Professor Charles Final OB Exam Actual Questions With 100% Correct Verified Answers.

A nurse is caring for a client who is in 2nd stage of labor and is expected to deliver in 20 minutes. She requires an episiotomy and has not received anything for pain. What do you expect will be ordered? A. Pudenal B. Epidural C. Spinal D. Cervical - correct answers A What are some adverse effects of epidurals that nurses should watch out for? (SATA) A. Localized increase in pain. B. Hypotension C. Itchy skin D. Urinary incontinence E. Bradypnea F. Non-positional headaches resolving within 24 hours. G. Temporary nerve damage H. Facial flushing. I. Anxiety. J. Sleeplessness. K. High blood sugar. - correct answers A B C D E F Patient is having patterned breathing and experiences numbness and tingling. What intervention should the nurse do first? A. Rebreather mask B. Warm blanket C. Administer O2 mask D. Put patient in a side lying position - correct answersD A nurse is preparing to assess a postmature newborn. Which findings should she expect? (SATA) A. Lots of vernix B. Abundant lanugo C. Positive moro reflex D. Short, soft fingernails E. Cracked, peeling skin - correct answersC E A nurse is caring for a newborn who was just delivered. What is the priority nursing action? A. Clear the respiratory tract B. Dry the baby C. Stimulate the baby D. Cut umbilical cord - correct answersA Nurse is completing discharge instruction to a new mom. The mom asks the nurse how she will know if her baby is getting enough breast milk. What response should the nurse give? A. Baby should have a wake cycle of 30-60 min after each feeding B. Burp after each feeding C. Sleep 6 hrs after each feeding D. Wet 6-8 diapers a day - correct answersD A nurse is caring for newborn in the nursery. A grandmother comes up to the nurse and says that she wants to take out the baby to the mother. What should the nurse say? A. "You may take your grandchild out to give to the mother." B. "You have to call the mother to call me so that I can take the baby to the mother. Then the mother can let you have the baby to take outside." C. "I need to see an official ID so that I can give you the baby." - correct answersB A nurse is assessing 3 day postpartum mother. Her fundus is U3, lochia rubra is moderate, and breasts are hard and warm to touch. What should this indicate/what should the nurse do? A. Early signs of mastitis B. Application of heating pads C. Remove nursing bra D. Additional interventions are not indicated at this time - correct answersD A nurse is preparing to admin methergine IM to a client who experienced a vaginal delivery. What is methergine used to prevent? A. Hypertension B. Hypotension C. Postpartum Hemorrhage D. Postpartum Infection - correct answersC The maternal grandmother expresses her concern that the baby was born deaf. She wants to know how the hospital staff will test the baby's hearing. What is the correct response of the nurse? a. Routine hearing screens b. Clap hands next to the baby's ears and see if they become startled c. Feed baby and assess thermoregulation d. Shake baby until they cry - correct answersA When doing an assessment on a newborn, what anatomical spot do you use for chest circumference? - correct answersNipple line Nurse places newborn under a radiant warmer to prevent which of the following complications? A. Cold stress B. Shivering C. Basal metabolic rate reduction D. Brown fat - correct answersA A nurse is caring for a group of newborns. Which of the following NBs should she visit first? A. Newborn has not voided in the first 24hr B. NB with Acrocyanosis C. 24hrs hasn't pooped D. 12 hrs old has temp of 99.5 - correct answersD Client gives birth to a 9.6 pound baby. Her uterus is overdistended. What does this mother have an increased risk for? A. Retained placental fragment B. Thrombophlebitis C. Uterine atony D. Endometriosis - correct answersC A client comes into the clinic who is 3 weeks postpartum. The patient is "feeling down", reports crying a lot, and is having suicidal thoughts. What is the priority of the nurse? A. Ask family to identify coping skills for the client B. Ask client if she is considering harming baby C. Reinforce doctor's teaching for postpartum psychosis - correct answersB A nurse is caring for baby who was a vaginal birth with the help of a vacuum. The nurse must inform the patient that using a vacuum puts the baby at risk to develop what? - correct answersJaundice Which patient would you see first? A. C Section birth 4 hours after birth and is in pain B. Preeclampsia patient with a blood pressure of 138/90 C. Patient that had a vaginal birth with no bleeding D. Patient about to be discharge following tubal ligation - correct answersA Where is the IM injection site for vitamin K? - correct answersVastus lateralis Having a subinvolution of the uterus puts patients most at risk for which of the following? A. Hypertension B. Bradycardia C. Hemorrhage D. Preeclampsia - correct answersC Early signs of infection in a newborn are subtle. Which of the following are early signs of a newborn with an infection? A. Increased eating B. Low temp C. Ruddy skin color D. Decreased HR - correct answersB Charge nurse is listening to a new hire teach about breastfeeding. Which of the following statements is incorrect and requires immediate intervention by the nurse? A. Football hold is good B. Breast should be moved towards the baby C. Baby should be undressed to feel cold to begin feeding - correct answersB Which of the following helps with thermoregulation in babies? A. SQ fat or brown fat B. Connective C. Epithelial D. Warm tissue - correct answersA A patient with asthma, had prolonged labor and delivered a baby vaginally. What medication do you expect to be ordered to prevent PPH? A. Terbutaline B. Hemabate C. Oxytocin D. Gentamicin - correct answersC A nurse is preparing to give a medication to a patient at high risk for postpartum hemorrhage. Which of the following medications should you question? A. Magnesium sulfate B. Carboprost C. Docusate sodium D. Methergine - correct answersA What is the EBL (estimated blood loss) for a patient experiencing a postpartum hemorrhage? - correct answersGreater than 1000 ml A nurse and a student get assigned a patient who has a picture of a fallen leaf outside her door. The picture indicates a fetal death. What action by the student causes immediate education by the nurse? A. Walking into the room with a cheery expression B. Giving the parents a memory box C. Presenting the baby to the parents - correct answersA The nurse is performing an ultrasound on a patient who is experiencing moderate vaginal bleeding. It is determined that she has a placental abruption. As the nurse, what should you prepare for (select all that apply). A. Close monitoring B. Vaginal delivery