OB Final Prep U Questions With Complete Solutions
1. A woman gave birth to a healthy 7-pound, 13-ounce infant
girl. The nurse suggests that the client place the infant to her
breast within 15 minutes after birth. The nurse is aware that the
initiation of breastfeeding is most effective during the first 30
minutes after birth. What is the correct term for this phase of
alertness?
a.
Transition period
b.
First period of reactivity
c.
Organizational stage
d.
Second period of reactivity Correct Answers ANS: B
The first period of reactivity is the first phase of transition and
lasts up to 30 minutes after birth. The infant is highly alert
during this phase. The transition period is the phase between
intrauterine and extrauterine existence. An organizational stage
is not a valid stage. The second period of reactivity occurs
,approximately between 4 and 8 hours after birth, after a period
of sleep.
1. A woman gave birth to an infant boy 10 hours ago. Where
does the nurse expect to locate this womans fundus?
a.
1 centimeter above the umbilicus
b.
2 centimeters below the umbilicus
c.
Midway between the umbilicus and the symphysis pubis
d.
Nonpalpable abdominally Correct Answers A (The fundus
descends approximately 1 to 2 cm every 24 hours. Within 12
hours after delivery the fundus may be approximately 1 cm
above the umbilicus. By the sixth postpartum week the fundus is
normally halfway between the symphysis pubis and the
umbilicus. The fundus should be easily palpated using the
maternal umbilicus as a reference point.)
1. A woman gave birth vaginally to a 9-lb, 12-oz girl yesterday.
Her primary health care provider has written orders for perineal
,ice packs, use of a sitz bath tid, and a stool softener. What
information is most closely correlated with these orders?
a. The woman is a gravida 2, para 2
b. The woman had a vacuum-assisted birth
c. The woman received epidural anesthesia
d. The woman has an episiotomy Correct Answers ANS: D
These orders are typical interventions for a woman who has had
an episiotomy, lacerations, and hemorrhoids.
A multiparous classification is not an indication for these orders.
A vacuum-assisted birth may be used in conjunction with an
episiotomy, which would indicate these interventions.
Use of epidural anesthesia has no correlation with these orders.
1. Many new mothers experience some type of nipple pain
during the first weeks of initiating breastfeeding. Should this
pain be severe or persistent, it may discourage or inhibit
breastfeeding altogether. The nurse should be aware of a variety
of factors that may contribute to nipple pain. These include:
(select all that apply)
a. Improper feeding position
b. Large-for-gestational age infant
, c. Fair skin
d. Progesterone deficiency
e. Flat or retracted nipples Correct Answers ANS: A, C, E
Nipple lesions may manifest as chapped, cracked, bleeding,
sore, erythematous, edematous, or blistered. Factors that
contribute to nipple pain include improper positioning or failure
to break suction before removing the baby from the breast. Flat
or retracted nipples along with the use of nipple shields, breast
shells, or plastic breast pads also contribute. Women with fair
skin are more likely to develop sore and cracked nipples.
Prevention of nipple soreness is preferable to treatment after it
appears.
Vigorous feeding may be a contributing factor. This may be the
case with any size infant, not just those who are large for
gestational age. Estrogen or dietary deficiencies can contribute
to nipple soreness.
1. The _________________________ test is used to detect the
amount of fetal blood in
the maternal circulation. Correct Answers ANS:
Kleihauer-Betke
This test is ordered if a large fetomaternal transfusion is
suspected. If more than 15 ml of fetal blood is present in
1. A woman gave birth to a healthy 7-pound, 13-ounce infant
girl. The nurse suggests that the client place the infant to her
breast within 15 minutes after birth. The nurse is aware that the
initiation of breastfeeding is most effective during the first 30
minutes after birth. What is the correct term for this phase of
alertness?
a.
Transition period
b.
First period of reactivity
c.
Organizational stage
d.
Second period of reactivity Correct Answers ANS: B
The first period of reactivity is the first phase of transition and
lasts up to 30 minutes after birth. The infant is highly alert
during this phase. The transition period is the phase between
intrauterine and extrauterine existence. An organizational stage
is not a valid stage. The second period of reactivity occurs
,approximately between 4 and 8 hours after birth, after a period
of sleep.
1. A woman gave birth to an infant boy 10 hours ago. Where
does the nurse expect to locate this womans fundus?
a.
1 centimeter above the umbilicus
b.
2 centimeters below the umbilicus
c.
Midway between the umbilicus and the symphysis pubis
d.
Nonpalpable abdominally Correct Answers A (The fundus
descends approximately 1 to 2 cm every 24 hours. Within 12
hours after delivery the fundus may be approximately 1 cm
above the umbilicus. By the sixth postpartum week the fundus is
normally halfway between the symphysis pubis and the
umbilicus. The fundus should be easily palpated using the
maternal umbilicus as a reference point.)
1. A woman gave birth vaginally to a 9-lb, 12-oz girl yesterday.
Her primary health care provider has written orders for perineal
,ice packs, use of a sitz bath tid, and a stool softener. What
information is most closely correlated with these orders?
a. The woman is a gravida 2, para 2
b. The woman had a vacuum-assisted birth
c. The woman received epidural anesthesia
d. The woman has an episiotomy Correct Answers ANS: D
These orders are typical interventions for a woman who has had
an episiotomy, lacerations, and hemorrhoids.
A multiparous classification is not an indication for these orders.
A vacuum-assisted birth may be used in conjunction with an
episiotomy, which would indicate these interventions.
Use of epidural anesthesia has no correlation with these orders.
1. Many new mothers experience some type of nipple pain
during the first weeks of initiating breastfeeding. Should this
pain be severe or persistent, it may discourage or inhibit
breastfeeding altogether. The nurse should be aware of a variety
of factors that may contribute to nipple pain. These include:
(select all that apply)
a. Improper feeding position
b. Large-for-gestational age infant
, c. Fair skin
d. Progesterone deficiency
e. Flat or retracted nipples Correct Answers ANS: A, C, E
Nipple lesions may manifest as chapped, cracked, bleeding,
sore, erythematous, edematous, or blistered. Factors that
contribute to nipple pain include improper positioning or failure
to break suction before removing the baby from the breast. Flat
or retracted nipples along with the use of nipple shields, breast
shells, or plastic breast pads also contribute. Women with fair
skin are more likely to develop sore and cracked nipples.
Prevention of nipple soreness is preferable to treatment after it
appears.
Vigorous feeding may be a contributing factor. This may be the
case with any size infant, not just those who are large for
gestational age. Estrogen or dietary deficiencies can contribute
to nipple soreness.
1. The _________________________ test is used to detect the
amount of fetal blood in
the maternal circulation. Correct Answers ANS:
Kleihauer-Betke
This test is ordered if a large fetomaternal transfusion is
suspected. If more than 15 ml of fetal blood is present in
