OB Exam 3 Practice questions
A 1-day-old neonate inside the well-infant nursery is suspected of stricken by drug withdrawal
due to the fact he is markedly hyperreflexic and is displaying which of the following extra signal
or symptom?
A. Prolonged durations of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash - ANS-c. Babies who are experiencing withdrawal frequently
experience bouts of diarrhea.
A sixteen-12 months-old patient is admitted to the health center with a diagnosis of intense
preeclampsia. The nurse need to closely monitor the female for which of the following?
A. High leukocyte be counted
b. Explosive diarrhea
c. Fractured pelvis
d. Low platelet count - ANS-d. Low platelet remember is one of the signs associated with
HELLP (hemolysis, improved liver enzymes, and occasional platelets) syndrome.
A 34-weeks' gestation multigravida, G3 P1 is admitted to the hard work suite. She is contracting
every 7 minutes and forty seconds. The girl has numerous medical issues. Which of the
following of her comorbidities is maximum constant with the scientific photo?
A. Kyphosis
b. Urinary tract infection
c. Congestive coronary heart failure
d. Cerebral palsy - ANS-b. Urinary tract infections often precipitate preterm exertions.
A 37-12 months-antique female who is 17 weeks pregnant has had an amniocentesis. Before
discharge, the nurse teaches the woman to call her health practitioner if she studies which of
the subsequent facet outcomes?
A. Pain at the puncture web site
b. Macular rash at the stomach
c. Decrease in urinary output
d. Cramping of the uterus - ANS-d. The female need to report any uterine cramping. Although
uncommon, amniocentesis ought to stimulate preterm hard work.
A 42-week gestation neonate is admitted to the NICU (neonatal extensive care unit). This
neonate is at danger for which problem?
A. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage - ANS-a. Although there's nothing in the situation that states that
the amniotic fluid is green tinged, submit-time period infants are high chance for meconium
aspiration syndrome.
,A infant boy became just born to a mom who had nice vaginal cultures for organization B
streptococci. The mom was admitted to the hard work room 30 minutes before the birth. For
which of the subsequent should the nursery nurse intently observe this baby?
A. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele - ANS-a. This infant is excessive danger for respiratory misery. The nurse should
take a look at this child cautiously for grunting.
A infant has just been admitted into the neonatal intensive care unit with a prognosis of
intrauterine increase restriction (IUGR). Which of the subsequent maternal troubles should have
resulted on this difficulty? (Select all that apply.)
a. Cholecystitis
b. Hypertension
c. Cigarette smoker
d. Candidiasis
e. Cerebral palsy - ANS-b, c
Babies born to women with cholecystitis aren't mainly high chance for IUGR. Babies born to
girls with PIH or who smoke are high chance for IUGR. Babies born to women with candidiasis
or cerebral palsy aren't mainly high hazard for IUGR.
A child turned into born four days in the past at 34 weeks' gestation. She is receiving
phototherapy as ordered by the medical doctor for physiological jaundice. She has signs and
symptoms of temperature instability, dry pores and skin, poor feeding, lethargy, and irritability.
The nurse's precedence nursing movement(s) is (are) to (pick all that apply):
a. Verify laboratory outcomes to test for hypomagnesia.
B. Verify laboratory results to check for hypoglycemia.
C. Monitor the infant's temperature to check for hypothermia.
D. Calculate 24-hour consumption and output to check for dehydration. - ANS-c, d
There are precedence nursing interventions for hyperbilirubinemia. Hydration popularity is
essential if the newborn indicates signs and symptoms of dehydration such as dry pores and
skin and mucus membranes, negative intake, focused urine or constrained urine output, and
irritability. The new child must also be saved heat at the same time as receiving phototherapy.
When an little one is under phototherapy, the temperature desires to be monitored intently
because the lighting supply off greater warmness, however if the new child is in an open crib
and undressed, hypothermia may also arise. Hypomagnesia and hypoglycemia aren't
associated with phototherapy.
A client on 2 gm/hr of magnesium sulfate has reduced deep tendon reflexes. Identify the
concern nursing evaluation to ensure customer safety.
A. Assess uterine contractions constantly.
B. Assess fetal heart charge continuously.
C. Assess urinary output.
D. Assess respiratory fee. - ANS-d. Respiratory attempt and deep tendon reflexes (DTRs) are
involuntary, and a lower in DTRs should indicate the hazard of magnesium sulfate toxicity and
the chance for reduced respiration effort.
, A complete-time period neonate who's 30 hours antique has a bilirubin stage of 10 mg/dL. The
neonate has a yellowish tint to the skin of the face. The mom is breastfeeding her new child.
