OB EXAM 1(QUESTIONS AND ANSWERS)2023

OB EXAM 1(QUESTIONS AND ANSWERS)2023 When caring for a pregnant woman, the nurse would recognize that a woman with which disorder has the greatest risk for giving birth to a macrosomic newborn? A.) Anemia B.) HTN C.) Diabetes D.) Hyperthyroidism - CORRECT ANSWER-C.) that baby gone be fat! During examination of a pregnant woman, the nurse notes that the woman's cervix is soft on its tip. The nurse documents the findings as: A.) Friability B.) Goodell sign C.) Chadwick sign D.) Hegar sign - CORRECT ANSWER-B A woman exhibits understanding of instructions for performing a home pregnancy test to maximize accuracy if she: A.) Uses urine collected at the end of the day. B.) Avoids using Tylenol or aspirin for a headache for about 1 week prior to performing the test C.) Performs the test on the day she expects her menstrual period to occur D.)Records the day of her last menstrual period and her usual cycle length - CORRECT ANSWER-D.) recording cycle information assists with accuracy of diagnosis; choice C reflects the most common error of performing this test too soon and she will need to repeat the test in 1 week if the result is negative; first-voided morning speci-mens should be used because they are the most con-centrated and are apt to have the largest amount of hCG; When assessing pregnant women during prenatal checkups, which findings would be categorized as probable signs of pregnancy? SATA A.)Human chorionic gonadotropin in the urine B.) Breast tenderness C.) Morning sickness D.) Fetal heart sounds E.) Ballottement F. Hegar sign - CORRECT ANSWER-A, E, F Probable signs are what the nurse assess. Breast tenderness and morning sickness are presumptive signs because this is what the patient tells us. FHT's are positive signs of pregnancy A 34 year-old woman at 36 weeks of gestation has been scheduled for a biophysical profile. She asks the nurse why that test needs to be performed. The nurse's best response would be: A.) Determines how well her baby will breathe after it is born B.) Evaluates the response of her baby's heart to uterine contractions C.) Measures her baby's head and length D.) Observes her baby's activities in utero to ensure that her baby is getting enough oxygen - CORRECT ANSWER-D Implantation occurs.... A.) 2 weeks after conception B.) 1 week after conception C.) 6-10 days after conception D.) 12-14 days after conception - CORRECT ANSWER-C...in the ampulla My pregnant patient is confused about how we came to her due date, what can I tell her? A.) " Your due date is calculated 40 weeks from the day you had sex and conceived." B.) "Your due date is calculated from the LAST day of your menstrual period." C.) Your due date is calculated from the FIRST day of your menstrual period." - CORRECT ANSWER-C.)Length of pregnancy is computed from the first day of the last menstrual period (LMP) until the day of birth. However conception occurs approximately 2 weeks after the first day of the LMP, thus the post-conception age of the fetus is 2 weeks less Your pregnant patient is presenting to the hospital for a scheduled C-section due to oligohydramnios, what are you greatest concerns for the baby in this case? SATA A.) Fluid overload B.) Respiratory distress after birth C.) Low body temp D.) Adhesions E.) F&E imbalance - CORRECT ANSWER-C, D, E. Oligohydramnios is less than 300 ml of amniotic fluid and is associated with renal abnormalities. All three of the correct answers are functions of the amniotic fluid. If you don't have enough, the baby can risk not having these functions. While your patient is lying flat on her back to get a Foley inserted, she starts complaining of nausea and dizziness. You notice she is pale and diaphoretic. What is the most likely cause of this? A.) Braxton Hicks B.) Polyhydramnios C.) Supine hypotensive syndrome D.) Cord compression - CORRECT ANSWER-C.) This occurs when the vena cava of the mother is compressed, causing diminished blood return to the R atrium Your patient is laboring and suddenly has a drop in her O2 saturation to 90% and FTH's are showing decelerations. what is the priority nursing intervention? A.) Stop laboring and apply nasal cannula at 15 L B.) Apply a partial non-rebreather at 5L C.) Stop laboring and administer blood products D.) Apply a non-rebreather at 10L - CORRECT ANSWER-D Your patient is being seen in office because she wished to conceive with her husband. The following is part of her history: - Endometriosis -Athlete in high school -Avid caffeine drinker (3 cups of coffee/day) -BMI is 37 Which of these can i tell her are risk factors for not conceiving and pregnancy complications? SATA - CORRECT ANSWER-Endometriosis and a BMI that indicated obesity are both risk factors for not being able to conceive successfully. Too much caffeine consumption can be harmful to the baby during pregnancy. 1 cup/day is recommended Currently in labor, has a 4 yo, a 12 yo, and a 13 yo at home, had an elective abortion at 19yo, the 4 yo has CP due to prematurity. WHat is the GTPAL? - CORRECT ANSWERG:5 T: 2 P: 1 A: 1 L: 3 Just delivered twins at 35 weeks gestation, has a 5 yo at home who was born at 41 weeks. What is the GP? - CORRECT ANSWER-G:2 P:2 Twins still count as 1 pregnancy and 1 birth