OB Exam 2 - PRACTICE TEST
QUESTIONS WITH ACCURATE
ANSWERS
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old
infant. The nurse should recommend that the infant be given: correct answer
ANS: C
Commercial iron-fortified formula.
A. Cow's milk should not be used in children younger than 12 months.
B. Cow's milk should not be used in children younger than 12 months.
C. For children younger than 1 year, the American Academy of Pediatrics
recommends the use of breast milk. If breastfeeding has been discontinued, then
iron-fortified commercial formula should be used.
D. Maternal iron stores are almost depleted by this age; the iron-fortified formula
will help prevent the development of iron-deficiency anemia.
A mother with mastitis is concerned about breastfeeding while she has an active
infection. The nurse should explain that correct answer ANS: C
The organisms are localized in the breast tissue and are not excreted in the breast
milk.
A. The mother is just producing the immunoglobulin from this infection, so it is
not available for the infant.
B. Because of an immature immune system, infants are susceptible to many
infections. However, this infection is in the breast tissue and is not excreted in the
breast milk.
,C. The organisms are localized in the breast tissue and are not excreted in the
breast milk.
D. The organism will not get into the infant's gastrointestinal system.
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 rubra lochia remains heavy. The nurse
should correct answer ANS: B
Notify the physician
A. The uterine muscle can be overstimulated by massage, leading to uterine atony
and rebound hemorrhage.
B. Treatment of excessive bleeding requires the collaboration of the physician and
the nurses. Do not leave the patient alone.
C. The nurse should call the clinician while a second nurse rechecks the vital signs.
D. The woman has voided successfully, so a Foley catheter is not needed at this
time.
A new father wants to know what medication was put into his infant's eyes and
why it is needed. The nurse explains to the father that the purpose of the Ilotycin
ophthalmic ointment is to correct answer ANS: B
Prevent gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal.
A. Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to
prevent gonorrheal or chlamydial infection.
B. This is an accurate explanation.
,C. Prophylactic ophthalmic ointment is not instilled to prevent dry eyes. It is
instilled to prevent gonorrheal or chlamydial infection.
D. Prophylactic ophthalmic ointment has no bearing on vision other than to
protect against infection that may lead to vision problems.
A new mother states that her infant must be cold because the baby's hands and
feet are blue. The nurse explains that this is a common and temporary condition
called correct answer Acrocyanosis
A nursing student is helping the nursery nurses with morning vital signs. A baby
born 10 hours ago via cesarean section is found to have moist lung sounds. What
is the best interpretation of these data? correct answer ANS: A
The lungs of a baby delivered by cesarean section may sound moist for 24 hours
after birth.
A. This is a common condition for infants delivered by cesarean section.
B. Surfactant is produced by the lungs, so aspiration is not a concern.
C. It is common to have some fluid left in the lungs; this will be absorbed within a
few hours.
D. The condition will resolve itself within a few hours. For this common condition
of newborns, surfactant acts to keep the expanded alveoli partially open between
respirations. In vaginal births, absorption of remaining lung fluid is accelerated by
the process of labor and delivery. Remaining lung fluid will move into interstitial
spaces and be absorbed by the circulatory and lymphatic systems.
A patient with pregnancy-induced hypertension is admitted complaining of
pounding headache, visual changes, and epigastric pain. Nursing care is based on
the knowledge that these signs indicate
, A. Anxiety due to hospitalization
B. Worsening disease and impending convulsion
C. Effects of magnesium sulfate
D. Gastrointestinal upset correct answer ANS: B
Worsening disease and impending convulsion
A. These are danger signs and should be treated. B. Headache and visual
disturbances are due to increased cerebral edema. Epigastric pain indicates
distention of the hepatic capsules and often warns that a convulsion is imminent.
C. She has not been started on magnesium sulfate as a treatment yet. Also, these
are not expected effects of the medication.
D. These are danger signs showing increased cerebral edema and impending
convulsion.
A primigravida is being monitored in her prenatal clinic for preeclampsia. What
finding should concern her nurse?
A. Blood pressure increase to 138/86 mm Hg
B. Weight gain of 0.5 kg during the past 2 weeks
C. A dipstick value of 3+ for protein in her urine
D. Pitting pedal edema at the end of the day correct answer A dipstick value of 3+
for protein in her urine
A. Generally, hypertension is defined as a BP of 140/90 or an increase in systolic
pressure of 30 mm Hg or 15 mm Hg diastolic pressure.B. Preeclampsia may be
manifested as a rapid weight gain of more than 2 kg in 1 week.C. Proteinuria is
defined as a concentration of 1+ or greater via dipstick measurement. A dipstick
QUESTIONS WITH ACCURATE
ANSWERS
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old
infant. The nurse should recommend that the infant be given: correct answer
ANS: C
Commercial iron-fortified formula.
