OB Exam 1
A 22-year-vintage primigravida is admitted to the sanatorium in exertions. After acting a vaginal
examination, the nurse determines that the client's cervix is dilated 2 cm and eighty% effaced
and that the providing element is at 0 station. What is the vicinity of the imparting element?
1
Entering the vagina
2
Floating inside the bony pelvis
three
At the level of the ischial spines
four
Above the extent of the ischial spines - ANS-At the level of the ischial spines
A consumer at eleven weeks' gestation reviews having to urinate extra regularly. The nurse
explains that urinary frequency regularly occurs due to the fact bladder ability all through being
pregnant is dwindled by:
1. Atony of the detrusor muscle
2. Compression by using the enlarging uterus
three. Compromise of the autonomic reflexes
4. Narrowing of the ureteral entrance on the trigone - ANS-Compression with the aid of the
enlarging uterus
A purchaser at 32 weeks' gestation is admitted in active exertions. Her cervix is effaced and
dilated four cm. Intramuscular betamethasone (Celestone) 12 mg is prescribed. What have to
the nurse tell the patron about why the medicine is being given?
1
Cervical dilation is increased.
2
Fetal lung maturity is accelerated.
Three
The chance of a precipitous birth is reduced.
Four
The potential for maternal hypertension is minimized. - ANS-Fetal lung maturity is multiplied.
A client at forty weeks' gestation is admitted to the birthing unit in exertions. During the initial
examination the nurse makes use of Leopold maneuvers to palpate the stomach. The cause of
this intervention is to evaluate the: - ANS-Position of the fetus
A client at 42 weeks' gestation is admitted for a nonstress take a look at. The nurse concludes
that this test is being accomplished due to the fact a prolonged pregnancy can:
1
Cause polyhydramnios
2
,Lead to placental insufficiency
three
Predispose the customer to postpartum contamination
4
Indicate the presence of subclinical gestational diabetes - ANS-Lead to placental insufficiency
A purchaser at 7 weeks' gestation tells a nurse in the prenatal sanatorium that she is unwell
every morning with nausea and vomiting and provides that she does no longer think she can
tolerate it at some stage in her pregnancy. The nurse assures her that that is a common
occurrence in early pregnancy and could probably disappear by way of the quit of the:
1
Fifth month
2
Third month
3
Fourth month
four
Second month - ANS-Third month
A consumer attending a prenatal elegance about nutrition tells the nurse that she is a strict
vegetarian (vegan). What need to the nurse encourage the client to devour that consists of all
the critical amino acids?
1. Macaroni and cheese
2. Whole-grain cereals and nuts
three. Scrambled eggs and buttermilk
four. Brown rice and whole-wheat bread - ANS-Whole grain cereals and nuts
A client in her tenth week of pregnancy well-knownshows presumptive signs and symptoms of
pregnancy that the nurse can also stumble on, inclusive of which of the subsequent? Select all
that practice.
1
Amenorrhea
2
Breast changes
3
Urinary frequency
4
Abdominal growth
five
Positive urine being pregnant check - ANS-Amenorrhea
Breast changes
Urinary frequency
A consumer in her thirtieth week of gestation is in preterm hard work, and the practitioner
prescribes betamethasone (Celestone). The patron asks the nurse why she is being given this
drug. As a basis for the reaction the nurse takes into consideration that it:
, 1
Prevents chorioamnionitis
2
Increases uteroplacental alternate
3
Promotes neonatal pulmonary maturity
four
Is used to deal with fetal respiratory distress syndrome - ANS-Promotes neonatal pulmonary
maturity
A client in labor is having an indwelling urinary catheter inserted. What ought to the nurse plan
to do to prevent past due decelerations of the fetal coronary heart rate all through this
procedure?
1
Position both the customer's legs concurrently.
2
Urge the patron to take deep breaths frequently.
Three
Place a rolled towel below the patron's right hip.
4
Loosen the transducer belts around the patron's abdomen. - ANS-Placed a rolled towl below the
customer's righr hip
A client in hard work is receiving an oxytocin (Pitocin) infusion. What ought to the nurse do first
whilst repetitive late decelerations of the fetal coronary heart fee are determined?
1
Administer oxygen.
2
Place the patron on the left facet.
Three
Discontinue the oxytocin infusion.
4
Check the consumer's blood pressure. - ANS-Discontinue oxytocin infusion
A consumer is admitted in active hard work. The nurse, acting Leopold maneuvers, determines
that the fetus is inside the left occiput anterior (LOA) function. Where ought to the nurse place
the transducer of the electronic fetal screen?
1
Right lower midline
2
Left decrease quadrant
3
Left upper quadrant
4
Right top quadran - ANS-Left decrease quadrant
A patron is admitted to the birthing unit in lively labor. Cervical dilation has advanced from 2 to
three cm over the preceding eight hours. The health care company determines that the
A 22-year-vintage primigravida is admitted to the sanatorium in exertions. After acting a vaginal
examination, the nurse determines that the client's cervix is dilated 2 cm and eighty% effaced
and that the providing element is at 0 station. What is the vicinity of the imparting element?
