NCM 109 OB questions with correct answers
1. A nonstress test is performed on a client, and the results are documented as "two
or more fetal heart rate (FHR) accelerations of 15 beats per minutes, lasting 15 seconds in association with fetal movement". The nurse interprets these findings as:
a. A nonreactive nonstress test b. A reactive nonstress test
c. Unclear for accurate interpretation
d. Unsatisfactory CORRECT ANSWER b. A reactive nonstress test
1. The physician orders MSAFP screening for the client. In planning instruction for
the client about the test, the nurse should stress that MSAFP studies:
a. Are usually very accurate until 28 weeks gestation
b. With elevated levels are associated with neural tube defects
c. With elevated levels are associated with sickle cell anemia
d. Require a freshly voided maternal urine specimen CORRECT ANSWER b. With elevated levels are associated with neural tube defects
1. A prenatal client at 16 weeks gestation presents to the clinic with unexplained, bright red bleeding, cramping and backache, which she has had for the past two days. A pelvic exam reveals a closed cervix. What type of abortion does this indicate?
a. Threatened
b. Incomplete
c. Imminent
d. Missed CORRECT ANSWER a. Threatened 1. A patient who is experiencing hypovolemic shock has decreased cardiac output, which contributes to ineffective tissue perfusion. The decrease in cardiac output occurs due to?
a. A decrease in cardiac contractility
b. AN increase in stroke volume c. A decrease in cardiac preload
d. AN increase in cardiac preload CORRECT ANSWER c. A decrease in cardiac preload
A client, gravida VI, with a history of four preterm births with fetal deaths and diabetes mellitus in her family, smokes 1 ½ packs of cigarettes a day. Both she and
her husband work full time. Based on an analysis of the client's risk status, the nurse should:
a. Suggest to the client that she see physician who specializes in the care of women
with high - risk pregnancies
b. Suggest to the client that she and her husband be seen by a geneticist
c. Schedule this client for cerclage placement because of her history of multiple preterm births
d. Explain to the client that she must stop smoking immediately for the health of the baby CORRECT ANSWER a. Suggest to the client that she see physician who specializes in the care of women with high - risk pregnancies
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
a. Painless vaginal bleeding
b. Abdominal bleeding
c. Sudden, stabbing pain in the lower quadrant
d. Throbbing pain in the upper quadrant CORRECT ANSWER c. Sudden, stabbing
pain in the lower quadrant A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
a. Is considered negative if no late decelerations are observed with the contractions
b. Sometimes used vibroacoustic stimulation
c. Is an invasive test; however, contractions are stimulated
d. Is more effective than non stress test if the membranes have already been ruptured CORRECT ANSWER a. Is considered negative if no late decelerations are observed with the contractions
Which nursing action would take priority when caring for a woman with a suspected ectopic pregnancy?
a. Provide emotional support b. Monitor VS
c. Obtain surgical consent
d. Administer oxygen - if basing from emergency assessment, CORRECT ANSWER b. Monitor VS
An 18 - year - old woman asks why she has to have a routine maternal alpha-
fetoprotein serum level drawn. You explain that this....
a. May reveal chromosomal abnormalities
b. Measures the fetal liver function
c. Is a screening test for placenta function
d. Tests the ability of her heart to accommodate to pregnancy CORRECT ANSWER a. May reveal chromosomal abnormalities
The best way for the nurse to assess the amount of blood loss of a pregnant client with bleeding is to: a. Monitor pulse and blood pressure b. Count or weigh perineal pads
c. Check hemoglobin and hematocrit
d. Measure the height of the fundus CORRECT ANSWER b. Count or weigh perineal pads
1. A 21 y.o. arrives to the ER with cramping abdominal pain and mild vaginal bleeding Pelvic exam shows a left adrenal mass that is tender when palpated. Culdoscopy shows blood in the Douglas cul de sac. The client probably has which of the following conditions?
