OB exam 2 Possible Questions And Answers 100% Accurately Solved.

A Nurse in the L&D unit receives a phone call from a client who reports her contractions starts 2 hr ago and did not go away when she had 2 glasses of water and rested. They have become stronger, her contractions occur every 10 min and last about 30 sec. No fluid has leaked, however, she saw blood while voiding. Based on the report, which clinical finding should the nurse expect? A. Braxton-Hicks B. Rupture of Membranes C. Fetal Descent D. True Contractions - correct answersD FHR 140/min, contractions every 8 min for 30-40 sec. The RN performs a vaginal exam, and finds she is 2 cm dilated, 50% effaced, and the fetus is at the -2 station. Which of the following stages and phases is the pt in? A. First Stage, Latent Phase B. First Stage, Active Phase C. First Stage, Transition Phase D. Second stage of Labor - correct answersA A pt experiences a large gush of fluid from her vagina while walking in the hallway of the birthing unit. Which of the following actions should the nurse take? A. Check the amniotic fluid for meconium B. Monitor FHR for distress C. Dry the client and make her comfortable D. Monitor uterine contractions - correct answersB A nurse in L&D is completing an admission assessment for a pt at 39 wks gestation. The pt reports she has been leaking fluid from her vagina for 2 days. Which of the following conditions is the client at risk for developing? A. Cord prolapse B. Infection C. Postpartum hemorrhage D. Hydramnios - correct answersB A nurse is caring for a pt in active labor and becomes nauseous and vomits. The pt is very irritable and feels the urge to have a BM. She state's "I've had enough. I can't do this anymore. I want to go home right now." Which of the following stages of labor is the pt experiencing? A. Second Stage B. Fourth Stage C. Transition Stage D. Latent Phase - correct answersC A nurse is caring for a client who is at 40 weeks gestation and experiencing contractions every 3-5 min and becoming stronger. A vaginal exam reveals that the pt's cervix is 3 cm dilated, 80% effaced, and at -1 station. The pt asks for pain meds. Which of the following actions should the nurse take? A. Encourage pt to use patterned breathing B. Insert an indwelling catheter. C. Administer opioids D. Suggest application of cold E. Provide ice chips - correct answersA, C, D A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects that this pain is r/t a persistent occiput posterior position. Which of the following nonpharmacological nursing interventions should the nurse recommend to the client? A. Abdominal effleurage B. Sacral counterpressure C. Showering if not contraindicated D. Back rub and massage - correct answersB A nurse is caring for a client following the admin of an epidural and is preparing to admin an IV bolus. The pt's partner asks about the purpose, what is the appropriate response? A. It is needed to promoted increased urine output B. Needed to counteract respiratory depression C. Needed to counteract hypotension D. Needed to prevent oligohydramnios - correct answersC A nurse is caring for a client in 2nd stage of labor. The pt's labor has been progressing, and she is expected to deliver vaginally in 20 min. The provider is preparing to admin lidocaine for pain relief and perform an episoitomy. The nurse should know that which of the following regional anesthesia block is to be administered? A. Pudendal B. Epidural C. Spinal D. Paracervical - correct answersA A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take? A. Admin O2 via nasal cannula B. Apply a warm blanket C. Assist pt into side-lying position D. Place an O2 mask on pt's nose/mouth - correct answersD A nurse is providing care for a client who is in active labor. Her cervix is dilated to 5 cm, and her membranes are intact. Based on the use of external fetal monitoring, the nurse notes a FHR of 115-125/min that lasts for 25 sec, and have a beat-to-beat variability of 20/min. There is no slowing of FHR from baseline. The nurse should recognize that his client is exhibiting signs of which of the following? A. Moderate variability B. FHR accelerations C. FHR decelerations D. Normal baseline FHR E. Fetal tachycardia - correct answersA, B, D A nurse is teaching a client about the benefits of internal fetal heart monitoring. Which of the following statements should the nurse include in the teaching? A. It is considered non-invasive B. It can detect abnormal fetal heart tones early C. Can determine amount of amniotic fluid D. Allows for accurate readings with maternal movement E. Measure uterine contraction intensity - correct answersB, D, E A nurse is reviewing the electronic tracing of a client who is in active labor. The nurse should know that a fetus receives more O2 when which of the following appearing on the tracing? A. Peak of uterine contraction B. Moderate variability C. FHR acceleration D. Relaxation between uterine contractions - correct answersD A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take? A. Assist the pt into left-lateral position B. Apply a fetal scalp electrode C. Insert an IV catheter D. Perform a vaginal exam - correct answersA A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? A. Apply palms of both hands to sides of uterus B. Palpate the fundus of the uterus C. Grasp lower uterine segment between thumb & fingers D. Stand facing client's feet with fingertips outlining cephalic prominence. - correct answersB A nurse is caring for a client and her partner during the second stage of labor. The client's partner asks the nurse to explain how he will know when crowning occurs. Which of the following responses should the nurse make? A. The placenta will protrude from the vagina B. Your partner will report a decrease in intensity of contractions C. The vaginal area will bulge as the baby's head appears D. Your partner will report less rectal pressure - correct answersC A nurse is caring for a client who is in the transition phase of labor and reports she needs to have a BM with the peak of contractions. Which of the following actions should the nurse make? A. Assist the pt to the bathroom B. Prepare for an impending delivery C. Prepare to remove fecal impaction D. Encourage the pt to take deep breaths - correct answersB A nurse is caring for a client in the 3rd stage of labor. Which of the following findings indicate placental separation? A. Lengthening of the umbilical cord B. Swift gush of clear fluid C. Softening of lower uterine segment D. Appearance of dark blood from vagina E. Fundus firm upon palpation - correct answersA, D, E A nurse in L&D is planning care for a newly admitted pt who reports she is in labor and has been having vaginal bleeding for 2 weeks. Which of the following should the nurse include in the plan of care? A. Inspect the introitus for a prolapses cord B. Perform a test to identify the ferning pattern C. Monitor station of the presenting part D. Defer vaginal examination - correct answersD A nurse is caring for a client in the 1st stage of labor and encouraging the client to void q2hr. Which of the following statements should the nurse make? A. A full bladder increases risk for fetal trauma B. A full bladder increases risk for bladder infection C. A distended bladder will be traumatized by frequent pelvic exams D. A distended bladder reduces the pelvic space needed for birth - correct answersD A pt has a BMI of 25 and is considered to be slightly overweight. The team should recommend what range of weight gain during her pregnancy? A. 10-12 lb B. 15-25 lb C. 30-35 lb D. 40-60 lb - correct answersB Which statement from a website is most accurate about pregnant women? A. Best to take Fe pills with milk B. You can crush Fe pills to disguise taste C. Fe pills most effective when taken with soda D. Take Fe pills with orange juice to increase absorption - correct answersD Which statement is best to advise a pt about foods during pregnancy? A. Protein makes you gain weight too rapidly so keep all your meat portions small B. Eat as much as you like all throughout pregnancy C. Make sure that you work plenty of leafy green veggies in your diet D. Fe causes constipation so limit your intake of Fe-rich foods - correct answersC A health history document is being modified by an interprofessional group. To obtain the most accurate nutrition history from a pregnant pt, which should the nurse specify? A. Ask pt to tell you how much protein she eats daily B. Assess whether the pt feels satisfied with her nutrition C. Ask the pt to describe what she ate in the last 24 h