OB/PEDS FINAL EXAM 2 LATEST VERSIONS (VERSION A & B)
ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is assessing a patient in the women's clinic for Chadwick's sign. How does the
nurse perform this assessment?
A. Auscultates the patient's abdomen for fetal heart tones
B. Inspects the vulva and vagina for a bluish tint
C. Palpates the patient's abdomen for a fluid wave
D. Percusses the patient's abdomen for uterine margins - ANSWER: B. Inspects the
vulva and vagina for a bluish tint
A. Chadwick's sign is not assessed by auscultating the abdomen for fetal heart
tones.
B. Chadwick's sign is one of the earliest signs of pregnancy and consists of a bluish
discoloration of the cervix, vulva, and vagina. The nurse would inspect the patient
for this discoloration.
C. Chadwick's sign is not assessed by palpating the abdomen for a fluid wave
D. Chadwick's sign is not assessed by percussing the abdomen for uterine margins.
A nurse is teaching a patient who is in her first trimester of pregnancy about physical
changes
she can expect. Which information should the nurse provide?
A. Diminishing sexual interest occurs.
B. Harmful agents can invade the uterus.
C. Leukorrhea is an abnormal condition.
D. Pregnant people are more susceptible to yeast infections. - ANSWER: D. Pregnant
people are more susceptible to yeast infections.
A. For some pregnant people, the increased pelvic congestion leads to increased
sexual
interest and orgasmic ability.
B. Harmful agents are kept out of the uterus by the mucus plug.
C. Leukorrhea is a normal finding in pregnancy due to hyperplasia of the vaginal
mucosa and increased mucus production from the endocervical glands.
D. Glycogen levels are increased in vaginal cells during pregnancy, and this change
creates an environment more hospitable to Candida albicans. Thus, pregnant
people are more susceptible to yeast infections.
A patient who gave birth 2 months ago calls the perinatal clinic crying because her
hair is falling out in large amounts. What action by the nurse is most appropriate?
A. Advise the patient to make an appointment with a dermatologist.
B. Explain that this symptom will end once she stops breastfeeding.
C. Reassure the patient that her hair will grow back within a year.
,D. Tell the patient it is extra hair that grew in pregnancy. - ANSWER: C. Reassure the
patient that her hair will grow back within a year.
A. The patient does not need to see a dermatologist.
B. The process is not related to breastfeeding.
C. New hair growth may be stimulated during pregnancy, but after birth, this
process reverses and hair shedding occurs for 1-4 months. Virtually all hair will be
replaced within 6-12 months. The nurse should educate the patient about this
natural process.
D. Although telling the patient that she had extra hair in pregnancy is accurate,
simply stating this fact does nothing to ease her distress.
A pregnant patient in the perinatal clinic complains of a diffuse, reddish discoloration
of her palms. What action by the nurse is most appropriate?
A. Ask if she has been exposed to measles.
B. Assess her for Raynaud's phenomenon.
C. Explain that this is a normal finding.
D. Take the patient's vital signs. - ANSWER: C. Explain that this is a normal finding.
A. This condition is not related to measles.
B. This condition is not related to Raynaud's phenomenon.
C. Palmar erythema is a reddish discoloration of the palms and occurs in about 60%
of
Caucasian women and in about 35% of African American women during
pregnancy.
D. Although the nurse should assess the patient's vital signs during the visit, there
is no
need to do so specifically tied to this condition.
A patient in her third trimester of pregnancy complains of a painful burning
sensation in her hands and lower arms. Which action by the nurse is best?
A. Advise the patient to elevate her hands at night.
B. Document the finding and alert the provider. C. Encourage the patient to see a
neurologist. D. Request a prescription for pregabalin (Lyrica). - ANSWER: A. Advise
the patient to elevate her hands at night.
A. Edema that occurs during pregnancy can lead to fluid collection in the wrist and
puts pressure on the median nerve. This leads to carpal tunnel syndrome,
characterized by burning pain and paresthesia in the (usually dominant) hand or
hands up to the elbow. The nurse should advise the patient to elevate her hands at
night. Carpal tunnel syndrome usually resolves after pregnancy, but if it persists,
the patient may require surgical treatment.
B. The nurse should always document abnormal findings and alert the provider,
but further action is needed.
C. The patient does not need to see a neurologist.
D. Lyrica is used for nerve pain and would not be suggested here.
,A pregnant patient in the perinatal clinic complains of occasional fainting. Which
action by the nurse is best?