a. Abruptio Placenta
b. Hydatidiform mole
c. Placenta Previa
d. Ectopic Pregnancy CORRECT ANSWER d. Ectopic Pregnancy
1. A client at 42 weeks gestation has a condition stress test (CST). The nurse understands that a positive test might indicate that:
a. Placenta has stopped growing
b. Function of the placenta is diminished
c. Amniotic Fluid is meconium stained d. Fetus is not ready to be delivered CORRECT ANSWER d. Fetus is not ready to be delivered
1. The nurse explains to a pregnant client undergoing nonstress test that the test is a
way of evaluating the condition of the fetus by comparing the fetal heart rate with:
a. Maternal Uterine contractions
b. Maternal blood pressure
c. Fetal lie
d. Fetal movement CORRECT ANSWER d. Fetal movement
1. A nonstress test is performed on a client, and the results are documented as "two
or more fetal heart rate (FHR) accelerations of 15 beats per minutes, lasting 15 seconds in association with fetal movement". The nurse interprets these findings as:
a. A nonreactive nonstress test b. A reactive nonstress test
c. Unclear for accurate interpretation
d. Unsatisfactory CORRECT ANSWER b. A reactive nonstress test
1. The physician orders MSAFP screening for the client. In planning instruction for
the client about the test, the nurse should stress that MSAFP studies:
a. Are usually very accurate until 28 weeks gestation
b. With elevated levels are associated with neural tube defects
c. With elevated levels are associated with sickle cell anemia
d. Require a freshly voided maternal urine specimen CORRECT ANSWER b. With elevated levels are associated with neural tube defects
1. A prenatal client at 16 weeks gestation presents to the clinic with unexplained, bright red bleeding, cramping and backache, which she has had for the past two days. A pelvic exam reveals a closed cervix. What type of abortion does this indicate?
a. Threatened
b. Incomplete
c. Imminent
d. Missed CORRECT ANSWER a. Threatened 1. A patient who is experiencing hypovolemic shock has decreased cardiac output, which contributes to ineffective tissue perfusion. The decrease in cardiac output occurs due to?
a. A decrease in cardiac contractility
b. AN increase in stroke volume c. A decrease in cardiac preload
d. AN increase in cardiac preload CORRECT ANSWER c. A decrease in cardiac preload
A client, gravida VI, with a history of four preterm births with fetal deaths and diabetes mellitus in her family, smokes 1 ½ packs of cigarettes a day. Both she and
her husband work full time. Based on an analysis of the client's risk status, the nurse should:
a. Suggest to the client that she see physician who specializes in the care of women
with high - risk pregnancies
b. Suggest to the client that she and her husband be seen by a geneticist
c. Schedule this client for cerclage placement because of her history of multiple preterm births
d. Explain to the client that she must stop smoking immediately for the health of the baby CORRECT ANSWER a. Suggest to the client that she see physician who specializes in the care of women with high - risk pregnancies
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
a. Painless vaginal bleeding
b. Abdominal bleeding
c. Sudden, stabbing pain in the lower quadrant
d. Throbbing pain in the upper quadrant CORRECT ANSWER c. Sudden, stabbing
pain in the lower quadrant A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
a. Is considered negative if no late decelerations are observed with the contractions
b. Sometimes used vibroacoustic stimulation
c. Is an invasive test; however, contractions are stimulated
d. Is more effective than non stress test if the membranes have already been ruptured CORRECT ANSWER a. Is considered negative if no late decelerations are observed with the contractions
Which nursing action would take priority when caring for a woman with a suspected ectopic pregnancy?
a. Provide emotional support b. Monitor VS
c. Obtain surgical consent
d. Administer oxygen - if basing from emergency assessment, CORRECT ANSWER b. Monitor VS
An 18 - year - old woman asks why she has to have a routine maternal alpha-
fetoprotein serum level drawn. You explain that this....
a. May reveal chromosomal abnormalities
b. Measures the fetal liver function
c. Is a screening test for placenta function
d. Tests the ability of her heart to accommodate to pregnancy CORRECT ANSWER a. May reveal chromosomal abnormalities
The best way for the nurse to assess the amount of blood loss of a pregnant client with bleeding is to: a. Monitor pulse and blood pressure b. Count or weigh perineal pads
c. Check hemoglobin and hematocrit
d. Measure the height of the fundus CORRECT ANSWER b. Count or weigh perineal pads
1. A 21 y.o. arrives to the ER with cramping abdominal pain and mild vaginal bleeding Pelvic exam shows a left adrenal mass that is tender when palpated. Culdoscopy shows blood in the Douglas cul de sac. The client probably has which of the following conditions?
a. Abruptio Placenta
b. Hydatidiform mole
c. Placenta Previa
d. Ectopic Pregnancy CORRECT ANSWER d. Ectopic Pregnancy
1. A client at 42 weeks gestation has a condition stress test (CST). The nurse understands that a positive test might indicate that:
a. Placenta has stopped growing
b. Function of the placenta is diminished
c. Amniotic Fluid is meconium stained d. Fetus is not ready to be delivered CORRECT ANSWER d. Fetus is not ready to be delivered
1. The nurse explains to a pregnant client undergoing nonstress test that the test is a
way of evaluating the condition of the fetus by comparing the fetal heart rate with:
a. Maternal Uterine contractions
b. Maternal blood pressure
c. Fetal lie
d. Fetal movement CORRECT ANSWER d. Fetal movement
