OB Exam 1 Questions
1-0-eight-zero-8
G? P? - ANS-G1 P1
5-0-0-4-?
G? P? - ANS-Living = 0
G5 P0
A 22 yr antique purchaser has come to the clinic because her menstrual length is 10 days
overdue. She tells the nurse "I'm sure I'm pregnant because my period is late and my
breasts are smooth" Which of the following responses by means of the nurse might be most
accurate?
A. "the ones are positive signs of being pregnant"
B. "those are presumptive signs of pregnancy"
C. "the ones are in all likelihood signs and symptoms of being pregnant"
D. "those are terrible symptoms of being pregnant" - ANS-B. Breast tenderness and
overlooked menses are presumptive signs and symptoms. Other presumptive signs and
symptoms include: N/V, fatigue, urinary frequency and quickening
A patron introduced a time period infant 7 hours ago. Which of the following postpartum
assessment findings indicate regular postpartum development?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with mild lochia rubra
B. Firm fundus on the umbilicus and midline with mild rubra
C. Firm fundus at 1-2 fingerbreadths underneath umbilicus, deviated to the proper facet with
moderate lochia rubra
D. Soft fundus at 1-2 fingerbreadths under umbilicus with excessive lochia rubra - ANS-A.
Within 12 hours, fundus can rise to approx. 1 cm above the umbilicus. The fundus descends
1-2 cm every 24 hours. Located approximately midway between umbilicus and symphysis
pubis, no longer longer palpable after 2 weeks, back to pre-pregnant nation by 6 weeks pp
A customer added at 39 weeks 6 hours ago. Upon evaluation, the nurse palpated a gentle,
boggy fundus deviated to the left side. Which movement of the nurse might be most
appropriate?
A. Massage the fundus till firm
B. Call HCP immediately
C. Assist woman to the restroom
D. Increase Pitocin in keeping with HCP order - ANS-C. A distended bladder can obstruct
uterine contractions that may cause uterine atony which may additionally cause pp
hemorrhage if we don't interfere
**KEY WORDS: deviated to the left facet**
A client studies a huge gush of fluid from her vagina at the same time as strolling within the
hallway of the birthing unit. The nurse's first action after setting up that fluid is amniotic fluid
should be to...
, A. Assess the amniotic fluid for meconium
B. Monitor the FHR
C. Dry the purchaser and make her comfy
D. Monitor the purchaser's uterine contractions - ANS-B. The finest threat at this second is
the risk of fetal twine prolapse, which may be indicated with the aid of fetal distress after
ROM.
The nurse have to determine TACO however it isn't priority
A patron has simply started out the 1/3 state of exertions. Which of the subsequent nursing
actions have precedence presently?
A. Encourage the customer to push
B. Administer Pitocin
C. Place infant skin to skin on mom
D. Assess maternal critical symptoms Q1hr - ANS-C. Pores and skin to pores and skin touch
is contributes to mother and baby bonding
**KEY WORDS: simply commenced**
pitocin is administered after the placenta is delivered at the cease of degree three, maternal
important symptoms are assessed Q15min after transport for first 2 hours. Then hourly tests
are performed
A patron is in lively hard work at time period with cervical findings of 7/eighty/-1. The FHR
baseline is 130bpm. Four early decelerations have been cited within the closing hour. Which
of the following nursing movements might be maximum suitable?
A. Position patron on her again so the reveal offers more accurate results
B. Perform vaginal exam
C. Turn customer on her left aspect
D. Record and keep to monitor each FHR and laboring girls - ANS-D. Early decelerations
indicate head compression. It is benign and no interventions are wanted. Simply file and
maintain tracking
**KNOW VEAL CHOP**
A purchaser is in lively labor. She is dilated to 5 cm and membranes are intact. The nurse
notes an FHR of 115-a hundred twenty five/min with occasional increases to one hundred
fifty-155/min that lasts for 25 secs and feature beat-to-beat variability of 20/min. There is not
any slowing of the FHR from baseline. The nurse ought to recognize that this consumer is
exhibiting symptoms of which of the following (choose all that follow)
A. Slight variability
B. FHR accelerations
C. FHR decelerations
D. Normal baseline FHR
E. Fetal tachycardia - ANS-A, B, D
variability is 20/min --> mild
will increase to a hundred and fifty-a hundred and fifty five/min for 25 secs --> accelerations
FHR of a hundred and fifteen-125/min --> everyday baseline
1-0-eight-zero-8
G? P? - ANS-G1 P1
5-0-0-4-?
