OB EXAM 2 || MOST RECENT EXAM ACTUAL
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The nurse has preferred a non stress test on a pregnant
client and is reviewing the fetal monitor strip. The nurse
interprets the test as reactive. How should the nurse
document the finding?
A) Normal
B) Abnormal
C) The need for further evaluation
D) That findings were difficult to interperet - Answer-A
The home care nurse visits a pregnant client who has had
a diagnosis of mild preeclampsia. Which assessment
finding indicates a worsening of the preeclampsia and the
need to notify the HCP?
A) Urinary Output has increased
B) Dependent edema has resolved
C) Blood pressure reading is at the prenatal baseline
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D) The client complains of a headache and blurred vision -
Answer-D
The nurse is assessing a pregnant client with type 1
diabetes mellitus about her understanding regarding
changing insulin needs during pregnancy. The nurse
determines that FURTHER TEACHING IS NEEDED if the
client makes which statement?
A) "I will need to increase my insulin dosage during the
first 3 months of pregnancy."
B) "My insulin dose will likely need to be increased during
the second and third trimesters."
C) "Episodes of hypoglycemia are more likely to occur
during the first 3 months of pregnancy."
D) "My insulin needs should return to normal within 7-10
days after birth if I am bottle feeding." - Answer-A
The nurse in the labor room is caring for a client in the
active stage of the first phase of labor (latent phase). The
nurse is assessing the fetal patterns and notices a late
deceleration on the monitor strip. What is themes
appropriate nursing action?
A) Administer oxygen via face mask
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B) Place the mother in a supine position
C) Increase the rate of oxytocin (pitocin) intravenous
infusion
D) Document the findings and continue to monitor the fetal
patterns - Answer-A
The maternity nurse is preparing for the administration of a
client in the third trimester pregnancy who is experiencing
vaginal bleeding and has a suspected diagnosis of
placenta previa. The nurse reviews the HCP's
prescriptions and should question which prescription?
A) Prepare the client for an ultrasound
B) Obtain equipment for a manual pelvic examination
C) Prepare to draw a hemoglobin and hematocrit blood
sample
D) Obtain equipment for external electronic fetal heart rate
- Answer-B
The nurse is preforming an assessment on a client who is
at 38 weeks gestation and notes that the fetal heart rate is
174 beats/ min. On the basis of this finding, what is the
PRIORITY nursing action?
A) Document the finding
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B) Check the mothers heart rate
C) Notify the HCP
D) Tell the client the fetal HR is normal - Answer-C
A client arrives to the clinic for the first prenatal
assessment. She tells the nurse that the first day of her
menstrual period was October 19, 2014. Using Nageles
Rule, which expected date of delivery should the nurse
document in the client's chart?
A) July 12, 2014
B) July 26, 2015
C) August 12, 2015
D) August 26, 2015 - Answer-B
The nurse is assessing a newborn who was born to a
mother who is addicted to drugs. Which assessment
finding would the nurse expect to note during the
assessment of this newborn?
A) Lethargy
B) Sleepiness
C) Constant crying
D) Cuddles when being held - Answer-C