OB EXAM DOS questions and answers - $7.49   Add to cart

Exam (elaborations)

OB EXAM DOS questions and answers

OB EXAM DOS questions and answers 1. What are the most common causes for subinvolution of the uterus? 2. Which client is most likely to experience strong and uncomfortable afterpains? 3. A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman’s vital signs, which finding would be of greatest concern to the nurse? 4. Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium? 5. On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. What is the nurses highest priority at this time? 6. Rho immune globulin will be ordered postpartum if which situation occurs? 7. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus? 8. A mother is changing the diaper of her newborn son and notices that his scrotum appears large and swollen. The client is concerned. What is the best response from the nurse? 9. A mother expresses fear about changing her infants diaper after he is circumcised. What does the client need to be taught to care for her newborn son? 10. What is the nurse’s initial action while caring for an infant with a slightly decreased temperature? 11. Pain should be regularly assessed in all newborns. If the infant is displaying physiologic or behavioral cues that indicate pain, then measures should be taken to manage the pain. Which interventions are examples of nonpharmacologic pain management techniques? (Select all that apply.) 12. As recently as 2005, the AAP revised safe sleep practices to assist in the prevention of SIDS. The nurse should model these practices in the hospital and incorporate this information into the teaching plan for new parents. Which practices are ideal for role modeling? (Select all that apply.) 13. The nurse is circulating during a cesarean birth of a preterm infant. The obstetrician requests that cord clamping be delayed. What is the rationale for this directive? 14. A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. The nurse can give the couple printed information comparing breastfeeding and bottle feeding. Which statement regarding bottle feeding using commercially prepared infant formulas might influence their choice? 15. A new mother wants to be sure that she is meeting her daughter’s needs while feeding the baby commercially prepared infant formula. The nurse should evaluate the mother’s knowledge about appropriate infant feeding techniques. Which statement by the client reassures the nurse that correct learning has taken place? 16. Which statement is the best rationale for recommending formula over breastfeeding? 17. Which actions are examples of appropriate techniques to wake a sleepy infant for breastfeeding? 18. A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. Which findings should the nurse include in the discussion? (Select all that apply.) 19. Which statements concerning the benefits or limitations of breastfeeding are accurate? (Select all that apply.) 20. A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine several times during the past year and occasionally drinks alcohol. Her blood pressure is 108/70 mm Hg. The family history is positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural tube defect (NTD). Which characteristics places this client in a high-risk category? 21. The nurse is planning the care for a laboring client with diabetes mellitus. This client is at greater risk for which clinical finding? 22. Which assessments are included in the fetal BPP? 23. Premature rupture of membranes-Oligohydramnios Advanced maternal age-Chromosomal abnormalities Fetal congenital anomalies-Polyhydramnios 24. A primigravida is being monitored at the prenatal clinic for preeclampsia. Which finding is of greatest concern to the nurse? 25. The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000 mm3, an elevated aspartate aminotransaminase (AST) level, and a falling hematocrit. The laboratory results are indicative of which condition? 26. A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3 C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains,I’m so thirsty and warm. What is the nurse’s immediate action? 27. The client is being induced in response to worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active, despite several hours of oxytocin administration. She asks the nurse, Why is this taking so long? What is the nurse’s most appropriate response? 28. Which intervention is most important when planning care for a client with severe gestational hypertension? 29. What is the primary purpose for magnesium sulfate administration for clients with preeclampsia and eclampsia? 30. The American College of Obstetricians and Gynecologists (ACOG) has developed a comprehensive list of risk factors associated with the development of preeclampsia. Which client exhibits the greatest number of these risk factors? 31. Which neonatal complications are associated with hypertension in the mother? 32. Which statement most accurately describes the HELLP syndrome? 33. Which adverse prenatal outcomes are associated with the HELLP syndrome? (Select all that apply.) 34. A woman in preterm labor at 30 weeks of gestation receives two 12-mg intramuscular (IM) doses of betamethasone. What is the purpose of this pharmacologic intervention? 35. Prostaglandin gel has been ordered for a pregnant woman at 43 weeks of gestation. What is the primary purpose of prostaglandin administration? 36. Which statement related to cephalopelvic disproportion (CPD) is the least accurate? 37. A number of methods can be used for inducing labor. Which cervical ripening method falls under the category of mechanical or physical? 38. The exact cause of preterm labor is unknown but believed to be multifactorial. Infection is thought to be a major factor in many preterm labors. Which type of infection has not been linked to preterm birth? 39. What are the complications and risks associated with cesarean births? (Select all that apply.) 40. A perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the client is experiencing profuse bleeding. What is the most likely cause for this bleeding? 41. What is the primary nursing responsibility when caring for a client who is experiencing an obstetric hemorrhage associated with uterine atony? 42. What is the most common reason for late postpartum hemorrhage (PPH)? 43. Which client is at greatest risk for early PPH? 44. The nurse suspects that her postpartum client is experiencing hemorrhagic shock. Which observation indicates or would confirm this diagnosis? 45. Which condition is considered a medical emergency that requires immediate treatment? 46. Which medications are used to manage PPH? (Select all that apply.)

Preview 1 out of 4  pages

Yongsam

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 450,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

$ 7.49
  • (0)
  Add to cart