OB NCLEX Questions
A purchaser is using the basal frame temperature (BBT) approach of contraception .She calls
the sanatorium and tells the nurse, "My duration is due in a few days, and my temperature has
now not long gone up." The nurse's most suitable reaction is:
A. "This probable means you're pregnant."
B. "Don't worry; it's probably nothing."
C. "Have you been ill this month?"
D. "You in all likelihood did not ovulate throughout this cycle." - ANS-d-Pregnancy can't arise
without ovulation (that's being measured the use of the BBT technique). A comment which
includes this discredits the patron's worries. Illness might most possibly motive an growth in
BBT. The absence of a temperature decrease maximum probably is the end result of loss of
ovulation.
A customer with percent has been ingesting every day quantities of white clay dust from her
backyard. Laboratory research are performed and the nurse determines that which locating
suggests a physiological consequence of the purchaser's practice?
A. Hct 38%
b. Glucose 86 mg/dL
c. Hemoglobin 9.1 g/dL
d. Wbc 12,four hundred cell/mm - ANS-C-% frequently leads to iron deficiency anemia resulting
in a reduced hemoglobin lvl. Other lab values are ordinary for the pregnant mom
A excessive chance pregnant patient has had a complex shipping and is inside the healing
room with energetic bleeding. The physician has ordered hetastarch in sodium chloride
(Hespan) IV infusion. Which first-rate describes the symptoms for this fluid?
A. Growing plasma quantity at some stage in surprise or bleeding
B. Causing blood coagulation to promote blood clotting
C. Improving circulation by means of causing vasodilation
D. Increasing cardiac contractility to enhance move - ANS-A- Hetastarch in sodium chloride
(Hespan) is a sort of plasma increasing answer this is used to boom the extent of the
intravascular device all through times of blood loss. Hespan is commonly used for extent
replacement to save you complications of intense hemorrhage, including hypovolemic surprise
A married girl has made the decision to use a diaphragm as her number one method of birth
manage. The hospital nurse must offer which instructions concerning care of, insertion, and
removal of the diaphragm? (Select all that practice.)
A. Remove the diaphragm by catching the rim from underneath the dome.
B. Avoid the usage of mineral oil frame merchandise
C. On insertion, direct the diaphragm down towards the distance below cervix
D. Wash diaphragm monthly with slight cleaning soap and water
E. A dusting of cornstarch is appropriate after drying the diaphragm - ANS-B C D E-The
diaphragm ought to now not be removed by means of seeking to seize the rim from below the
dome. Oil-based totally merchandise can cause the breakdown of the rubber. The diaphragm
, should be inserted into the vagina, directing it inward and downward as some distance as it will
visit the space at the back of and underneath the cervix. The diaphragm must be washed after
every use with mild soap and water. Cornstarch can be used.
A nurse is providing genetic counseling for an expectant couple who already have a child with
trisomy 18. The nurse should:
A. Tell the couple they need to have an abortion within 2 to a few weeks.
B. Give an explanation for that the fetus has a 50% danger of getting the ailment.
C. Talk options with the couple, along with amniocentesis to decide whether or not the fetus is
affected
D. Refer the couple to a psychologist for emotional aid. - ANS-c- The couple need to accept
statistics approximately the chance of getting any other toddler with this sickness for you to
make an informed choice. A genetic counselor is the best source for figuring out genetic
opportunity ratios. Genetic testing, including amniocentesis, would want to be achieved to
decide whether the fetus is affected
a nurse notes that the affected person is actively bleeding and her blood strain has dropped
from 110/seventy eight mm Hg to ninety four/58 mmHg. Which factor would maximum possibly
boom the threat of hemorrhage after cesarean segment?
A. Having a massive toddler
b. A history of oligohydramnios
c. Use of staples to shut the incision
d. A records of deep vein thrombosis - ANS-A- postpartum hemorrhage is a danger that is
obvious whether a patient has added via vaginal or cesarean strategies
whilst bleeding occurs after a cesarean phase, the nurse have to manage the circumstance as
though it were a surgical problem, because the patient has passed through surgical treatment.
Dangers of publish-op bleeding after cesarean segment include having a large child, that may
stretch the scale of the uterus and put pressure at the blood vessels, growing the threat of
hemorrhage
A nurse teaches a pregnant girl approximately the presumptive, probable, and advantageous
symptoms of pregnancy. The girl demonstrates an expertise of the nurse's instructions if she
states that a fantastic sign of pregnancy is:
A. A wonderful being pregnant check.
B. Fetal movement palpated by using the nurse-midwife
C. Braxton Hicks contractions.
D. Quickening. - ANS-B-fine signs of pregnancy are the ones attributed to the presence of a
fetus which include HEARING THE FETAL HEARTBEAT OR PALPATING FETAL MOVEMENT
Probable signal of pregnancy- Braxton Hicks contractions
Presumptive signs- Quickening
A patient receiving TPN with lipids through a primary line placed within the subclavian vein.
Which problem is maximum closely associated with this sort of fluid administration?