The nurse being concerned for this neonate could assume which of the following interventions?
A. Phototherapy
b. Feeding neonate each 2 to 3 hours
c. Switch from breastfeeding to bottle feeding
d. Assess crimson blood cellular rely - ANS-b. Adequate hydration promotes excretion of
bilirubin within the urine.
A hard work nurse is worrying for a affected person, 39 weeks' gestation, who has been
identified with placenta previa. Which of the following medical doctor orders ought to the nurse
question?
A. Type and pass-match her blood.
B. Insert an internal fetal display electrode.
C. Administer an oral stool softener.
D. Assess her complete blood count. - ANS-b. This movement is inappropriate. When a affected
person has a placenta previa, nothing should be inserted into the vagina.
A laboratory file suggests the L/S ratio (lecithin/sphingomyelin) outcomes from an
amniocentesis of a gravid affected person with preeclampsia are 2:1. The nurse interprets the
end result as which of the subsequent?
A. The child's lung fields are mature.
B. The mom is high danger for hemorrhage.
C. The baby's kidneys are functioning poorly.
D. The mom is high hazard for eclampsia. - ANS-a. An L/S ratio of 2:1 typically indicates that the
fetal lungs are mature.
A multipara, 26 weeks' gestation and accompanied by way of her husband, has simply
introduced a fetal dying. Which of the subsequent nursing moves is suitable at this time?
A. Encourage the dad and mom to hope for the baby's soul.
B. Advise the parents that it's far higher for the child to have died than to have needed to stay
with a illness.
C. Encourage the parents to keep the infant.
D. Advise the dad and mom to refrain from discussing the infant's death with their other children.
- ANS-c. This is the proper inspiration. Encouraging parents to spend time with their baby and
hold their infant is an action that supports the parents at some point of the grieving manner.
A neonate is born at 33 weeks' gestation with a beginning weight of 2400 grams. This neonate
could be labeled as:
a. Low birth weight
b. Very low beginning weight
c. Extremely low start weight
d. Very premature - ANS-a. Neonates with a beginning weight of less than 2500 grams however
extra than 1500 grams are categorised as low delivery weight.
A NICU nurse is worrying for a full-term neonate being treated for institution B streptococcus.
The mother of the neonate is crying and shares that she cannot recognize how her child
became infected. The first-class reaction by using the nurse is:
A 1-day-old neonate inside the well-infant nursery is suspected of stricken by drug withdrawal
due to the fact he is markedly hyperreflexic and is displaying which of the following extra signal
or symptom?
A. Prolonged durations of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash - ANS-c. Babies who are experiencing withdrawal frequently
experience bouts of diarrhea.
A sixteen-12 months-old patient is admitted to the health center with a diagnosis of intense
preeclampsia. The nurse need to closely monitor the female for which of the following?
A. High leukocyte be counted
b. Explosive diarrhea
c. Fractured pelvis
d. Low platelet count - ANS-d. Low platelet remember is one of the signs associated with
HELLP (hemolysis, improved liver enzymes, and occasional platelets) syndrome.
A 34-weeks' gestation multigravida, G3 P1 is admitted to the hard work suite. She is contracting
every 7 minutes and forty seconds. The girl has numerous medical issues. Which of the
following of her comorbidities is maximum constant with the scientific photo?
A. Kyphosis
b. Urinary tract infection
c. Congestive coronary heart failure
d. Cerebral palsy - ANS-b. Urinary tract infections often precipitate preterm exertions.
A 37-12 months-antique female who is 17 weeks pregnant has had an amniocentesis. Before
discharge, the nurse teaches the woman to call her health practitioner if she studies which of
the subsequent facet outcomes?
A. Pain at the puncture web site
b. Macular rash at the stomach
c. Decrease in urinary output
d. Cramping of the uterus - ANS-d. The female need to report any uterine cramping. Although
uncommon, amniocentesis ought to stimulate preterm hard work.
A 42-week gestation neonate is admitted to the NICU (neonatal extensive care unit). This
neonate is at danger for which problem?
A. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage - ANS-a. Although there's nothing in the situation that states that
the amniotic fluid is green tinged, submit-time period infants are high chance for meconium
aspiration syndrome.
,A infant boy became just born to a mom who had nice vaginal cultures for organization B
streptococci. The mom was admitted to the hard work room 30 minutes before the birth. For
which of the subsequent should the nursery nurse intently observe this baby?
A. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele - ANS-a. This infant is excessive danger for respiratory misery. The nurse should
take a look at this child cautiously for grunting.
