OB EXAM 1 PRACTICE TEST 2023/2024

OB EXAM 1 PRACTICE TEST 2023/2024 preseumptive signs - CORRECT ANSWER-changes the client experiences that might make them think they're pregnant breast changes in pregnancy - CORRECT ANSWER-darkened areola, enlarges glands quickening - CORRECT ANSWER-slight flutter movements of the fetus felt by the client probable signs - CORRECT ANSWER-changes that make the examiner think they are pregnant hegars sign - CORRECT ANSWER-softening and compressing of the lower uterus Chadwicks sign - CORRECT ANSWER-Deepend violet-bluish color of vaginal mucosa goodells sign - CORRECT ANSWER-softening of the cervix tip ballottement - CORRECT ANSWER-rebound of unengaged fetus blood and urine tests - CORRECT ANSWER-provide accurate assessment for the presence of hcg when should a home pregnancy test be taken? - CORRECT ANSWER-first void in the morning nagels rule - CORRECT ANSWER-the first day of the clients last menstrual cycle, subtract 3 months, and then add 7 days plus a year fundal height measurement - CORRECT ANSWER-in cm from pubic symphysis to top of uterine fundus gravidity - CORRECT ANSWER-number of pregnancies nulligravida - CORRECT ANSWER-client who has never been pregnant primigravida - CORRECT ANSWER-a woman who is pregnant for the first time multigravida - CORRECT ANSWER-woman who has had more than two pregnancies parity - CORRECT ANSWER-number of pregnancies in which fetus or fetuses have reached 20 weeks (doesn't matter if fetus was alive or not) viability - CORRECT ANSWER-point in time when the infant could survive outside the uterus TPAL - CORRECT ANSWER-term, preterm, abortion, living children reproductive changes - CORRECT ANSWER-uterus size increases and changes shape and position cardiac output change - CORRECT ANSWER-increases by 30-50% Blood volume increases by - CORRECT ANSWER-30-45% respiratory changes - CORRECT ANSWER-respiratory rate increases and lung capacity decreases why does constipation occur during pregnancy? - CORRECT ANSWER-the food takes longer to be digested which allows for more water absorption chloasma - CORRECT ANSWER-increase of pigmentation on the face linea nigra - CORRECT ANSWER-a dark line appearing on the abdomen and extending from the pubis toward the umbilicus A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The clients health record shows this data; G3 T1 P0 A1 L1. How should the nurse interpret this? (select all that apply) A- client has delivered one newborn at term B-client has experiences no preterm labor C-client has been through active labor D-Client has had two prior pregnancies E-Client has one living child - CORRECT ANSWER-A D E A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. which of the following should the nurse suspect? A-Montgomerys glands B- Goodells sign C- Ballottment D- Chadwicks sign E-quickening - CORRECT ANSWER-B C D A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following should the nurse say? A-This is due to an increase in blood volume B-This is due to pressure from the uterus on the diaphragm C-This is due to the weight of the uterus on the vena cava D-This is due to an increase CO - CORRECT ANSWER-C A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. Which of the following info should the nurse provide to the client? A-you should wait until 4 weeks after conception to be tested B-You should be off any medication for 24 hours prior to the test C-You should be NPO for at least 8 hours prior to the test D-You should collect urine from the first urine void - CORRECT ANSWER-D When do the majority of birth defects occur? - CORRECT ANSWER-Between 2 and 8 weeks gestation how often does a mother visit the doctor from weeks 16-28? - CORRECT ANSWEROnce a month How often does a mother visit the doctor from weeks 29-36? - CORRECT ANSWERevery two weeks How often does a mother visit the doctor after 36 weeks? - CORRECT ANSWER-once a week first visit - CORRECT ANSWER-determine the due date, obtain medical/gyn history, perform physical assessment, and obtain initial baseline weight/lab tests lab tests done during initial visit - CORRECT ANSWER-CBC (hemoglobin, hematocrit, WBC), blood typing, Pap smear, cultures Ongoing visits - CORRECT ANSWER-monitor weight, cbc, urine monitor fetal development provide education Where do you listen to the fetal heart rate? - CORRECT ANSWER-Midline, right above pubic symphysis When is the one-hour glucose test given? - CORRECT ANSWER-initial visit for at risk women and between 24-28 weeks for a healthy preganc