OB Exam 1 Practice Questions and Answers 100% Pass

OB Exam 1 Practice Questions and Answers 100% Pass Where does fertilization take place? A. The cervix B. The fallopian tubes C. The endometrium D. The ovaries B. The fallopian tubes Sophia is admitted to the Labor and Delivery unit at Parkview hospital at 37 weeks gestation for contractions. She already has three children, one of which was a preterm infant at 30 weeks. Unfortunately, Sophia also had a miscarriage at 18 weeks on her first pregnancy. How would the nurse document this? A. G5/T3/P1/A0/L3 B. G4/T3/P1/A1/L3 C. G5/T2/P1/A1/L3 D.G4/T3/P0/A1/L2 C. G5/T2/P1/A1/L3 Antonia comes in for her fourth prenatal checkup. This is her third pregnancy, the first resulting in a full term healthy baby girl at 39 weeks, the second resulting in premature twins delivered at 35 weeks. How would the nurse document Antonia's pregnancies? A. G3/T1/P1/A0/L3 B. G3/T1/P2/A0/L3 C. G2/T1/P1/A0/L3 D. G2/T2/P1/A0/L3 A. G3/T1/P1/A0/L3 Corrinne comes into her OB/GYN saying that she just "feels like she may be pregnant". Her last menstrual period was seven weeks ago, but she admits her cycle has always been irregular. What kind of presumptive symptoms might Corrinne be feeling? A. Urinary frequency, Chadwick's sign, and Ballottement B. Breast changes, nausea, and fatigue C. Quickening, skin pigment changes, and uterine enlargement D. Goodell's sign, fatigue, and breast changes. B. Breast changes, nausea, and fatigue. Corrinne comes into her OB/GYN saying that she just "feels like she may be pregnant". Her last menstrual period was seven weeks ago, but she admits her cycle has always been irregular. What can the provider do to confirm the pregnancy? A. Listen for a fetal heartbeat with a stethoscope B. Feel for fetal movement C. Listen for a fetal heartbeat on the ultrasound D. Administer an HCG pregnancy test C. Listen for a fetal heartbeat on the ultrasound The "Dirty Duncan" side of the placenta faces what? A. The fetus B. The cervix C. The stomach D. The endometrium D. The endometrium Amanda comes into her OB/GYN complaining of grayish-white vaginal discharge, a distinct fishy odor, and vaginal discomfort. What could Amanda be suffering from? A. Bacterial Vaginosis B. Syphillis C. Chlamydia D. Herpes Simplex A. Bacterial Vaginosis At her prenatal checkup, Olivia expresses concern that she has been gaining weight. She's always been a heavier woman, with a BMI of 26. What does the nurse explain is the normal weight gain during pregnancy for a woman her size? A. 25-35lbs B. She should lose weight to get to her ideal first, then gain an additional 25-35lbs C. She should not gain weight D. 15-25 lbs D. 15-25lbs Heather is in her 20th week of pregnancy and is experiencing discomfort. Which of the following will the nurse say is a normal symptom during the trimester Heather is currently in? SELECT ALL THAT APPLY A. Nausea B. Quickening C. Backache D. Fatigue E. Constipation B,C,E TRUE OR FALSE: Fraternal twins have the same DNA because they both are born from the same mother at the same time. A. True B. False B. False. Jessie has always hoped to have a baby girl. She already has two boys at home, and is overjoyed to learn that her current pregnancy of a baby boy is actually identical twins, because she hopes that one of them might be female. What does the nurse tell her? A. There is a chance that one twin might be female because there are two fetuses, not just one. B. There is a chance that one twin might be female because when the egg divided in utero, one of the embryos could have received the Y chromosome while one did not. C. There is no chance that one twin might be female because the hormones in her body keep the X chromosome from developing. D. There is no chance that one twin might be female because both babies arise from the same zygote. D. There is no chance because both babies arise from the same zygote. How long is the ovum available in the fallopian tubes during ovulation? A. One week B. 12 hours C. 24 hours D. 48 hours C. 24 hours TRUE OR FALSE: The chromosomes in the sperm determine the sex of the baby. A. True B. False A. True How many chromosomes are in a zygote? A. 23 chromosomes B. 46 chromosomes C. 72 chromosomes D. 13 chromosomes B. 46 chromosomes Martha's baby girl was born at 0700 this morning at 39 weeks gestation. During the nurse's