OB Exam
1-A client delivered 30 minutes ago. Which post postpartum assessment
finding would require close nursing attention
ANS: A-soaked perineal pad since the last 15-minute check
2-Two hours after delivery a client fundus is boggy and has risen to above the
umbilicus. The first action the nurse would take is to:
ANS: Massage the fundus until firm
3-Why is it important for the nurse to assess bladder regularly and encourage
the laboring client to void every 2 hours?
ANS: A full bladder can impede fetal descent
4-Oxytocin 20 units was administered at the time of placental delivery. This
was done primarily to:
ANS: To contract the Uterus and minimize bleeding
5-After delivery of the newborn, the nurse intervention that most promotes
parental attachment is:
ANS: Placing The newborn on the maternal abdomen
1
, 6-Before applying a cord clamp, the nurse assesses the umbilical cord for the
presence of vessels. The expected finding is:
ANS: Two arteries, one vein .
7-Nacrotic analgesia is administered to a laboring client at 10:00 A.M. The
infant is delivered at 12:30 P.M. The nurse would anticipate that the narcotic
analgesia could:
ANS: Result in neonatal respiratory depression.
8-Prior to receiving lumbar epidural anesthesia. The nurse would anticipate
placing the laboring client in which position?
ANS: Sitting on the edge of the Bed
9-A laboring client has received an order for epidural anesthesia. To prevent
the most common complication associated with this procedure the nurse
would expect to:
ANS: Rapidly infuse 500-1000 ml of intravenous fluids.
10-A primigravida dilated to 5 cm has just received an epidural for pain. She
complains of feeling lightheaded and dizzy within 10 minutes after the
procedure. Her blood pressure before the procedure 120/80 and is now 80/52.
In addition to the bolus of fluids she has been given which medication is
preferred to use to increase her Blood pressure?
ANS: Ephedrine
2
1-A client delivered 30 minutes ago. Which post postpartum assessment
finding would require close nursing attention
ANS: A-soaked perineal pad since the last 15-minute check
2-Two hours after delivery a client fundus is boggy and has risen to above the
umbilicus. The first action the nurse would take is to:
ANS: Massage the fundus until firm
3-Why is it important for the nurse to assess bladder regularly and encourage
the laboring client to void every 2 hours?
ANS: A full bladder can impede fetal descent
4-Oxytocin 20 units was administered at the time of placental delivery. This
was done primarily to:
ANS: To contract the Uterus and minimize bleeding
5-After delivery of the newborn, the nurse intervention that most promotes
parental attachment is:
ANS: Placing The newborn on the maternal abdomen
1
, 6-Before applying a cord clamp, the nurse assesses the umbilical cord for the
presence of vessels. The expected finding is:
ANS: Two arteries, one vein .
7-Nacrotic analgesia is administered to a laboring client at 10:00 A.M. The
infant is delivered at 12:30 P.M. The nurse would anticipate that the narcotic
analgesia could:
ANS: Result in neonatal respiratory depression.
8-Prior to receiving lumbar epidural anesthesia. The nurse would anticipate
placing the laboring client in which position?
ANS: Sitting on the edge of the Bed
9-A laboring client has received an order for epidural anesthesia. To prevent
the most common complication associated with this procedure the nurse
would expect to:
ANS: Rapidly infuse 500-1000 ml of intravenous fluids.
10-A primigravida dilated to 5 cm has just received an epidural for pain. She
complains of feeling lightheaded and dizzy within 10 minutes after the
procedure. Her blood pressure before the procedure 120/80 and is now 80/52.
In addition to the bolus of fluids she has been given which medication is
preferred to use to increase her Blood pressure?
ANS: Ephedrine
2
