OB Final Exam Questions With Complete
Solutions
An infant was born 2 hours ago at 37 weeks of gestation, weighing 4.1
| | | | | | | | | | | | | |
kg. The infant appears chubby with a flushed complexion and is very
| | | | | | | | | | | |
tremulous. The tremors are most likely the result of:
| | | | | | | |
A. Birth injury
| |
B. Hypocalcemia
|
C. Hypoglycemia
|
D. Seizures - CORRECT ANSWER✔✔-C. Hypoglycemia
| | | | |
The abuse of which of the following substances during pregnancy is the
| | | | | | | | | | | |
leading cause of cognitive impairment in the United States?
| | | | | | | |
A. Alcohol
|
B. Tobacco
|
C. Marijuana
|
D. Heroin - CORRECT ANSWER✔✔-A. Alcohol
| | | | |
A newborn was admitted to the neonatal intensive care unit after being
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delivered at 29 weeks of gestation to a 28-year-old multiparous,
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married, Caucasian female whose pregnancy was uncomplicated until
| | | | | | | |
,premature rupture of membranes and preterm birth. The newborn's
| | | | | | | | |
parents arrive for their first visit after the birth. The parents walk toward
| | | | | | | | | | | |
the bedside but remain approximately 5 feet away from the bed. The
| | | | | | | | | | | | |
nurse's appropriate action would be to:
| | | | |
A. Wait quietly at the newborn's bedside until the parents come closer.
| | | | | | | | | | |
B. Go to the parents, introduce himself or herself, and gently encourage
| | | | | | | | | | | |
them to come meet their infant; explain the equipment first, and then
| | | | | | | | | | | |
focus on the newborn.
| | |
C. Leave the parents at the bedside while they are visiting so they can
| | | | | | | | | | | | | |
have some privacy.
| |
D. Tell the parents only about the newborn's physical condition and
| | | | | | | | | | |
caution them to avoid touching their baby. - CORRECT ANSWER✔✔-B.
| | | | | | | | | |
Go to the parents, introduce himself or herself, and gently encourage
| | | | | | | | | | |
them to come meet their infant; explain the equipment first, and then
| | | | | | | | | | | |
focus on the newborn.
| | |
With regard to injuries to the infant's plexus during labor and birth,
| | | | | | | | | | | |
nurses should be aware that:| | | |
A. If the nerves are stretched with no avulsion, they should recover
| | | | | | | | | | | |
completely in 3 to 6 months. | | | | |
B. Erb palsy is damage to the lower plexus.
| | | | | | | |
C. Parents of children with brachial palsy are taught to pick up the child
| | | | | | | | | | | | | |
from under the axillae.
| | |
D. Breastfeeding is not recommended for infants with facial nerve
| | | | | | | | | |
paralysis until the condition resolves. - CORRECT ANSWER✔✔-A. If the
| | | | | | | | | |
,nerves are stretched with no avulsion, they should recover completely
| | | | | | | | | |
in 3 to 6 months
| | | |
In appraising the growth and development potential of a preterm infant,
| | | | | | | | | |
|nurses should: |
A. Tell parents their child won't catch up until about age 10 (girls) to 12
| | | | | | | | | | | | | | |
(boys).
B. Correct for milestones such as motor competencies and vocalizations
| | | | | | | | | |
until the child is approximately 3 years of age.
| | | | | | | |
C. Know that the greatest catch-up period is between 9 and 15 months
| | | | | | | | | | | | |
post conceptual age.
| |
D. Know that the length and breadth of the trunk is the first part of the
| | | | | | | | | | | | | | | |
infant to experience catch-up growth. - CORRECT ANSWER✔✔-B.
| | | | | | | |
Correct for milestones such as motor competencies and vocalizations
| | | | | | | | |
until the child is approximately 3 years of age.