A. Fractured ribs
B. Pneumothorax
C. Mental confusion
A purchaser is using the basal frame temperature (BBT) approach of contraception .She calls
the sanatorium and tells the nurse, "My duration is due in a few days, and my temperature has
now not long gone up." The nurse's most suitable reaction is:
A. "This probable means you're pregnant."
B. "Don't worry; it's probably nothing."
C. "Have you been ill this month?"
D. "You in all likelihood did not ovulate throughout this cycle." - ANS-d-Pregnancy can't arise
without ovulation (that's being measured the use of the BBT technique). A comment which
includes this discredits the patron's worries. Illness might most possibly motive an growth in
BBT. The absence of a temperature decrease maximum probably is the end result of loss of
ovulation.
A customer with percent has been ingesting every day quantities of white clay dust from her
backyard. Laboratory research are performed and the nurse determines that which locating
suggests a physiological consequence of the purchaser's practice?
A. Hct 38%
b. Glucose 86 mg/dL
c. Hemoglobin 9.1 g/dL
d. Wbc 12,four hundred cell/mm - ANS-C-% frequently leads to iron deficiency anemia resulting
in a reduced hemoglobin lvl. Other lab values are ordinary for the pregnant mom
A excessive chance pregnant patient has had a complex shipping and is inside the healing
room with energetic bleeding. The physician has ordered hetastarch in sodium chloride
(Hespan) IV infusion. Which first-rate describes the symptoms for this fluid?
A. Growing plasma quantity at some stage in surprise or bleeding
B. Causing blood coagulation to promote blood clotting
C. Improving circulation by means of causing vasodilation
D. Increasing cardiac contractility to enhance move - ANS-A- Hetastarch in sodium chloride
(Hespan) is a sort of plasma increasing answer this is used to boom the extent of the
intravascular device all through times of blood loss. Hespan is commonly used for extent
replacement to save you complications of intense hemorrhage, including hypovolemic surprise
A married girl has made the decision to use a diaphragm as her number one method of birth
manage. The hospital nurse must offer which instructions concerning care of, insertion, and
removal of the diaphragm? (Select all that practice.)
A. Remove the diaphragm by catching the rim from underneath the dome.
B. Avoid the usage of mineral oil frame merchandise
C. On insertion, direct the diaphragm down towards the distance below cervix
D. Wash diaphragm monthly with slight cleaning soap and water
E. A dusting of cornstarch is appropriate after drying the diaphragm - ANS-B C D E-The
diaphragm ought to now not be removed by means of seeking to seize the rim from below the
dome. Oil-based totally merchandise can cause the breakdown of the rubber. The diaphragm
, should be inserted into the vagina, directing it inward and downward as some distance as it will
visit the space at the back of and underneath the cervix. The diaphragm must be washed after
every use with mild soap and water. Cornstarch can be used.
A nurse is providing genetic counseling for an expectant couple who already have a child with
trisomy 18. The nurse should:
A. Tell the couple they need to have an abortion within 2 to a few weeks.
B. Give an explanation for that the fetus has a 50% danger of getting the ailment.
C. Talk options with the couple, along with amniocentesis to decide whether or not the fetus is
affected
D. Refer the couple to a psychologist for emotional aid. - ANS-c- The couple need to accept
statistics approximately the chance of getting any other toddler with this sickness for you to
make an informed choice. A genetic counselor is the best source for figuring out genetic
opportunity ratios. Genetic testing, including amniocentesis, would want to be achieved to
decide whether the fetus is affected
a nurse notes that the affected person is actively bleeding and her blood strain has dropped
from 110/seventy eight mm Hg to ninety four/58 mmHg. Which factor would maximum possibly
boom the threat of hemorrhage after cesarean segment?
A. Having a massive toddler
b. A history of oligohydramnios
c. Use of staples to shut the incision
d. A records of deep vein thrombosis - ANS-A- postpartum hemorrhage is a danger that is
obvious whether a patient has added via vaginal or cesarean strategies
whilst bleeding occurs after a cesarean phase, the nurse have to manage the circumstance as
though it were a surgical problem, because the patient has passed through surgical treatment.
Dangers of publish-op bleeding after cesarean segment include having a large child, that may
stretch the scale of the uterus and put pressure at the blood vessels, growing the threat of
hemorrhage
A nurse teaches a pregnant girl approximately the presumptive, probable, and advantageous
symptoms of pregnancy. The girl demonstrates an expertise of the nurse's instructions if she
states that a fantastic sign of pregnancy is:
A. A wonderful being pregnant check.
B. Fetal movement palpated by using the nurse-midwife
C. Braxton Hicks contractions.
D. Quickening. - ANS-B-fine signs of pregnancy are the ones attributed to the presence of a
fetus which include HEARING THE FETAL HEARTBEAT OR PALPATING FETAL MOVEMENT
Probable signal of pregnancy- Braxton Hicks contractions
Presumptive signs- Quickening
A patient receiving TPN with lipids through a primary line placed within the subclavian vein.
Which problem is maximum closely associated with this sort of fluid administration?
A. Fractured ribs
B. Pneumothorax
C. Mental confusion
