OB EXAM 1 PRACTICE QUESTIONS AND ANSWERS 2023/2024

OB EXAM 1 PRACTICE QUESTIONS AND ANSWERS 2023/2024 A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus. Which should the nurse report to the client and her mother? - CORRECT ANSWER-"The body of the uterus is at the belly button level, just where it should be at this time." While the vital signs of a pregnant client in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? - CORRECT ANSWER-Have the client turn to her left side and recheck her blood pressure in 5 minutes. Blood pressure is affected by positions during pregnancy. The supine position may cause occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels and quickly corrects supine hypotension. A pregnant client has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct interpretation of these symptoms by the health care provider? - CORRECT ANSWER-Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds Which suggestion is appropriate for the pregnant client who is experiencing heartburn? - CORRECT ANSWER-use Tums or Alkamints to obtain relief, as directed by the healthcare provider While providing education to a primiparous client regarding the normal changes of pregnancy, what is important for the nurse to explain about Braxton Hicks contractions? - CORRECT ANSWER-these occur throughout pregnancy, but you may not feel them until the third trimester What is the reason for vascular volume increasing by 40-60% during pregnancy? - CORRECT ANSWER-provides adequate perfusion of the placenta Physiologic anemia often occurs during pregnancy because of: - CORRECT ANSWERdilution of hemoglobin concentration What is a positive sign of pregnancy? a. amenorrhea b. breast changes c. fetal movement felt by the woman d. visualization of fetus by ultrasound - CORRECT ANSWER-visualization of fetus by ultrasound A client is currently pregnant. She has a 5 year old son and a 3 year old daughter. She had one other pregnancy that terminated at 8 weeks. What is her gravida and para? - CORRECT ANSWER-gravida = 4 para = 2 A client's last menstrual period was June 10. What is her estimated date of birth? - CORRECT ANSWER-March 17 Why should a woman in her first trimester of pregnancy expect to visit her health care provider every 4 weeks? - CORRECT ANSWER-the conditions of the expectant mother and fetus can be monitored A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" What is the nurse's best response? - CORRECT ANSWER-"It may be due to changes in hormones." Which advice to the client is one of the most effective methods for preventing venous stasis? - CORRECT ANSWER-rest often with the feet elevated A client notices that the doctor writes "positive Chadwick's sign" on her chart. She asks the nurse what this means. The nurse's best response is: - CORRECT ANSWER-"It refers to the bluish color of the cervix in pregnancy." What is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant again? - CORRECT ANSWER-gravida = 2 para = 1 To relieve a leg cramp, what should the client be instructed to perform? - CORRECT ANSWER-dorsiflex the foot A client, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is: - CORRECT ANSWERlower than normal for gestational age Which complaint made by a client at 35 weeks of gestation requires additional assessment? - CORRECT ANSWER-abdominal pain- it may indicate ectopic pregnancy if early, worsening preeclampsia, or abruptio placentae A gravida client at 32 weeks of gestation reports that she has severe lower back pain. The nurse's assessment should include: - CORRECT ANSWER-observation of posture and body mechanics A pregnant woman is the mother of 2 children. Her first pregnancy ended in a still birth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the fivedigit system to describe this woman's current obstetric history, what should the nurse record? - CORRECT ANSWER-Gravida = 4 T = 1 (term birth at 41 weeks of gestation) P = 2 (preterm birth at 32 weeks of gestation (stillbirth) and 36 weeks of gestation) A = 0 abortion L = 2 (living children) Which laboratory result would be a cause for concern if exhibited by a client at her first prenatal visit during the second month of her pregnancy? - CORRECT ANSWERrubella titer, 1:6 A titer of less than 1.8 indicates a lack of immunity to rubella A client in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse give about safe travel during pregnancy? - CORRECT ANSWER-If you are traveling by car, stop to walk every 1-2 hours. The client has just learned she is pregnant and overhears the gynecologist saying that she has a positive Chadwick's sign. When the client asks the nurse what this means, how should the nurse respond? - CORRECT ANSWER-"This sign, a bluish purple discoloration, occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix." When a pregnant woman develops ptyalism, what should the nurse advise? - CORRECT ANSWER-chew gum or suck on lozenges between meals A pregnant immigrant has an unknown immunization history. When she presents for routine vaccinations, which will the nurse administer? a. Hepatitis B b. Measles c. Rubella d. Varicella - CORRECT ANSWER-Hepatitis B When the pregnant woman develops changes caused by pregnancy, the nurse recognizes that the darkly pigmented vertical midabdominal line is the: - CORRECT ANSWER-linea nigra When documenting a client encounter, what term will the nurse use to describe the woman who is in the 28th week of her first pregnancy? - CORRECT ANSWERprimigravida