hourly assessment of the newborn, she hears a heart murmur in the baby's heartbeat. The nurse knows this finding is likely due to A. Shunting via the foramen ovale and ductus arteriosis B. A heart defect that should be further assessed by the provider C. The increased levels of bilirubin in the baby's blood D. The stress of birth on the baby's lungs A. Shunting via the foramen ovale and ductus arteriosis The "shiny Schultz" side of the placenta faces the A. Endometrium B. Fetus C. Fundus D. Cervix B. Fetus Lilly is at 24 weeks gestation and is curious about her developing baby. What does the nurse explain will develop during the 24th week of gestation? SELECT ALL THAT APPLY. A. Grasp reflex B. Lanugo C. Mature alveoli D. Startle Reflex E. Neural Tube A,D Which of the following physiological change is NORMAL during pregnancy? A. Increased blood pressure B. Decreased renal perfusion C. Decreased gastric motility D. Increased cardiac output D. Increased cardiac output During the postpartum assessment, the nurse notices that the patient's lower abdomen feels firm and hard over the fundal line. What should the nurse do FIRST? A. Continue the assessment, moving to the patient's perineum. B. Place the client in Trendelenberg's position. C. Initiate a fundal rub and bolus the patient's fluids D. Call the provider A. Continue the assessment, moving to the patient's perineum. While reading the patient's chart, the nurse notices she has been exhibiting Chadwick's sign. Upon assessing the perineum, what does the nurse expect to find? A. Beefy red edema around the vaginal opening B. Softening of the cervix C. A deep bluish tint to the vaginal mucosa D. The feeling of fetal rebound upon pressing against the cervix C. A deep bluish tint to the vaginal mucosa A laboring patient has just entered the third stage of labor. The nurse knows this stage occurs when... A. Her cervix is 8-10 centimeters dilated B. The baby has been born and she is now passing the placenta C. The contractions can be timed at 30 seconds apart D. Her cervix is 4-7 centimeters dilated B. The baby has been born and she is now passing the placenta The nurse knows that which hormone is responsible for enlargement of the uterus, breasts, and external genitalia during pregnancy? A. Estrogen B. Progesterone C. Human Chorionic Gonadotropin D. Prolactin A. Estrogen Lucille is at her 23rd week of pregnancy. The nurse palpates for her fundus and expects to find it where on Lucille's abdomen? A. At the xiphoid process B. Between the umbillicus and the pubic bone C. At the level of the umbillicus D. In the pelvic cavity C. At the level of the umbillicus. During labor, the care provider checks to assess fetal station. The nurse knows the fetus is "engaged" when it reaches... A. -5 station B. -1 station C. 2 station D. 0 station D. 0 station Theodora is in her third trimester of pregnancy. At her checkup, she complains that while she is laying down to sleep she often begins to feel dizzy. What should the nurse tell her? A. She ought to try sleeping on her side B. She needs to drink more water C. She should call the provider immediately D. She should try stress reduction techniques A. She ought to try sleeping on her side Victoria has just given birth to a baby boy at 38 weeks gestation. Upon hearing the nurse report her son's heart rate as 150bpm, she asks "Isn't that high? Is there something wrong with my son?" What should the nurse tell Victoria? A. Your son's heart rate is just high due to the stress of being born B. Your son's heart rate is normal for a child his age C. We will take the best care of your son that we can D. We will call the provider to discuss the possibility of heart defects B. Your son's heart rate is normal for a child his age The nurse is assisting in the delivery of a healthy baby girl at 39 weeks gestation. Upon the baby arriving, the nurse immediately does what? A. Cuts the umbillical cord B. Flicks the bottom of the feet C. Uses bulb suction to suction her mouth, then nose D. Places the baby on the warming table to assess her heart and lung sounds C. Uses bulb suction to suction her mouth, then nose Jordan is 20 weeks pregnant and receives a blood test. When the results come in, she is found to have B- blood. What intervention will be performed on Jordan? A. She will receive RhoGAM at 36 weeks B. She will be checked