NSG 452 Exam 4 OB Summer quick UPDATED ACTUAL Questions and
CORRECT Answers
Question: The nurse is caring for a client who is having her first child. The client asks about what the fetal
monitor tracing is showing the health care team. An external monitor is being used for contractions and
fetal heart rate. The monitor strip shows the following
Correct Answer: Which of the statements are appropriate for the nurse when interpreting the fetal
monitoring strip results? Select all that apply.: C"Your contraction pattern is every 4 to 5 minutes." D"The
beat-to-beat difference in your baby's heartbeat shows that there is variability." G"An average fetal heart
rate is 110 to 160, and your baby has a baseline of 120."
Question: Prolapsed cord
Correct Answer: Apply pressure to fetal presenting part and off of the cord. Apply oxygen to client at 10 L
per mask. Remain with client until delivery of the infant.
Question: abruptio placentae
Correct Answer: Apply oxygen to client at 10 L per mask. Remain with client until delivery of the infant.
Question: Eclampsia (seizures)
Correct Answer: 2Apply oxygen to client at 10 L per mask. 3Encourage client's support person to leave
the room. 4Compare the client's prenatal and current blood pressure values. Titrate or administer
magnesium sulfate.
Question: chorioamnionitis
Correct Answer: Administer ampicillin.
Question: The nurse is caring for a newborn born at 39 weeks' gestation 1 hour ago. What evidence-based
care will the nurse provide to the newborn during the transitional period? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Administer hepatitis B vaccine per protocol. B.Assess for
hypoxia. D.Perform a gestational assessment. E.Administer intramuscular vitamin K per protocol.
G.Encourage skin-to-skin contact with the baby's mother.
Question: The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that persists even
with acetaminophen administration. The nurse documents the following client assessment findings
Correct Answer: Physical Assessment Findings Reports headache as on a 0 to 10 pain scale Reports
epigastric pain that is constant Breath sounds clear in all lung fields No clonus, DTRs 2+ in lower and upper
extremities States that her obstetric provider has been "watching her blood pressure" Reports seeing "stars"
sometimes Based on these assessment findings, which of the following actions would the nurse take? Select
all that apply.: CORRECT ANSWERS: A.Administer an antihypertensive medication per protocol.
C.Request prescription for blood pressure parameters. E.Compare the client's prenatal and current blood
pressure values.
Question: A 36-year-old female client has her initial prenatal primary health care provider visit at 9 weeks'
gestation. Which prenatal care activities would the nurse likely include in today's visit? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Provide nutrition education. B.Obtain a midstream urinalysis.
C.Send a blood sample for a complete blood count. F.Assist the primary health care provider in collecting
, specimens for vaginal culture. H.Enter a prescription to obtain the client's blood typing.
Question: The nurse is caring for a client who is having her fourth child during the active stage of labor.
The client reports shortness of breath and chest pain. She states, "This feels different than any delivery
before." Which of the following actions would the nurse take? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Assess the client's oxygen saturation. B.Apply oxygen to the
client at 10 L per mask G.Remain with the client while contacting the primary health care provider
immediately.
Question: The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that persists even
with acetaminophen administration. For each health assessment finding below, indicate whether it Requires
Nursing Follow-Up (could be harmful to client) or is Expected (no follow-up is required) for the client at
this time.
Correct Answer: Expected Temperature = 98°F (36.7°C) Heart rate = 100 beats/min Respiratory rate = 22
breaths/min Hemoglobin = 11 g/dL (110 g/L) Clonus = negative DTRs = 21 in lower and upper extremities
Breath sounds = clear in all fields Requires Nursing Follow-Up Blood pressure = mm Hg Headache rated at
on a 0 to 10 pain scale Constant epigastric pain Platelets = 128,000/mm3 (128 3 109/L) Urine protein = 21
Urine ketones = 11 Visual disturbances Client reports that primary health care provider is "watching my
blood pressure"
Question: The nurse reviews the following assessment findings for a 21-year-old pregnant client at 28
weeks' gestation who is concerned about dizziness and a headache that persists even with acetaminophen
administration.Physical Assessment Findings Reports headache as on a 0 to 10 pain scale Reports epigastric
pain that is constant Breath sounds clear in all lung fields No clonus, DTRs 2+ in lower and upper
extremities States that her obstetric provider has been "watching her blood pressure" Reports seeing "stars"
sometimes The nurse wants to encourage optimal outcomes for both mother and baby. Based on the
assessment findings above, what priority nursing actions are needed to prevent worsening of the client's
symptoms? Select all that apply.-
Correct Answer: CORRECT ANSWERS: A.Administer an antihypertensive medication per protocol.