G? P? - ANS-Living = 0
G5 P0
A 22 yr antique purchaser has come to the clinic because her menstrual length is 10 days
overdue. She tells the nurse "I'm sure I'm pregnant because my period is late and my
breasts are smooth" Which of the following responses by means of the nurse might be most
accurate?
A. "the ones are positive signs of being pregnant"
B. "those are presumptive signs of pregnancy"
C. "the ones are in all likelihood signs and symptoms of being pregnant"
D. "those are terrible symptoms of being pregnant" - ANS-B. Breast tenderness and
overlooked menses are presumptive signs and symptoms. Other presumptive signs and
symptoms include: N/V, fatigue, urinary frequency and quickening
A patron introduced a time period infant 7 hours ago. Which of the following postpartum
assessment findings indicate regular postpartum development?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with mild lochia rubra
B. Firm fundus on the umbilicus and midline with mild rubra
C. Firm fundus at 1-2 fingerbreadths underneath umbilicus, deviated to the proper facet with
moderate lochia rubra
D. Soft fundus at 1-2 fingerbreadths under umbilicus with excessive lochia rubra - ANS-A.
Within 12 hours, fundus can rise to approx. 1 cm above the umbilicus. The fundus descends
1-2 cm every 24 hours. Located approximately midway between umbilicus and symphysis
pubis, no longer longer palpable after 2 weeks, back to pre-pregnant nation by 6 weeks pp
A customer added at 39 weeks 6 hours ago. Upon evaluation, the nurse palpated a gentle,
boggy fundus deviated to the left side. Which movement of the nurse might be most
appropriate?
A. Massage the fundus till firm
B. Call HCP immediately
C. Assist woman to the restroom
D. Increase Pitocin in keeping with HCP order - ANS-C. A distended bladder can obstruct
uterine contractions that may cause uterine atony which may additionally cause pp
hemorrhage if we don't interfere
**KEY WORDS: deviated to the left facet**
A client studies a huge gush of fluid from her vagina at the same time as strolling within the
hallway of the birthing unit. The nurse's first action after setting up that fluid is amniotic fluid
should be to...
, A. Assess the amniotic fluid for meconium
B. Monitor the FHR
C. Dry the purchaser and make her comfy
D. Monitor the purchaser's uterine contractions - ANS-B. The finest threat at this second is
the risk of fetal twine prolapse, which may be indicated with the aid of fetal distress after
ROM.
The nurse have to determine TACO however it isn't priority
A patron has simply started out the 1/3 state of exertions. Which of the subsequent nursing
actions have precedence presently?
A. Encourage the customer to push
B. Administer Pitocin
C. Place infant skin to skin on mom
D. Assess maternal critical symptoms Q1hr - ANS-C. Pores and skin to pores and skin touch
is contributes to mother and baby bonding
**KEY WORDS: simply commenced**
pitocin is administered after the placenta is delivered at the cease of degree three, maternal
important symptoms are assessed Q15min after transport for first 2 hours. Then hourly tests
are performed
A patron is in lively hard work at time period with cervical findings of 7/eighty/-1. The FHR
baseline is 130bpm. Four early decelerations have been cited within the closing hour. Which
of the following nursing movements might be maximum suitable?
A. Position patron on her again so the reveal offers more accurate results
B. Perform vaginal exam
C. Turn customer on her left aspect
D. Record and keep to monitor each FHR and laboring girls - ANS-D. Early decelerations
indicate head compression. It is benign and no interventions are wanted. Simply file and
maintain tracking
**KNOW VEAL CHOP**
A purchaser is in lively labor. She is dilated to 5 cm and membranes are intact. The nurse
notes an FHR of 115-a hundred twenty five/min with occasional increases to one hundred
fifty-155/min that lasts for 25 secs and feature beat-to-beat variability of 20/min. There is not
any slowing of the FHR from baseline. The nurse ought to recognize that this consumer is
exhibiting symptoms of which of the following (choose all that follow)
A. Slight variability
B. FHR accelerations
C. FHR decelerations
D. Normal baseline FHR
E. Fetal tachycardia - ANS-A, B, D
variability is 20/min --> mild
will increase to a hundred and fifty-a hundred and fifty five/min for 25 secs --> accelerations
FHR of a hundred and fifteen-125/min --> everyday baseline
