OB Test 2 NCLEX Questions

A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which instruction should the nurse give this client? a. lie down or recline for at least 2 hours after eating b. Avoid dry crackers, toast, and soda c. Eat small, frequent meals throughout the day d. Decrease intake of carbonated beverages

c. Eat small, frequent meals throughout the day -this will minimize N/V

Which should the nurse identify as a risk associated with anemia during pregnancy? a. newborn with heart problems b. fetal asphyxia c. preterm birth d. newborn with an enlarged liver

c. preterm birth

A nurse is caring for a 45 y.o. pregnant client with a cardiac disorder, who has been instructed by her physician to follow class I functional activity recommendations. The nurse correctly instructs the client to follow which limitations? a. "you will need to be on bedrest for the remainder of your pregnancy" b. "it is important for you to rest after any physical activity in order to prevent any cardiac complications" c. "it will be beneficial if you plan rest periods throughout tour day" d. "you do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or SOB"

d. "you do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or SOB"

A nurse is caring for a client in labor who is delivering. For which fetal response should the nurse monitor? a. decrease in arterial CO2 pressure b. Increase in fetal breathing movements c. Increase in fetal O2 pressure d. Decrease in circulation and perfusion to the fetus

d. Decrease in circulation and perfusion to the fetus

The nurse is caring for a pregnant client with severe preeclampsia. Which nursing interventions should a nurse perform to institute and maintain seizure precautions in this client? a. provide a well-lit room b. Keep HOB slightly elevated c. Place the client in supine position d. Keep the suction equipment readily available

d. Keep the suction equipment readily available

A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy? a. assess deep tendon reflexes b. monitor I&O c. assess client's mucous membranes d. assess skin turgor

a. assess deep tendon reflexes

A nurse is caring for a client with CVD who has just delivered. What nursing interventions should the nurse perform when caring for this client? SATA a. assess for SOB b. assess for a moist cough c. assess for edema and note any pitting d. auscultate heart sounds for abnormalities e. monitor the client's hemoglobin and hematocrit

a. assess for SOB c. assess for edema and note any pitting d. auscultate heart sounds for abnormalities

A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding labor? a. they help in softening and ripening the cervix b. they increase the release of prostaglandins c. they increase oxytocin sensitivity d. they make maternal breathing easier

a. they help in softening and ripening the cervix

A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. For which condition associated with shoulder presentation during a vaginal birth should the nurse assess? a. uterine abnormalities b. fetal anomalies c. congenital anomalies d. prematurity

b. fetal anomalies

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does this indicate? a. cord compression b. fetal distress related to hypoxia c. infection d. central nervous system involvement

b. fetal distress related to hypoxia

A nurse is documenting a dietary plan for a pregnant client with presentational diabetes. What instructions should the nurse include in the dietary plan for this client? a. Include more dairy products in the diet b. include more complex carbs in the diet c. eat only 2 meals per day d. eat at least 1 egg per day

b. include more complex carbs in the diet

A client is seeking advice for his pregnant wife, who is experiencing mild elevations in BP. In which position should a nurse recommend the pregnant client rest? a. supine position b. lateral recumbent position c. left lateral lying position d. HOB slightly elevated

b. lateral recumbent position -improves uteroplacental blood flow, reduce BP, and promote diuresis

A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess? a. painless bright red vaginal bleeding b. increased fetal movement c. "knife-like" abdominal pain with vaginal bleeding d. generalized vasospasm

c. "knife-like" abdominal pain with vaginal bleeding

A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client? a. baked chicken, green beans, and chocolate cake b. pizza, corn, and orange slices c. baked turkey, brown rice, and strawberries d. steak, baked potato with butter, ice cream

c. baked turkey, brown rice, and strawberries

A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic of eclampsia? a. muscle rigidity is followed by facial twitching b. respirations are rapid during the seizure c. coma occurs after seizure d. respiration fails after the seizure

c. coma occurs after seizure

A pregnant client is admitted to a maternity clinic for birth. Which assessment finding indicates that the client's fetus is in the transverse lie position? a. long axis of fetus is at 60 degrees to that of client b. long axis of fetus is parallel to that of client c. long axis of fetus is perpendicular to that of client d. long axis of fetus is at 45 degrees to that of client

c. long axis of fetus is perpendicular to that of client

The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client? a. monitor the client's beta-hCG level b. monitor the mass with transvaginal ultrasound c. monitor the client's V/S and bleeding d. Monitor the FHR

c. monitor the client's V/S and bleeding

A pregnant client wants to know why the labor of a first-time pregnant women usually lasts longer than that of a woman who has already delivered once and is pregnant a second time. What explanation should the nurse offer the client? a. Braxton Hicks contractions are not strong enough during first pregnancy b. Contractions are stronger the first pregnancy than the second c. the cervix takes around 12-16 hours to dilate during first pregnancy d. spontaneous rupture of membranes occurs during first pregnancy

