OB Exam 1 Questions with correct answers

A 22 yr old client has come to the clinic because her menstrual period is 10 days late. She tells the nurse "I'm sure I'm pregnant because my period is late and my breasts are tender" Which of the following responses by the nurse would be most accurate? A. "those are positive signs of pregnancy" B. "those are presumptive signs of pregnancy" C. "those are probable signs of pregnancy" D. "those are negative signs of pregnancy" Correct Answer-B. Breast tenderness and missed menses are presumptive signs. Other presumptive signs include: N/V, fatigue, urinary frequency and quickening A client delivered a term infant 7 hours ago. Which of the following postpartum assessment findings indicate normal postpartum progression? A. Firm fundus at 1-2 fingerbreadths above the umbilicus with moderate lochia rubra B. Firm fundus at the umbilicus and midline with moderate rubra C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the right side with moderate lochia rubra D. Soft fundus at 1-2 fingerbreadths below umbilicus with severe lochia rubra Correct Answer-A. Within 12 hours, fundus can rise to approx. 1 cm above the umbilicus. The fundus descends 1-2 cm every 24 hours. Located about halfway between umbilicus and symphysis pubis, not longer palpable after 2 weeks, returned to pre-pregnant state by 6 weeks pp A client delivered at 39 weeks 6 hours ago. Upon assessment, the nurse palpated a soft, boggy fundus deviated to the left side. Which action of the nurse would be most appropriate? A. Massage the fundus until firm