F.Place the client in a flat position on her back to increase blood pressure.
Question: The nurse is preparing to discharge the client and her newborn following a spontaneous vaginal
delivery at 40 weeks' gestation and evaluates the effectiveness of the newborn's care. For each assessment
finding, indicate whether the interventions were Effective (helped to meet expected outcomes), Ineffective
(did not help to meet expected outcomes), or Unrelated (were not related to the expected outcomes).
Correct Answer: CORRECT ANSWERS: Assessment Finding Effective Temperature = 99.1°F (37.2°C)
Heart rate = 144 beats/min Respirations = 54 breaths/min Pulse oximetry = 99% (on room air) Birth weight
= 9 lb 13 oz (4.46 kg) Current weight = 9 lb 6 oz (4.29 kg) Urine output = 4 wet diapers in 12 hours Bowel
movement = dark green, thick, and large amount Ineffective Bilirubin = 14 mg/dL (205 mcmol/L) Baby has
minimal periods of wakefulness Breast-feeding every 2.5-3 hr Unrelated Baby has had photographs taken
Security safety bands are intact
Question: The nurse is caring for a 34-year-old laboring woman and provides health teaching about the
stages of labor. Complete the statements by selecting from the lists of options provided
Correct Answer: The first stage of labor lasts from the time Dilation begins to the time when the Cervix is
fully dilated. The second stage of labor lasts from the time of full cervical Dilation to the birth of the Infant .
The third stage of labor lasts from the Infant 's birth to the expulsion of the Placenta . The fourth stage of
CORRECT Answers
Question: The nurse is caring for a client who is having her first child. The client asks about what the fetal
monitor tracing is showing the health care team. An external monitor is being used for contractions and
fetal heart rate. The monitor strip shows the following
Correct Answer: Which of the statements are appropriate for the nurse when interpreting the fetal
monitoring strip results? Select all that apply.: C"Your contraction pattern is every 4 to 5 minutes." D"The
beat-to-beat difference in your baby's heartbeat shows that there is variability." G"An average fetal heart
rate is 110 to 160, and your baby has a baseline of 120."
Question: Prolapsed cord
Correct Answer: Apply pressure to fetal presenting part and off of the cord. Apply oxygen to client at 10 L
per mask. Remain with client until delivery of the infant.
Question: abruptio placentae
Correct Answer: Apply oxygen to client at 10 L per mask. Remain with client until delivery of the infant.
Question: Eclampsia (seizures)
Correct Answer: 2Apply oxygen to client at 10 L per mask. 3Encourage client's support person to leave
the room. 4Compare the client's prenatal and current blood pressure values. Titrate or administer
magnesium sulfate.
Question: chorioamnionitis
Correct Answer: Administer ampicillin.
Question: The nurse is caring for a newborn born at 39 weeks' gestation 1 hour ago. What evidence-based
care will the nurse provide to the newborn during the transitional period? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Administer hepatitis B vaccine per protocol. B.Assess for
hypoxia. D.Perform a gestational assessment. E.Administer intramuscular vitamin K per protocol.
G.Encourage skin-to-skin contact with the baby's mother.
Question: The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that persists even
with acetaminophen administration. The nurse documents the following client assessment findings
Correct Answer: Physical Assessment Findings Reports headache as on a 0 to 10 pain scale Reports
epigastric pain that is constant Breath sounds clear in all lung fields No clonus, DTRs 2+ in lower and upper
extremities States that her obstetric provider has been "watching her blood pressure" Reports seeing "stars"
sometimes Based on these assessment findings, which of the following actions would the nurse take? Select
all that apply.: CORRECT ANSWERS: A.Administer an antihypertensive medication per protocol.
