OB exam 3 8-11 Practice Questions and Answers (100% Pass)

OB exam 3 8-11 Practice Questions and Answers (100% Pass) During a childbirth education class, the nurse educator describes signs of impending labor. Which statement made by a class participant requires further teaching? A: "I may experience a sudden surge of energy, or a 'nesting' instinct, as labor approaches" B: "It may be more difficult to breathe as the baby gets larger toward my due date." C: "It's normal to experience warm-up contractions that aren't painful before the real thing." D: "I could feel some increasing lower back and hip discomfort" - Answer️️ -B A 39-week gestation client calls the office to report increased vaginal mucus discharge and urinary frequency. She states there is good fetal movement. Which would the nurse explain to the client? A: This is likely a urinary infection. B: These are signs of impending labor. C: She should use a vaginal douche to clear the mucus discharge. ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 2 D: The baby will have a drastic decrease in movement as labor approaches. - Answer️️ -B A pregnant woman is admitted to triage and states her contractions are "really strong." The nurse palpates her contractions and finds her uterus is resistant to indentation. The nurse would chart her contractions as which? A: Weak B: Moderate C: Strong D: Intractable - Answer️️ -B To improve fetal oxygenation and decrease maternal exhaustion during second stage labor, what would the nurse instruct the client to do? A: Take deep breaths from the nitrous oxide mask before pushing. B: Perform pant-blow breathing during the peak of a contraction. C: Use the Valsalva maneuver as the nurse directs pushing. D: Wait until there is a strong urge to push to begin bearing down efforts. - Answer️️ -D Upon vaginal examination, the nurse notes that the infant's anterior fontanel is to the back left side of the maternal pelvis. How does the nurse chart this position? A: ROA ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 3 B: LOA C: ROP D: LOP - Answer️️ -A With regard to a pregnant woman's anxiety about her labor experience, which does the nurse recognize? A: Anxiety may increase the perception of pain, but it does not affect the process of labor. B: Women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity. C: Severe anxiety can increase pain and stress, which renders uterine contractions less effective. D: Continuous labor support decreases anxiety, but has no effect on pain perception or use of pain medication during labor. - Answer️️ -C The nurse is admitting a 16-year-old client for induction. She expresses fear about the pain of labor and delivery. which is the best response by the nurse? A: "Since you are under 18, your mom will decide what type of pain management is best for you." ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 4 B: "You should get an epidural. You won't feel any labor, but pushing may be more difficult." C: "There are many options for pharmacological and non pharmacological pain relief. I'll discuss the pros and cons with you." D: "Childbirth classes are a great way to learn about pain relief options. Did you attend any?" - Answer️️ -C The nurse is caring for a term gestation client in active labor when her membranes rupture spontaneously. Prioritize the following nursing interventions. A: Document the assessment findings along with time of rupture. 3 B: Assess the color, odor, and amount of fluid. 2 C: Assess the fetal heart rate. 1 D: Update the physician on spontaneous rupture of membranes and labor progress.4 - Answer️️ -1234 The nurse is caring for a client in the first stage labor. To assist the progression of labor, the nurse recommends: A: Changing positions and sitting upright B: Maintaining a side-lying position only C: Receiving an epidural as early as possible so she can relax and rest D: Limiting visitors at the beside to promote rest - Answer️️ -A ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 5 Following the delivery of a term newborn, the mother experiences a moderate urge to push and a gush of blood emerges from the vagina. The nurse recognizes this as: A: Indicating the placenta is about to deliver B: The formation of a vaginal hematoma C: Perform a cervical exam D: Signs of a postpartum hemorrhage - Answer️️ -A Immediately following the delivery of the placenta, the nurse prepares to administer IV oxytocin. The client states, "What is this medication for?" which is the nurse's best response? A: "To augment labor contractions" B: "To improve the let-down reflex for your breastmilk." C: "To prevent hemorrhage after delivery." D: "To prevent uterine cramping and pain following delivery." - Answer️️ -C The nurse is caring for a client being augmented with oxytocin. What potential complications should the nurse observe the client for? Select all that apply. A: Tachysystole B: Late decelerations on the fetal monitor ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 6 C: Episodic accelerations D: Uterine rupture E: Maternal edema - Answer️️ -A, B, D, E The nurse is caring for a client using a labor doula. While collaborating for the client's care, which activity would not be delegated to the doula? A: Assisting the woman to ambulate in the hall B: Auscultating fetal heart tones while the woman uses the whirlpool C: Applying heat and cold to the woman's lower back D: Advocating for the woman's birth plan to be followed - Answer️️ -B The nurse midwife performs Leopold's Maneuvers to determine fetal positioning in the womb. which can the midwife determin