OB QUESTIONS ANS ANSWERs 2.docx NEW PRACTICE DOCS

OB QUESTIONS ANS ANSWERs NEW PRACTICE DOCS A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can still ride her bike for exercise. The nurse’s response should be – A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that which of the following reflexes will initiate sucking? – A nurse is teaching nutrition to apparent of an infant. Which of the following statements by the parent indicates understanding of the teaching? – A client in labor at 40 weeks of gestation reports that she has saturated two perineal pads in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action? – A client who is postpartum asks the nurse at pediatric clinic what to do when her newborn cries persistently. Which of the following strategies should the nurse suggest? A nurse is caring for a client who is 1 day postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis? - A client who is 1 day postpartum is having a SITZ BATH. To determine the client’s tolerance of the procedure, which of the following assessments should the nurse perform? A nurse is L&D is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take? A nurse is admitting a client who is at 10 weeks of gestation and reports abd pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following actions should the nurse include in the client’s plan of care? – A nurse is caring for a client during a nonstress test. The nurse observes two decelerations of 15 beats/min in the fetal heart rate during a period of fetal movement. Each deceleration lasts 20 seconds. This indicates which of the following findings? A nurse is caring for a client who is scheduled for a Csection based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature? – A nurse is caring for a client who in premature labor and is receiving terbutaline as a tocolytic agent. The nurse should know to closely monitor the client for which of the following side effects of terbutaline that indicates the development of a potentially life threatening complication? - A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of pregnancy induced hypertension. Which of the following findings should the nurse identify as INCONSISTENT with the admitting diagnosis? A nurse is caring for a client in L&D. which of the following nursing actions reflects application of the gate control theory of pain? A nurse is providing preconception counseling for a client who is planning her first pregnancy, which of the following dietary supplements should the nurse recommend to help prevent NEURAL TUBE DEFECTS in her child – A nurse is caring for a client who is multigravida and in active labor with 7cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following is the appropriate nursing response? A client is admitted to the maternity who is 38 weeks gestation and experiencing polyhydraminios. The nurse understands that this diagnosis means that – A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer? – A nurse in a prenatal clinic is caring for a client. Using LEOPOLDS MANEUVERS, the nurse palpates a round, firm, moveable part of the fundal portion of the uterus and a long, smooth surface on the mother’s right side. In which maternal quadrant should the nurse expect to auscultate fetal heart tones? – A nurse in a clinic is caring for a group of client who are pregnant and reviewing their medical records. The nurse anticipates the provider will order an amniotic fluid alpha-fetoprotein screening for which of the following clients? – A nurse is admitting a client with preeclampsia at 35 weeks gestation and reviewing the providers orders. Which of the following orders requires clarification? A nurse is caring for a client who is postpartum and requires RhoGAM. Before administering it, the nurse should verify that the – A nurse is caring for a client who had an epidural anesthesia block during the early stages of labor. The client’s blood pressure is 80/40 and the fetal heart recording is 140/min. Which of the following actions by the nurse is a priority? A client who is 38 weeks comes for a contraction stress test. The test results are negative. Which of the following is the nurse’s priority action? – A nurse is caring for a client who is receiving mag sulfate for treatment of preterm labor. Which of the following nursing assessments is the highest priority for this client? – A nurse in a prenatal clinic is reviewing the record of a client at 28 weeks of gestation. The woman’s history reveals ONE pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes her present situation? – A nurse is caring for a client who is a primagravida, at term, and having contractions but is stating that she is “not really sure if she in labor or not.” The nurse should recognize that which of the following is an indication of true labor? A nurse is assessing a client who delivered vaginally 3 hr earlier. Her fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following is an appropriate nursing intervention at this time? – A nurse is caring for a client who has severe pre-eclampsia and is receiving mag sulfate IV at 2g/hr. Which of the following findings indicates that it is safe for the nurse to continue this infusion? A nurse is assessing a client who is 12hr postpartum. Which of the following findings should alert the nurse possibility of a postpartum complication? A nurse in L&D is caring for a client following a vaginal examination by the provider which documented as: 3cm, 30%, and -1. The nurse evaluates this documentation as which of the following? – A nurse in a provider’s office is caring for a client who is at 36 weeks gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse? A client who is breastfeeding her newborn asks the nurse about the changes she should make in her diet to ensure an adequate supply of healthy breast milk. Which of the following should the nurse suggest? – A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse uses which of the following actions? – A client at 40 weeks of gestation is about to undergo a BIOPHYSICAL PROFILE. The nurse should explain that this profile focuses on which of the following parameters? – A nurse is preparing to assess a newborn to determine gestational age. Which of the following findings should the nurse expect to see in a post-term infant? – A nurse is caring for a client who is 4hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes. Which of the following is the nurses first action? – A nurse is assessing a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn? – A nurse is caring for a client who is 6 weeks pregnant with her first pregnancy and asks the nurse when she can expect to experience quickening. The nurse should tell her that most clients feel quickening – A client who is at 11 weeks of gestation comes to the clinic stating that she has had slight occasional vaginal bleeding over the past 2 weeks. The provider determines that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings? A nurse is admitting a client who is 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as indicating which of the following conditions? – A nurse is teaching a class of pregnant women about fetal development. Which of the following statements should the nurse include in her teaching? – A client comes to the emergency department reporting severe abdominal pain in the LLQ. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum? A nurse is caring for a client who is postpartum. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the newborn’s umbilical cord? – A nurse is caring for a client in the 36th week of pregnancy with suspected placenta previa. The nurse should expect clinical findings to include which of the following? A nurse places the newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn? – A nurse is assessing a client during a prenatal visit. Which of the following skin changes should the nurse expect? – A nurse is caring for a client who is having a NST performed, the FHR is 130 to 150/min but there has been no fetal movement for 15 min. Which of the following is an appropriate nursing intervention? The nurse in a prenatal clinic is caring for a client who asks what her EDD will be if her last menstrual period was May 4, 2012. Which of the following is the appropriate response by the nurse? – A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The provider prescribes betamethasone (celstone) stat. when the client asks the nurse about the purpose of the medication, the nurse should reply that it will help