OB Exam 2 Practice Questions With
Correct Answers
The nurse is preforming an assessment on a client who is at 38 weeks
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gestation and notes that the fetal heart rate is 174 beats/ min. On the
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basis of this finding, what is the PRIORITY nursing action?
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A) Document the finding
| | |
B) Check the mothers heart rate
| | | | |
C) Notify the HCP
| | |
D) Tell the client the fetal HR is normal - CORRECT ANSWER✔✔-C
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A client arrives to the clinic for the first prenatal assessment. She tells
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the nurse that the first day of her menstrual period was October 19,
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2014. Using Nageles Rule, which expected date of delivery should the
| | | | | | | | | | |
nurse document in the client's chart?
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A) July 12, 2014
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B) July 26, 2015
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C) August 12, 2015
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D) August 26, 2015 - CORRECT ANSWER✔✔-B
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,The nurse has preferred a non stress test on a pregnant client and is
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reviewing the fetal monitor strip. The nurse interprets the test as
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reactive. How should the nurse document the finding?
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A) Normal
|
B) Abnormal
|
C) The need for further evaluation
| | | | |
D) That findings were difficult to interperet - CORRECT ANSWER✔✔-A
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The home care nurse visits a pregnant client who has had a diagnosis of
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mild preeclampsia. Which assessment finding indicates a worsening of
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the preeclampsia and the need to notify the HCP?
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A) Urinary Output has increased
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B) Dependent edema has resolved
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C) Blood pressure reading is at the prenatal baseline
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D) The client complains of a headache and blurred vision - CORRECT
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ANSWER✔✔-D
The nurse is assessing a pregnant client with type 1 diabetes mellitus
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about her understanding regarding changing insulin needs during
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pregnancy. The nurse determines that FURTHER TEACHING IS NEEDED if
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the client makes which statement?
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A) "I will need to increase my insulin dosage during the first 3 months of
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pregnancy."
, B) "My insulin dose will likely need to be increased during the second
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and third trimesters."
| |
C) "Episodes of hypoglycemia are more likely to occur during the first 3
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months of pregnancy." | |
D) "My insulin needs should return to normal within 7-10 days after
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birth if I am bottle feeding." - CORRECT ANSWER✔✔-A
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The nurse in the labor room is caring for a client in the active stage of
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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
| | | | |
B) Place the mother in a supine position
| | | | | | |
C) Increase the rate of oxytocin (pitocin) intravenous infusion
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D) Document the findings and continue to monitor the fetal patterns -
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CORRECT ANSWER✔✔-A |
The maternity nurse is preparing for the administration of a client in the
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third trimester pregnancy who is experiencing vaginal bleeding and has
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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
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C) Prepare to draw a hemoglobin and hematocrit blood sample
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Correct Answers
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
| | |
B) Check the mothers heart rate
| | | | |
C) Notify the HCP
| | |
D) Tell the client the fetal HR is normal - CORRECT 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 - CORRECT ANSWER✔✔-B
| | | | | |
,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 - CORRECT 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
| | | | | | | |
D) The client complains of a headache and blurred vision - CORRECT
| | | | | | | | | | | |
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." - CORRECT 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
| | | | |
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 -
| | | | | | | | | | | |
CORRECT 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
| | | | | | | | |