A. Cow's milk should not be used in children younger than 12 months.
B. Cow's milk should not be used in children younger than 12 months.
C. For children younger than 1 year, the American Academy of Pediatrics
recommends the use of breast milk. If breastfeeding has been discontinued, then
iron-fortified commercial formula should be used.
D. Maternal iron stores are almost depleted by this age; the iron-fortified formula
will help prevent the development of iron-deficiency anemia.
A mother with mastitis is concerned about breastfeeding while she has an active
infection. The nurse should explain that correct answer ANS: C
The organisms are localized in the breast tissue and are not excreted in the breast
milk.
A. The mother is just producing the immunoglobulin from this infection, so it is
not available for the infant.
B. Because of an immature immune system, infants are susceptible to many
infections. However, this infection is in the breast tissue and is not excreted in the
breast milk.
,C. The organisms are localized in the breast tissue and are not excreted in the
breast milk.
D. The organism will not get into the infant's gastrointestinal system.
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 rubra lochia remains heavy. The nurse
should correct answer ANS: B
Notify the physician
A. The uterine muscle can be overstimulated by massage, leading to uterine atony
and rebound hemorrhage.
B. Treatment of excessive bleeding requires the collaboration of the physician and
the nurses. Do not leave the patient alone.
C. The nurse should call the clinician while a second nurse rechecks the vital signs.
D. The woman has voided successfully, so a Foley catheter is not needed at this
time.
A new father wants to know what medication was put into his infant's eyes and
why it is needed. The nurse explains to the father that the purpose of the Ilotycin
ophthalmic ointment is to correct answer ANS: B
Prevent gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal.
A. Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to
prevent gonorrheal or chlamydial infection.
B. This is an accurate explanation.
,C. Prophylactic ophthalmic ointment is not instilled to prevent dry eyes. It is
instilled to prevent gonorrheal or chlamydial infection.
D. Prophylactic ophthalmic ointment has no bearing on vision other than to
protect against infection that may lead to vision problems.
A new mother states that her infant must be cold because the baby's hands and
feet are blue. The nurse explains that this is a common and temporary condition
called correct answer Acrocyanosis
A nursing student is helping the nursery nurses with morning vital signs. A baby
born 10 hours ago via cesarean section is found to have moist lung sounds. What
is the best interpretation of these data? correct answer ANS: A
The lungs of a baby delivered by cesarean section may sound moist for 24 hours
after birth.
A. This is a common condition for infants delivered by cesarean section.
B. Surfactant is produced by the lungs, so aspiration is not a concern.
C. It is common to have some fluid left in the lungs; this will be absorbed within a
few hours.
D. The condition will resolve itself within a few hours. For this common condition
of newborns, surfactant acts to keep the expanded alveoli partially open between
respirations. In vaginal births, absorption of remaining lung fluid is accelerated by
the process of labor and delivery. Remaining lung fluid will move into interstitial
spaces and be absorbed by the circulatory and lymphatic systems.
A patient with pregnancy-induced hypertension is admitted complaining of
pounding headache, visual changes, and epigastric pain. Nursing care is based on
the knowledge that these signs indicate
, A. Anxiety due to hospitalization
B. Worsening disease and impending convulsion
C. Effects of magnesium sulfate
D. Gastrointestinal upset correct answer ANS: B
Worsening disease and impending convulsion
A. These are danger signs and should be treated. B. Headache and visual
disturbances are due to increased cerebral edema. Epigastric pain indicates
distention of the hepatic capsules and often warns that a convulsion is imminent.
C. She has not been started on magnesium sulfate as a treatment yet. Also, these
are not expected effects of the medication.
D. These are danger signs showing increased cerebral edema and impending
convulsion.
A primigravida is being monitored in her prenatal clinic for preeclampsia. What
finding should concern her nurse?
A. Blood pressure increase to 138/86 mm Hg
B. Weight gain of 0.5 kg during the past 2 weeks
C. A dipstick value of 3+ for protein in her urine
D. Pitting pedal edema at the end of the day correct answer A dipstick value of 3+
for protein in her urine
A. Generally, hypertension is defined as a BP of 140/90 or an increase in systolic
pressure of 30 mm Hg or 15 mm Hg diastolic pressure.B. Preeclampsia may be
manifested as a rapid weight gain of more than 2 kg in 1 week.C. Proteinuria is
defined as a concentration of 1+ or greater via dipstick measurement. A dipstick