| | | | | | | |
During the initial acute distress phase of grieving, parents still must
| | | | | | | | | | |
make unexpected and unwanted decisions about funeral arrangements
| | | | | | | |
and even naming the baby. The nurse's role should be to:
| | | | | | | | | |
A. Take over as much as possible to relieve the pressure.
| | | | | | | | | |
B. Encourage grandparents to take over.
| | | | |
C. Make sure the parents themselves approve the final decisions.
| | | | | | | | |
D. Let them alone to work things out. - CORRECT ANSWER✔✔-C. Make
| | | | | | | | | | | |
sure the parents themselves approve the final decisions.
| | | | | | |
, For clinical purposes, preterm and postterm infants are defined as:
| | | | | | | | |
A. Preterm before 34 weeks if appropriate for gestational age (AGA);
| | | | | | | | | | |
before 37 weeks if small for gestational age (SGA).
| | | | | | | |
B. Postterm after 40 weeks if large for gestational age (LGA); beyond 42
| | | | | | | | | | | | |
weeks if AGA. | |
C. Preterm before 37 weeks, post term beyond 42 weeks, no matter the
| | | | | | | | | | | | |
size for gestational age at birth.
| | | | |
D. Preterm, SGA before 38 to 40 weeks; post term, LGA beyond 40 to 42
| | | | | | | | | | | | | | |
weeks. - CORRECT ANSWER✔✔-C. Preterm before 37 weeks, post term
| | | | | | | | | |
beyond 42 weeks, no matter the size for gestational age at birth.
| | | | | | | | | | |
A plan of care for an infant experiencing symptoms of drug withdrawal
| | | | | | | | | | | |
should include: |
A. Administering chloral hydrate for sedation.
| | | | |
B. Feeding every 4 to 6 hours to allow extra rest.
| | | | | | | | | |
C. Swaddling the infant snugly and holding the baby tightly.
| | | | | | | | |
D. Playing soft music during feeding. - CORRECT ANSWER✔✔-C.
| | | | | | | | |
Swaddling the infant and holding the baby tightly.
| | | | | | |
With regard to the classification of neonatal bacterial infection, nurses
| | | | | | | | | |
should be aware that: | | |
A. Congenital infection progresses slower than nosocomial infection.
| | | | | | |
Solutions
An infant was born 2 hours ago at 37 weeks of gestation, weighing 4.1
| | | | | | | | | | | | | |
kg. The infant appears chubby with a flushed complexion and is very
| | | | | | | | | | | |
tremulous. The tremors are most likely the result of:
| | | | | | | |
A. Birth injury
| |
B. Hypocalcemia
|
C. Hypoglycemia
|
D. Seizures - CORRECT ANSWER✔✔-C. Hypoglycemia
| | | | |
The abuse of which of the following substances during pregnancy is the
| | | | | | | | | | | |
leading cause of cognitive impairment in the United States?
| | | | | | | |
A. Alcohol
|
B. Tobacco
|
C. Marijuana
|
D. Heroin - CORRECT ANSWER✔✔-A. Alcohol
| | | | |
A newborn was admitted to the neonatal intensive care unit after being
| | | | | | | | | | | |
delivered at 29 weeks of gestation to a 28-year-old multiparous,
| | | | | | | | | |
married, Caucasian female whose pregnancy was uncomplicated until
| | | | | | | |
,premature rupture of membranes and preterm birth. The newborn's
| | | | | | | | |
parents arrive for their first visit after the birth. The parents walk toward
| | | | | | | | | | | |
the bedside but remain approximately 5 feet away from the bed. The
| | | | | | | | | | | | |
nurse's appropriate action would be to:
| | | | |
A. Wait quietly at the newborn's bedside until the parents come closer.
| | | | | | | | | | |
B. Go to the parents, introduce himself or herself, and gently encourage
| | | | | | | | | | | |
them to come meet their infant; explain the equipment first, and then
| | | | | | | | | | | |
focus on the newborn.
| | |
C. Leave the parents at the bedside while they are visiting so they can
| | | | | | | | | | | | | |
have some privacy.
| |
D. Tell the parents only about the newborn's physical condition and
| | | | | | | | | | |
caution them to avoid touching their baby. - CORRECT ANSWER✔✔-B.
