TEST STUDY GUIDE FOR OB EXAM SET

TEST STUDY GUIDE FOR OB EXAM SET A woman comes to the OB clinic because she had a positive pregnancy test. The pregnancy is verified using which POSITIVE SIGNS OF PREGNANCY (Select All That Apply) 1) positive pregnancy test 2) sonographic visualization of the fetus 3) feeling outline of fetus after 20 weeks gestation 4) hearing fetal heartbeat with a dopplar - CORRECT ANSWER-1) positive pregnancy test 2) sonographic visualization of the fetus 3) feeling outline of fetus after 20 weeks gestation 4) hearing fetal heartbeat with a dopplar When should parents or prospective parents seek genetic counseling (Select All That Apply)? 1) Maternal age over 35 2) Previous pregnancies resulting in newborn abnormalities or genetic disorder 3) One or both partners have a genetic disorder 4) A family history of a genetic disorder - CORRECT ANSWER-1) Maternal age over 35 2) Previous pregnancies resulting in newborn abnormalities or genetic disorder 3) One or both partners have a genetic disorder 4) A family history of a genetic disorder Which of the following are examples of obstetric emergencies that would require immediate nursing intervention (Select All That Apply): 1) Bright red bleeding 2) prolapse of the umbilical cord 3) non-reassuring fetal heart rate pattern 4) relaxation of the uterus between contractions - CORRECT ANSWER-1) Bright red bleeding 2) prolapse of the umbilical cord 3) non-reassuring fetal heart rate pattern 4) relaxation of the uterus between contractions The nurse is taking a history of a patient who recently found out she was pregnant. Which of the following in the patient's history should the RN investigate further (Select All That Apply)? 1) Low pre-birth weight 2) low hematocrit and hemoglobin levels 3) infection 4) post-surgery blood loss requiring RBC replacement 5) high blood pressure - CORRECT ANSWER-1) Low pre-birth weight 2) low hematocrit and hemoglobin levels 3) infection 4) post-surgery blood loss requiring RBC replacement 5) high blood pressure There are 5 P's that affect labor progression. Which of the following is NOT one of these 5 P's: 1) Powers 2) Passage 3) Passenger 4) Pregnancy Length 5) Position - CORRECT ANSWER-4) Pregnancy Length A woman comes into labor and delivery, she is breathing through contractions, which are moderate and irregular. Her significant other is present. The baby measures 7 lbs 3 oz at last ultrasound. In the clinic, her pelvis shape was found to be gynecoid with no scarring. The baby is head down, or in the vertex position. The mother is sitting on the birthing ball in her room. With the next cervical check, the RN finds that the woman's cervix did not make change. Which of the 5 P's could be considered inadequate for labor progression? 1) Powers 2) Passage 3) Passenger 4) Psyche 5) Position - CORRECT ANSWER-1) Powers A 15 year old comes in in labor. She is term. She is crying and has no support person present, she says her family locked her out of the house when they found out she was pregnant. Her contractions are strong and close together. Her last ultrasound showed she has a gynecoid shaped pelvis, and the baby weighed 7 lbs. The mother is walking around her room and sitting on a birthing ball. Which of the 5 P's that affect labor progression does the nurse know is suboptimal at this time? 1) Powers 2) Passage 3) Passenger 4) Psyche 5) Position - CORRECT ANSWER-4) Psyche A woman comes in to labor and delivery with strong and regular contractions after her water broke a few hours ago. Her significant other is present. The last ultrasound showed a platypelloid-shaped pelvis, and the baby measured 6 lbs 14 oz. The mom is currently on the birthing ball with an epidural. Which of the 5 P's that affect labor progression does the nurse understand is suboptimal: 1) Powers 2) Passage 3) Passenger 4) Psyche 5) Position - CORRECT ANSWER-2) Passage A woman is in labor. Her contractions are strong and regular. Her family is at the bedside and she is breathing well through contractions. Her most recent ultrasound showed a gynecoid-shaped pelvis, and the baby measured 9 lbs 5 oz. Mom is using a birthing ball and is walking around the room. Which of the 5 P's that affect labor progression does the nurse understand is suboptimal? 1) Powers 2) Passage 3) Passenger 4) Psyche 5) Position - CORRECT ANSWER-3) Passenger A new labor nurse is caring for a woman in labor. Her contractions are strong and regular. Her family is at the bedside and she is comfortably lying in the supine position with an epidural. Her last ultrasound showed a gynecoid-shaped pelvis, and the baby measured 7 lbs 8 oz. Which of the 5 P's that affect labor progression does the seasoned labor nurse understand is suboptimal? 1) Powers 2) Passage 3) Passenger 4) Psyche 5) Position - CORRECT ANSWER-5) Position Labor nurses follow the AWHONN guidelines for evidence-based practice. Which of the following are included in AWHONN's quality measures (Select All That Apply): 1) Skin-to-skin initiated immediately after birth 2) Freedom of movement during labor 3) Continuous labor support 4) mother-initiated spontaneous pushing 5) Perinatal grief support - CORRECT ANSWER-1) Skin-to-skin initiated immediately after birth 2) Freedom of movement during labor 3) Continuous labor support 4) mother-initiated spontaneous pushing 5) Perinatal grief support A woman is in labor and this is her first child. She is unsure if she wants to use medications during labor, but doesn't know what else she can do. The nurse provides her with some nonpharmacological pain options, which include (Select All That Apply): 1) Sacrum counter-pressure 2) Effleurage over the abdomen 3) Aromatherapy 4) Hot shower or hot tub - CORRECT ANSWER-1) Sacrum counter-pressure 2) Effleurage over the abdome