1
Entering the vagina
2
Floating inside the bony pelvis
three
At the level of the ischial spines
four
Above the extent of the ischial spines - ANS-At the level of the ischial spines
A consumer at eleven weeks' gestation reviews having to urinate extra regularly. The nurse
explains that urinary frequency regularly occurs due to the fact bladder ability all through being
pregnant is dwindled by:
1. Atony of the detrusor muscle
2. Compression by using the enlarging uterus
three. Compromise of the autonomic reflexes
4. Narrowing of the ureteral entrance on the trigone - ANS-Compression with the aid of the
enlarging uterus
A purchaser at 32 weeks' gestation is admitted in active exertions. Her cervix is effaced and
dilated four cm. Intramuscular betamethasone (Celestone) 12 mg is prescribed. What have to
the nurse tell the patron about why the medicine is being given?
1
Cervical dilation is increased.
2
Fetal lung maturity is accelerated.
Three
The chance of a precipitous birth is reduced.
Four
The potential for maternal hypertension is minimized. - ANS-Fetal lung maturity is multiplied.
A client at forty weeks' gestation is admitted to the birthing unit in exertions. During the initial
examination the nurse makes use of Leopold maneuvers to palpate the stomach. The cause of
this intervention is to evaluate the: - ANS-Position of the fetus
A client at 42 weeks' gestation is admitted for a nonstress take a look at. The nurse concludes
that this test is being accomplished due to the fact a prolonged pregnancy can:
1
Cause polyhydramnios
2
,Lead to placental insufficiency
three
Predispose the customer to postpartum contamination
4
Indicate the presence of subclinical gestational diabetes - ANS-Lead to placental insufficiency
A purchaser at 7 weeks' gestation tells a nurse in the prenatal sanatorium that she is unwell
every morning with nausea and vomiting and provides that she does no longer think she can
tolerate it at some stage in her pregnancy. The nurse assures her that that is a common
occurrence in early pregnancy and could probably disappear by way of the quit of the:
1
Fifth month
2
Third month
3
Fourth month
four
Second month - ANS-Third month
A consumer attending a prenatal elegance about nutrition tells the nurse that she is a strict
vegetarian (vegan). What need to the nurse encourage the client to devour that consists of all
the critical amino acids?
1. Macaroni and cheese
2. Whole-grain cereals and nuts
three. Scrambled eggs and buttermilk
four. Brown rice and whole-wheat bread - ANS-Whole grain cereals and nuts
A client in her tenth week of pregnancy well-knownshows presumptive signs and symptoms of
pregnancy that the nurse can also stumble on, inclusive of which of the subsequent? Select all
that practice.
1
Amenorrhea
2
Breast changes
3
Urinary frequency
4
Abdominal growth
five
Positive urine being pregnant check - ANS-Amenorrhea
Breast changes
Urinary frequency
A consumer in her thirtieth week of gestation is in preterm hard work, and the practitioner
prescribes betamethasone (Celestone). The patron asks the nurse why she is being given this
drug. As a basis for the reaction the nurse takes into consideration that it:
, 1
Prevents chorioamnionitis
2
Increases uteroplacental alternate
3
Promotes neonatal pulmonary maturity
four
Is used to deal with fetal respiratory distress syndrome - ANS-Promotes neonatal pulmonary
maturity
A client in labor is having an indwelling urinary catheter inserted. What ought to the nurse plan
to do to prevent past due decelerations of the fetal coronary heart rate all through this
procedure?
1
Position both the customer's legs concurrently.
2
Urge the patron to take deep breaths frequently.
Three
Place a rolled towel below the patron's right hip.
4
Loosen the transducer belts around the patron's abdomen. - ANS-Placed a rolled towl below the
customer's righr hip
A client in hard work is receiving an oxytocin (Pitocin) infusion. What ought to the nurse do first
whilst repetitive late decelerations of the fetal coronary heart fee are determined?
1
Administer oxygen.
2
Place the patron on the left facet.
Three
Discontinue the oxytocin infusion.
4
Check the consumer's blood pressure. - ANS-Discontinue oxytocin infusion
A consumer is admitted in active hard work. The nurse, acting Leopold maneuvers, determines
that the fetus is inside the left occiput anterior (LOA) function. Where ought to the nurse place
the transducer of the electronic fetal screen?
1
Right lower midline
2
Left decrease quadrant
3
Left upper quadrant
4
Right top quadran - ANS-Left decrease quadrant
A patron is admitted to the birthing unit in lively labor. Cervical dilation has advanced from 2 to
three cm over the preceding eight hours. The health care company determines that the
