N434 OB Exam fully solved &
updated (graded A+)
A nurse is planning a prenatal class a about the changes that occur during
pregnancy and the necessity of routine health care supervision
throughout pregnancy.
Which cardiovascular compensatory mechanism should the nurse explain
will occur? (Select all that Apply)
A. Systemic vasodilatation
B. Increased blood volume
C. Elevated BP
D. Increase C.O.
E. Enlargement of the heart
F. Decreased erythrocyte production - answer B. Increased blood volume
D. Increase C.O.
E. Enlargement of the heart
Which behavior should a nurse identify as the Moro reflex response?
A. Extension and adduction of the arms
B. Abduction and then adduction of the arms
C. Adduction of the arms and fanning of the toes
D. Extension of the arms and curling of the fingers - answer B. Abduction
and then adduction of the arms
A nurse is teaching breastfeeding to a client. Which client statement
indicates the need for further teaching?
A. "I will try to empty my breasts at each feeding."
,B. "I will start with an alternate breast at each feeding."
C. "My breasts should be washed with soapy water before I breastfeed."
D. "My baby's cheek should be stroked gently when I am ready to
breastfeed." - answer C. "My breasts should be washed with soapy water
before I breastfeed."
A nurse is reviewing true and false labor signs with a multiparous client.
The nurse determines that the client understands the signs of true labor if
she makes which statement?
A. "I won't be in labor until the baby engages."
B. "My contractions will not be as painful if I walk around."
C. "My contractions will be felt in the abdominal area."
D. "My contractions will increase in duration and intensity." - answer C.
"My contractions will be felt in the abdominal area."
A nurse is caring for a client in labor. The nurse determines that the client
is beginning the second stage of labor when which of the following
assessments is noted?
A. The contractions are regular
B. The membranes have ruptured
C. The cervix is dilated completely
D. The client begins to expel clear vaginal fluid - answer C. The cervix is
dilated completely
A nurse is reviewing the record of a client in the labor room and notes that
the nurse-midwife has documented that the fetus is at a (-1) station. The
nurse determines that the fetal presenting part is?
A. 1 inch below the coccyx
B. 1 inch below the iliac crest
C. 1 cm above the ischial spine
, D. 1 fingerbreadth below the symphysis pubis - answer C. 1 cm above the
ischial spine
A nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which of the following is noted on the external monitor
tracing during a contraction?
A. Late decelerations
B. Early decelerations
C. Short-term variability
D. Variable decelerations - answer D. Variable decelerations
Two hours after an uneventful labor and birth, a patient's uterus is 4
fingerbreadths above the umbilicus. After urinary catheterization, the
fundus remains firm and 4 fingerbreadths above the umbilicus. What is
the priority nursing action?
A. Recheck the vital signs
B. Catheterize again in 1 hour
C. Notify the health care provider
D. Palpate the fundus every 2 hours. - answer C. Notify the health care
provider
A patient is admitted to the birthing suite with a BP 150/90, 3+
proteinuria, and edema of the hands and face. A diagnosis of severe
preeclampsia is made. What other clinical findings support this diagnosis?
(Select all that Apply)
A. Headache
B. Constipation
C. Abdominal pain
D. Vaginal bleeding
E. Visual disturbances - answer A. Headache
updated (graded A+)
A nurse is planning a prenatal class a about the changes that occur during
pregnancy and the necessity of routine health care supervision
throughout pregnancy.
Which cardiovascular compensatory mechanism should the nurse explain
will occur? (Select all that Apply)
A. Systemic vasodilatation
B. Increased blood volume
C. Elevated BP
D. Increase C.O.
E. Enlargement of the heart
F. Decreased erythrocyte production - answer B. Increased blood volume
D. Increase C.O.
E. Enlargement of the heart
Which behavior should a nurse identify as the Moro reflex response?
A. Extension and adduction of the arms
B. Abduction and then adduction of the arms
C. Adduction of the arms and fanning of the toes
D. Extension of the arms and curling of the fingers - answer B. Abduction
and then adduction of the arms
A nurse is teaching breastfeeding to a client. Which client statement
indicates the need for further teaching?
A. "I will try to empty my breasts at each feeding."
,B. "I will start with an alternate breast at each feeding."
C. "My breasts should be washed with soapy water before I breastfeed."
D. "My baby's cheek should be stroked gently when I am ready to
breastfeed." - answer C. "My breasts should be washed with soapy water
before I breastfeed."
A nurse is reviewing true and false labor signs with a multiparous client.
The nurse determines that the client understands the signs of true labor if
she makes which statement?
A. "I won't be in labor until the baby engages."
B. "My contractions will not be as painful if I walk around."
C. "My contractions will be felt in the abdominal area."
D. "My contractions will increase in duration and intensity." - answer C.
"My contractions will be felt in the abdominal area."
A nurse is caring for a client in labor. The nurse determines that the client
is beginning the second stage of labor when which of the following
assessments is noted?
A. The contractions are regular
B. The membranes have ruptured
C. The cervix is dilated completely
D. The client begins to expel clear vaginal fluid - answer C. The cervix is
dilated completely
A nurse is reviewing the record of a client in the labor room and notes that
the nurse-midwife has documented that the fetus is at a (-1) station. The
nurse determines that the fetal presenting part is?
A. 1 inch below the coccyx
B. 1 inch below the iliac crest
C. 1 cm above the ischial spine
, D. 1 fingerbreadth below the symphysis pubis - answer C. 1 cm above the
ischial spine
A nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which of the following is noted on the external monitor
tracing during a contraction?
A. Late decelerations
B. Early decelerations
C. Short-term variability
D. Variable decelerations - answer D. Variable decelerations
Two hours after an uneventful labor and birth, a patient's uterus is 4
fingerbreadths above the umbilicus. After urinary catheterization, the
fundus remains firm and 4 fingerbreadths above the umbilicus. What is
the priority nursing action?
A. Recheck the vital signs
B. Catheterize again in 1 hour
C. Notify the health care provider
D. Palpate the fundus every 2 hours. - answer C. Notify the health care
provider
A patient is admitted to the birthing suite with a BP 150/90, 3+
proteinuria, and edema of the hands and face. A diagnosis of severe
preeclampsia is made. What other clinical findings support this diagnosis?
(Select all that Apply)
A. Headache
B. Constipation
C. Abdominal pain
D. Vaginal bleeding
E. Visual disturbances - answer A. Headache
