OB exam 1 Practice questions & answers. 100% Accurate. Rated A.

OB exam 1 Practice questions & answers. 100% Accurate. Rated A. A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse when such anomalies occur during development. Which response by the nurse is most accurate? A. "We don't really know when such defects occur." B. "It depends on what caused the defect." C. "They occur between the third and fifth weeks of development." D. "They usually occur in the first 2 weeks of development." - -c A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which response by the nurse is most appropriate? A. "Many women imagine what their baby is like." B. "A baby in utero does respond to the mother's voice." C. "You'll need to ask the doctor if the baby can hear yet." D. "Thinking that your baby hears will help you bond with the baby." - -b A maternity nurse should be aware of which fact about the amniotic fluid? A. It serves as a source of oral fluid and as a repository for waste from the fetus. B. The volume remains about the same throughout the term of a healthy pregnancy. C. A volume of less than 300 ml is associated with gastrointestinal malformations. D. A volume of more than 2 L is associated with fetal renal abnormalities - -a Many parents-to-be have questions about multiple births. Maternity nurses should be able to tell them that: A. Rates of twinning and other multiple births are increasing because of the use of fertility drugs and delayed childbearing. B. Dizygotic twins (two fertilized ova) have the potential to be conjoined twins. C. Identical twins are more common in Caucasian families. D. Fraternal twins are same gender, usually male. - -a The nurse caring for a pregnant woman knows that her health teaching regarding fetal circulation has been effective when the woman reports that she has been sleeping: A. In a side-lying position. B. On her back with a pillow under her knees. C. With the head of the bed elevated. D. On her abdomen. - -a A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates that: A. The fetus is at risk for Down syndrome. B. The woman is at high risk for developing preterm labor. C. The lungs are mature. D. Meconium is present in the amniotic fluid - -c Which time span delineates the appropriate length for a normal pregnancy? A. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days B. 10 lunar months, 9 calendar months, 40 weeks, 280 days C. 9 calendar months, 10 lunar months, 42 weeks, 294 days D. 9 calendar months, 38 weeks, 266 days - -b A pregnant woman has been diagnosed with oligohydramnios. Which presentation would the nurse suspect to find on physical examination? A. Fetus is in a breech position B. FHR baseline is within normal range C. Fetus with possible renal problems D. Increased fundal height - -c Which developmental finding is accurate with regard to fetal growth? A. Heart starts beating at 12 weeks. B. Lungs take shape by 8 weeks. C. Brain configuration is complete by 8 weeks. D. Main blood vessels form by 8 weeks - -d In reviewing the history of a woman who wants to become pregnant, which medication profile would indicate a potential concern relative to toxic exposure? (Select all that apply.) A. Tylenol OTC occasionally for a headache; twice last week B. Anticonvulsant for seizure disorder C. Lithium for bipolar disorder D. Coumadin for atrial fibrillation E. Multivitamins once a day - -b,c,d A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity according to the GTPAL system? A. 2-0-0-1-1 B. 2-1-0-1-0 C. 3-1-0-1-0 D. 3-0-1-1-0 - -c Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)? A. Radioimmunoassay B. Radioreceptor assay C. Latex agglutination test D. Enzyme-linked immunosorbent assay (ELISA) - -d A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is: A. A positive pregnancy test result. B. Fetal movement palpated by the nurse-midwife. C. Braxton Hicks contractions. D. Quickening. - -b During a client's physical examination, the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as: A. Hegar sign. B. McDonald sign. C. Chadwick sign. D. Goodell sign. - -a 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 pressure D. Decreased red blood cell (RBC) production - -b A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a: A. Primipara B. Primigravida C. Multipara D. Nulligravida - -a Which presumptive sign (felt by woman) or probable sign (observed by the examiner) of pregnancy is not matched with another possible cause(s)? A. Amenorrhea—stress, endocrine problems B. Quickening—gas, peristalsis C. Goodell sign—cervical polyps D. Chadwick sign—pelvic congestion - -c In order to reassure and educate pregnant clients about changes in their blood pressure, maternity nurses should be aware that: A. A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high. B. Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. C. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. D. