OB Comprehensive Questions And Answers Graded A+!!!

Which of the following statements is appropriate for the nurse to say to a prenatal patient with complete placenta previa? 1. "During the second stage of labor, you will need to bear down." 2. "You should ambulate in the halls at least twice each day." 3. "The doctor will likely induce your labor with oxytocin." 4. "Please report to a nurse if you feel any back discomfort." - ANS 4. Labor often begins with back pain. Labor is contraindicated for a client with complete placenta previa. A pregnant woman informs the nurse that her last normal menstrual period was on July 6, 2016. Using Naegele's rule, which of the following would the nurse determine to be the client's estimated date of delivery (EDC)? 1. January 9, 20172. 2. April 13, 20173. 3. April 20, 20174. 4. September 6, 2017 - ANS 2. The EDC is calculated as April 13, 2017. Naegele's rule: First, identify the first day of the last normal menstrual period. Then, subtract 3 months and add 7 days. Finally, adjust the year, if needed. The nurse is caring for a client, G1 P0000, who is in active labor with fetal heart rate of 146, with good variability, and with rupture of membranes for 25 hours. Which of the following nursing actions is contraindicated for this client? 1. Administering a soapsuds enema 2. Encouraging the client to labor in the shower 3. Performing frequent vaginal exams 4. Providing the client with ice chips to chew on - ANS 3. Because the client has had ruptured membranes for many hours, the nurse should not perform vaginal examinations unless absolutely necessary. Every time an exam is performed, there is a possibility that infectious organisms could be introduced into the uterine cavity. A client is 1 day post-cesarean delivery for eclampsia with a postpartum hemorrhage. Which of the following findings should the nurse report to the client's primary healthcare provider? 1. Serum magnesium 6 mg/dL 2. Patellar reflexes +2 3. Blood pressure 140/90 4. Hemoglobin 8.1 gm/dL - ANS 4. A hemoglobin of 8.1 gm/dL is very low. The value should be reported. A client, who is 6 cm dilated in active labor with intact membranes, had an epidural inserted 15 minutes ago. Which of the following nursing assessments is the highest priority? 1. Check her blood pressure q 15 minutes. 2. Check her temperature q 1 hour. 3. Palpate her bladder q 15 minutes. 4. Auscultate her lungs q 1 hour. - ANS 1. This statement is correct. Hypotension is the most common side effect of epidural insertion. If the blood pressure (BP) should drop too low, the fetal heart rate will be adversely affected. The BP should be checked q 5 minutes for the first 15 minutes, then q 15 minutes for the remainder of the hour. A woman in the labor suite is on a subcutaneous beta-agonist for preterm labor. Which of the following common medication effects would the nurse expect to see in the mother? 1. Increase in serum potassium level 2. Diarrhea 3. Urticaria 4. Complaints of nervousness - ANS 4. Complaints of nervousness are commonly made by women receiving subcutaneous beta-agonists. The nurse has taken a health history on four multigravid clients at their first prenatal visits. It is high priority that the client whose first child was diagnosed with which of the following diseases receives nutrition counseling? 1. Development dysplasia of the hip 2. Achondroplastic dwarfism 3. Spina bifida 4. Muscular dystrophy - ANS 3. The incidence of spina bifida is much higher in women with poor folic acid intake. It is a priority that this client receives nutrition counseling. A breastfeeding client of a 4-day-old baby calls the pediatrician and states, "I don't think that I have enough milk for my baby. Should I give him some formula each day?" Which of the following responses by the nurse would be appropriate to give at this time? 1. "Many women find that they don't produce enough milk for their babies." 2. "How many wet and soiled diapers does your baby have each day?" 3. "To be safe, you should give the baby at least one bottle of formula each day." 4. "How many hours does your baby sleep after each feeding?" - ANS 2. As one way to determine adequate intake, the nurse should ask the mother how many wet and soiled diapers the baby has each day. A mother refused to allow her son to receive the vitamin K injection at birth. Which of the following signs/symptoms might the nurse observe in the baby as a result? 1. Skin color is dusky. 2. Vital signs are labile. 3. Glucose levels are subnormal. 4. Circumcision site oozes blood. - ANS 4. The circumcision may ooze blood because the vitamin K was not administered. Vitamin K is essential for blood clotting. Babies do not produce their own vitamin K until they are about 8 days old. The nurse palpates a distended bladder on a woman who delivered vaginally 2 hours earlier. After being assisted to the bathroom, the client is unable to urinate. Which of the following actions should the nurse perform next? 1. Call the client's healthcare practitioner 2. Assist the client back to bed. 3. Catheterize the client. 4. Run warm water over the client's perineum. - ANS 4. Running warm water over the perineum often relaxes the muscles, allowing clients to urinate without having to be catheterized.