OB Exam 3 Questions With Correct
Answers
A client in labor has requested the administration of narcotics to reduce
| | | | | | | | | | | |
pain. At 2 cm cervical dilatation, she says that she is managing the pain
| | | | | | | | | | | | | |
well at this point but does not want it to get ahead of her. What should
| | | | | | | | | | | | | | | |
the nurse do? | | |
A) Explain to the client that narcotics should only be administered an
| | | | | | | | | | | |
hour or less before birth.
| | | | |
B) Advise the client to hold out a bit longer, if possible, before
| | | | | | | | | | | | | |
administration of the drug, to prevent slowing labor. | | | | | | | |
C) Refuse to administer narcotics because they can develop
| | | | | | | | | |
dependency in the client and the fetus. | | | | | | |
|D) Agree with the client, and administer the drug immediately to keep
| | | | | | | | | | | |
the pain manageable. - CORRECT ANSWER✔✔-ANS: A) Advise the client
| | | | | | | | |
to hold out a bit longer, if possible, before administration of the drug, to
| | | | | | | | | | | | | |
prevent slowing labor.
| | |
Which type of anesthesia is anticipated when the delivery of the fetus
| | | | | | | | | | | |
must be done quickly due to an emergency situation?
| | | | | | | | |
| A) General
| |
| B) Local | |
,| C) Regional
| |
| D) Short acting - CORRECT ANSWER✔✔-ANS: A) General
| | | | | | |
Stage 1 of labor includes which phases in the correct order?
| | | | | | | | | |
A. Transition, Latent, Active
| | |
B. Active, Latent, Transition
| | |
C. Active, Transition, Latent
| | |
D. Latent, Active, Transition - CORRECT ANSWER✔✔-ANS: D. Latent,
| | | | | | | | |
Active, Transition |
True or False: Stage 2 of labor begins with the delivery of the baby and
| | | | | | | | | | | | | | |
ends with the delivery of the placenta.*
| | | | | |
True
False - CORRECT ANSWER✔✔-ANS: False
| | | |
You're performing a routine assessment on a mother post-delivery. The
| | | | | | | | | |
uterus is soft and displaced to the left of the umbilicus. What is your
| | | | | | | | | | | | | |
next nursing action?*
| |
A. Perform fundal massage and assist the patient to the bathroom.
| | | | | | | | | |
B. Continue to monitor the mother. This is a normal finding post-
| | | | | | | | | | |
delivery.
C. Notify the physician.
| | |
,D. Administer PRN dose of Pitocin as ordered by the physician. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: A. Perform fundal massage and assist the
| | | | | | | | |
patient to the bathroom. | | |
In stage 1 of labor, during the active phase, the cervix dilates?*
| | | | | | | | | | |
A. 1-3 cm
| |
B. 7-10 cm
| |
C. 4-7 cm
| |
D. 8-10 cm - CORRECT ANSWER✔✔-ANS: C. 4-7 cm
| | | | | | | |
What statement is FALSE about the transition phase of stage 1?*
| | | | | | | | | |
A. The mother may experience intense pain, irritation, nausea, and deep
| | | | | | | | | |
concentration.
|
B. The transition phase is the longest phase of stage 1 and contractions
| | | | | | | | | | | | |
are very intense and long in duration.
| | | | | |
C. The cervix will dilate from 8 to 10 cm.
| | | | | | | | |
D. The transition phase ends and progresses to stage 2 of labor when
| | | | | | | | | | | | |
the cervix has dilated to 10 cm. - CORRECT ANSWER✔✔-ANS: B. The
| | | | | | | | | | | |
transition phase is the longest phase of stage 1 and contractions are
| | | | | | | | | | | |
very intense and long in duration
| | | | |
Your laboring patient has transitioned to stage 2 of labor. What changes
| | | | | | | | | | | |
in the perineum indicate the birth of the baby is imminent?*
| | | | | | | | | |
, A. Increase in meconium-stained fluid and retracting perineum
| | | | | | |
B. Retracting perineum and anus with an increase of bloody show
| | | | | | | | | |
C. Rapid and intense contractions
| | | |
D. Bulging perineum and rectum with an increase in bloody show -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: C. Rapid and intense contractions
| | | | | |
After birth, where do you expect to assess fundal height?*
| | | | | | | | |
A. At the xiphoid process
| | | |
B. 5 cm below the umbilicus
| | | | |
C. 2 cm above the pubic symphysis
| | | | | |
D. At or near the umbilicus - CORRECT ANSWER✔✔-ANS: D. At or near
| | | | | | | | | | | | |
the umbilicus
|
During stage 3 of labor, you note a gush of blood and that the uterus
| | | | | | | | | | | | | | |
changes shape from an oval shape to globular shape. This indicates?*
| | | | | | | | | |
A. Postpartum hemorrhage
| |
B. Imminent delivery of the baby
| | | | |
C. Signs of placental separation
| | | |
D. Answers B and C - CORRECT ANSWER✔✔-ANS:C. Signs of placental
| | | | | | | | | | |
separation
Answers
A client in labor has requested the administration of narcotics to reduce
| | | | | | | | | | | |
pain. At 2 cm cervical dilatation, she says that she is managing the pain
| | | | | | | | | | | | | |
well at this point but does not want it to get ahead of her. What should
| | | | | | | | | | | | | | | |
the nurse do? | | |
A) Explain to the client that narcotics should only be administered an
| | | | | | | | | | | |
hour or less before birth.
