OB Maternal Practice Exam questions and answers
Graded A+
a client is in active labor with external monitoring in use. the nurse notes abrupt
and rapid fluctuations in the FHR from baseline to 90bpm and back to baseline on
the monitoring device. the fluctuations in FHR occur with no relationship to the
contraction pattern. the client watches the monitor and asks "is there something
wrong with my baby?" which response by the nurse is best? - this is a
potential problem that requires a position change
the client arrives in the hospital in active labor. the client asks the nurse what is
the purpose of the fetal monitor. which response by the nurse is the best? -
the purpose of the fetal monitor is to determine if the fetus is receiving
adequate amounts of O2
a client who is multipara is diagnosed with premature labor requiring bedrest in
the healthcare facility for an extended amount of time. Which interventions does
the nurse include in the clients care plan? (select all that apply) - the client
needs to be positioned on the left side and drink fluids
the client needs to eat highly nutritious meals
the nurse observes the staff member palpate a clients uterine contractions. the
nurse determines the staff member is using the correct technique if which
observation is made? - places one hand on the abdomen over the fundus
and presses gently with the fingertips
,a client calls the clinic and reports a fever, fatigue and has a hard reddened area
in 1 breast. the client is breastfeeding. which condition does the nurse
understand that this client is most likely experiencing? - mastitis
the nurse palpates the fundus of a client after the 3rd stage of labor. the nurse
expects the fundus to have which characteristics? - firm and globular
the nurse provides care for a client diagnosed with cervical cancer. the nurse
notes the client appears to have a poor appetite. which intervention by the nurse
is best? - provide small, frequent feedings
the home care nurse visits an adolescent client who delivered a full-term infant 2
weeks ago. although the client appears mature, the nurse knows the clients age
may interfere with positive mothering because of which factor? - the client
is still experiencing the dependency of childhood
the nurse instructs a group of expectant parents about the advantages of
breastfeeding. the nurse intervenes if an expectant parent makes which
statement? - my baby will grow faster and sleep more with breastmilk
which action should the nurse take immediately after the newborn is
circumcised? - applies petroleum gauze and observes carefully for
bleeding.
a multipara client in the 7th month of pregnancy reports to the nurse that the
breasts are sensitive and sore. the nurse makes which suggestions? - apply
cold compresses and wear a well-fitting, supportive bra
,he nurse instructs a pregnant client diagnosed with gestational diabetes about
the appropriate diet. the nurse determines the teaching is effective if the client
selects which dessert? - fresh fruit
the school nurse attends a soccer game at the local high school. the nurse sees a
pregnant woman grab her throat, indicating she is choking, and is unable to
speak. which action is best for the nurse to take? - the nurse stands behind
the woman and performs chest thrusts
the nurse provides care for a client receiving mag sulfate IV and assesses that the
clients deep tendon reflexes are decreased. which action does the nurse take
first? - discontinues the IV infusion
a client delivers a baby. In order to monitor for maternal complications, the nurse
is most alert for which finding? - changes in blood pressure and pulse
the nurse knows a preterm infant is at greatest risk for developing which
disorder? - respiratory distress syndrome
the nurse provides care for a client 24hr after delivery, and the client states "I
have been urinating so much" which response by the nurse is best? - your
body is getting rid of the increased fluid
the nurse prepares a client for an emergency c-section delivery. the client asks
how the anesthesia is going to affect the baby. which answer by the nurse is best?
- the anesthesia is not administered until immediately prior to the cesarean
incision.
