OB Exam 1 Already Graded A+
1. Nutritional Advice for Vegan Client:
A client in a prenatal class states she is a strict vegan. What should the nurse encourage her to eat to
include all essential amino acids?
- 1. Macaroni and cheese
- 2. Whole-grain cereals and nuts ✔️
- 3. Scrambled eggs and buttermilk
- 4. Brown rice and whole-wheat bread
2. Intervention for Fetal Heart Rate Decelerations:
What is the priority intervention for a pregnant client whose fetal monitor strip shows decelerations
characterized by a rapid descent and ascent?
- 1. Elevating the legs
- 2. Repositioning the client from side to side ✔️
- 3. Increasing the rate of intravenous infusion
- 4. Administering oxygen by facemask
3. Action During Nonstress Test:
A primigravida at 38 weeks undergoes a nonstress test with a fetal heart rate of 130-140 bpm that
rises to 160 on two occasions for 20 seconds. What action should the nurse take?
- 1. Discontinue the test because the pattern is within the expected range ✔️
- 2. Encourage the client to drink more fluids to decrease the fetal heart rate
- 3. Notify the healthcare provider and prepare for an emergency birth
- 4. Record this nonreassuring pattern and continue the test for further evaluation
4. Understanding Early Decelerations:
During the second stage of labor, early decelerations are noted on the fetal monitor. What does this
usually indicate?
- 1. Maternal diabetes
, - 2. Fetal cord prolapse
- 3. Maternal hypotension
- 4. Fetal head compression ✔️
5. Explaining Chadwick's Sign:
At a client's first prenatal visit, the nurse notes a bluish-purple cervix (Chadwick sign). What should the
nurse explain?
- 1. Helps confirm your pregnancy ✔️
- 2. Is not unusual, even in women who are not pregnant
- 3. Occurs because the blood is trapped by the pregnant uterus
- 4. Is caused by increased blood flow to the uterus during pregnancy
6. Distinguishing True from False Labor:
How can the nurse distinguish true labor from false labor?
- 1. Cervical dilation is progressive ✔️
- 2. Contractions stop when the client walks around
- 3. The client's contractions progress only when she is in a side-lying position
- 4. Contractions occur immediately after the membranes rupture
7. Action After Membrane Rupture:
A client's membranes rupture while receiving oxytocin (Pitocin). Variable decelerations are observed.
What should the nurse do next?
- 1. Change the client's position ✔️
- 2. Take the client's blood pressure
- 3. Stop the client's oxytocin infusion
- 4. Prepare the client for an immediate birth
8. Expected Uterine Fundus Location on Postpartum Day 2:
On the second postpartum day, where should the nurse expect the fundus to be?
, - 1. At the level of the umbilicus
- 2. One fingerbreadth above the umbilicus
- 3. Above and to the right of the umbilicus
- 4. One or two fingerbreadths below the umbilicus ✔️
9. Urinary Frequency in Early Pregnancy:
A client at 11 weeks' gestation reports frequent urination. The nurse explains this is due to:
- 1. Atony of the detrusor muscle
- 2. Compression by the enlarging uterus ✔️
- 3. Compromise of the autonomic reflexes
- 4. Narrowing of the ureteral entrance at the trigone
10. Cause of Increased Vaginal Secretions:
A nurse explains to clients that there is an increase in vaginal secretions during pregnancy called
leukorrhea. What causes this increase?
- 1. Decreased metabolic rate
- 2. Increased production of estrogen ✔️
- 3. Secretion from the Bartholin glands
- 4. Supply of sodium chloride to the vaginal cells
11. Purpose of Leopold Maneuvers:
A pregnant woman at 40 weeks is in the birthing unit. What is the purpose of the nurse using Leopold
maneuvers?
- ✔️ Position of the fetus
12. Hormone Linked to Nausea in Early Pregnancy:
A primigravida at 12 weeks' gestation complains of nausea. Which hormone is responsible for nausea
during the first trimester?