A infant has just been admitted into the neonatal intensive care unit with a prognosis of
intrauterine increase restriction (IUGR). Which of the subsequent maternal troubles should have
resulted on this difficulty? (Select all that apply.)
a. Cholecystitis
b. Hypertension
c. Cigarette smoker
d. Candidiasis
e. Cerebral palsy - ANS-b, c
Babies born to women with cholecystitis aren't mainly high chance for IUGR. Babies born to
girls with PIH or who smoke are high chance for IUGR. Babies born to women with candidiasis
or cerebral palsy aren't mainly high hazard for IUGR.
A child turned into born four days in the past at 34 weeks' gestation. She is receiving
phototherapy as ordered by the medical doctor for physiological jaundice. She has signs and
symptoms of temperature instability, dry pores and skin, poor feeding, lethargy, and irritability.
The nurse's precedence nursing movement(s) is (are) to (pick all that apply):
a. Verify laboratory outcomes to test for hypomagnesia.
B. Verify laboratory results to check for hypoglycemia.
C. Monitor the infant's temperature to check for hypothermia.
D. Calculate 24-hour consumption and output to check for dehydration. - ANS-c, d
There are precedence nursing interventions for hyperbilirubinemia. Hydration popularity is
essential if the newborn indicates signs and symptoms of dehydration such as dry pores and
skin and mucus membranes, negative intake, focused urine or constrained urine output, and
irritability. The new child must also be saved heat at the same time as receiving phototherapy.
When an little one is under phototherapy, the temperature desires to be monitored intently
because the lighting supply off greater warmness, however if the new child is in an open crib
and undressed, hypothermia may also arise. Hypomagnesia and hypoglycemia aren't
associated with phototherapy.
A client on 2 gm/hr of magnesium sulfate has reduced deep tendon reflexes. Identify the
concern nursing evaluation to ensure customer safety.
A. Assess uterine contractions constantly.
B. Assess fetal heart charge continuously.
C. Assess urinary output.
D. Assess respiratory fee. - ANS-d. Respiratory attempt and deep tendon reflexes (DTRs) are
involuntary, and a lower in DTRs should indicate the hazard of magnesium sulfate toxicity and
the chance for reduced respiration effort.
, A complete-time period neonate who's 30 hours antique has a bilirubin stage of 10 mg/dL. The
neonate has a yellowish tint to the skin of the face. The mom is breastfeeding her new child.
The nurse being concerned for this neonate could assume which of the following interventions?
A. Phototherapy
b. Feeding neonate each 2 to 3 hours
c. Switch from breastfeeding to bottle feeding
d. Assess crimson blood cellular rely - ANS-b. Adequate hydration promotes excretion of
bilirubin within the urine.
A hard work nurse is worrying for a affected person, 39 weeks' gestation, who has been
identified with placenta previa. Which of the following medical doctor orders ought to the nurse
question?
A. Type and pass-match her blood.
B. Insert an internal fetal display electrode.
C. Administer an oral stool softener.
D. Assess her complete blood count. - ANS-b. This movement is inappropriate. When a affected
person has a placenta previa, nothing should be inserted into the vagina.
A laboratory file suggests the L/S ratio (lecithin/sphingomyelin) outcomes from an
amniocentesis of a gravid affected person with preeclampsia are 2:1. The nurse interprets the
end result as which of the subsequent?
A. The child's lung fields are mature.
B. The mom is high danger for hemorrhage.
C. The baby's kidneys are functioning poorly.
D. The mom is high hazard for eclampsia. - ANS-a. An L/S ratio of 2:1 typically indicates that the
fetal lungs are mature.
A multipara, 26 weeks' gestation and accompanied by way of her husband, has simply
introduced a fetal dying. Which of the subsequent nursing moves is suitable at this time?
A. Encourage the dad and mom to hope for the baby's soul.
B. Advise the parents that it's far higher for the child to have died than to have needed to stay
with a illness.
C. Encourage the parents to keep the infant.
D. Advise the dad and mom to refrain from discussing the infant's death with their other children.
- ANS-c. This is the proper inspiration. Encouraging parents to spend time with their baby and
hold their infant is an action that supports the parents at some point of the grieving manner.
A neonate is born at 33 weeks' gestation with a beginning weight of 2400 grams. This neonate
could be labeled as:
a. Low birth weight
b. Very low beginning weight
c. Extremely low start weight
d. Very premature - ANS-a. Neonates with a beginning weight of less than 2500 grams however
extra than 1500 grams are categorised as low delivery weight.
A NICU nurse is worrying for a full-term neonate being treated for institution B streptococcus.
The mother of the neonate is crying and shares that she cannot recognize how her child
became infected. The first-class reaction by using the nurse is:
