SCIENCES ICHS OB PEDIATRICS EXAM
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A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having contractions that
occur every 3 minutes. The fetal heart rate (FHR) has a baseline of approximately 120 beats/min without
any decelerations. The interpretation of this test is said to be:
a. Negative.
b. Positive.
c. Satisfactory.
d. Unsatisfactory. a. Negative.
Compared with contraction stress test (CST), nonstress test (NST) for antepartum fetal assessment:
a. Has no known contraindications.
b. Has fewer false-positive results.
c. Is more sensitive in detecting fetal compromise.
d. Is slightly more expensive. a. Has no known contraindications.
The nurse providing care for the antepartum woman should understand that contraction stress test
(CST):
a. Sometimes uses vibroacoustic stimulation.
, b. Is an invasive test; however, contractions are stimulated.
c. Is considered negative if no late decelerations are observed with the contractions.
d. Is more effective than nonstress test (NST) if the membranes have already been ruptured. c. Is
considered negative if no late decelerations are observed with the contractions.
The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR)
accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:
a. Nonreactive
b. Positive
c. Negative
d. Reactive d. Reactive
The perinatal nurse is giving discharge instructions to a woman after suction curettage secondary to a
hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12 months. The
best response from the nurse would be:
a. "If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if
you desire a future pregnancy, it would be better for you to use the most reliable method of
contraception available."
b. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by
measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it
would make the diagnosis of this cancer more difficult."
c. "If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy is
rare. Therefore, to improve your chance of a successful pregnancy, it is better not to get pregnant
b. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only
by measuring the same hormone that your body produces during pregnancy. If you were to get
pregnant, it would make the diagnosis of this cancer more difficult."
What finding on a prenatal visit at 10 weeks could suggest a hydatidiform mole?
a. Complaint of frequent mild nausea
b. Blood pressure of 120/80 mm Hg
c. Fundal height measurement of 18 cm
d. History of bright red spotting for 1 day, weeks ago c. Fundal height measurement of 18 cm
A placenta previa in which the placental edge just reaches the internal os is more commonly known as:
a. Total
b. Partial
, c. Complete
d. Marginal d. Marginal
Which maternal condition always necessitates delivery by cesarean section?
a. Partial abruptio placentae
b. Total placenta previa
c. Ectopic pregnancy
d. Eclampsia b. Total placenta previa
The nurse should be aware that the criteria used to make decisions and solve problems within families
are based primarily on family:
a. Rituals and customs.
b. Values and beliefs.
c. Boundaries and channels.
d. Socialization processes. b. Values and beliefs.
Using the family stress theory as an intervention approach for working with families experiencing
parenting, the nurse can help the family change internal context factors. These include:
a. Biologic and genetic makeup.
b. Maturation of family members.
c. The family's perception of the event.
d. The prevailing cultural beliefs of society. c. The family's perception of the event.
While working in the prenatal clinic, you care for a very diverse group of patients. When planning
interventions for these families, you realize that acceptance of the interventions will be most influenced
by:
a. Educational achievement.
b. Income level.
c. Subcultural group.
d. Individual beliefs. d. Individual beliefs.
Which statement about family systems theory is inaccurate?
a. A family system is part of a larger suprasystem.
b. A family as a whole is equal to the sum of the individual members.
, c. A change in one family member affects all family members.
d. The family is able to create a balance between change and stability. b. A family as a whole is equal
to the sum of the individual members.
A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:
a. Genogram.
b. Family values construct.
c. Life cycle model
d. Human development wheel. a. Genogram.
After you complete your nutritional counseling for a pregnant woman, you ask her to repeat your
instructions so you can assess her understanding of the instructions given. Which statement indicates
that she understands the role of protein in her pregnancy?
a. "Protein will help my baby grow."
b. "Eating protein will prevent me from becoming anemic."
c. "Eating protein will make my baby have strong teeth after he is born."
d. "Eating protein will prevent me from being diabetic." a. "Protein will help my baby grow."
With regard to protein in the diet of pregnant women, nurses should be aware that:
a. Many protein-rich foods are also good sources of calcium, iron, and B vitamins.
b. Many women need to increase their protein intake during pregnancy.
c. As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the
diet.
d. High-protein supplements can be used without risk by women on macrobiotic diets. a. Many
protein-rich foods are also good sources of calcium, iron, and B vitamins.
If a patient's normal pre-pregnancy diet contains 45 g of protein daily, how many more grams of protein
should she consume per day during pregnancy?
a. 5
b. 10
c. 25
d. 30 c. 25
The labor and delivery nurse is preparing a bariatric patient for an elective cesarean birth. Which piece
of "specialized" equipment is unnecessary when providing care for this pregnant woman.
a. Extra long surgical instruments