onset B. dark red vaginal bleeding C. absence of pain D. rigid uterus E. absent fetal heart tones

B. dark red vaginal bleeding C. absence of pain D. rigid uterus E. absent fetal heart tones

A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures:

B. immunity to German measles.

A nurse is reviewing an article about preterm premature rupture of membranes. Which factors would the nurse expect to find placing a woman at high risk for this condition? Select all that apply. A. high body mass index B. low socioeconomic status C. urinary tract infection D. single gestations E. smoking

B. low socioeconomic status C. urinary tract infection Smoking

A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description? A. associated with loss of physical and emotional control B. somehow triggered by the victim's behavior C. like a honeymoon that lulls the victim D. characterized by tension-building and minor battery

B. characterized by tension-building and minor battery

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate? A. "A baby still wasn't formed in your uterus." B. "Why are you crying?" C. "I'm sorry you lost your baby." D. "Will a pill help your pain?"

C. "I'm sorry you lost your baby."

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? A. Offer her a pamphlet about the local battered women's shelter. B. Wait until she comes in a few more times to make a better assessment. C. Ask, "Have you ever been physically hurt by your partner?" D. Call her at home to ask her some questions about her marriage.

C. Ask, "Have you ever been physically hurt by your partner?"

The health care provider orders PGE2 for a woman to help evacuate the uterus following a spontaneous abortion. Which action would be most important for the nurse to do? A. Use clean technique to administer the drug. B. Keep the gel cool until ready to use. C. Maintain the client supine for 1/2 hour after administration. D. Administer intramuscularly into the deltoid area.

C. Maintain the client supine for 1/2 hour after administration.

A nurse is conducting a refresher class for a group of nurses working in the prenatal clinic. After reviewing fetal development with the group, the nurse determines that the teaching was successful when the group identifies which barrier to other sperm after fertilization?

C. zona pellucida

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed? A. hemoglobin and hematocrit B. fundal height measurement C. fetal ultrasound D. urine for culture

D) Fundal height measurement

A nurse is teaching a group of college students about rape and sexual assault. The nurse determines that additional teaching is necessary based on which statements by the group? Select all that apply. A. Medication and counseling can help a rape victim cope. B. A rape victim feels vulnerable and betrayed afterwards. C. Few women falsely cry "rape." D. Most victims of rape tell someone about it. E. Women have rape fantasies desiring to be raped.

D. Most victims of rape tell someone about it. E. Women have rape fantasies desiring to be raped.

A nurse is caring for a woman who was recently raped. The nurse would expect this woman to experience which phase first? A. integration B. reorganization C. denial D. disorganization

D. disorganization

A nurse is assessing a pregnant woman with gestational hypertension. Which finding would lead the nurse to suspect that the client has developed severe preeclampsia? A. blood pressure 150/96 mm Hg B. mild facial edema C. urine protein 300 mg/24 hours D. hyperreflexia

D. hyperreflexia

A nurse is preparing a presentation for a group of nurses about genetic discoveries and advances. When discussing this topic, the nurse would most likely include which topic area related to the potential for misuse?

D. individual risk profiling and confidentiality

A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy? Select all that apply. A. has a BMI of 22 B. drinks wine 3 to 4 times/week C. quit smoking 4 years ago D. uses ibuprofen daily E. follows a vegetarian diet

D. uses ibuprofen daily E. drinks wine 3 to 4 times/week

When describing genetic disorders to a group of childbearing couples, the nurse would identify which as an example of an autosomal dominant inheritance disorder? A. cystic fibrosis B. Huntington disease C. phenylketonuria D. sickle cell disease

Feedback: Huntington's disease is an example of an autosomal dominant inheritance disorder. Sickle cell disease, phenylketonuria, and cystic fibrosis are examples of autosomal recessive inheritance disorders.

Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for: A. a more specific determination of the acid-base status. B. special care needed for a Down syndrome infant. C. immediate termination of the pregnancy based on results. D. further, more definitive evaluations to conclude anything.

Further, more definitive evaluations to conclude anything.

A nurse working as part of a genetics testing team is describing advances in genetics to a group of nurses. After the discussion, the nurse determines that additional information is needed based on which statement made by the group? A. "Genetic testing can identify presymptomatic conditions in children." B. "Gene therapy can be used to repair missing genes with normal ones." C. "Genetic agents may be used in the future to replace drugs." D. "Genetic diagnosis is now available as early as the second trimester."

Genetic diagnosis is now available as early as the second trimester."

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family? A. Gather information for three generations. B. Maintain the confidentiality of the information. C. Present the information in a nondirective manner. D. Inform the family of the need for information.

Maintain confidentiality

After reviewing a client's history, which factor would the nurse identify as placing her at risk for gestational hypertension? A. This is the client's second pregnancy. B. Mother had gestational hypertension during pregnancy. C. Client has a twin sister. D. Sister-in-law had gestational hypertension.

Mother had gestational hypertension during pregnancy.

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as: A. ballottement. B. pica. C. quickening. D. linea nigra.

Pica

In addition to providing privacy, which action would be most appropriate initially in situations involving suspected abuse? A. Tell the client, "Injuries like these don't usually happen by accident." B. Call the police immediately so they can question the victim. C. Ask the abuser to describe his side of the story first. D. Allow the client to have a good cry over the situation.

Tell the client, "Injuries like these don't usually happen by

A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees, and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time? A. in 3 months B. in 2 months C. in 4 months D. in 1 month

The HPV vaccine is administered intramuscularly in three separate 0.5-mL doses. The first dose may be given to any individual 9 to 26 years old prior to infection with HPV. The second dose is administered 2 months after the first, and the third dose is given 6 months after the initial dose.

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia? A. calcium carbonate B. ferrous sulfate C. calcium gluconate D. potassium chloride

calcium gluconate

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions? A. maternal disease B. uterine fibroids C. cervical insufficiency D. fetal genetic abnormalities

fetal genetic abnormalities

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority? A. hemorrhage B. infection C. jaundice D. edema

hemorrhage

A woman pregnant with twins comes to the clinic for an evaluation. The nurse closely assesses the client for which potential problem? A. chorioamnionitis B. post-term labor C. preeclampsia D. oligohydramnios

preeclampsia

A woman pregnant with twins comes to the clinic for an evaluation. The nurse closely assesses the client for which potential problem? A. post-term labor B. oligohydramnios C. preeclampsia D. chorioamnionitis

preeclampsia

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy? A. use of oral contraceptives for 5 years B. ovarian cyst 2 years ago C. recurrent pelvic infections D. heavy, irregular menses

recurrent pelvic infections

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of:

trisomy numeric abnormality.

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother most likely experience at that time?

urinary frequency

A nurse is describing the various birth methods to pregnant couples. Which information would the nurse include as part of the Lamaze method? A. use of specific breathing and relaxation techniques B. concentration on sensations while turning on to own bodies C. interruption of the fear-tension-pain cycle D. focus on the pleasurable sensations of childbirth

use of specific breathing and relaxation techniques