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Exam (elaborations)

NSG 210 OB Practice Questions With Complete Solutions

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NSG 210 OB Practice Questions With Complete Solutions

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NSG 210 OB Practice Questions With Complete Solutions

A 25-year-old gravida 1 para 1 who had an emergency cesarean
birth 3 days ago is scheduled for discharge. As the nurse
prepares her for discharge, she begins to cry. What action should
the nurse take first?
a. Assess her for pain.
b. Point out how lucky she is to have a healthy baby.
c. Explain that she is experiencing postpartum blues.
d. Allow her time to express her feelings. Correct Answer d.
Allow her time to express her feelings.

A breastfeeding mother who was discharged yesterday calls to
ask about a tender, hard area on her right breast. The nurse's first
response should be
a. Try massaging the area and apply heat, as this is probably a
plugged duct.‖
b. Stop breastfeeding because you probably have an infection.‖
c. Notify your doctor so he can start you on antibiotics.‖
d. This is a normal response in breastfeeding mothers.‖ Correct
Answer a. Try massaging the area and apply heat, as this is
probably a plugged duct.‖

A first-time father is changing the diaper of his 1-day-old
daughter. He asks the nurse, What is this black, sticky stuff in
her diaper? The nurse's best response is
a. That's meconium, which is your baby's first stool. It's normal.‖
b. That's transitional stool.‖
c. That means your baby is bleeding internally.‖
d. Oh, don't worry about that. It's okay.‖ Correct Answer a.
That's meconium, which is your baby's first stool. It's normal.‖

,A home health care nurse is checking on a new mother with
signs of obsessive-compulsive disorder. What assessment
findings correlate with this condition? (Select all that apply.)
a. Frequently checking on the baby
b. Fear of being alone with the baby
c. Woman states she feels worthless
d. Woman has bought $5,000 worth of toys
e. Mother states birth was very traumatic Correct Answer a.
Frequently checking on the baby
b. Fear of being alone with the baby

A Labor and Delivery nurse knows that four of the five fetal
factors that interact to regulate the heart rate are which of the
following? (Select all that apply.)
a. Uterine activity
b. Autonomic nervous system
c. Baroreceptors
d. Chemoreceptors
e. Adrenal glands Correct Answer b. Autonomic nervous
system
c. Baroreceptors
d. Chemoreceptors
e. Adrenal glands

A laboring patient in the latent phase is experiencing
uncoordinated, irregular contractions of low intensity. How
should the nurse respond to complaints of constant cramping
pain?
a. You are only 2 cm dilated, so you should rest and save your
energy for when the contractions get stronger

,b. You must breathe more slowly and deeply so there is greater
oxygen supply foryour uterus. That will decrease the pain
c. Let me take off the monitor belts and help you get into a more
comfortable position
d. I have notified the doctor that you are having a lot of
discomfort. Let me rub your back and see if that helps Correct
Answer d. I have notified the doctor that you are having a lot of
discomfort. Let me rub your back and see if that helps

A laboring woman has been given an injection of epidural
anesthesia. Which assessment by the nurse takes priority?
a. Urinary output
b. Contraction pattern
c. Maternal blood pressure
d. Intravenous infusion rate Correct Answer c. Maternal blood
pressure

A laboring woman is lying in the supine position. The most
appropriate nursing action is to
a. ask her to turn to one side.
b. elevate her feet and legs.
c. take her blood pressure.
d. let her stay in a position of comfort. Correct Answer a. ask
her to turn to one side.

A macrosomic infant is born after a difficult, forceps-assisted
delivery. After stabilization, the infant is weighed, and the birth
weight is 4550 g (9 pounds, 6 ounces). What action by the nurse
is most appropriate?
a. Leave the infant in the room with the mother.
b. Take the infant immediately to the nursery.

, c. Perform a gestational age assessment.
d. Monitor blood glucose levels frequently. Correct Answer d.
Monitor blood glucose levels frequently.

A man calls the nurse's station stating that his wife, who
delivered 2 days ago, is happy one minute and crying the next.
The man says, She was never like this before the baby was born.
What response by the nurse is best?
a. Tell him to ignore the mood swings, as they will go away.
b. Reassure him that this behavior is normal.
c. Advise him to get immediate psychological help for her.
d. Instruct him in the signs, symptoms, and duration of
postpartum blues. Correct Answer b. Reassure him that this
behavior is normal.

A mother with mastitis is concerned about breastfeeding while
she has an active infection. The nurse should explain that
a. the infant is protected from infection by immunoglobulins in
the breast milk.
b. the infant is not susceptible to the organisms that cause
mastitis.
c. the organisms that cause mastitis are not passed to the milk.
d. the organisms will be inactivated by gastric acid. Correct
Answer c. the organisms that cause mastitis are not passed to
the milk.

A multiparous woman is admitted to the postpartum unit after a
rapid labor and birth of a 4000-g infant. Her fundus is boggy,
lochia is heavy, and vital signs are unchanged. The nurse has the
woman void and massages her fundus, but her fundus remains
difficult to find, and the

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