OB Final exam 101-165 Exam Questions And Answers 100% Verified

OB Final exam 101-165 Exam Questions And Answers 100% Verified A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take? Obtain blood glucose by heel stick. Initiate phototherapy. Monitor the newborn's blood pressure. Place the newborn in a radiant warmer. - answerObtain blood glucose by heel stick. A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? Discontinue the medication infusion. Prepare for an emergency cesarean birth. Assess maternal blood glucose. Place the client in Trendelenburg position. - answerDiscontinue the medication infusion. A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following? Uteroplacental insufficiency Maternal bradycardia Umbilical cord compression Fetal head compression - answerUteroplacental insufficiency A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest? Flex her knee while resting. Massage the area. Elevate her leg. Apply cold compresses. - answerElevate her leg. A nurse is caring a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis? Swelling in both breasts Cracked and bleeding nipples Red and painful area in one breast A white patch on a nipple - answerRed and painful area in one breast A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention? Decreased urge to void Increased urine output Displaced fundus from the midline Fundal height below the umbilicus - answerDisplaced fundus from the midline A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect? (Select all that apply.) History of migraines Nulliparous Twin gestations History of gestational hypertension Oligohydramnios - answerHistory of migraines Nulliparous Twin gestations A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first? Expulsion of a blood-tinged mucous plug Continuous contraction lasting 2 min Pressure on the perineum causing the client to bear down Expulsion of clear fluid from the vagina - answerContinuous contraction lasting 2 min A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following? Hyperinsulinemia Increased deposits of fat in the chest and shoulder area Brachial plexus injury Increased blood viscosity - answerHyperinsulinemia A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following? The client is carrying more than one fetus. There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid. An excessive amount of amniotic fluid is present. The fetus is likely to have a congenital anomaly, be growth restricted, or demonstrate fetal distress during labor. - answerAn excessive amount of amniotic fluid is present. A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.) Cracked, peeling skin Positive Moro reflex Short, soft fingernails Abundant lanugo Vernix in the folds and creases - answerCracked, peeling skin Positive Moro reflex A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first? Place the client in the lateral position. Increase the rate of maintenance IV infusion. Elevate the client's legs.