OB Final Exam Review Questions With Multiple Choices And Verified Answers.

Where would the nurse expect to find the fundus of a patient who is 29 weeks gestation? - correct answers29 centimeters from the symphysis pubis Name the placental hormones - correct answers estrogen, progesterone, human chorionic gonadotropin, human placental lactogen State the rationale for the antepartum test: AFP - correct answers screening test to determine if the fetus has an increased risk for neural tube defects and Down Syndrome Name some common "discomforts of pregnancy" related to the respiratory system - correct answers nasal congestion, epistaxis, bilateral hearing loss What blood type would indicate a need for antibody (Indirect Coomb's) test? - correct answers Rh- Contact with cat feces and outdoor gardens can lead to? - correct answers toxoplasmosis State the priority action for a patient at 30 weeks gestation who complains of blurred vision when she comes for her prenatal visit - correct answers assess BP and urine for proteinuria, then notify the care provider State the cause of diaphoresis and dizziness in a pregnant position in the dorsal recumbent position - correct answers compression of the inferior vena cava State the priority intervention for a pregnant patient admitted with severe preeclampsia and has 4+ protenuria and 4+ reflexes - correct answers seizure precautions with emphasis on airway protection Name 3 symptoms that would indicate a worsening of gestational hypertension diagnosis - correct answers blurred vision, epigastric pain, headache State the rationale for an amniocentesis performed on a woman at 36 weeks gestation with preeclampsia - correct answers to determine fetal lung maturity for possible deliver Describe the symptoms of a patient with a possible placental abruption - correct answers ashen color, rigid abdomen, severe/sharp abdominal pain, bleeding, diaphoretic State the purpose of a contraction stress test - correct answers to determine if the oxygenation of the fetus is sufficient to tolerate the stress of labor State the therapeutic effects of magnesium sulfate - correct answers absence of seizures State the symptoms of the patient with a hydatidiform molar pregnancy - correct answers hyperemesis gravidarum, abdominal measurement larger then dates, elevated HCG What nursing action has the highest priority when the laboring patients experiences a spontaneous amniotomy? - correct answers monitor the fetal heart rate for 1 full minute State the nursing action for a laboring patient who experiences facial numbness and tingling of the hands and mouth - correct answers have the patient breathe into a paper bag or cupped hands to treat hyperventilation State the nursing actions required before a epidural is placed - correct answers consent signed, administer 1 liter of IV fluids, insert foley catheter, answer questions What is the rationale for administering IV fluids prior to epidural placement? - correct answers increase fluid to counteract the expected effect of hypotension caused by epidural opiates After epidural placement, what is a late sign of the effects of epidural opiates? - correct answersrespiratory depression Describe the process for administering IVP pain medication for the laboring patient - correct answersbegin administration at the beginning of the contraction to prevent as much of the narcotic as possible from getting to the fetus State the nursing intervention for a laboring woman at 9 cm dilation who complains of pain - correct answersbreathe with her through the contractions and explain the pain medication given at this time will affect the baby's breathing State the consequences of anxiety during labor - correct answersvasoconstriction that inhibits oxygenation of the fetus State the nursing interventions for a woman with cervical Group B Streptococcus - correct answersIV penicillin during labor to prevent neonatal sepsis What medication is administered to a woman in preterm labor to assist the fetal lungs to mature? - correct answersSteroids What heart rate pattern can be expected in a fetus at 44 weeks gestation? - correct answerslate decelerations caused by an aging placenta State the maternal and fetal risks of preterm rupture of membranes - correct answersmaternal chorioamnionitis and fetal sepsis State the priority nursing diagnosis during the postpartum period - correct answersrisk for hemorrhage Multiparous women are at risk for which complication when lactating? - correct answersafterpains State the nursing intervention for the postparum woman whose fundus is boggy and deviated to the side - correct answersmassage the fundus, empty the bladder, reassess the fundus What is the nursing intervention for a postpartum woman who exhibits blue swelling in the groin? - correct answersapply ice and reassess in an hour Describe the fundal assessment of a post-cesarean patient - correct answersgently walk the fingers from the patients sides the midline of the fundus (medicate the patient for pain 30-40 minutes prior to assessment) What is the priority action for a patient with a firm fundus who is saturating a pad in 50 minutes? - correct answersnotify the charge nurse and physician What should the nurse suspect if the postpartum patient complains of a severe headache and blurred vision? - correct answersexacerbation of preeclampsia Improper latching on will cause? - correct answerssore, cracked, bleeding nipples What is a high priority assessment for the woman who gave birth to twins? - correct answershemorrhage What is the first symptom of chorioamnionitis in the postpartum period for the patient who had ruptured membranes for 72 hours before delivery? - correct answersfoul smelling lochia State the essential teaching for a woman who has just had and IUD placed - correct answersshe must feel for the string in the vagina monthly Teach the couple how to apply and use a male condom - correct answersroll condom on the erect penis, leave room at the tip to collect ejaculate, remove soon after ejaculation away from vagina, use only once State how birth control pills work to provide contraception - correct answersthey provide hormones to prevent ovulation What is the probable rational for a woman who becomes pregnant while using a diaphragm? - correct answersshe did not leave it in place for at least 6 hours What is the meaning of the term "Spinnbarkeit" when discussing natural family planning? - correct answersthin, elastic, clear consistency of vaginal mucus at the time of ovulation What is the rationale for the administration of Vitamin K? - correct answersthe baby's sterile gut cannot synthesize vitamin K to prevent bleeding in the neonatal period How does the nurse prevent ophthalmia neonatorum? - correct answersby administering gentamycin or silver nitrate into the neonates eyes soon after birth What procedure is uses to detect neonatal hip dislocation? - correct answersflex the knees to the chest and abduct the knees while palpating the hip area for a clunk when the ball leaves the socket What is the priority intervention for the neonate whose blood sugar is 45? - correct answersfeed the baby with formula or take the baby to the mother for breastfeeding What is important teaching for the parents of the newborn male who just underwent a circumcision? - correct answerswatch for the first voiding and monitor for oozing of blood at the site What is the priority assessment when caring for the newborn immediately after birth? - correct answersassessing APGAR What does grunting and intercostal retractions indicate? - correct answersrespiratory compromise of the neonate Which newborn is at highest risk for meconium aspiration - preterm or postterm - correct answerspostterm due to aging placenta Cold stress can lead to? - correct answershypoglycemia What are essential assessments for the newborn with a diagnosis of hydrocephalus? - correct answerspalpation of fontanels and measuring head circumference Measuring abdominal girth is especially essential for the newborn with which condition? - correct answersnecrotizing enterocolitis (NEC) How can meconium aspiration be prevented? - correct answersby suctioning the mouth and nose when the head is delivered Inability to feed is a high priority nursing diagnosis or which newborns? - correct answerspreterm, cleft lip, cleft palate What does the L:S ratio indicate? - correct answersproduction of surfactant by the fetus What is the due date for a patient with an LMP of November 27th? - correct answers September 3rd What is the APGAR for a neonate who has a heart rate of 145, loud, vigorous crying, blue hands and feet, some movement of the extremities and sneezi