OB EXAM 2
FREQUENTLY TESTED ACTUAL QUESTIONS WITH
CORRECT ANSWERS
Question 1.
What helps with nasal stuffiness in 1st trimester?
ANSWER
cool moist humidifier, NS drops/spray, cool compress
Question 2.
Positive contraction stress test
ANSWER
bad; late decelerations of fetal HR after contractions
*Indicates placental insufficiency*
Question 3.
Kick count
ANSWER
Feels 8-10 movement in 1 hour when laying still at 37 weeks
Question 4.
What helps with back pain during pregnancy?
ANSWER
firm surface, heat, rocking
,Question 5.
Characteristics of uterine contractions
ANSWER
Frequency: how many in minutes
Duration: How many seconds does contraction last?
Intensity: mild, moderate, strong?
Resting tone: relaxation of uterus after contraction
Question 6.
Ballottement
ANSWER
feeling fetal movement by tapping lower portion of uterus/cervix
Question 7.
Respiratory changes in pregnancy
ANSWER
-hyperventilation
-SOB
Question 8.
What helps with hemorrhoids during pregnancy?
ANSWER
witch hazel/sitz baths
,Question 9.
Fetal Scalp Electrode (FSE)
ANSWER
Most accurate of babys heart rate/QRS
-may cause ventricular hemorrhage
Question 10.
Chloasma
ANSWER
pregnancy mask
Question 11.
Episodic changes in FHR
ANSWER
not associated with uterine contractions
Question 12.
Which is highest priority nursing action for pt with sus[ected ectopic pregnancy?
ANSWER
Monitor vital signs
, Question 13.
Urinary changes in pregnancy
ANSWER
-frequency
-increased GFR
-sugar/protein in urine
Question 14.
Chadwick's sign
ANSWER
Bluish-purple coloration of the vaginal mucosa and cervix
Question 15.
Nutritional requirements during pregnancy
ANSWER
-folic acid 400-800mcg
-Iron
-all minerals
- +14-16g protein
- +300calories
Question 16.
Maternal serum alpha-fetoprotein (MSAFP)
ANSWER
Done between 15-22 weeks to test for neural tube defects If positive ultrasound and
amniocentesis ordered
Question 17.
Intervention for prolapsed cord
ANSWER
Push on presenting head and keep it away from umbilical cord until C section
*dont return cord into vagina*
FREQUENTLY TESTED ACTUAL QUESTIONS WITH
CORRECT ANSWERS
Question 1.
What helps with nasal stuffiness in 1st trimester?
ANSWER
cool moist humidifier, NS drops/spray, cool compress
Question 2.
Positive contraction stress test
ANSWER
bad; late decelerations of fetal HR after contractions
*Indicates placental insufficiency*
Question 3.
Kick count
ANSWER
Feels 8-10 movement in 1 hour when laying still at 37 weeks
Question 4.
What helps with back pain during pregnancy?
ANSWER
firm surface, heat, rocking
,Question 5.
Characteristics of uterine contractions
ANSWER
Frequency: how many in minutes
Duration: How many seconds does contraction last?
Intensity: mild, moderate, strong?
Resting tone: relaxation of uterus after contraction
Question 6.
Ballottement
ANSWER
feeling fetal movement by tapping lower portion of uterus/cervix
Question 7.
Respiratory changes in pregnancy
ANSWER
-hyperventilation
-SOB
Question 8.
What helps with hemorrhoids during pregnancy?
ANSWER
witch hazel/sitz baths
,Question 9.
Fetal Scalp Electrode (FSE)
ANSWER
Most accurate of babys heart rate/QRS
-may cause ventricular hemorrhage
Question 10.
Chloasma
ANSWER
pregnancy mask
Question 11.
Episodic changes in FHR
ANSWER
not associated with uterine contractions
Question 12.
Which is highest priority nursing action for pt with sus[ected ectopic pregnancy?
ANSWER
Monitor vital signs
, Question 13.
Urinary changes in pregnancy
ANSWER
-frequency
-increased GFR
-sugar/protein in urine
Question 14.
Chadwick's sign
ANSWER
Bluish-purple coloration of the vaginal mucosa and cervix
Question 15.
Nutritional requirements during pregnancy
ANSWER
-folic acid 400-800mcg
-Iron
-all minerals
- +14-16g protein
- +300calories
Question 16.
Maternal serum alpha-fetoprotein (MSAFP)
ANSWER
Done between 15-22 weeks to test for neural tube defects If positive ultrasound and
amniocentesis ordered
Question 17.
Intervention for prolapsed cord
ANSWER
Push on presenting head and keep it away from umbilical cord until C section
*dont return cord into vagina*