C.Request prescription for blood pressure parameters. E.Compare the client's prenatal and current blood
pressure values.
Question: A 36-year-old female client has her initial prenatal primary health care provider visit at 9 weeks'
gestation. Which prenatal care activities would the nurse likely include in today's visit? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Provide nutrition education. B.Obtain a midstream urinalysis.
C.Send a blood sample for a complete blood count. F.Assist the primary health care provider in collecting
, specimens for vaginal culture. H.Enter a prescription to obtain the client's blood typing.
Question: The nurse is caring for a client who is having her fourth child during the active stage of labor.
The client reports shortness of breath and chest pain. She states, "This feels different than any delivery
before." Which of the following actions would the nurse take? Select all that apply.
Correct Answer: CORRECT ANSWERS: A.Assess the client's oxygen saturation. B.Apply oxygen to the
client at 10 L per mask G.Remain with the client while contacting the primary health care provider
immediately.
Question: The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that persists even
with acetaminophen administration. For each health assessment finding below, indicate whether it Requires
Nursing Follow-Up (could be harmful to client) or is Expected (no follow-up is required) for the client at
this time.
Correct Answer: Expected Temperature = 98°F (36.7°C) Heart rate = 100 beats/min Respiratory rate = 22
breaths/min Hemoglobin = 11 g/dL (110 g/L) Clonus = negative DTRs = 21 in lower and upper extremities
Breath sounds = clear in all fields Requires Nursing Follow-Up Blood pressure = mm Hg Headache rated at
on a 0 to 10 pain scale Constant epigastric pain Platelets = 128,000/mm3 (128 3 109/L) Urine protein = 21
Urine ketones = 11 Visual disturbances Client reports that primary health care provider is "watching my
blood pressure"
Question: The nurse reviews the following assessment findings for a 21-year-old pregnant client at 28
weeks' gestation who is concerned about dizziness and a headache that persists even with acetaminophen
administration.Physical Assessment Findings Reports headache as on a 0 to 10 pain scale Reports epigastric
pain that is constant Breath sounds clear in all lung fields No clonus, DTRs 2+ in lower and upper
extremities States that her obstetric provider has been "watching her blood pressure" Reports seeing "stars"
sometimes The nurse wants to encourage optimal outcomes for both mother and baby. Based on the
assessment findings above, what priority nursing actions are needed to prevent worsening of the client's
symptoms? Select all that apply.-
Correct Answer: CORRECT ANSWERS: A.Administer an antihypertensive medication per protocol.
F.Place the client in a flat position on her back to increase blood pressure.
Question: The nurse is preparing to discharge the client and her newborn following a spontaneous vaginal
delivery at 40 weeks' gestation and evaluates the effectiveness of the newborn's care. For each assessment
finding, indicate whether the interventions were Effective (helped to meet expected outcomes), Ineffective
(did not help to meet expected outcomes), or Unrelated (were not related to the expected outcomes).
Correct Answer: CORRECT ANSWERS: Assessment Finding Effective Temperature = 99.1°F (37.2°C)
Heart rate = 144 beats/min Respirations = 54 breaths/min Pulse oximetry = 99% (on room air) Birth weight
= 9 lb 13 oz (4.46 kg) Current weight = 9 lb 6 oz (4.29 kg) Urine output = 4 wet diapers in 12 hours Bowel
movement = dark green, thick, and large amount Ineffective Bilirubin = 14 mg/dL (205 mcmol/L) Baby has
minimal periods of wakefulness Breast-feeding every 2.5-3 hr Unrelated Baby has had photographs taken
Security safety bands are intact
Question: The nurse is caring for a 34-year-old laboring woman and provides health teaching about the
stages of labor. Complete the statements by selecting from the lists of options provided
Correct Answer: The first stage of labor lasts from the time Dilation begins to the time when the Cervix is
fully dilated. The second stage of labor lasts from the time of full cervical Dilation to the birth of the Infant .
The third stage of labor lasts from the Infant 's birth to the expulsion of the Placenta . The fourth stage of