A. Educate her that this is a frequent occurrence in pregnancy.
B. Always encourage her to carry small snacks with her.
C. Instruct her to take a series of short breaths when the warning signs occur.
D. Tell her to lie down on her left side if she has warning signs. - ANSWER: D. Tell her
to lie down on her left side if she has warning signs.
A. Simply saying that this occurs frequently does not help the patient take care of
herself.
B. This symptom is not related to food intake.
C. Taking short breaths will not help the issue.
D. Syncope, or fainting, is occasionally seen in pregnancy and is often preceded by
warning signs such as lightheadedness, sweating, nausea, yawning, or sensations of
warmth. The nurse should instruct the patient to sit or lie down when these warning
signs occur. Lying on the left side is preferred to avoid compressing the vena cava.
A patient in the emergency department is in her third trimester and is bleeding
heavily from a laceration on her thigh from a car crash. She is pale and diaphoretic.
Her blood pressure is 138/82 mm Hg. What can the nurse conclude from this
information?
A. Blood loss from the laceration has not been that great.
B. She is in shock from the trauma of the injury and blood loss.
C. Her increased blood volume is maintaining the blood pressure.
D. Her vital signs and physical assessment do not match. - ANSWER: C. Her increased
blood volume is maintaining the blood pressure.
A. It is incorrect to say that the blood loss has not been great.
B. The patient is not in shock.
C. Maternal blood volume increases by 40% to 50% near term. The nurse would
expect the blood pressure to be low due to the blood loss, but the pregnancy-related
extra volume is maintaining the blood pressure at normal levels.
D. The vital signs and physical assessment do not match, but that is vague and does
not
explain the inconsistency.
A patient in the third trimester of her first pregnancy complains of excessive fatigue.
Her hemoglobin is 11.2 g/dL. What action by the nurse is best?
A. Arrange hospital admission for blood transfusions.
B. Assess the patient's diet for adequate iron and protein.
C. Inform the patient that this is a normal finding in pregnancy.
D. Tell the patient to get more sleep at night and to take naps. - ANSWER: B. Assess
the patient's diet for adequate iron and protein.
A. The patient does not need transfusions.
B. Anemia of pregnancy occurs mainly due to hemodilution. The mean acceptable
hemoglobin level in pregnancy is 11-12 g/dL. Some people experience fatigue due to
, this change. Sleep disturbances can contribute to the fatigue, but the nurse should
ensure that the patient is adequately hydrated and is eating a diet high in protein
and iron.
C. Informing the patient that this is normal does not give her the information she
needs to care for herself.
D. If sleep disturbances are a contributing factor, extra sleep can help, but this is not
the best action to take.
A patient in her second trimester of pregnancy is in the clinic for a checkup. She
complains of feeling short of breath at times. Her lungs are clear, and her oxygen
saturation is 98%. Her vital signs are all normal. What action by the nurse is best?
A. Alert the provider to the symptoms.
B. Encourage slow, deep breathing.
C. Suggest elevation of the feet.
D. Facilitate a chest x-ray. - ANSWER: B. Encourage slow, deep breathing.
A. There is no indication that contacting the provider is necessary.
B. Many pregnant people verbalize an increased awareness of the need to breathe
and can perceive this as dyspnea. Because there are no other abnormalities, the
nurse should reassure the patient that this is normal and encourage slow, deep
breathing while resting with the head elevated.
C. Elevation of the head can help improve symptoms.
D. A chest x-ray is unnecessary.
The perinatal nurse reads the diagnosis of ptyalism in a patient's chart. What
teaching does the nurse plan for this patient?
A. Chew food thoroughly before swallowing.
B. Drink plenty of decaffeinated beverages.
C. Eat something before getting up in the morning.
D. Lozenges and chewing gum can help. - ANSWER: D. Lozenges and chewing gum
can help.
A. Chewing food thoroughly before swallowing is not helpful for this condition.
B. Drinking plenty of decaffeinated beverages is not helpful for this condition.
C. Eating something before getting up in the morning is not helpful for this condition.
D. Ptyalism is excessive production of saliva. The etiology is uncertain but chewing
gum and using lozenges can offer limited relief.
A pregnant patient is complaining of frequent heartburn. What statement by the
patient indicates to the nurse that teaching has been effective?
A. "Drinking less alcohol should prevent this."
B. "Eating larger, less frequent meals will help." C. "I should take antacids before
each meal."
D. "I will not lie down for 1 hour after eating." - ANSWER: D. "I will not lie down for 1
hour after eating."
