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OB/Maternity Practice Exam With Questions And 100% ALL SURE ANSWERS

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OB/Maternity Practice Exam With Questions And 100% ALL SURE ANSWERS

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OB/Maternity Practice Exam With Questions And 100% ALL SURE ANSWERS
Terms in this set (113)

1. A 30-year old gravida 2, para 1 client is admitted B
to the hospital at 26-weeks gestation in preterm
labor. She is started on an IV solution of
terbutaline (Brethine). Which assessment is the
highest priority for the nurse to monitor during the
administration of this drug?


a. Maternal blood pressure and respirations.
b. Maternal and fetal heart rates.
c. Hourly urinary output.
d. Deep tendon reflexes.

2. During labor, the nurse determines that a full- A, C, D, B
term client is demonstrating late decelerations. In
which sequence should the nurse implement
these nursing actions? (Place the first action on
top and last action on the bottom.)


a. Reposition the client.
b. Call the healthcare provider.


OB/Maternity Practice Exam


c. Increase IV fluid.
d. Provide oxygen via face mask.


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3. A client at 30-weeks gestation, complaining of C
pressure over the pubic area, is admitted for
observation. She is contracting irregularly and
demonstrates underlying uterine irritability.
Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data,
which intervention should the nurse implement
first?


a. Provide oral hydration.
b. Have a complete blood count (CBC) drawn.
c. Obtain a specimen for urine analysis.
d. Place the client on strict bedrest.

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4. A woman who thinks she could be pregnant A
calls her neighbor, a nurse, to ask when she could
use a home pregnancy test to diagnose
pregnancy. Which response is appropriate?


a. "A home pregnancy test can be used right after
your first missed period."
b. "These tests are most accurate after you have
missed your second period."
c. "Home pregnancy tests often give false
positives and should not be trusted."
d. "The test can provide accurate information
when used right after ovulation."




OB/Maternity Practice Exam
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5. When evaluating maternal bonding, which of B
the following maternal behaviors exhibited by the
client would the nurse most likely expect to see
when a new mother receives her infant for the first
time?


a. She eagerly reaches for the infant, undresses
the infant, and examines the infant completely.
b. Her arms and hands receive the infant and she
then traces the infant's profile with her fingertips.
c. Her arms and hands receive the infant and she
then cuddles the infant to her own body.
d. She eagerly reaches for the infant and then
holds the infant close to her own body.

6. The nurse is performing a gestational age A, B, C
assessment on a full-term newborn during the first
hour of transition using the Ballard (Dubowitz)
scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating
of 40-weeks. What findings should the nurse
identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)


a. Admission weight of 4 pounds, 15 ounces ( 2244
grams).
b. Head to heel length of 17 inches (42.5 cm).
c. Frontal occipital circumference of 12.5 inches
(31.25 cm).
d. Skin smooth with visible veins and abundant
vernix.
e. Anterior plantar crease and smooth heel
surfaces.
f. Full flexion of all extremities in resting supine
position.

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, 10/2/24, 9:14 AM
7. When assessing a client who is at 12-weeks D
gestation, the nurse recommends that she and her
husband consider attending childbirth preparation
classes. When is the best time for the couple to
attend these classes?


a. At 16-weeks gestation.
b. At 20-weeks gestation.
c. At 24-weeks gestation.
At 30-weeks gestation.

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8. A new mother asks the nurse, "How do I know B
that my daughter is getting enough breast milk?"
Which response is best for the nurse provide?


"Weigh the baby daily, and if she is gaining weight,
she is eating enough."
"Your milk is sufficient if the baby is voiding pale
straw-colored urine 6 to 10 times a day."
"Offer the baby extra bottle milk after her feeding,
and see if she is still hungry."
"If you're concerned, you might consider bottle
feeding so that you can monitor her intake."

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9. A primigravida at 40-weeks gestation is B
receiving oxytocin (Pitocin) to augment labor.
Which adverse effect should the nurse monitor for
during the infusion of Pitocin?


a. Dehydration.
b. Hyperstimulation.
c. Galactorrhea.
d. Fetal tachycardia.

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