| | | | |
B) Advise the client to hold out a bit longer, if possible, before
| | | | | | | | | | | | | |
administration of the drug, to prevent slowing labor. | | | | | | | |
C) Refuse to administer narcotics because they can develop
| | | | | | | | | |
dependency in the client and the fetus. | | | | | | |
|D) Agree with the client, and administer the drug immediately to keep
| | | | | | | | | | | |
the pain manageable. - CORRECT ANSWER✔✔-ANS: A) Advise the client
| | | | | | | | |
to hold out a bit longer, if possible, before administration of the drug, to
| | | | | | | | | | | | | |
prevent slowing labor.
| | |
Which type of anesthesia is anticipated when the delivery of the fetus
| | | | | | | | | | | |
must be done quickly due to an emergency situation?
| | | | | | | | |
| A) General
| |
| B) Local | |
,| C) Regional
| |
| D) Short acting - CORRECT ANSWER✔✔-ANS: A) General
| | | | | | |
Stage 1 of labor includes which phases in the correct order?
| | | | | | | | | |
A. Transition, Latent, Active
| | |
B. Active, Latent, Transition
| | |
C. Active, Transition, Latent
| | |
D. Latent, Active, Transition - CORRECT ANSWER✔✔-ANS: D. Latent,
| | | | | | | | |
Active, Transition |
True or False: Stage 2 of labor begins with the delivery of the baby and
| | | | | | | | | | | | | | |
ends with the delivery of the placenta.*
| | | | | |
True
False - CORRECT ANSWER✔✔-ANS: False
| | | |
You're performing a routine assessment on a mother post-delivery. The
| | | | | | | | | |
uterus is soft and displaced to the left of the umbilicus. What is your
| | | | | | | | | | | | | |
next nursing action?*
| |
A. Perform fundal massage and assist the patient to the bathroom.
| | | | | | | | | |
B. Continue to monitor the mother. This is a normal finding post-
| | | | | | | | | | |
delivery.
C. Notify the physician.
| | |
,D. Administer PRN dose of Pitocin as ordered by the physician. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: A. Perform fundal massage and assist the
| | | | | | | | |
patient to the bathroom. | | |
In stage 1 of labor, during the active phase, the cervix dilates?*
| | | | | | | | | | |
A. 1-3 cm
| |
B. 7-10 cm
| |
C. 4-7 cm
| |
D. 8-10 cm - CORRECT ANSWER✔✔-ANS: C. 4-7 cm
| | | | | | | |
What statement is FALSE about the transition phase of stage 1?*
| | | | | | | | | |
A. The mother may experience intense pain, irritation, nausea, and deep
| | | | | | | | | |
concentration.
|
B. The transition phase is the longest phase of stage 1 and contractions
| | | | | | | | | | | | |
are very intense and long in duration.
| | | | | |
C. The cervix will dilate from 8 to 10 cm.
| | | | | | | | |
D. The transition phase ends and progresses to stage 2 of labor when
| | | | | | | | | | | | |
the cervix has dilated to 10 cm. - CORRECT ANSWER✔✔-ANS: B. The
| | | | | | | | | | | |
transition phase is the longest phase of stage 1 and contractions are
| | | | | | | | | | | |
very intense and long in duration
| | | | |
Your laboring patient has transitioned to stage 2 of labor. What changes
| | | | | | | | | | | |
in the perineum indicate the birth of the baby is imminent?*
| | | | | | | | | |
, A. Increase in meconium-stained fluid and retracting perineum
| | | | | | |
B. Retracting perineum and anus with an increase of bloody show
| | | | | | | | | |
C. Rapid and intense contractions
| | | |
D. Bulging perineum and rectum with an increase in bloody show -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-ANS: C. Rapid and intense contractions
| | | | | |
After birth, where do you expect to assess fundal height?*
| | | | | | | | |
A. At the xiphoid process
| | | |
B. 5 cm below the umbilicus
| | | | |
C. 2 cm above the pubic symphysis
| | | | | |
D. At or near the umbilicus - CORRECT ANSWER✔✔-ANS: D. At or near
| | | | | | | | | | | | |
the umbilicus
|
During stage 3 of labor, you note a gush of blood and that the uterus
| | | | | | | | | | | | | | |
changes shape from an oval shape to globular shape. This indicates?*
| | | | | | | | | |
A. Postpartum hemorrhage
| |
B. Imminent delivery of the baby
| | | | |
C. Signs of placental separation
| | | |
D. Answers B and C - CORRECT ANSWER✔✔-ANS:C. Signs of placental
| | | | | | | | | | |
separation