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy. - -c Which hematocrit (HCT) and hemoglobin (HGB) results represent the lowest acceptable values for a woman in the third trimester of pregnancy? A. 38% HCT; 14 g/dL HGB B. 35% HCT; 13 g/dL HGB C. 33% HCT; 11 g/dL HGB D. 32% HCT; 10.5 g/dL HGB - -c A pregnant patient is experiencing some integumentary changes and is concerned that they may represent abnormal findings. The nurse provides information to the patient that the following findings would be considered "normal abnormal" findings during pregnancy so that she should not be alarmed. (Select all that apply.) A. Facial edema B. Melasma C. Linea nigra D. Superficial thrombophlebitis E. Vascular spiders F. Allodynia - -b,c,e A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should tell her: A. "You don't need to modify your exercising any time during your pregnancy." B. "Stop exercising, because it will harm the fetus." C. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." D. "Jogging is too hard on your joints; switch to walking now." - -c A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be: A. Constipation B. Alteration in the pattern of fetal movement C. Heart palpitations D. Edema in the ankles and feet at the end of the day - -b A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know whether it is safe for her to have a drink with dinner now. The nurse tells her: A. "Because you're in your second trimester, there's no problem with having one drink with dinner." B. "One drink every night is too much. One drink three times a week should be fine." C. "Because you're in your second trimester, you can drink as much as you like." D. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy." - -d Which behavior indicates that a woman is "seeking safe passage" for herself and her infant? A. She keeps all prenatal appointments. B. She "eats for two." C. She drives her car slowly. D. She wears only low-heeled shoes. - -a What type of cultural concern is the most likely deterrent to many women seeking prenatal care? A. Religion B. Modesty C. Ignorance D. Belief that physicians are evil - -b In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that: A. Nonacceptance of the pregnancy very often equates to rejection of the child. B. Mood swings are most likely the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. C. Ambivalent feelings during pregnancy are usually seen only in emotionally immature or very young mothers. D. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth. - -b With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that: A. The father goes through three phases of acceptance of his own. B. The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. C. In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. D. Typically men remain ambivalent about fatherhood right up to the birth of their child. - -a With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that during pregnancy: A. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. B. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. C. Killed-virus vaccines (e.g., tetanus) should not be given, but live-virus vaccines (e.g., measles) are permissible. D. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus. - -a Which statement about multifetal pregnancy is not accurate? A. The expectant mother often experiences anemia because the fetuses have a greater demand for iron. B. Twin pregnancies come to term with the same frequency as single pregnancies. C. The mother should be counseled to increase her nutritional intake and gain more weight. D. Backache and varicose veins are often more pronounced. - -b The nurse advises the woman who wants to have a nurse-midwife provide obstetric care that: A. She will have to give birth at home. B. She must see an obstetrician as well as the midwife during pregnancy. C. She will not be able to have epidural analgesia for labor pain. D. She must be having a low-risk pregnancy. - -d An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. The nurse should tell the couple that: A. Intercourse should be avoided if any spotting from the vagina occurs afterward. B. Intercourse is safe until the third trimester. C. Safer-sex practices should be used once the membranes rupture. D. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present. - -d A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she: A. Wiggles and points her toes during the cramp. B. Applies cold compresses to the affected leg. C. Extends her leg and dorsiflexes her foot during the cramp. D. Avoids weight bearing on the affected leg during the cramp. - -c An expectant father confides in the nurse that his pregnant wife, at 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" The nurse's best response is: A. "This is normal behavior and should begin to subside by the second trimester." B. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know." C. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant." D. "You seem impatient with her. Perhaps this is precipitating her behavior." - -c Which suggestion about weight gain is not an accurate recommendation? A. Underweight women should gain 12.5 to 18 kg. B. Obese women should gain at least 7 kg. C. Adolescents are encouraged to strive for weight gains at the upper end of the recommended scale. D. In twin gestations, the weight gain recommended for a single fetus pregnancy should simply be doubled. - -d A pregnant woman experiencing nausea and vomiting should: A. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. B. Eat small