Exam 1 OB Revision Exam Questions
With All Correct Answers.
Before the administration of Rho(D) immune globulin, the nurse reviews the laboratory data of a
pregnant client. Which blood type and Coombs test result must a pregnant woman have to receive
Rho(D) immune globulin after giving birth? - Answer Rh negative and Coombs negative
A 37-year-old client with hypertension, type 1 diabetes and good glycemic control is pregnant for the
third time. Her first child is 4 years old, and her second pregnancy resulted in a stillbirth. She is seen in
the antepartum testing unit for a nonstress test (NST) at 33 weeks' gestation. What are the primary risk
factors in the client's history that indicate the need for a nonstress test? Select all that apply. - Answer
The risk for placental insufficiency
A history of stillbirth from her last pregnancy
Maternal history of hypertension
The primary healthcare provider prescribes a contraction stress test (CST) for a client whose nonstress
test (NST) was nonreactive. Which maternal complications should prompt the nurse to question the
prescription? Select all that apply. - Answer Preterm labor
Drug addiction
Incompetent cervix
Premature rupture of membranes
A near-term client reports that her fetus is moving less this week than last week. Which responses by the
nurse are appropriate at this time? Select all that apply. - Answer "It would be good for you to come to
labor and delivery to be evaluated today."
"Always call the healthcare provider if you're worried that your baby isn't moving enough."
, "Let me teach you how to conduct a kick count, and then you can call me when you've done one."
The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple
that which component stimulates the release of estrogen and progesterone after fertilization? - Answer
Human chorionic gonadotropin (hCG)
During the initial prenatal visit of a woman at 23 weeks' gestation, the nurse discovers that she has a
history of pica. What is the most appropriate nursing action? - Answer Determining whether the diet is
nutritionally adequate
The nurse is planning a prenatal class about the changes that occur during pregnancy and the necessity
of routine health care throughout pregnancy. Which cardiovascular compensatory mechanisms should
the nurse explain to the class? Select all that apply. - Answer Increased blood volume
Increased cardiac output
Enlargement of the heart
While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who
was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation. The
client lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you
record this information? - Answer G5 T1 P1 A2 L2
The nurse is assessing a pregnant client during the third trimester. Which clinical finding is expected in
the later stages of pregnancy? - Answer Shortness of breath on exertion
How long will a client's ovum stay viable after its release to get fertilized? - Answer 72 hours
A nurse is teaching a family planning class about ovulation and conception. The nurse should instruct the
class that the ovum is thought to be viable for what period of time after ovulation? - Answer 24 to 36
hours
With All Correct Answers.
Before the administration of Rho(D) immune globulin, the nurse reviews the laboratory data of a
pregnant client. Which blood type and Coombs test result must a pregnant woman have to receive
Rho(D) immune globulin after giving birth? - Answer Rh negative and Coombs negative
A 37-year-old client with hypertension, type 1 diabetes and good glycemic control is pregnant for the
third time. Her first child is 4 years old, and her second pregnancy resulted in a stillbirth. She is seen in
the antepartum testing unit for a nonstress test (NST) at 33 weeks' gestation. What are the primary risk
factors in the client's history that indicate the need for a nonstress test? Select all that apply. - Answer
The risk for placental insufficiency
A history of stillbirth from her last pregnancy
Maternal history of hypertension
The primary healthcare provider prescribes a contraction stress test (CST) for a client whose nonstress
test (NST) was nonreactive. Which maternal complications should prompt the nurse to question the
prescription? Select all that apply. - Answer Preterm labor
Drug addiction
Incompetent cervix
Premature rupture of membranes
A near-term client reports that her fetus is moving less this week than last week. Which responses by the
nurse are appropriate at this time? Select all that apply. - Answer "It would be good for you to come to
labor and delivery to be evaluated today."
"Always call the healthcare provider if you're worried that your baby isn't moving enough."
, "Let me teach you how to conduct a kick count, and then you can call me when you've done one."
The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple
that which component stimulates the release of estrogen and progesterone after fertilization? - Answer
Human chorionic gonadotropin (hCG)
During the initial prenatal visit of a woman at 23 weeks' gestation, the nurse discovers that she has a
history of pica. What is the most appropriate nursing action? - Answer Determining whether the diet is
nutritionally adequate
The nurse is planning a prenatal class about the changes that occur during pregnancy and the necessity
of routine health care throughout pregnancy. Which cardiovascular compensatory mechanisms should
the nurse explain to the class? Select all that apply. - Answer Increased blood volume
Increased cardiac output
Enlargement of the heart
While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who
was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation. The
client lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you
record this information? - Answer G5 T1 P1 A2 L2
The nurse is assessing a pregnant client during the third trimester. Which clinical finding is expected in
the later stages of pregnancy? - Answer Shortness of breath on exertion
How long will a client's ovum stay viable after its release to get fertilized? - Answer 72 hours
A nurse is teaching a family planning class about ovulation and conception. The nurse should instruct the
class that the ovum is thought to be viable for what period of time after ovulation? - Answer 24 to 36
hours
