OB Final Exams Review
A client just delivered a baby at 39 weeks. She delivered her first child at 38 weeks, second child at 39
weeks, and her third pregnancy was twins delivered at 35 weeks. What is her obstetric history? SATA
G5 P3105
G4 P3105
G4 P3205
G5P5
G4P4
G4P3 ANS; Answer: B & E
In the first trimester, which practice by the mother is most concerning?
Smoking ½ pack of cigarettes every 2-3 days
Vegan diet and lifestyle
Occasional consumption of beer and wine on the weekends
Sedentary lifestyle ANS; C
The BP of a pregnant client at 24 weeks becomes low when the client lies on the back. What would the
best nursing intervention to maintain a normal BP?
Start an IV and administer a bolus of 500mLs
Turn the patient to her left side
Encourage the client to sit on the side of the bed for at least 5 minutes
Have the client stand and take deep cleansing breaths ANS; Answer: B
,A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. Which response by the nurse is most appropriate?
Many pregnant women imagine what their baby is doing in utero
You need to direct your questions to your HCP
At this gestation, the baby is able to hear and respond to voices
Thinking that your baby can hear will help you bond ANS; C
The nurse is teaching a group of women about home pregnancy tests. Which instructions does the nurse
include in the lesson? SATA
The test may be performed anytime during the day
Make sure to follow the manufacturer's instructions
If the test is positive, then contact your HCP for a follow-up
If the test is negative, then contact your HCP for a follow-up
If the test is negative and you continue to experience amenorrhea, then repeat the test in a week ANS;
B, C, E
Fetal circulation is different from newborn circulation. The most accurate statement related to the
function of fetal circulation is:
,Premature shunts allow mixing of oxygenated and deoxygenated blood to enter the lungs for
oxygenation and then to be circulated to the peripheral tissues
There is a direct mixing of maternal and fetal blood, which allows the fetus to receive adequate
oxygenation and perfusion
Most blood bypasses the lungs via the ductus venosus.
By diffusion, the placenta allows for perfusion and adequate nutrients to be supplied to the developing
fetus. ANS; D
A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of
pregnancy is what?
Positive urine pregnancy test
Positive serum pregnancy test
Maternal report of fetal movement
Fetal movement noted by the HCP ANS; D
A nurse is explaining probable signs of pregnancy to a client. Which signs are under this category? SATA
Heart tones noted on an ultrasound
, Positive urine pregnancy test
Quickening noted by the mother
Amenorrhea
Positive Chadwick's sign
Ballottement ANS; B, E, F
A nurse palpates a round object in the fundal region of the uterus. The smooth contour of the back is
noted on the mother's left side. What is the most likely presentation?
RSA
ROA
LScT
LSA ANS; D
Normal vaginal childbirth, cardinal movements ANS; Cervix dilation and effacement, engage and
descent, internal rotation, external rotation
What are some alternatives to pain medication and an epidural during labor? ANS; Hypnosis
Sterile saline injections
Peanut Ball
Guided imagery
Frequent position changes
A laboring primigravida complains of increasing rectal pressure and an urge to push. A vaginal exam
reveals: 9cm, 80% effacement and +1 station. The nurse concludes:
The client should begin pushing with every other contraction
A client just delivered a baby at 39 weeks. She delivered her first child at 38 weeks, second child at 39
weeks, and her third pregnancy was twins delivered at 35 weeks. What is her obstetric history? SATA
G5 P3105
G4 P3105
G4 P3205
G5P5
G4P4
G4P3 ANS; Answer: B & E
In the first trimester, which practice by the mother is most concerning?
Smoking ½ pack of cigarettes every 2-3 days
Vegan diet and lifestyle
Occasional consumption of beer and wine on the weekends
Sedentary lifestyle ANS; C
The BP of a pregnant client at 24 weeks becomes low when the client lies on the back. What would the
best nursing intervention to maintain a normal BP?
Start an IV and administer a bolus of 500mLs
Turn the patient to her left side
Encourage the client to sit on the side of the bed for at least 5 minutes
Have the client stand and take deep cleansing breaths ANS; Answer: B
,A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. Which response by the nurse is most appropriate?
Many pregnant women imagine what their baby is doing in utero
You need to direct your questions to your HCP
At this gestation, the baby is able to hear and respond to voices
Thinking that your baby can hear will help you bond ANS; C
The nurse is teaching a group of women about home pregnancy tests. Which instructions does the nurse
include in the lesson? SATA
The test may be performed anytime during the day
Make sure to follow the manufacturer's instructions
If the test is positive, then contact your HCP for a follow-up
If the test is negative, then contact your HCP for a follow-up
If the test is negative and you continue to experience amenorrhea, then repeat the test in a week ANS;
B, C, E
Fetal circulation is different from newborn circulation. The most accurate statement related to the
function of fetal circulation is:
,Premature shunts allow mixing of oxygenated and deoxygenated blood to enter the lungs for
oxygenation and then to be circulated to the peripheral tissues
There is a direct mixing of maternal and fetal blood, which allows the fetus to receive adequate
oxygenation and perfusion
Most blood bypasses the lungs via the ductus venosus.
By diffusion, the placenta allows for perfusion and adequate nutrients to be supplied to the developing
fetus. ANS; D
A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of
pregnancy is what?
Positive urine pregnancy test
Positive serum pregnancy test
Maternal report of fetal movement
Fetal movement noted by the HCP ANS; D
A nurse is explaining probable signs of pregnancy to a client. Which signs are under this category? SATA
Heart tones noted on an ultrasound
, Positive urine pregnancy test
Quickening noted by the mother
Amenorrhea
Positive Chadwick's sign
Ballottement ANS; B, E, F
A nurse palpates a round object in the fundal region of the uterus. The smooth contour of the back is
noted on the mother's left side. What is the most likely presentation?
RSA
ROA
LScT
LSA ANS; D
Normal vaginal childbirth, cardinal movements ANS; Cervix dilation and effacement, engage and
descent, internal rotation, external rotation
What are some alternatives to pain medication and an epidural during labor? ANS; Hypnosis
Sterile saline injections
Peanut Ball
Guided imagery
Frequent position changes
A laboring primigravida complains of increasing rectal pressure and an urge to push. A vaginal exam
reveals: 9cm, 80% effacement and +1 station. The nurse concludes:
The client should begin pushing with every other contraction
