OB/PEDS Final Questions from Study Guide
A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to her
provider. The nurse determines the client understands the teaching when the client states the need to
report which of the following?
C. Shortness of Breath
Most side effects associated with combined oral contraceptives are due to:
estrogen
Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger sign
of COC's you would ask her to report?
D. Severe migraine headache
Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last menstrual
flow began on July 20, which due date would the nurse estimate?
A. April 27
Which of the following nursing interventions is appropriate when preparing a woman for an
amniocentesis?
B. Be certain she knows that there is a slight risk of complication, such as preterm labor, from
amniocentesis.
T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either
blood serum or urinalysis:
True
,A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The
nurse should evaluate which of the following tests to assess fetal lung maturity.
B. Lecithin/sphingomyelin (L/S) ratio
Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is
successful, what instructions would be best to give her before this procedure?
A. Void immediately before the procedure to reduce the size of your bladder.
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following
statements should the nurse include in teaching?
C. You should empty your bladder prior to the procedure
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 finding should the nurse expect? (select all)
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
_____________ or objective symptoms are experienced by the woman but cannot be documented.
Presumptive
Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means, your
best answer would be which of the following?
D. Your vagina looks dark in color, a typical pregnancy sign.
,Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit
should you cite when responding to Sandra's statement?
C. It provides time for education about pregnancy and birth.
Protein is found in large quantities in meat. How many servings per day are recommended for women
during pregnancy?
C. 6
What calorie intake is recommended during pregnancy?
A. An additional 300 calories per day
16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs.
complex carbs
What vitamins come from what foods
• Vitamin A
• Vitamin C
• Vitamin D
• Folic Acid
• Vitamin A- dark green and yellow vegetables and fruits and in animal sources such as liver, milk, butter,
cheese, and eggs
• Vitamin C-fresh vegetables and fruits
• Vitamin D- fortified milk, cheese, eggs, and salmon
• Folic Acid- vegetables and fruits
, If a fetus is in an ROA position during labor, how would the nurse understand the fetus be positioned?
A. In a longitudinal lie facing the left posterior.
B. Facing the right anterior abdominal quadrant.
C. In a common breech delivery position.
D. Presenting with the face as the presenting part.
A. In a longitudinal lie facing the left posterior.
Although the time frame for labor differs with individual women, which time period would you find
excessive for a nullipara woman?
A. A latent phase of labor of 24 hours
B. A deceleration phase of 2 hours
C. A phase of maximum slope of 1.5 cm per hour
D. A fetal descent slope of 1 cm per hour
A. A latent phase of labor of 24 hours
20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
a. Apply palms of hands to sides of the uterus.
b. Palpate the fundus of the uterus
c. Grasp lower uterine segment between thumb and fingers
d. Stand facing the client with fingertips outlining cephalic prominence
b. Palpate the fundus of the uterus
A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to her
provider. The nurse determines the client understands the teaching when the client states the need to
report which of the following?
C. Shortness of Breath
Most side effects associated with combined oral contraceptives are due to:
estrogen
Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger sign
of COC's you would ask her to report?
D. Severe migraine headache
Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last menstrual
flow began on July 20, which due date would the nurse estimate?
A. April 27
Which of the following nursing interventions is appropriate when preparing a woman for an
amniocentesis?
B. Be certain she knows that there is a slight risk of complication, such as preterm labor, from
amniocentesis.
T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either
blood serum or urinalysis:
True
,A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The
nurse should evaluate which of the following tests to assess fetal lung maturity.
B. Lecithin/sphingomyelin (L/S) ratio
Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is
successful, what instructions would be best to give her before this procedure?
A. Void immediately before the procedure to reduce the size of your bladder.
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following
statements should the nurse include in teaching?
C. You should empty your bladder prior to the procedure
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 finding should the nurse expect? (select all)
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
_____________ or objective symptoms are experienced by the woman but cannot be documented.
Presumptive
Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means, your
best answer would be which of the following?
D. Your vagina looks dark in color, a typical pregnancy sign.
,Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit
should you cite when responding to Sandra's statement?
C. It provides time for education about pregnancy and birth.
Protein is found in large quantities in meat. How many servings per day are recommended for women
during pregnancy?
C. 6
What calorie intake is recommended during pregnancy?
A. An additional 300 calories per day
16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs.
complex carbs
What vitamins come from what foods
• Vitamin A
• Vitamin C
• Vitamin D
• Folic Acid
• Vitamin A- dark green and yellow vegetables and fruits and in animal sources such as liver, milk, butter,
cheese, and eggs
• Vitamin C-fresh vegetables and fruits
• Vitamin D- fortified milk, cheese, eggs, and salmon
• Folic Acid- vegetables and fruits
, If a fetus is in an ROA position during labor, how would the nurse understand the fetus be positioned?
A. In a longitudinal lie facing the left posterior.
B. Facing the right anterior abdominal quadrant.
C. In a common breech delivery position.
D. Presenting with the face as the presenting part.
A. In a longitudinal lie facing the left posterior.
Although the time frame for labor differs with individual women, which time period would you find
excessive for a nullipara woman?
A. A latent phase of labor of 24 hours
B. A deceleration phase of 2 hours
C. A phase of maximum slope of 1.5 cm per hour
D. A fetal descent slope of 1 cm per hour
A. A latent phase of labor of 24 hours
20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
a. Apply palms of hands to sides of the uterus.
b. Palpate the fundus of the uterus
c. Grasp lower uterine segment between thumb and fingers
d. Stand facing the client with fingertips outlining cephalic prominence
b. Palpate the fundus of the uterus
