SAUNDERS NCLEX REVIEW OB QUESTIONS WITH COMPLETE ANSWERS

SAUNDERS NCLEX REVIEW OB QUESTIONS WITH COMPLETE ANSWERS Before 20 weeks gestation, the bladder must be kept full during amniocentesis to support the weight of the uterus. After 20 weeks gestation, the bladder should be emptied to minimize the chance of puncturing the placenta or fetus.) The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse determines that the client understands what the nurse has taught her about Rh sensitization when the client makes which statement? A. "I know I can never have another child." B. "I am glad I won't have to have these shots if I have another child." C. "I will have to have an injection once a month until the baby is born." D. "I will tell the nurse at the hospital that I had an Rh shot during pregnancy." - Answer-D (As described in the question, it is accepted practice to administer RHoD immune globulin to an Rh-negative woman at 28 weeks' gestation, with a second injection within 72 hours of delivery.) While assisting with the measurement of fundal height, the client at 36 weeks gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is most likely a result of which reason? A. A full bladder B. Emotional instability C. Insufficient iron intake D. Compression of the vena cava - Answer-D (Compression of the inferior vena cava and aorta by the uterus may cause supine hypotension syndrome during pregnancy.) A contraction stress test is scheduled for the client. The woman asks the nurse about the test. Which response describes the most accurate description of the test? A. "Uterine contractions are stimulated by Leopold's maneuvers." B. "The uterus is stimulated to contract by either small amounts of oxytocin or by nipple stimulation." C. "An internal fetal monitor is attached, and you will walk on a treadmill until contractions begin." D. "Small amounts of oxytocin are administered during internal fetal monitoring to stimulate uterine contractions." - Answer-B (A contraction stress test assesses placental oxygenation and function and determines the fetus's ability to tolerate labor, as well as its well-being. The test is performed if the non stress test is abnormal. During the stress test, the fetus is exposed to the stressor of contractions to assess the adequacy of placental perfusion under stimulated labor conditions. An external fetal monitor is applied to the mother, and a 20- to 30- minute baseline strip is recorded.)