NUR 230-OB Week 1 Assessment with Complete Solutions
1. Which risk is associated with iron supplementation for the pregnant client?
Tetany
Anemia
Diabetes
Constipation - ANSWER-Constipation
2. During the vaginal examination of a laboring client, the nurse assesses that the fetus
is in the right occiput anterior (ROA) position at -1 station. Which position is the
lowermost portion of the fetal presenting part?
2 cm above the ischial spine.
1 cm above the ischial spine.
2 cm below the ischial spine.
1 cm below the ischial spine. - ANSWER-1 cm above the ischial spine.
3. During the vaginal examination of a client in labor, the nurse identifies the presenting
part as the scapula. Which fetal presentation would the nurse recognize?
Cephalic
Frank breech
Complete breech
Shoulder - ANSWER-Shoulder
4. Which is the expected total weight gain for the client with a singleton pregnancy
during the first trimester?
2 to 3 kg
1 to 2 kg
1.5 to 2 kg
0.5 to 1 kg - ANSWER-1 to 2 kg
5. Which mineral intake is restricted in a pregnant client with renal failure?
Zinc
Iron
Sodium
Manganese - ANSWER-Sodium
6. The nurse is providing care during labor for a client with twins and instructs the client
to avoid lying flat on the back. Which condition would the nurse aim to prevent in the
client during labor?
Valsalva maneuver
Supine hypotension
Respiratory alkalosis
Painful uterine contractions - ANSWER-Supine hypotension
7. During a prenatal evaluation, the nurse notes that the client has a flat pelvis. Which
term would the nurse use in documenting the findings?
, Gynecoid
Android
Anthropoid
Platypelloid - ANSWER-Platypelloid
8. Which shape is the classic female pelvis shape and most conducive to a vaginal
labor and delivery?
Android
Gynecoid
Platypelloid
Anthropoid - ANSWER-Gynecoid
9. Which foods are appropriate to exclude from the pregnant client's diet plan to ensure
good health? Select all that apply.
Meat
Butter
Yogurt
Beef fat
Stick margarine - ANSWER-Butter
Beef fat
Stick margarine
10. When caring for a client in labor, which instruction would the nurse provide in the
second stage of labor?
"Point your toes to prevent pain."
"Avoid fluids until the infant is delivered."
"Lie still and avoid movement to prevent fatigue."
"Avoid holding your breath or tightening the abdominal muscles." - ANSWER-"Avoid
holding your breath or tightening the abdominal muscles."
11. The nurse is caring for a client in the first stage of labor and notes that the client has
scarring on her cervix as a result of a past STI. That the client has scarring on her cervix
as a result of a past STI. Which complication would the nurse predict in the client during
labor?
Ferguson reflex
Slow fetal descent
Supine hypotension
Slow cervical dilation - ANSWER-Slow cervical dilation
12. The nurse instructor is teaching a group of students about the structure of the fetal
head during labor and birth. Which statement by the student indicates effective
learning?
"The fetal skull bones are firmly united during labor."
"The fetal skull bones are united by membranous sutures."
"The two important fontanels are the parietal and temporal."
"The sutures and fontanels restrict brain growth after delivery." - ANSWER-"The fetal
1. Which risk is associated with iron supplementation for the pregnant client?
Tetany
Anemia
Diabetes
Constipation - ANSWER-Constipation
2. During the vaginal examination of a laboring client, the nurse assesses that the fetus
is in the right occiput anterior (ROA) position at -1 station. Which position is the
lowermost portion of the fetal presenting part?
2 cm above the ischial spine.
1 cm above the ischial spine.
2 cm below the ischial spine.
1 cm below the ischial spine. - ANSWER-1 cm above the ischial spine.
3. During the vaginal examination of a client in labor, the nurse identifies the presenting
part as the scapula. Which fetal presentation would the nurse recognize?
Cephalic
Frank breech
Complete breech
Shoulder - ANSWER-Shoulder
4. Which is the expected total weight gain for the client with a singleton pregnancy
during the first trimester?
2 to 3 kg
1 to 2 kg
1.5 to 2 kg
0.5 to 1 kg - ANSWER-1 to 2 kg
5. Which mineral intake is restricted in a pregnant client with renal failure?
Zinc
Iron
Sodium
Manganese - ANSWER-Sodium
6. The nurse is providing care during labor for a client with twins and instructs the client
to avoid lying flat on the back. Which condition would the nurse aim to prevent in the
client during labor?
Valsalva maneuver
Supine hypotension
Respiratory alkalosis
Painful uterine contractions - ANSWER-Supine hypotension
7. During a prenatal evaluation, the nurse notes that the client has a flat pelvis. Which
term would the nurse use in documenting the findings?
, Gynecoid
Android
Anthropoid
Platypelloid - ANSWER-Platypelloid
8. Which shape is the classic female pelvis shape and most conducive to a vaginal
labor and delivery?
Android
Gynecoid
Platypelloid
Anthropoid - ANSWER-Gynecoid
9. Which foods are appropriate to exclude from the pregnant client's diet plan to ensure
good health? Select all that apply.
Meat
Butter
Yogurt
Beef fat
Stick margarine - ANSWER-Butter
Beef fat
Stick margarine
10. When caring for a client in labor, which instruction would the nurse provide in the
second stage of labor?
"Point your toes to prevent pain."
"Avoid fluids until the infant is delivered."
"Lie still and avoid movement to prevent fatigue."
"Avoid holding your breath or tightening the abdominal muscles." - ANSWER-"Avoid
holding your breath or tightening the abdominal muscles."
11. The nurse is caring for a client in the first stage of labor and notes that the client has
scarring on her cervix as a result of a past STI. That the client has scarring on her cervix
as a result of a past STI. Which complication would the nurse predict in the client during
labor?
Ferguson reflex
Slow fetal descent
Supine hypotension
Slow cervical dilation - ANSWER-Slow cervical dilation
12. The nurse instructor is teaching a group of students about the structure of the fetal
head during labor and birth. Which statement by the student indicates effective
learning?
"The fetal skull bones are firmly united during labor."
"The fetal skull bones are united by membranous sutures."
"The two important fontanels are the parietal and temporal."
"The sutures and fontanels restrict brain growth after delivery." - ANSWER-"The fetal