for clotting problems C. She will not receive RhoGAM because she is Rh negative, not Rh positive D. She will receive RhoGAM at 28 weeks. D. She will receive RhoGAM at 28 weeks. The nurse is preparing to teach his patient about fetal circulation when she asks specifically about the umbillical cord. What should he tell this patient? A. "The umbillical arteries carry deoxygenated blood away from the fetus while the umbillical vein carries oxygenated blood back to the fetus"B. "The umbillical arteries carry oxygenated blood toward the fetus while the umbillical vein carries blood away from the fetus" C. "The umbillical artery carries deoxygenated blood away from the fetus while the umbillical veins carry oxygenated blood back to the fetus" D. "The umbillical artery carries oxygenated blood toward the fetus while the umbillical veins carry deoxygenated blood back to the fetus" A. "The umbillical arteries carry deoxygenated blood away from the fetus while the umbillical vein carries oxygenated blood back to the fetus" A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The nurse understands that the client should be able to find out at 12 weeks' gestation because by the end of the twelfth week: A. The sex of the fetus can be determined by the appearance of the external genitalia. B. The sex of the fetus can be determined because the external genitalia begin to differentiate. C. The sex of the fetus can be determined because the testes are descended into the scrotal sac. D. The sex of the fetus can be determined because the internal differences in males and females becomes apparent. A. The sex of the fetus can be determined by the appearance of the external genitalia Margaret is admitted to the Labor and Delivery unit at Parkview. She tells the nurse that she's been experiencing irregular contractions of consistent intensity for the last few hours. The nurse can tell she is very anxious about the possibility of preterm labor, as she is only 22 weeks gestation. What should the nurse do FIRST? A. Call the provider B. Explain that this is a normal finding C. Instruct the client to remain on bedrest for the next week. D. Admit the patient to the maternity unit in a prelabor condition B. Explain that this is a normal finding The nurse sees in the chart that her patient is exhibiting Goodell's sign. What will the nurse expect to find with this patient? A. A deep bluish tint to the vaginal mucosa B. A soft blowing sound heard on auscultation to the uterus C. The presence of HCG in the urine D. A softening of the cervix D. Softening of the cervix A couple comes into the clinic complaining of difficulty conceiving. The wife explains that they have been trying for more than a year and have had no luck and that she's worried that her uterus may be damaged or abnormal. The husband indicates fear that his sperm may be abnormal. What should the nurse do FIRST? A. Perform a thorough physical assessment of both the husband and wife. B. Refer the woman for a hysterosalpingogram C. Ask the clients questions in a thorough interview. D. Perform semen analysis on a sample from the husband. C. Ask the clients questions in a thorough interview. Alejandro and Shelly are trying to conceive and have not been able to for more than a year. During the interviewing stage, what should the nurse ask them about? SELECT ALL THAT APPLY A. History of lung cancer B. STIs C. Bowel movements D. Diet E. Past abortions B, D, E Shelly and Alejandro, a couple trying to conceive, are concerned when all of their tests come back normal. Which intervention would NOT be appropriate for the nurse to provide teaching about to them? A. To promote sperm retention, Shelly should lay with her legs or pelvis propped up for at least 30 minutes after intercourse B. To prevent alteration of the vaginal lubricant, Alejandro and Shelly should not use any artificial lubricants. C. It is important for Shelly not to use douching because it will alter the vaginal mucosa. D. Alejandro and Shelly should ensure that they have intercourse every day beginning three days prior to ovulation. D. Alejandro and Shelly should ensure that they have intercourse every day beginning three days prior to ovulation. The nurse is teaching a pregnant client about STIs. Which statement by the client indicates the need for further teaching? A. "Chlamydia can result in birth