OB EXAM 2 SHERPATH
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question 1.
Which objective sign would alert the nurse to cardiac decompensation in the pregnant client? (Select all
that apply)
- generalized edema
- crackles at base of lungs
- moist, frequent cough
- cyanosis of the nailbeds
- irregular, rapid pulse
- increased cardiac output
ANSWER
- generalized edema
- crackles at base of lungs
- moist, frequent cough
- cyanosis of the nailbeds
- irregular, rapid pulse
Question 2.
Which parameter is closely monitored in a client during the latent phase of the first stage of labor?
- fetal heart rate
- cervical dilation
- maternal temp
- external cephalic version
ANSWER
fetal heart rate
Question 3.
Place the steps for normal vaginal delivery in the correct order.
ANSWER
1- anteroposterior slit with vertex is visible during contraction
2- crowning of the head 3- head is born by extension
4- head is supported and externally rotated
5- slow expulsion of the body
,Question 4.
How would the nurse record the baseline fetal heart rate (FHR) that varies between 120 and 130 bpm
over a 10-minute period?
ANSWER
125 bpm
Question 5.
Which interpretation of a Nitrazine test result showing a pH value of 6.5 is appropriate?
- the client's membranes are ruptured
- the results indicate bloody show
- the client requires treatment for Group B streptococcus
- the client is experiencing a vaginal infection
ANSWER
the client's membranes are ruptured
Question 6.
Which priority intervention would be included in the care of a pregnant woman with Eisenmenger
syndrome?
- administer antibiotics
- restrict fluid intake
- apply elastic support hose
- avoid opioid analgesics
ANSWER
apply elastic support hose
Question 7.
Which medication class would be used in the management of symptomatic mitral valve prolapse
(MVP)?
- ACE inhibitors
- Beta-blockers
- Aldosterone antagonists
- Calcium channel blockers
ANSWER
Beta-blockers
,Question 8.
Which action is part of the role of a doula in the care of a laboring client? (Select all that apply)
- administering analgesics
- providing comfort measures
- interpreting the FHR pattern
- providing support to the client's partner
- providing coaching during the second stage of labor
ANSWER
- providing comfort measures
- providing support to the client's partner
- providing coaching during the second stage of labor
Question 9.
Which screening recommendation would be appropriate early in pregnancy for a woman with cystic
fibrosis?
- gestational diabetes
- blood type and screen
- group-B strep
- CBC
ANSWER
gestational diabetes
Question 10.
Which complication is likely to occur to a pregnant client post motor vehicle collision because of the
body's adaptation to pregnancy? (Select all that apply)
- hypertension
- bladder injury
- hypovolemic shock
- intracranial hemorrhage
- aspiration pneumonia
- pelvic fracture
ANSWER
- bladder injury
- hypovolemic shock
- aspiration pneumonia
- pelvic fracture
, Question 11.
Which statement accurately describes episodic accelerations in FHR while monitoring a laboring client?
- they are a normal fetal heart rate pattern
- they are caused by umbilical cord compression
- they warrant close observation of the fetus
- they result from uteroplacental insufficiency
ANSWER
they are a normal fetal heart rate pattern
Question 12.
To determine the placental function of a laboring client, which part of the umbilical cord acid-base
report would the nurse review?
- umbilical vein report
- umbilical artery report
- amniotic fluid concentrations
- blood glucose concentrations
ANSWER
umbilical vein report
Question 13.
Which clinical manifestation may be observed in a client during labor?
- proteinuria
- hyperglycemia
- hypotension
- leukopenia
ANSWER
proteinuria
Question 14.
Which intervention would be recommended as the initial intervention for a pregnant woman with a
foreign body in her airway?
- perform abdominal thrusts just above the fundus
- perform chest thrusts
- perform chest compressions
- perform abdominal thrusts below the ribcage at the xiphoid process
ANSWER
perform chest thrusts
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question 1.
Which objective sign would alert the nurse to cardiac decompensation in the pregnant client? (Select all
that apply)
- generalized edema
- crackles at base of lungs
- moist, frequent cough
- cyanosis of the nailbeds
- irregular, rapid pulse
- increased cardiac output
ANSWER
- generalized edema
- crackles at base of lungs
- moist, frequent cough
- cyanosis of the nailbeds
- irregular, rapid pulse
Question 2.
Which parameter is closely monitored in a client during the latent phase of the first stage of labor?
- fetal heart rate
- cervical dilation
- maternal temp
- external cephalic version
ANSWER
fetal heart rate
Question 3.
Place the steps for normal vaginal delivery in the correct order.
ANSWER
1- anteroposterior slit with vertex is visible during contraction
2- crowning of the head 3- head is born by extension
4- head is supported and externally rotated
5- slow expulsion of the body
,Question 4.
How would the nurse record the baseline fetal heart rate (FHR) that varies between 120 and 130 bpm
over a 10-minute period?
ANSWER
125 bpm
Question 5.
Which interpretation of a Nitrazine test result showing a pH value of 6.5 is appropriate?
- the client's membranes are ruptured
- the results indicate bloody show
- the client requires treatment for Group B streptococcus
- the client is experiencing a vaginal infection
ANSWER
the client's membranes are ruptured
Question 6.
Which priority intervention would be included in the care of a pregnant woman with Eisenmenger
syndrome?
- administer antibiotics
- restrict fluid intake
- apply elastic support hose
- avoid opioid analgesics
ANSWER
apply elastic support hose
Question 7.
Which medication class would be used in the management of symptomatic mitral valve prolapse
(MVP)?
- ACE inhibitors
- Beta-blockers
- Aldosterone antagonists
- Calcium channel blockers
ANSWER
Beta-blockers
,Question 8.
Which action is part of the role of a doula in the care of a laboring client? (Select all that apply)
- administering analgesics
- providing comfort measures
- interpreting the FHR pattern
- providing support to the client's partner
- providing coaching during the second stage of labor
ANSWER
- providing comfort measures
- providing support to the client's partner
- providing coaching during the second stage of labor
Question 9.
Which screening recommendation would be appropriate early in pregnancy for a woman with cystic
fibrosis?
- gestational diabetes
- blood type and screen
- group-B strep
- CBC
ANSWER
gestational diabetes
Question 10.
Which complication is likely to occur to a pregnant client post motor vehicle collision because of the
body's adaptation to pregnancy? (Select all that apply)
- hypertension
- bladder injury
- hypovolemic shock
- intracranial hemorrhage
- aspiration pneumonia
- pelvic fracture
ANSWER
- bladder injury
- hypovolemic shock
- aspiration pneumonia
- pelvic fracture
, Question 11.
Which statement accurately describes episodic accelerations in FHR while monitoring a laboring client?
- they are a normal fetal heart rate pattern
- they are caused by umbilical cord compression
- they warrant close observation of the fetus
- they result from uteroplacental insufficiency
ANSWER
they are a normal fetal heart rate pattern
Question 12.
To determine the placental function of a laboring client, which part of the umbilical cord acid-base
report would the nurse review?
- umbilical vein report
- umbilical artery report
- amniotic fluid concentrations
- blood glucose concentrations
ANSWER
umbilical vein report
Question 13.
Which clinical manifestation may be observed in a client during labor?
- proteinuria
- hyperglycemia
- hypotension
- leukopenia
ANSWER
proteinuria
Question 14.
Which intervention would be recommended as the initial intervention for a pregnant woman with a
foreign body in her airway?
- perform abdominal thrusts just above the fundus
- perform chest thrusts
- perform chest compressions
- perform abdominal thrusts below the ribcage at the xiphoid process
ANSWER
perform chest thrusts
