OB EXAM TEST (QUESTIONS AND ANSWERS) 2023/2024

OB EXAM TEST (QUESTIONS AND ANSWERS) 2023/2024 A home visit for high risk infants may include: - CORRECT ANSWER-providing oxygen therapy a nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child delivered at 36 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse will document the GTPAL for this client as: - CORRECT ANSWER-G2, T0, P1, A0, LI A nurse is admitting a client who has severe pre-eclampsia at 35 weeks gestation and is reviewing the physician's order. Which of the following requires more clarification? - CORRECT ANSWER-Ambulate twice, daily A labor monitor tracing has shown episodic, repeated, sudden drops in the heart rate with a rapid ___ baseline. This finding is most often related to: - CORRECT ANSWERCord compression While a client is being prepared for surgery because of a ruptured tubal pregnancy, the client complains of feeling lightheaded she is tachycardic and her color is pale. The nurse assesses that the client may be: - CORRECT ANSWER-Experiencing hemorrhagic shock Which are early signs of hypoglycemia in the newborn? Select all that apply. - CORRECT ANSWER-Jitteriness Poor feeding Respiratory difficulty What is proper utilization of breast milk? - CORRECT ANSWER-Fresh unrefrigerated breast milk should be used within 3 to 4 hours of pumping Which type of formula should not be diluted before administering to an infant? - CORRECT ANSWER-Ready to use The nurse discovers a loop of umbilical cord protruding through the vagina when performing a vaginal examination on a client in labor. What is the priority nursing intervention at his time? - CORRECT ANSWER-Apply upward digital pressure to presenting part while having the mother assume knee-chest position Decreased surfactant production in the preterm lung is a problem because surfactant: - CORRECT ANSWER-Keeps the alveoli open during expiration Earliest signs of neonatal sepsis include: - CORRECT ANSWER-Temperature instability and respiratory distress Which nursing action is designed to avoid unnecessary heat loss in the newborn? - CORRECT ANSWER-Place a blanket over the scale before weighing the infant A preterm infant on a respirator has intravenous lines and much equipment around her when her parents come to visit for the first time. It is important for the nurse to: - CORRECT ANSWEREncourage the parents to touch the infant What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted? - CORRECT ANSWER-If the strings are longer or shorter than before, notify her physician A patient asks how pelvic inflammatory disease (PID) can affect fertility. The nurse's best response is: - CORRECT ANSWER-It interferes with the transport of the egg (ova) due to adhesions and subsequent fallopian tube blockage Respirations are initiated at birth as a result of: - CORRECT ANSWER-Chemical, sensory, thermal, and mechanical factors The factor in a women's history that would place her at increased risk for breast cancer is: - CORRECT ANSWER-Early onset of menarche A nurse notes that a 6-hour old neonate has acrocyanosis. Which of the following actions by the nurse is appropriate? - CORRECT ANSWER-Document the findings Which of the following should be included in the discharge teaching plan for a postpartum client to assist in recognizing early signs of complications? - CORRECT ANSWER-Notify your doctor of any increase in the amount of lochia or if it returns to bright red bleeding Newborns classified as small for gestational age (SGA): - CORRECT ANSWER-Are below the tenth percentile in size on growth charts A pregnant client asks the nurse about the purpose of the placenta. The nurse responds most appropriately by telling the client that the placenta: - CORRECT ANSWERProvides an exchange of nutrients and waste products between the mother and the fetus A 29-week pregnant client states, "my rings have been really tight in the morning." Which of the following nursing assessments would be the most suggestive that this patient may be developing preeclampsia? - CORRECT ANSWER-+2 protein in urine and an increase in her diastolic blood pressure In which condition is breastfeeding contraindicated? - CORRECT ANSWER-Mothers with HIV Transitory tachypnea of the newborn (TTN) is thought to occur as a result of: - CORRECT ANSWER-Delayed absorption of fetal lung fluid The clinic nurse understands that further medical evaluation will need to be scheduled when a woman reports: - CORRECT ANSWER-Post-menopausal bleeding What postpartum hemorrhage conditions are considered medical emergencies that require immediate treatment? - CORRECT ANSWER-Uterine atony and disseminated intravascular coagulation The priority assessment for a positive Coombs' test in the newborn is: - CORRECT ANSWER-Bilirubin level The symptoms of mild to moderate urinary incontinence can be successfully decreased by a number of strategies. Which of these should the nurse instruct the client to use first? - CORRECT ANSWER-Bladder training and pelvic muscle exercises Four term babies have just been admitted into the neonatal nursery. Which of the babies should the nurse assess first? - CORRECT ANSWER-Baby with apgar 9/9, weight 4660 grams (10 pounds, 4 oz) Careful follow-up of the woman who has had gestational trophoblastic disease, hydatidiform mole, is important because she: - CORRECT ANSWER-May develop choriocarcinoma The husband tells the nurse that sometimes his wife, who is 12 weeks gestation, seems excited about the pregnancy, and at other times, she expresses doubts about having the baby. Upon which of these statements should the nurse's reply be based? - CORRECT ANSWER-Mood swings and mixed feelings about pregnancy are common in the mother A term neonate has an elevated bilirubin and is slightly jaundiced on day three of life. What is the probable reason for these changes? - CORRECT ANSWER-Physiological destruction of fetal red blood cells during extrauterine period A patient says her home pregnancy test was positive two weeks after she missed her first period. The substance responsible for a positive reaction to a pregnancy test is: - CORRECT ANSWER-Human chorionic gonadotropin In caring for the preterm infant, what complication is thought to be a result of high arterial blood oxygen level? - CORRECT ANSWER-Retinopathy of prematurity (ROP) A patient is entering her 20th gestational week. The nurse checks her hematocrit and finds it to be 34%. Which of the following statem