, the nurse makes a home care visit to a client who delivered an 8lb 5oz (3770.5g)
baby 3 days ago. the client expresses alarm when hearing the baby has lost 8 oz
(226.8g). which response by the nurse is most appropriate? - this is a
normal weight loss. sometimes babies lose as much as 10% of their birth weight
meconium-stained amniotic fluid alerts the nurse to the possibility of which
problem? - fetal distress and perinatal asphyxia
a nurse teaches the client about birth control methods. how long does the nurse
advise the client to leave a diaphragm in place after intercourse? - 6 hours
The parents of a preterm infant visit the infant in the newborn nursery. when they
see the infant resting comfortably in the isolette and express concern about
disturbing the baby to hold it. Which response by the nurse is BEST? -
preterm infants need to develop a sense of trust and security and holding
the infant promotes this
the nurse counsels a couple in their early 30's who have has difficulty conceiving a
child. the couple states that they are worried they are infertile. the nurse teaches
the couple that infertility testing is usually done when? - after 1 year of
unprotected intercourse and the inability to conceive
A client visiting a community clinic describes some soft and moveable masses in
the breast that become enlarged during menstruation. The nurse is aware that
the client is most likely describing which condition? - fibrocystic breast
diseas
the nurse instructs a prenatal client about the warning signs of complications
during pregnancy. the nurse determines teaching is successful if the client makes
Graded A+
a client is in active labor with external monitoring in use. the nurse notes abrupt
and rapid fluctuations in the FHR from baseline to 90bpm and back to baseline on
the monitoring device. the fluctuations in FHR occur with no relationship to the
contraction pattern. the client watches the monitor and asks "is there something
wrong with my baby?" which response by the nurse is best? - this is a
potential problem that requires a position change
the client arrives in the hospital in active labor. the client asks the nurse what is
the purpose of the fetal monitor. which response by the nurse is the best? -
the purpose of the fetal monitor is to determine if the fetus is receiving
adequate amounts of O2
a client who is multipara is diagnosed with premature labor requiring bedrest in
the healthcare facility for an extended amount of time. Which interventions does
the nurse include in the clients care plan? (select all that apply) - the client
needs to be positioned on the left side and drink fluids
the client needs to eat highly nutritious meals
the nurse observes the staff member palpate a clients uterine contractions. the
nurse determines the staff member is using the correct technique if which
observation is made? - places one hand on the abdomen over the fundus
and presses gently with the fingertips
,a client calls the clinic and reports a fever, fatigue and has a hard reddened area
in 1 breast. the client is breastfeeding. which condition does the nurse
understand that this client is most likely experiencing? - mastitis
the nurse palpates the fundus of a client after the 3rd stage of labor. the nurse
expects the fundus to have which characteristics? - firm and globular
the nurse provides care for a client diagnosed with cervical cancer. the nurse
notes the client appears to have a poor appetite. which intervention by the nurse
is best? - provide small, frequent feedings
the home care nurse visits an adolescent client who delivered a full-term infant 2
weeks ago. although the client appears mature, the nurse knows the clients age
may interfere with positive mothering because of which factor? - the client
is still experiencing the dependency of childhood
the nurse instructs a group of expectant parents about the advantages of
breastfeeding. the nurse intervenes if an expectant parent makes which
statement? - my baby will grow faster and sleep more with breastmilk
which action should the nurse take immediately after the newborn is
circumcised? - applies petroleum gauze and observes carefully for
bleeding.
a multipara client in the 7th month of pregnancy reports to the nurse that the
breasts are sensitive and sore. the nurse makes which suggestions? - apply
cold compresses and wear a well-fitting, supportive bra
,he nurse instructs a pregnant client diagnosed with gestational diabetes about
the appropriate diet. the nurse determines the teaching is effective if the client
selects which dessert? - fresh fruit
the school nurse attends a soccer game at the local high school. the nurse sees a
pregnant woman grab her throat, indicating she is choking, and is unable to
speak. which action is best for the nurse to take? - the nurse stands behind
the woman and performs chest thrusts
the nurse provides care for a client receiving mag sulfate IV and assesses that the
clients deep tendon reflexes are decreased. which action does the nurse take
first? - discontinues the IV infusion
a client delivers a baby. In order to monitor for maternal complications, the nurse
is most alert for which finding? - changes in blood pressure and pulse
the nurse knows a preterm infant is at greatest risk for developing which
disorder? - respiratory distress syndrome
the nurse provides care for a client 24hr after delivery, and the client states "I
have been urinating so much" which response by the nurse is best? - your
body is getting rid of the increased fluid
the nurse prepares a client for an emergency c-section delivery. the client asks
how the anesthesia is going to affect the baby. which answer by the nurse is best?
- the anesthesia is not administered until immediately prior to the cesarean
incision.
, the nurse makes a home care visit to a client who delivered an 8lb 5oz (3770.5g)
baby 3 days ago. the client expresses alarm when hearing the baby has lost 8 oz
(226.8g). which response by the nurse is most appropriate? - this is a
normal weight loss. sometimes babies lose as much as 10% of their birth weight
meconium-stained amniotic fluid alerts the nurse to the possibility of which
problem? - fetal distress and perinatal asphyxia
a nurse teaches the client about birth control methods. how long does the nurse
advise the client to leave a diaphragm in place after intercourse? - 6 hours
The parents of a preterm infant visit the infant in the newborn nursery. when they
see the infant resting comfortably in the isolette and express concern about
disturbing the baby to hold it. Which response by the nurse is BEST? -
preterm infants need to develop a sense of trust and security and holding
the infant promotes this
the nurse counsels a couple in their early 30's who have has difficulty conceiving a
child. the couple states that they are worried they are infertile. the nurse teaches
the couple that infertility testing is usually done when? - after 1 year of
unprotected intercourse and the inability to conceive
A client visiting a community clinic describes some soft and moveable masses in
the breast that become enlarged during menstruation. The nurse is aware that
the client is most likely describing which condition? - fibrocystic breast
diseas
the nurse instructs a prenatal client about the warning signs of complications
during pregnancy. the nurse determines teaching is successful if the client makes
