OB Midterm Exam Questions With
Correct Answers
A nurse is assessing a client who is in the first stage of labor and has
| | | | | | | | | | | | | | | |
preeclampsia. Which of the following findings should the nurse expect?
| | | | | | | | |
A. Severe hypotension
| |
B. Proteinuria
|
C. Elevated platelet count
| | |
D. Seizures - CORRECT ANSWER✔✔-B. Proteinuria
| | | | |
A nurse is caring for a client in active labor whose membranes have
| | | | | | | | | | | | |
ruptured. The fetal monitoring tracing reveals late decelerations. Which
| | | | | | | | |
of the following actions should the nurse take first?
| | | | | | | |
A. Turn the client onto her left side
| | | | | | |
B. Palpate the client's uterus
| | | |
C. Administer oxygen to the client
| | | | |
D. Increase the client's IV fluids - CORRECT ANSWER✔✔-A. Turn the
| | | | | | | | | | |
client onto her left side
| | | |
A nurse is caring for a client who is in active labor and whose birth plan
| | | | | | | | | | | | | | | |
requests only non-pharmacological pain relief strategies. Which of the
| | | | | | | | |
,following strategies should the nurse offer as a form of cutaneous
| | | | | | | | | | |
stimulation?
A. Breathing techniques
| |
B. Counter-pressure
|
C. biofeedback
|
D. Use of a focal point - CORRECT ANSWER✔✔-B. Counter pressure
| | | | | | | | | |
other cutaneous stimulation include walking, effleurage, water therapy
| | | | | | | |
and hot/cold therapy. Breathing techniques are sensory stimulation,
| | | | | | | |
biofeedback is cognitive stimulation, and use of a focal point is sensory
| | | | | | | | | | | |
stimulation.
A nurse in the prenatal clinic is reviewing the laboratory results of a
| | | | | | | | | | | | |
client who is at 33 weeks of gestation. For which of the following results
| | | | | | | | | | | | | |
should the nurse notify the provider?
| | | | |
A. hgb 11.3 g/dL
| | |
B. platelet count 135,000/mm^3
| | |
C. WBC count 10,500/mm^3
| | |
D. HCT 38% - CORRECT ANSWER✔✔-B. platelet count 135,000/mm^3
| | | | | | | |
a low platelet count can be a sign of preeclampsia or HELLP syndrome.
| | | | | | | | | | | |
A nurse is providing teaching to a client that has come to the family-
| | | | | | | | | | | | |
planning clinic requesting an intrauterine device (IUD). Which of the
| | | | | | | | | |
following pieces of information should the nurse provide the client?
| | | | | | | | |
,A. "If you lose weight, you will need to have your IUD refitted."
| | | | | | | | | | | |
B. "An IUD provides protection from certain sexually transmitted
| | | | | | | | |
infections."
C. "Your risk for ectopic pregnancy increases with an IUD."
| | | | | | | | |
D. "You shouldn't use an IUD if you want kids later." - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-C. "Your risk for ectopic pregnancy increases with an IUD." | | | | | | | | |
A nurse in an outpatient setting is providing education to a client who is
| | | | | | | | | | | | | |
pregnant. Which of the following statements should the nurse include in
| | | | | | | | | |
the teaching?
| |
A. "During the last trimester, you should sleep mainly on your back."
| | | | | | | | | | |
B. "During the second trimester, you will notice increased urinary
| | | | | | | | | |
frequency and urgency." | |
C. "You will probably first notice your baby moving when you are around
| | | | | | | | | | | |
20 weeks gestation."
| | |
D. "You should plan to gain 40-45 pounds during your pregnancy" -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-C. "You will probably first notice your baby
| | | | | | | | |
moving when you are around 20 weeks gestation." ( also called
| | | | | | | | | | |
quickening)
A nurse is caring for a client who is 35 weeks gestation and is scheduled
| | | | | | | | | | | | | | |
to undergo an amniocentesis. Which of the following statements should
| | | | | | | | |
the nurse make?
| | |
, A. "You will need to drink 3-5 8-ounce glasses of water to fill your
| | | | | | | | | | | | | |
bladder."
B. "This procedure will not rupture your membranes or cause premature
| | | | | | | | | |
labor."
|
C. "You might feel a little pressure during the collection of a blood
| | | | | | | | | | | | |
sample from the baby." | | |
D. "You will feel some minor discomfort during the procedure." -
| | | | | | | | | | |
CORRECT ANSWER✔✔-D. "You will feel some minor discomfort during
| | | | | | | | |
the procedure." |
A nurse is caring for a pregnant client who reports nausea and vomiting.
| | | | | | | | | | | |
Which of the following instructions should the nurse share with the
| | | | | | | | | | | |
client?
A. "You should eat some crackers before rising from bed in the
| | | | | | | | | | | |
morning."