A. Pregnant people should not drink alcohol at all.
ACTUAL EXAM EACH VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is assessing a patient in the women's clinic for Chadwick's sign. How does the
nurse perform this assessment?
A. Auscultates the patient's abdomen for fetal heart tones
B. Inspects the vulva and vagina for a bluish tint
C. Palpates the patient's abdomen for a fluid wave
D. Percusses the patient's abdomen for uterine margins - ANSWER: B. Inspects the
vulva and vagina for a bluish tint
A. Chadwick's sign is not assessed by auscultating the abdomen for fetal heart
tones.
B. Chadwick's sign is one of the earliest signs of pregnancy and consists of a bluish
discoloration of the cervix, vulva, and vagina. The nurse would inspect the patient
for this discoloration.
C. Chadwick's sign is not assessed by palpating the abdomen for a fluid wave
D. Chadwick's sign is not assessed by percussing the abdomen for uterine margins.
A nurse is teaching a patient who is in her first trimester of pregnancy about physical
changes
she can expect. Which information should the nurse provide?
A. Diminishing sexual interest occurs.
B. Harmful agents can invade the uterus.
C. Leukorrhea is an abnormal condition.
D. Pregnant people are more susceptible to yeast infections. - ANSWER: D. Pregnant
people are more susceptible to yeast infections.
A. For some pregnant people, the increased pelvic congestion leads to increased
sexual
interest and orgasmic ability.
B. Harmful agents are kept out of the uterus by the mucus plug.
C. Leukorrhea is a normal finding in pregnancy due to hyperplasia of the vaginal
mucosa and increased mucus production from the endocervical glands.
D. Glycogen levels are increased in vaginal cells during pregnancy, and this change
creates an environment more hospitable to Candida albicans. Thus, pregnant
people are more susceptible to yeast infections.
A patient who gave birth 2 months ago calls the perinatal clinic crying because her
hair is falling out in large amounts. What action by the nurse is most appropriate?
A. Advise the patient to make an appointment with a dermatologist.
B. Explain that this symptom will end once she stops breastfeeding.
C. Reassure the patient that her hair will grow back within a year.
,D. Tell the patient it is extra hair that grew in pregnancy. - ANSWER: C. Reassure the
patient that her hair will grow back within a year.
A. The patient does not need to see a dermatologist.
B. The process is not related to breastfeeding.
C. New hair growth may be stimulated during pregnancy, but after birth, this
process reverses and hair shedding occurs for 1-4 months. Virtually all hair will be
replaced within 6-12 months. The nurse should educate the patient about this
natural process.
D. Although telling the patient that she had extra hair in pregnancy is accurate,
simply stating this fact does nothing to ease her distress.
A pregnant patient in the perinatal clinic complains of a diffuse, reddish discoloration
of her palms. What action by the nurse is most appropriate?
A. Ask if she has been exposed to measles.
B. Assess her for Raynaud's phenomenon.
C. Explain that this is a normal finding.
D. Take the patient's vital signs. - ANSWER: C. Explain that this is a normal finding.
A. This condition is not related to measles.
B. This condition is not related to Raynaud's phenomenon.
C. Palmar erythema is a reddish discoloration of the palms and occurs in about 60%
of
Caucasian women and in about 35% of African American women during
pregnancy.
D. Although the nurse should assess the patient's vital signs during the visit, there
is no
need to do so specifically tied to this condition.
A patient in her third trimester of pregnancy complains of a painful burning
sensation in her hands and lower arms. Which action by the nurse is best?
A. Advise the patient to elevate her hands at night.
B. Document the finding and alert the provider. C. Encourage the patient to see a
neurologist. D. Request a prescription for pregabalin (Lyrica). - ANSWER: A. Advise
the patient to elevate her hands at night.
A. Edema that occurs during pregnancy can lead to fluid collection in the wrist and
puts pressure on the median nerve. This leads to carpal tunnel syndrome,
characterized by burning pain and paresthesia in the (usually dominant) hand or
hands up to the elbow. The nurse should advise the patient to elevate her hands at
night. Carpal tunnel syndrome usually resolves after pregnancy, but if it persists,
the patient may require surgical treatment.
B. The nurse should always document abnormal findings and alert the provider,
but further action is needed.
C. The patient does not need to see a neurologist.
D. Lyrica is used for nerve pain and would not be suggested here.
,A pregnant patient in the perinatal clinic complains of occasional fainting. Which
action by the nurse is best?