| | | | | | | | | |
Go to the parents, introduce himself or herself, and gently encourage
| | | | | | | | | | |
them to come meet their infant; explain the equipment first, and then
| | | | | | | | | | | |
focus on the newborn.
| | |
With regard to injuries to the infant's plexus during labor and birth,
| | | | | | | | | | | |
nurses should be aware that:| | | |
A. If the nerves are stretched with no avulsion, they should recover
| | | | | | | | | | | |
completely in 3 to 6 months. | | | | |
B. Erb palsy is damage to the lower plexus.
| | | | | | | |
C. Parents of children with brachial palsy are taught to pick up the child
| | | | | | | | | | | | | |
from under the axillae.
| | |
D. Breastfeeding is not recommended for infants with facial nerve
| | | | | | | | | |
paralysis until the condition resolves. - CORRECT ANSWER✔✔-A. If the
| | | | | | | | | |
,nerves are stretched with no avulsion, they should recover completely
| | | | | | | | | |
in 3 to 6 months
| | | |
In appraising the growth and development potential of a preterm infant,
| | | | | | | | | |
|nurses should: |
A. Tell parents their child won't catch up until about age 10 (girls) to 12
| | | | | | | | | | | | | | |
(boys).
B. Correct for milestones such as motor competencies and vocalizations
| | | | | | | | | |
until the child is approximately 3 years of age.
| | | | | | | |
C. Know that the greatest catch-up period is between 9 and 15 months
| | | | | | | | | | | | |
post conceptual age.
| |
D. Know that the length and breadth of the trunk is the first part of the
| | | | | | | | | | | | | | | |
infant to experience catch-up growth. - CORRECT ANSWER✔✔-B.
| | | | | | | |
Correct for milestones such as motor competencies and vocalizations
| | | | | | | | |
until the child is approximately 3 years of age.
| | | | | | | |
During the initial acute distress phase of grieving, parents still must
| | | | | | | | | | |
make unexpected and unwanted decisions about funeral arrangements
| | | | | | | |
and even naming the baby. The nurse's role should be to:
| | | | | | | | | |
A. Take over as much as possible to relieve the pressure.
| | | | | | | | | |
B. Encourage grandparents to take over.
| | | | |
C. Make sure the parents themselves approve the final decisions.
| | | | | | | | |
D. Let them alone to work things out. - CORRECT ANSWER✔✔-C. Make
| | | | | | | | | | | |
sure the parents themselves approve the final decisions.
| | | | | | |
, For clinical purposes, preterm and postterm infants are defined as:
| | | | | | | | |
A. Preterm before 34 weeks if appropriate for gestational age (AGA);
| | | | | | | | | | |
before 37 weeks if small for gestational age (SGA).
| | | | | | | |
B. Postterm after 40 weeks if large for gestational age (LGA); beyond 42
| | | | | | | | | | | | |
weeks if AGA. | |
C. Preterm before 37 weeks, post term beyond 42 weeks, no matter the
| | | | | | | | | | | | |
size for gestational age at birth.
| | | | |
D. Preterm, SGA before 38 to 40 weeks; post term, LGA beyond 40 to 42
| | | | | | | | | | | | | | |
weeks. - CORRECT ANSWER✔✔-C. Preterm before 37 weeks, post term
| | | | | | | | | |
beyond 42 weeks, no matter the size for gestational age at birth.
| | | | | | | | | | |
A plan of care for an infant experiencing symptoms of drug withdrawal
| | | | | | | | | | | |
should include: |
A. Administering chloral hydrate for sedation.
| | | | |
B. Feeding every 4 to 6 hours to allow extra rest.
| | | | | | | | | |
C. Swaddling the infant snugly and holding the baby tightly.
| | | | | | | | |
D. Playing soft music during feeding. - CORRECT ANSWER✔✔-C.
| | | | | | | | |
Swaddling the infant and holding the baby tightly.
| | | | | | |
With regard to the classification of neonatal bacterial infection, nurses
| | | | | | | | | |
should be aware that: | | |
A. Congenital infection progresses slower than nosocomial infection.
| | | | | | |