B. "You should eat foods served at warm temperatures."
| | | | | | | |
C. "You should sip whole milk with breakfast."
| | | | | | |
D. "You should brush your teeth immediately after each meal." -
| | | | | | | | | | |
CORRECT ANSWER✔✔-A. "You should eat some crackers before rising
| | | | | | | | |
from bed in the morning."
| | | |
A nurse is caring for a client whose last menstrual period (LMP) began
| | | | | | | | | | | | |
on July 8. Using Naegele's rule, what is the client's estimated date of
| | | | | | | | | | | | |
birth (EDB)? | |
Correct Answers
A nurse is assessing a client who is in the first stage of labor and has
| | | | | | | | | | | | | | | |
preeclampsia. Which of the following findings should the nurse expect?
| | | | | | | | |
A. Severe hypotension
| |
B. Proteinuria
|
C. Elevated platelet count
| | |
D. Seizures - CORRECT ANSWER✔✔-B. Proteinuria
| | | | |
A nurse is caring for a client in active labor whose membranes have
| | | | | | | | | | | | |
ruptured. The fetal monitoring tracing reveals late decelerations. Which
| | | | | | | | |
of the following actions should the nurse take first?
| | | | | | | |
A. Turn the client onto her left side
| | | | | | |
B. Palpate the client's uterus
| | | |
C. Administer oxygen to the client
| | | | |
D. Increase the client's IV fluids - CORRECT ANSWER✔✔-A. Turn the
| | | | | | | | | | |
client onto her left side
| | | |
A nurse is caring for a client who is in active labor and whose birth plan
| | | | | | | | | | | | | | | |
requests only non-pharmacological pain relief strategies. Which of the
| | | | | | | | |
,following strategies should the nurse offer as a form of cutaneous
| | | | | | | | | | |
stimulation?
A. Breathing techniques
| |
B. Counter-pressure
|
C. biofeedback
|
D. Use of a focal point - CORRECT ANSWER✔✔-B. Counter pressure
| | | | | | | | | |
other cutaneous stimulation include walking, effleurage, water therapy
| | | | | | | |
and hot/cold therapy. Breathing techniques are sensory stimulation,
| | | | | | | |
biofeedback is cognitive stimulation, and use of a focal point is sensory
| | | | | | | | | | | |
stimulation.
A nurse in the prenatal clinic is reviewing the laboratory results of a
| | | | | | | | | | | | |
client who is at 33 weeks of gestation. For which of the following results
| | | | | | | | | | | | | |
should the nurse notify the provider?
| | | | |
A. hgb 11.3 g/dL
| | |
B. platelet count 135,000/mm^3
| | |
C. WBC count 10,500/mm^3
| | |
D. HCT 38% - CORRECT ANSWER✔✔-B. platelet count 135,000/mm^3
| | | | | | | |
a low platelet count can be a sign of preeclampsia or HELLP syndrome.
| | | | | | | | | | | |
A nurse is providing teaching to a client that has come to the family-
| | | | | | | | | | | | |
planning clinic requesting an intrauterine device (IUD). Which of the
| | | | | | | | | |
following pieces of information should the nurse provide the client?
| | | | | | | | |
,A. "If you lose weight, you will need to have your IUD refitted."
| | | | | | | | | | | |
B. "An IUD provides protection from certain sexually transmitted
| | | | | | | | |
infections."
C. "Your risk for ectopic pregnancy increases with an IUD."
| | | | | | | | |
D. "You shouldn't use an IUD if you want kids later." - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-C. "Your risk for ectopic pregnancy increases with an IUD." | | | | | | | | |
A nurse in an outpatient setting is providing education to a client who is
| | | | | | | | | | | | | |
pregnant. Which of the following statements should the nurse include in
| | | | | | | | | |
the teaching?
| |
A. "During the last trimester, you should sleep mainly on your back."
| | | | | | | | | | |
B. "During the second trimester, you will notice increased urinary
| | | | | | | | | |
frequency and urgency." | |
C. "You will probably first notice your baby moving when you are around
| | | | | | | | | | | |
20 weeks gestation."
| | |
D. "You should plan to gain 40-45 pounds during your pregnancy" -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-C. "You will probably first notice your baby
| | | | | | | | |
moving when you are around 20 weeks gestation." ( also called
| | | | | | | | | | |
quickening)
A nurse is caring for a client who is 35 weeks gestation and is scheduled
| | | | | | | | | | | | | | |
to undergo an amniocentesis. Which of the following statements should
| | | | | | | | |
the nurse make?
| | |
, A. "You will need to drink 3-5 8-ounce glasses of water to fill your
| | | | | | | | | | | | | |
bladder."
B. "This procedure will not rupture your membranes or cause premature
| | | | | | | | | |
labor."
|
C. "You might feel a little pressure during the collection of a blood
| | | | | | | | | | | | |
sample from the baby." | | |
D. "You will feel some minor discomfort during the procedure." -
| | | | | | | | | | |
CORRECT ANSWER✔✔-D. "You will feel some minor discomfort during
| | | | | | | | |
the procedure." |
A nurse is caring for a pregnant client who reports nausea and vomiting.
| | | | | | | | | | | |
Which of the following instructions should the nurse share with the
| | | | | | | | | | | |
client?
A. "You should eat some crackers before rising from bed in the
| | | | | | | | | | | |
morning."
B. "You should eat foods served at warm temperatures."
| | | | | | | |
C. "You should sip whole milk with breakfast."
| | | | | | |
D. "You should brush your teeth immediately after each meal." -
| | | | | | | | | | |
CORRECT ANSWER✔✔-A. "You should eat some crackers before rising
| | | | | | | | |
from bed in the morning."
| | | |
A nurse is caring for a client whose last menstrual period (LMP) began
| | | | | | | | | | | | |
on July 8. Using Naegele's rule, what is the client's estimated date of
| | | | | | | | | | | | |
birth (EDB)? | |