A. Educate her that this is a frequent occurrence in pregnancy.
B. Always encourage her to carry small snacks with her.
C. Instruct her to take a series of short breaths when the warning signs occur.
D. Tell her to lie down on her left side if she has warning signs. - ANSWER: D. Tell her
to lie down on her left side if she has warning signs.
A. Simply saying that this occurs frequently does not help the patient take care of
herself.
B. This symptom is not related to food intake.
C. Taking short breaths will not help the issue.
D. Syncope, or fainting, is occasionally seen in pregnancy and is often preceded by
warning signs such as lightheadedness, sweating, nausea, yawning, or sensations of
warmth. The nurse should instruct the patient to sit or lie down when these warning
signs occur. Lying on the left side is preferred to avoid compressing the vena cava.
A patient in the emergency department is in her third trimester and is bleeding
heavily from a laceration on her thigh from a car crash. She is pale and diaphoretic.
Her blood pressure is 138/82 mm Hg. What can the nurse conclude from this
information?
A. Blood loss from the laceration has not been that great.
B. She is in shock from the trauma of the injury and blood loss.
C. Her increased blood volume is maintaining the blood pressure.
D. Her vital signs and physical assessment do not match. - ANSWER: C. Her increased
blood volume is maintaining the blood pressure.
A. It is incorrect to say that the blood loss has not been great.
B. The patient is not in shock.
C. Maternal blood volume increases by 40% to 50% near term. The nurse would
expect the blood pressure to be low due to the blood loss, but the pregnancy-related
extra volume is maintaining the blood pressure at normal levels.
D. The vital signs and physical assessment do not match, but that is vague and does
not
explain the inconsistency.
A patient in the third trimester of her first pregnancy complains of excessive fatigue.
Her hemoglobin is 11.2 g/dL. What action by the nurse is best?
A. Arrange hospital admission for blood transfusions.
B. Assess the patient's diet for adequate iron and protein.
C. Inform the patient that this is a normal finding in pregnancy.
D. Tell the patient to get more sleep at night and to take naps. - ANSWER: B. Assess
the patient's diet for adequate iron and protein.
A. The patient does not need transfusions.
B. Anemia of pregnancy occurs mainly due to hemodilution. The mean acceptable
hemoglobin level in pregnancy is 11-12 g/dL. Some people experience fatigue due to
, this change. Sleep disturbances can contribute to the fatigue, but the nurse should
ensure that the patient is adequately hydrated and is eating a diet high in protein
and iron.
C. Informing the patient that this is normal does not give her the information she
needs to care for herself.
D. If sleep disturbances are a contributing factor, extra sleep can help, but this is not
the best action to take.
A patient in her second trimester of pregnancy is in the clinic for a checkup. She
complains of feeling short of breath at times. Her lungs are clear, and her oxygen
saturation is 98%. Her vital signs are all normal. What action by the nurse is best?
A. Alert the provider to the symptoms.
B. Encourage slow, deep breathing.
C. Suggest elevation of the feet.
D. Facilitate a chest x-ray. - ANSWER: B. Encourage slow, deep breathing.
A. There is no indication that contacting the provider is necessary.
B. Many pregnant people verbalize an increased awareness of the need to breathe
and can perceive this as dyspnea. Because there are no other abnormalities, the
nurse should reassure the patient that this is normal and encourage slow, deep
breathing while resting with the head elevated.
C. Elevation of the head can help improve symptoms.
D. A chest x-ray is unnecessary.
The perinatal nurse reads the diagnosis of ptyalism in a patient's chart. What
teaching does the nurse plan for this patient?
A. Chew food thoroughly before swallowing.
B. Drink plenty of decaffeinated beverages.
C. Eat something before getting up in the morning.
D. Lozenges and chewing gum can help. - ANSWER: D. Lozenges and chewing gum
can help.
A. Chewing food thoroughly before swallowing is not helpful for this condition.
B. Drinking plenty of decaffeinated beverages is not helpful for this condition.
C. Eating something before getting up in the morning is not helpful for this condition.
D. Ptyalism is excessive production of saliva. The etiology is uncertain but chewing
gum and using lozenges can offer limited relief.
A pregnant patient is complaining of frequent heartburn. What statement by the
patient indicates to the nurse that teaching has been effective?
A. "Drinking less alcohol should prevent this."
B. "Eating larger, less frequent meals will help." C. "I should take antacids before
each meal."
D. "I will not lie down for 1 hour after eating." - ANSWER: D. "I will not lie down for 1
hour after eating."
A. Pregnant people should not drink alcohol at all.
