OB OA EXAM REVIEW 2024. COMPLETE Q&A

OB OA EXAM REVIEW 2024. OB OA EXAM REVIEW 2024. COMPLETE Q&A Just after delivery, a new mother tells the nurse, “I was unsuccessful breastfeeding my first child, but I would like to try with this baby.” Which intervention is best for the nurse to implement first? A. Ask the client to describe why she was unsuccessful with breastfeeding her last child. B. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery. C. Assess the husband’s feelings about his wife’s decision to breastfeed their baby. D. Encourage the client to develop a positive attitude about breastfeeding to help ensure success. CORRECT ANSWER:B When explaining “postpartum blues” to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? Select all that apply. A. Panic attacks B. Tearfulness C. Decreased need for sleep D. Mood swings E. Disinterest in the infant CORRECT ANSWER:B and D The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction should the nurse include as content in the class? A. Feed your baby every 2 to 3 hours or on demand, whichever comes first. B. Begin as soon as your baby is born to establish a four-hour feeding schedule. C. Resting helps with milk production. Ask that your baby be fed at night in the nursery. D. Do not allow your baby to nurse any longer than the prescribed number of minutes. CORRECT ANSWER:A A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately? A. Variable fetal heart rate B. Heart rate of 100 beats/minute C. Onset of uterine contractions D. Burning on urination CORRECT ANSWER:C An expectant father tells the nurse he fears that his wife “is losing her mind.” He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendations should the nurse make to this expectant father? A. Let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother feels fetal movement. B. Reassure him that these are normal reactions to pregnancy and suggest that he discuss his concerns with the childbirth education nurse. C. Ask him to observe his wife’s behavior carefully for the next few weeks and report any similar behavior to the nurse at the next prenatal visit. D. Help him understand that his wife is experiencing normal symptoms of ambivalence about the pregnancy and no action is needed. A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide? A. Come to the clinic today for an ultrasound. B. Go immediately to the emergency room. C. Bring a urine specimen to the lab tomorrow to determine if you have a urinary tract infection. D. Lie on your left side for about one hour and see if the bleeding stops. CORRECT ANSWER:A A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first? A. Bathe the infant with an antimicrobial soap. B. Administer vitamin K (AquaMEPHYTON). C. Measure the head and chest circumference. D. Obtain the infant’s footprints. CORRECT ANSWER:A The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? A. Two vessels: two arteries and no veins. B. Three vessels: two arteries and one vein. C. Three vessels: two veins and one artery. D. Two vessels: one artery and one vein. CORRECT ANSWER:B A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk of transmission of the disorder to an infant. The nurse’s response should be based on what information? A. The disorders can occur in 25% of pregnancies. B. All children will be carriers of the disorder. C. Males inherit the disorder with a greater frequency than females. D. Each pregnancy carries a 50% chance of inheriting the disorder. CORRECT ANSWER:D The nurse is counseling a client who wants to become pregnant. The client tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. Which date accurately reflects the calculation of the client’s next fertile period? A. January 30-31 B. February 6-7 C. January 14-15 D. January 22-23 CORRECT ANSWER:A During a prenatal visit, the client is concerned about the effects smoking can have on the fetus. Which response by the nurse is most accurate regarding infants of mothers who smoke during pregnancy? A. These infants have lower birth weights. B. Respiratory distress is seen initially. C. These infants have lower Apgar scores when born. D. A higher rate of congenital anomalies. CORRECT ANSWER:A An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority? A. Put the newborn to breast. B. Reassure the husband and try to keep him calm. C. Provide as much privacy as possible for the woman. D. Use a thread to tie off the umbilical cord. CORRECT ANSWER:A Which assessment finding should the nurse report to the pediatric healthcare provider? A. Non-bulging anterior fontanel. B. Blood pressure of 82/45. C. Blood glucose level of 45. D. Central cyanosis when crying. CORRECT ANSWER:D COMPLETE Q&A