c. the cervix takes around 12-16 hours to dilate during first pregnancy

A client in the 3rd stage of labor has experienced placental separation and expulsion. Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm? a. to reduce boggy nature of the uterus b. to remove pieces left attached to uterine wall c. to constrict the uterine blood vessels d. to lessen the chances of conducting an episiotomy

c. to constrict the uterine blood vessels

A nurse is assessing pregnant clients for the risk of placenta previa. Which of the following clients faces the greatest risk for this condition? a. a 23-year-old multigravida client b. a client with a history of alcohol abuse c. a client with structurally defective cervix d. a client who had a myomectomy to remove fibroids

d. a client who had a myomectomy to remove fibroids

A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client? a. administer total parenteral nutrition b. administer an antiemetic c. set up for a percutaneous endoscopic gastrostomy d. administer IV NS with vitamins and e-

d. administer IV NS with vitamins and e-

The nurse is caring for an Rh-negative nonimmunized client at 14 weeks' gestation. What information would the nurse provide to the client? a. obtain RhoGAM at 28 weeks' gestation b. Consume a well-balanced, nutritional diet c. Avoid sexual activity until after 28 weeks d. Undergo periodic transvaginal ultrasounds

a. obtain RhoGAM at 28 weeks' gestation

When caring for a client with PROM, the nurse observes an increase in the client's pulse. What should the nurse do next? a. assess the client's temperature b. monitor the client for preterm labor c. assess for cord compression monitor the fetus for respiratory distress

a. assess the client's temperature

The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, has a pet cat. Which instructions should the nurse give this client to prevent toxoplasmosis? SATA a. eat meat cooked to 160 F b. avoid cleaning the cat's liter box c. keep the cat outdoors at all times d. avoid contact with children when they have a cold e. avoid outdoor activities such as gardening

a. eat meat cooked to 160 F b. avoid cleaning the cat's liter box e. avoid outdoor activities such as gardening

A nurse is caring for a pregnant client during labor. Which methods should the nurse use to provide comfort to the pregnant client? SATA a. hand holding b. chewing gum c. massaging d. acupressure e. increase in gastric emptying and pH

a. hand holding c. massaging d. acupressure

A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client, as the client progresses through birth? SATA a. increase in HR b. increase in BP c. Increase in RR d. Slight decrease in body temp e. Increase in gastric emptying and pH. increase in BP

a. increase in HR b. increase in BP c. Increase in RR

A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. The nurse understands which to be causes of the extreme pain in the client? SATA a. lower uterine distension b. fetus moving along the birth canal c. stretching and tearing of structures d. spontaneous placental expulsion e. dilation of the cervix

a. lower uterine distension c. stretching and tearing of structures e. dilation of the cervix

What important instruction should the nurse give a pregnant client with TB? a. maintain adequate hydration b. avoid direct sunlight c. avoid red meat d. wear light, cotton clothes

a. maintain adequate hydration

The nurse is required to assess a pregnant client who is reporting vaginal bleeding. Which nursing action is the priority? a. monitoring uterine contractility b. assessing signs of shock c. determining the amount of funneling d. assessing the amount of color of the bleeding

d. assessing the amount of color of the bleeding

A nurse is caring for a 2-day-old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. On which health care provider order should the nurse place the priority? a. perform a hearing screen test b. obtain a urine specimen c. monitor growth and development d. assess pulse rate

a. perform a hearing screen test

A nurse is caring for a client undergoing treatment for ectopic pregnancy. Which symptom is observed in a client if rupture or hemorrhaging occurs before the ectopic pregnancy is successfully treated? a. phrenic nerve irritation b. painless bright red vaginal bleeding c. fetal distress d. tetanic contractions

a. phrenic nerve irritation

A pregnant client is brought to the health care facility with signs of PROM. Which conditions and complications are associated with PROM? SATA a. prolapsed cord b. abruptio placenta c. spontaneous abortion d. placenta previa e. preterm labor

a. prolapsed cord b. abruptio placenta e. preterm labor

A nurse is assigned the task of educating a pregnant client about birth. Which nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive birth experience. SATA a. provide the client clear information on procedures involved b. encourage the client to have a sense of mastery and self-control c. encourage the client to have a positive reaction to pregnancy d. instruct the client to spend some time alone each day e. instruct the client to begin changing the home environment

a. provide the client clear information on procedures involved b. encourage the client to have a sense of mastery and self-control c. encourage the client to have a positive reaction to pregnancy

The assessment of a pregnant client, who is toward the end of her 3rd trimester, reveals that she has increased prostaglandin levels. For which factors should the nurse assess the client? SATA a. reduction in cervical resistance b. myometrial contractions c. boggy appearance of the uterus d. softening and thinning of the cervix e. hypotonic character of the bladder

a. reduction in cervical resistance b. myometrial contractions d. softening and thinning of the cervix