- ✔️ Human chorionic gonadotropin (hCG)
1. Nutritional Advice for Vegan Client:
A client in a prenatal class states she is a strict vegan. What should the nurse encourage her to eat to
include all essential amino acids?
- 1. Macaroni and cheese
- 2. Whole-grain cereals and nuts ✔️
- 3. Scrambled eggs and buttermilk
- 4. Brown rice and whole-wheat bread
2. Intervention for Fetal Heart Rate Decelerations:
What is the priority intervention for a pregnant client whose fetal monitor strip shows decelerations
characterized by a rapid descent and ascent?
- 1. Elevating the legs
- 2. Repositioning the client from side to side ✔️
- 3. Increasing the rate of intravenous infusion
- 4. Administering oxygen by facemask
3. Action During Nonstress Test:
A primigravida at 38 weeks undergoes a nonstress test with a fetal heart rate of 130-140 bpm that
rises to 160 on two occasions for 20 seconds. What action should the nurse take?
- 1. Discontinue the test because the pattern is within the expected range ✔️
- 2. Encourage the client to drink more fluids to decrease the fetal heart rate
- 3. Notify the healthcare provider and prepare for an emergency birth
- 4. Record this nonreassuring pattern and continue the test for further evaluation
4. Understanding Early Decelerations:
During the second stage of labor, early decelerations are noted on the fetal monitor. What does this
usually indicate?
- 1. Maternal diabetes
, - 2. Fetal cord prolapse
- 3. Maternal hypotension
- 4. Fetal head compression ✔️
5. Explaining Chadwick's Sign:
At a client's first prenatal visit, the nurse notes a bluish-purple cervix (Chadwick sign). What should the
nurse explain?
- 1. Helps confirm your pregnancy ✔️
- 2. Is not unusual, even in women who are not pregnant
- 3. Occurs because the blood is trapped by the pregnant uterus
- 4. Is caused by increased blood flow to the uterus during pregnancy
6. Distinguishing True from False Labor:
How can the nurse distinguish true labor from false labor?
- 1. Cervical dilation is progressive ✔️
- 2. Contractions stop when the client walks around
- 3. The client's contractions progress only when she is in a side-lying position
- 4. Contractions occur immediately after the membranes rupture
7. Action After Membrane Rupture:
A client's membranes rupture while receiving oxytocin (Pitocin). Variable decelerations are observed.
What should the nurse do next?
- 1. Change the client's position ✔️
- 2. Take the client's blood pressure
- 3. Stop the client's oxytocin infusion
- 4. Prepare the client for an immediate birth
8. Expected Uterine Fundus Location on Postpartum Day 2:
On the second postpartum day, where should the nurse expect the fundus to be?
, - 1. At the level of the umbilicus
- 2. One fingerbreadth above the umbilicus
- 3. Above and to the right of the umbilicus
- 4. One or two fingerbreadths below the umbilicus ✔️
9. Urinary Frequency in Early Pregnancy:
A client at 11 weeks' gestation reports frequent urination. The nurse explains this is due to:
- 1. Atony of the detrusor muscle
- 2. Compression by the enlarging uterus ✔️
- 3. Compromise of the autonomic reflexes
- 4. Narrowing of the ureteral entrance at the trigone
10. Cause of Increased Vaginal Secretions:
A nurse explains to clients that there is an increase in vaginal secretions during pregnancy called
leukorrhea. What causes this increase?
- 1. Decreased metabolic rate
- 2. Increased production of estrogen ✔️
- 3. Secretion from the Bartholin glands
- 4. Supply of sodium chloride to the vaginal cells
11. Purpose of Leopold Maneuvers:
A pregnant woman at 40 weeks is in the birthing unit. What is the purpose of the nurse using Leopold
maneuvers?
- ✔️ Position of the fetus
12. Hormone Linked to Nausea in Early Pregnancy:
A primigravida at 12 weeks' gestation complains of nausea. Which hormone is responsible for nausea
during the first trimester?
- ✔️ Human chorionic gonadotropin (hCG)
