NEXT GEN OB/PEDS FULL EXAM WITH
QUESTIONS AND VERSIONAL CORRECT
ANSWERS.
A nurse is performing an assessment on a 25-year-old white female client
who is obese and is trying to conceive. The client presents to the clinic
concerned about a newly found lump in their breast. The nurse explains to
the client the difference between benign nodules and breast cancer. -
CorreCt Answers -benign: soft and movable
breast cancer: hard and fixed
A nurse is caring for a client who is a 22-year-old gravida 1 para 0 in labor.
The client has been in labor for 10 hours. The nurse assesses the fetal
monitor, and the client has contractions every 3 to 5 minutes, lasting 40 to
45 seconds, and are palpated moderately. The vaginal examination is
completed, and the client is only 3 cm, at 60% effacement, and at -3 station.
The client states that the pain level is 7 out of 10. - CorreCt Answers -
dystocia
cervical dilation at 3 cm
The nurse is performing a focused assessment on a client who is 2 days
postpartum. The client reports pelvic pain, chills, profuse dark, foul-
smelling lochia with blood clots. The client states, "my bleeding before was
light and now it is heavy." Vital signs: temperature, 99.5°F (37.5°C); heart
rate, 102 beats/min; blood pressure, 100/66 mm Hg. - CorreCt Answers -
retained fragments of placenta
pelvic pain
, profuse dark lochia with blood clots
A nurse in the hospital nursery cares for a preterm newborn, born at 30
weeks' gestation. The newborn had an APGAR score of 6 at 1 minute (1
point for color, 1 point for respiratory effort, 1 point for muscle tone, 1 point
for reflex, 2 points for heart rate) and 8 at 5 minutes. The newborn has a lot
of vernix on the whole body, acrocyanosis of the hands, a glucose level of 40
mg/dl (2.22 mmol/l), and a temperature of 96.1°F (35.6°C). - CorreCt
Answers -observe for respiratory distress
dry newborn to prevent hypothermia
A 35-year-old client visits the clinic reporting the inability to conceive after
trying for the past year. The nurse discusses reasons for infertility with the
client. The nurse evaluates client understanding of the causes of infertility. -
CorreCt Answers -"A history of sexually transmitted infections may cause
infertility."
"Abnormalities of the uterus may contribute to infertility."
"Women older than 35 may have difficulty conceiving."
A client in their third trimester comes to the clinic reporting vaginal
bleeding that started this morning. The nurse performs an assessment to
determine the underlying cause of the bleeding. Assessment reveals fundal
height appropriate for expected gestational age, uterine pain 10 out of 10 on
scale 0 to 10, and bright red vaginal bleeding. Vital signs include a heart
rate of 110 beats/min and a blood pressure reading of 90/50 mm Hg. -
QUESTIONS AND VERSIONAL CORRECT
ANSWERS.
A nurse is performing an assessment on a 25-year-old white female client
who is obese and is trying to conceive. The client presents to the clinic
concerned about a newly found lump in their breast. The nurse explains to
the client the difference between benign nodules and breast cancer. -
CorreCt Answers -benign: soft and movable
breast cancer: hard and fixed
A nurse is caring for a client who is a 22-year-old gravida 1 para 0 in labor.
The client has been in labor for 10 hours. The nurse assesses the fetal
monitor, and the client has contractions every 3 to 5 minutes, lasting 40 to
45 seconds, and are palpated moderately. The vaginal examination is
completed, and the client is only 3 cm, at 60% effacement, and at -3 station.
The client states that the pain level is 7 out of 10. - CorreCt Answers -
dystocia
cervical dilation at 3 cm
The nurse is performing a focused assessment on a client who is 2 days
postpartum. The client reports pelvic pain, chills, profuse dark, foul-
smelling lochia with blood clots. The client states, "my bleeding before was
light and now it is heavy." Vital signs: temperature, 99.5°F (37.5°C); heart
rate, 102 beats/min; blood pressure, 100/66 mm Hg. - CorreCt Answers -
retained fragments of placenta
pelvic pain
, profuse dark lochia with blood clots
A nurse in the hospital nursery cares for a preterm newborn, born at 30
weeks' gestation. The newborn had an APGAR score of 6 at 1 minute (1
point for color, 1 point for respiratory effort, 1 point for muscle tone, 1 point
for reflex, 2 points for heart rate) and 8 at 5 minutes. The newborn has a lot
of vernix on the whole body, acrocyanosis of the hands, a glucose level of 40
mg/dl (2.22 mmol/l), and a temperature of 96.1°F (35.6°C). - CorreCt
Answers -observe for respiratory distress
dry newborn to prevent hypothermia
A 35-year-old client visits the clinic reporting the inability to conceive after
trying for the past year. The nurse discusses reasons for infertility with the
client. The nurse evaluates client understanding of the causes of infertility. -
CorreCt Answers -"A history of sexually transmitted infections may cause
infertility."
"Abnormalities of the uterus may contribute to infertility."
"Women older than 35 may have difficulty conceiving."
A client in their third trimester comes to the clinic reporting vaginal
bleeding that started this morning. The nurse performs an assessment to
determine the underlying cause of the bleeding. Assessment reveals fundal
height appropriate for expected gestational age, uterine pain 10 out of 10 on
scale 0 to 10, and bright red vaginal bleeding. Vital signs include a heart
rate of 110 beats/min and a blood pressure reading of 90/50 mm Hg. -