During the assessment of a laboring client, the nurse learns that the client has CVD. Which assessment would be priority for the newborn? a. respiratory function b. HR c. Temp d. urine output

a. respiratory function

A nurse is caring for a newborn with fetal alcohol spectrum disorder. What characteristic of the fetal alcohol spectrum disorder should the nurse assess for in the newborn? a. small head circumference b. decreased blood glucose level c. abnormal breathing pattern d. wide eyes

a. small head circumference

The nurse is caring for a pregnant client who is in her 30th week of gestation and has a congenital heart disease. Which should the nurse recognize as a symptom of cardiac decompensation with this client? a. swelling of the face b. dry, rasping cough c. slow, labored respiration d. elevated temp

a. swelling of the face

A nurse is caring for a pregnant client with sickle cell anemia. What should the nursing care for the client include? SATA a. teach the client meticulous hand-washing b. assess serum e- levels of the client at each visit c. instruct client to consume protein-rich food d. assess hydration status of the client at each visit e. urge the client to drink 8-10 glasses of fluid daily

a. teach the client meticulous hand-washing d. assess hydration status of the client at each visit e. urge the client to drink 8-10 glasses of fluid daily

A nurse is caring for a pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. For which increased risk should the nurse make the client aware? a. heart disease b. anemia c. rickets d. scurvy

b. anemia

A nurse is caring for a pregnant client with asthma. Which intervention would the nurse perform first? a. monitoring temp frequently b. assessing O2 sat c. monitoring frequency of headache d. assessing for feeling nauseated

b. assessing O2 sat

A client in her 3rd trimester of pregnancy arrives at a health care facility with a report of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical exam conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. What should the nurse do next? a. notify the HCP b. continue to monitor the client c. assess the client's BP d. prepare the client for birth

b. continue to monitor the client

A nurse is monitoring a client with spontaneous abortion who has been prescribed misoprostol. Which symptoms are common adverse effects associated with misoprostol? SATA a. constipation b. dyspepsia c. headache d. hypotension e. tachycardia

b. dyspepsia d. hypotension e. tachycardia

The nurse is required to assess a client for HELLP syndrome. Which are the signs and symptoms of this condition? SATA a. BP higher than 160/110 b. epigastric pain c. oliguria d. RUQ pain e. hyperbilirubinemia

b. epigastric pain d. RUQ pain e. hyperbilirubinemia

A nurse is caring for a pregnant client suspected substance use during pregnancy. What is the priority nursing intervention for this client? a. determine how long the client has been using drugs b. obtain a urine specimen for a drug screening c. determine if the client has emotional support d. provide education material on cessation of substance use

b. obtain a urine specimen for a drug screening

What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension? a. stressing the avoidance of daily products b. stressing the positive benefits of a healthy lifestyle c. stressing the increased use of vitamin D supplements d. stressing regular walks and exercise

b. stressing the positive benefits of a healthy lifestyle

A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? SATA a. maternal age less than 18 y.o. b. genitourinary tract abnormalities c. obesity d. hypertension e. previous large for gestational age infant

c. obesity d. hypertension e. previous large for gestational age infant

A nurse is caring for a pregnant with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum? a. limiting Na intake b. inspecting the extremities for edema c. ensuring that the client consumes a high-fiber diet d. assessing for cardiac decompensation

d. assessing for cardiac decompensation

A nurse is assessing a pregnant client with preeclampsia for suspected dependent edema. Which description of dependent edema is most accurate? a. dependent edema leaves a small depression or pit after finger pressure is applied to a swollen area b. dependent edema occurs only in clients on bed rest c. dependent edema can be measured when pressure is applied d. dependent edema may be seen in the sacral area if the client is on bed rest

d. dependent edema may be seen in the sacral area if the client is on bed rest

A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client? a. diffuse abdominal cramping b. rupturing of fetal membranes c. start of regular contractions d. dilation of cervix diameter

d. dilation of cervix diameter

A pregnant client is admitted to a maternity clinic for birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which to be an advantage of adopting a kneeling position during labor? a. it helps the woman in labor to save energy b. it facilitates vaginal exams c. it facilitates external belt adjustment d. it helps to rotate fetus in a posterior position

d. it helps to rotate fetus in a posterior position

A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which important area should the nurse address during assessment of the client? a. sexual development of the client b. whether sex was consensual c. options for birth control in the future d. knowledge of child development

d. knowledge of child development

A pregnant client is admitted to a maternity clinic after experiencing contractions. The assigned nurse observes that the client experiences pauses between contractions. The nurse knows that which event marks the importance of the pauses between contractions during labor? a. effacement and dilation of the cervix b. shortening of the upper uterine segment c. reduction in length of the cervical canal d. restoration of blood flow to uterus and placenta

d. restoration of blood flow to uterus and placenta

A nurse is caring for a pregnant client who is HIV positive. What is the priority issue that the nurse should discuss with the client? a. the client's relationship with the spouse b. the amount of physical contact that should occur with the infant c. the client's plan for future pregnancies d. the need for the client to avoid breast-feeding

d. the need for the client to avoid breast-feeding