OB EXAM 1 QUESTIONS AND
ANSWERS
A client is demonstrating presumptive signs of pregnancy. Which symptoms
described by the client should the nurse document as presumptive? Select all that
apply.
a. Nausea
b. Frequent urination
c. Breast fullness and tenderness
d. Positive urine home pregnancy test
e. Basal body temperature elevation - ANSWER-a, b, c
A pregnant client in the third trimester experienced "lightening." What should the
nurse instruct the client about regarding this sensation? Select all that apply.
a. She may observe vaginal bleeding.
b. There will be an increase in urinary frequency.
c. There will be an increase in indigestion.
d. She may notice increase in leg edema.
e. Leg cramps may be experienced. - ANSWER-b, d, e
the pt tells the nurse she suspects she may be pregnant. which probable sign may
be assessed to determine if the pt is pregnant? select all that apply.
a. positive urine pregnancy tests
b. basal body temperature elevation
c. frequent urination
d. enlargement of abdomen
e. fetal heartbeat detection - ANSWER-a, b, d
ON TEST: The nurse has just palpated contractions and compares the consistency
to that of the forehead to estimate the firmness of the fundus. What would the
intensity of these contractions be identified as?
1. Mild
2. Moderate
3. Strong
4. Weak - ANSWER-3. strong
After nalbuphine hydrochloride (Nubain) is administered, labor progresses rapidly,
and the baby is born less than 1 hour later. The baby shows signs of respiratory
depression. Which medication should the nurse be prepared to administer to the
newborn?
1. Fentanyl (Sublimaze)
2. Butorphanol tartrate (Stadol)
3. Naloxone (Narcan)
, 4. Pentobarbital (Nembutal) - ANSWER-Answer: 3
Explanation: 3. Narcan is useful for respiratory depression caused by nalbuphine
(Nubain). Respiratory depression in the mother or fetus/newborn can be improved by
the administration of naloxone (Narcan), which is a specific antagonist for this agent.
The primary reason for administering Nubian to a woman in active labor is to:
A. slow uterine contractions
B. relieve nausea and vomiting
C. relieve pain
D. promote dilation - ANSWER-C. relieve pain
False labor is characterized by:
A. irregular uterine contractions and cervical change
B. back pain that radiates to the lower abdomen
C. the presence of bloody show
D. irregular contractions with no cervical change - ANSWER-D. irregular contractions
with no cervical change
The purpose of a Sitz bath is: - ANSWER-to promote healing and provide comfort
What type of lochia will the nurse assess initially after delivery?
a. Serosa
b. Rubra
c. Alba
d. Vaginalis - ANSWER-B. Rubra
The initial vaginal discharge after delivery is called lochia rubra. It is red and
moderately heavy. Lochia rubra lasts for up to 3 days postpartum.
A nurse is working in a clinic where clients from several cultures are seen. As a first
step toward the goal of personal cultural competence, the nurse will do which of the
following?
1. Enhance cultural skills.
2. Gain cultural awareness.
3. Seek cultural encounters.
4. Acquire cultural knowledge. - ANSWER-Answer: 2
Explanation: 2. One begins to gain cultural competence by gaining cultural
awareness or by gaining an effective and cognitive self-awareness of personal
worldview biases, beliefs, etc.
When teaching a culturally diverse group of childbearing families about hospital
birthing options, the culturally competent nurse does which of the following?
1. Understands that the families have the same values as the nurse
2. Teaches the families how childbearing takes place in the United States
3. Insists that the clients answer questions instead of their husbands
ANSWERS
A client is demonstrating presumptive signs of pregnancy. Which symptoms
described by the client should the nurse document as presumptive? Select all that
apply.
a. Nausea
b. Frequent urination
c. Breast fullness and tenderness
d. Positive urine home pregnancy test
e. Basal body temperature elevation - ANSWER-a, b, c
A pregnant client in the third trimester experienced "lightening." What should the
nurse instruct the client about regarding this sensation? Select all that apply.
a. She may observe vaginal bleeding.
b. There will be an increase in urinary frequency.
c. There will be an increase in indigestion.
d. She may notice increase in leg edema.
e. Leg cramps may be experienced. - ANSWER-b, d, e
the pt tells the nurse she suspects she may be pregnant. which probable sign may
be assessed to determine if the pt is pregnant? select all that apply.
a. positive urine pregnancy tests
b. basal body temperature elevation
c. frequent urination
d. enlargement of abdomen
e. fetal heartbeat detection - ANSWER-a, b, d
ON TEST: The nurse has just palpated contractions and compares the consistency
to that of the forehead to estimate the firmness of the fundus. What would the
intensity of these contractions be identified as?
1. Mild
2. Moderate
3. Strong
4. Weak - ANSWER-3. strong
After nalbuphine hydrochloride (Nubain) is administered, labor progresses rapidly,
and the baby is born less than 1 hour later. The baby shows signs of respiratory
depression. Which medication should the nurse be prepared to administer to the
newborn?
1. Fentanyl (Sublimaze)
2. Butorphanol tartrate (Stadol)
3. Naloxone (Narcan)
, 4. Pentobarbital (Nembutal) - ANSWER-Answer: 3
Explanation: 3. Narcan is useful for respiratory depression caused by nalbuphine
(Nubain). Respiratory depression in the mother or fetus/newborn can be improved by
the administration of naloxone (Narcan), which is a specific antagonist for this agent.
The primary reason for administering Nubian to a woman in active labor is to:
A. slow uterine contractions
B. relieve nausea and vomiting
C. relieve pain
D. promote dilation - ANSWER-C. relieve pain
False labor is characterized by:
A. irregular uterine contractions and cervical change
B. back pain that radiates to the lower abdomen
C. the presence of bloody show
D. irregular contractions with no cervical change - ANSWER-D. irregular contractions
with no cervical change
The purpose of a Sitz bath is: - ANSWER-to promote healing and provide comfort
What type of lochia will the nurse assess initially after delivery?
a. Serosa
b. Rubra
c. Alba
d. Vaginalis - ANSWER-B. Rubra
The initial vaginal discharge after delivery is called lochia rubra. It is red and
moderately heavy. Lochia rubra lasts for up to 3 days postpartum.
A nurse is working in a clinic where clients from several cultures are seen. As a first
step toward the goal of personal cultural competence, the nurse will do which of the
following?
1. Enhance cultural skills.
2. Gain cultural awareness.
3. Seek cultural encounters.
4. Acquire cultural knowledge. - ANSWER-Answer: 2
Explanation: 2. One begins to gain cultural competence by gaining cultural
awareness or by gaining an effective and cognitive self-awareness of personal
worldview biases, beliefs, etc.
When teaching a culturally diverse group of childbearing families about hospital
birthing options, the culturally competent nurse does which of the following?
1. Understands that the families have the same values as the nurse
2. Teaches the families how childbearing takes place in the United States
3. Insists that the clients answer questions instead of their husbands
