OB Exam 1 Complete Solutions 100% Verified Answers Graded A+.

A father and mother are carriers of Tay sach disease their two year old daughter has the condition the couple tells the nurse that they are having a second baby because their daughter has Tay-each disease, and they are certain this baby will not be affected. Which response by the nurse is most appropriate? A. "Good planning. You need to take advantage of the odds that are in your favor" B."You are both carriers; therefore, each baby has 50% chance of being affected" C. You are both carriers; therefore, each baby has 25% chance of being affected D. The ultrasound indicates a boy, and boys are not affected by Tay-Sachs - correct answersC. You are both carriers; therefore, each baby has 25% chance of being affected Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which of the following? A) Linea nigra B) Striae gravidarum C) Melasma D) Vascular spiders - correct answersA) Linea nigra Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? A.Less audible heart sounds (S1, S2) B.Increased pulse rate C.Increased blood pressured D. Decreased red blood cell (RBC) production - correct answersB.Increased pulse rate A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, which of the following would the nurse expect to find? (Select all that apply. A) Hyperemic gums B) Increased peristalsis C) Complaints of bloating D) Heartburn E) Nausea - correct answersA) Hyperemic gums C) Complaints of bloating D) Heartburn E) Nausea The tendency of maternal mortality in the U.S is: A. Constantly declining B. Increasing, especially in vulnerable populations C. Increasing among white women D. Not clear since statistics are not accurate - correct answersB. Increasing, especially in vulnerable populations A nurse is collecting data during an admission assessment of a patient who is pregnant with twins. The patient has a healthy 5-year-old child that was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. How would the nurse document the GTPAL for this patient? A. 3,2,0,0,1 B.2,1,0,0,1 C.1,1,1,0,1 D. 2,0,0,0,1 - correct answersB. 2,1,0,0,1 Which of the following answers best describes the stage of pregnancy in which maternal circulation and fetal umbilical cord circulation are exchanged? A. 12 weeks of gestation B. Conception C. Third trimester D. Maternal and fetal blood circulation are never exchanged - correct answersD. Maternal and fetal blood circulation are never exchanged The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of: A. A softening of the cervix B. The presence of fetal movement C. The presence of human chorionic gonadotropin in the urine D. A soft blowing sound that corresponds with the natural pulse that is heard while auscultating the uterus - correct answersA. A softening of the cervix Sally comes in for her 1st prenatal examination. This is her 1st child. She asks you (the nurse), "How does my baby get air to breathe inside my uterus?" The BEST response to Sally is which of the following? A. The baby's lungs works in utero to exchange oxygen and carbon dioxide B. The baby absorbs oxygen from your blood system C. The placenta provides oxygen to the baby and excretes carbon dioxide in your bloodstream D. The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen - correct answersC. The placenta provides oxygen to the baby and excretes carbon dioxide in your bloodstream A woman in her third trimester comes to the clinic for a prenatal visit. During assessment the woman reports that her breathing has become much easier in the last week but she has noticed increased pelvic pressure, cramping and lower back pain. The nurse determines that which of the following has most likely occurred? A) Cervical dilation B) Lightening C) Bloody show D) Braxton- Hicks contractions - correct answersB) Lightening A pregnant woman with a fetus in the cephalic presentation is in the latent phase of the first stage of labor. Her membranes rupture spontaneously. The fluid is green in color. Which action by the nurse would be appropriate? A. Check the pH to ensure the fluid is amniotic fluid B. Prepare tp administer an antibiotic C. Notify the health care provider about possible meconium D. Check the maternal heart rate - correct answersC. Notify the health care provider about possible meconium A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse that the placenta is separating? A. Boggy, soft uterus B. Uterus becoming discoid shaped C. sudden gush of dark blood from the vagina D. Shortening of the umbilical cord - correct answersC. sudden gush of dark blood from the vagina When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find? A) Ambivalence B) Introversion C) Acceptance D) Emotional lability - correct answersA) Ambivalence During a vaginal exam, the nurse notes that the cervix has a bluish color. The nurse documents this finding as: A) Hegar's sign B) Goodell's sign C) Chadwick's sign D) Ortolani's sign - correct answersC) Chadwick's sign The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index of 26. The nurse determines that the teaching was successful when the woman states that she should gain no more than which amount during pregnancy? A) 35 to 40 pounds B) 25 to 35 pounds C) 28 to 40 pounds D) 15 to 25 pounds - correct answersD) 15 to 25 pounds Which of the following changes in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy? A) Ligament tightening B) Decreased swayback C) Increased lordosis D) Joint contraction - correct answersC) Increased lordosis A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which of the following? A) Excess folic acid, which could increase the risk for neural tube defects B) Mercury, which could harm the developing fetus if eaten in large amounts C) Lactose, which leads to abdominal discomfort, gas, and diarrhea D) Low-quality protein that does not meet the woman's requirements - correct answersB) Mercury, which could harm the developing fetus if eaten in large amounts 1. When obtaining a blood test for pregnancy, which hormone would the nurse expect the test to measure?