STUDY GUIDE FOR OB EXAM LATEST

STUDY GUIDE FOR OB EXAM 1 2023- 2023 LATEST A postpartum woman was in labor for 36 hours and has a scant amount of lochia, 2nd degree episiotomy and is complaining of severe pain in her rectum and has already had two pain medications. What is your primary nursing concern? A) Retained placenta B) Hematoma C) Endometritis D) Uterine atony - CORRECT ANSWER-B) Hematoma Question: A 16 year old believes she is pregnant and wants to take a pregnancy test. When is the best time to tell her to take it? A) First void in the morning B) Right before going to bed C) Right before a meal D) After drinking 1 cup of water - CORRECT ANSWER-A) First void in the morning Question: A pregnant woman comes into the ER saying she is in labor because her "water broke". The nurses first action should be: A) Call the provider B) Assess FHR C) Check for prolapsed cord D) Assess cervix for effacement and dilation - CORRECT ANSWER-B) Assess FHR Question: The woman is laying supine and claims to feel dizzy and nauseous. What interventions should be done if the client must lay flat for a procedure? A) Lay on side or tilt the pelvis B) Administer pitocin C) Insert IV D) Help the woman to a squatting position - CORRECT ANSWER-A) Lay on side or tilt the pelvis Question: If a pregnant woman has rupture of membranes, what is the nurses first focus when they during assessment of the mother? A) Cervical dilation B) Contraction C) Fetal Heart Rate D) Vital signs - CORRECT ANSWER-C) Fetal Heart Rate Question: A woman is 39 weeks pregnant, what are expected findings (SELECT ALL that apply) A) Amniotic fluid volume of 500mL B) Increased clotting factors C) Blood flow of 500ml/min to uterus D) Fundus at the level of the umbilicus E) Added plasma volume is 2400mL - CORRECT ANSWER-A) Amniotic fluid volume of 500mL B) Increased clotting factors C) Blood flow of 500ml/min to uterus Question: Patient's first day of last menstrual period was on . What is the EDD? A) 8-28-15 B) 9-28-15 C) 9-29-15 D) 10-28-15 - CORRECT ANSWER-B) 9-28-15 Question: Who MOST OFTEN detects the presumptive signs of pregnancy? A) The provider B) The mother C) The Fetus D) The partner - CORRECT ANSWER-B) The mother Question: A woman comes in to your ED and says she is in true labor. Which of these statements would the mother most likely make: A) Pain goes away with ambulation B) Contractions are irregular C) There's bloody show D) No significant change in cervix - CORRECT ANSWER-C) There's bloody show Question: A mother experiences lightheadedness and shortness of breath while lying down. What is influencing this to happen? A) Increased heart rate B) Fetal growth C) Oligohydraminos D) Vena Cava Syndrome - CORRECT ANSWER-D) Vena Cava Syndrome Question: A woman walked into the ER claiming that her water just broke 3 minutes ago. What is the nurses primary action? A) Figuring out the exact time of SROM B) Noting the color and odor C) Validate the amniotic fluid D) Assessing the FHR - CORRECT ANSWER-D) Assessing the FHR Question: Which of the following interventions may be used to reduce pain in women who choose not to breastfeed. Select all: A) Massage breast tissue B) Warm shower C) Use of cabbage leaves inside bra cups D) Use of ibuprofen or acetaminophen - CORRECT ANSWER-C) Use of cabbage leaves inside bra cups D) Use of ibuprofen or acetaminophen Question: A mother is 1 day post partum and states she is worried that the amount of milk she is producing is insufficient for her baby. What is the best response by the nurse? A) Call a physician to assess the patient B) Call lactation to discuss proper feeding positions. C) Explain that her current milk is adequate for the infant and milk can be expected to come in within 72 hours. D) Tell the patient she should bottle feed with formula since her milk is not adequate nutrition for her baby. - CORRECT ANSWER-C) Explain that her current milk is adequate for the infant and milk can be expected to come in within 72 hours. Question: What is one preventative measures that helps to reduce the risk of VTE? A) Lay mother on her side B) Early ambulation C) Play music D) Encourage mother to void in bedpan - CORRECT ANSWER-B) Early ambulation Question: Blood samples were taken from four different female patients. Which lab finding is most concerning? A) 20 week pregnant woman with Hgb of 16g/dL B) A 32 week pregnant woman with hematocrit of 38% C) A 36 week pregnant woman with 47