NSG 452 Exam 4 OB Summer quick
questions well answered to pass
The nurse is caring for a client who is having her first child. The client asks about what the fetal
monitor tracing is showing the health care team. An external monitor is being used for
contractions and fetal heart rate. The monitor strip shows the following:
Which of the statements are appropriate for the nurse when interpreting the fetal monitoring
strip results? Select all that apply. - ANS ✔✔C"Your contraction pattern is every 4 to 5 minutes."
D"The beat-to-beat difference in your baby's heartbeat shows that there is variability."
G"An average fetal heart rate is 110 to 160, and your baby has a baseline of 120."
Prolapsed cord - ANS ✔✔Apply pressure to fetal presenting part and off of the cord.
Apply oxygen to client at 10 L per mask.
Remain with client until delivery of the infant.
abruptio placentae - ANS ✔✔Apply oxygen to client at 10 L per mask.
Remain with client until delivery of the infant.
Eclampsia (seizures) - ANS ✔✔2Apply oxygen to client at 10 L per mask.
,3Encourage client's support person to leave the room.
4Compare the client's prenatal and current blood pressure values.
Titrate or administer magnesium sulfate.
chorioamnionitis - ANS ✔✔Administer ampicillin.
The nurse is caring for a newborn born at 39 weeks' gestation 1 hour ago. What evidence-based
care will the nurse provide to the newborn during the transitional period? Select all that apply. -
ANS ✔✔CORRECT ANSWERS:
A.Administer hepatitis B vaccine per protocol.
B.Assess for hypoxia.
D.Perform a gestational assessment.
E.Administer intramuscular vitamin K per protocol.
G.Encourage skin-to-skin contact with the baby's mother.
The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that
persists even with acetaminophen administration. The nurse documents the following client
assessment findings:Physical Assessment Findings
Reports headache as 8/10 on a 0 to 10 pain scale
Reports epigastric pain that is constant
Breath sounds clear in all lung fields
, No clonus, DTRs 2+ in lower and upper extremities
States that her obstetric provider has been "watching her blood pressure"
Reports seeing "stars" sometimes
Based on these assessment findings, which of the following actions would the nurse take?
Select all that apply. - ANS ✔✔CORRECT ANSWERS:
A.Administer an antihypertensive medication per protocol.
C.Request prescription for blood pressure parameters.
E.Compare the client's prenatal and current blood pressure values.
A 36-year-old female client has her initial prenatal primary health care provider visit at 9 weeks'
gestation. Which prenatal care activities would the nurse likely include in today's visit? Select all
that apply. - ANS ✔✔CORRECT ANSWERS:
A.Provide nutrition education.
B.Obtain a midstream urinalysis.
C.Send a blood sample for a complete blood count.
F.Assist the primary health care provider in collecting specimens for vaginal culture.
H.Enter a prescription to obtain the client's blood typing.
The nurse is caring for a client who is having her fourth child during the active stage of labor.
The client reports shortness of breath and chest pain. She states, "This feels different than any
questions well answered to pass
The nurse is caring for a client who is having her first child. The client asks about what the fetal
monitor tracing is showing the health care team. An external monitor is being used for
contractions and fetal heart rate. The monitor strip shows the following:
Which of the statements are appropriate for the nurse when interpreting the fetal monitoring
strip results? Select all that apply. - ANS ✔✔C"Your contraction pattern is every 4 to 5 minutes."
D"The beat-to-beat difference in your baby's heartbeat shows that there is variability."
G"An average fetal heart rate is 110 to 160, and your baby has a baseline of 120."
Prolapsed cord - ANS ✔✔Apply pressure to fetal presenting part and off of the cord.
Apply oxygen to client at 10 L per mask.
Remain with client until delivery of the infant.
abruptio placentae - ANS ✔✔Apply oxygen to client at 10 L per mask.
Remain with client until delivery of the infant.
Eclampsia (seizures) - ANS ✔✔2Apply oxygen to client at 10 L per mask.
,3Encourage client's support person to leave the room.
4Compare the client's prenatal and current blood pressure values.
Titrate or administer magnesium sulfate.
chorioamnionitis - ANS ✔✔Administer ampicillin.
The nurse is caring for a newborn born at 39 weeks' gestation 1 hour ago. What evidence-based
care will the nurse provide to the newborn during the transitional period? Select all that apply. -
ANS ✔✔CORRECT ANSWERS:
A.Administer hepatitis B vaccine per protocol.
B.Assess for hypoxia.
D.Perform a gestational assessment.
E.Administer intramuscular vitamin K per protocol.
G.Encourage skin-to-skin contact with the baby's mother.
The nurse performs an assessment of a 21-year-old gravida 2 para 1 (G2P1) client at 28 weeks'
gestation. The client tells the nurse that she is concerned about dizziness and a headache that
persists even with acetaminophen administration. The nurse documents the following client
assessment findings:Physical Assessment Findings
Reports headache as 8/10 on a 0 to 10 pain scale
Reports epigastric pain that is constant
Breath sounds clear in all lung fields
, No clonus, DTRs 2+ in lower and upper extremities
States that her obstetric provider has been "watching her blood pressure"
Reports seeing "stars" sometimes
Based on these assessment findings, which of the following actions would the nurse take?
Select all that apply. - ANS ✔✔CORRECT ANSWERS:
A.Administer an antihypertensive medication per protocol.
C.Request prescription for blood pressure parameters.
E.Compare the client's prenatal and current blood pressure values.
A 36-year-old female client has her initial prenatal primary health care provider visit at 9 weeks'
gestation. Which prenatal care activities would the nurse likely include in today's visit? Select all
that apply. - ANS ✔✔CORRECT ANSWERS:
A.Provide nutrition education.
B.Obtain a midstream urinalysis.
C.Send a blood sample for a complete blood count.
F.Assist the primary health care provider in collecting specimens for vaginal culture.
H.Enter a prescription to obtain the client's blood typing.
The nurse is caring for a client who is having her fourth child during the active stage of labor.
The client reports shortness of breath and chest pain. She states, "This feels different than any
