OB Exam 2 questions with complete Ans.
A nurse is assessing a postpartum client for signs of an impending
hemorrhage resulting from laceration of the cervix. Besides
monitoring the client for a firm uterus, what other assessment is
important?
1
Slowed pulse rate
2
Increased blood pressure
3
Persistent muscular twitching
4
Continuous trickling of blood - Answer Continuous trickling of
blood
The nurse is caring for a group of postpartum clients. Which factor
puts a client at increased risk for postpartum hemorrhage?
,1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz - Answer Giving birth to
a baby weighing 9 lb 8 oz
A nurse is assessing a postpartum client for signs of hemorrhage
by evaluating the degree of perineal pad saturation. What other
parameter can the nurse use to estimate blood loss in a
postpartum client?
1
Odor of the lochia
2
Color of the lochia
3
Presence of small clots on the pad
4
Time elapsed between pad changes - Answer Time elapsed
between pad changes
The nurse is assessing a newborn immediately after birth. Which
finding indicates normal development in a newborn?
,1
A body weight of 3500 g
2
A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference -
Answer A body weight of 3500
**Normal is between 2700 and 4000**
A nurse is caring for a preterm neonate who is receiving gastric
feedings. Which neonatal clinical finding unique to necrotizing
enterocolitis (NEC) leads the nurse to suspect that the neonate is
experiencing this complication?
1
Persistent diarrhea
2
Decreased abdominal circumference
3
Small amount of vomitus after each gastric feeding
4
Increased amount of residual gastric volume from earlier feedings
- Answer Increased amount of residual gastric volume from
earlier feedings
, A nurse is caring for a mother and neonate. What is the priority
nursing action to prevent heat loss in the neonate immediately
after birth?
1
Bottle feeding the newborn immediately after birth
2
Dressing the newborn in a shirt and gown immediately
3
Bathing the newborn in warm water as soon as possible
4
Putting the naked newborn on the mother's skin and covering the
infant with a blanket - Answer Putting the naked newborn on the
mother's skin and covering the infant with a blanket
A nurse in the clinic determines that a 4-day-old neonate who was
born at home has a purulent discharge from the eyes. What
condition does the nurse suspect?
1
HIV infection
2
Chlamydia trachomatis infection
3
Retinopathy of prematurity (retrolental fibroplasia)
4
A nurse is assessing a postpartum client for signs of an impending
hemorrhage resulting from laceration of the cervix. Besides
monitoring the client for a firm uterus, what other assessment is
important?
1
Slowed pulse rate
2
Increased blood pressure
3
Persistent muscular twitching
4
Continuous trickling of blood - Answer Continuous trickling of
blood
The nurse is caring for a group of postpartum clients. Which factor
puts a client at increased risk for postpartum hemorrhage?
,1
Breastfeeding in the birthing room
2
Receiving a pudendal block for the birth
3
Having a third stage of labor that lasts 10 minutes
4
Giving birth to a baby weighing 9 lb 8 oz - Answer Giving birth to
a baby weighing 9 lb 8 oz
A nurse is assessing a postpartum client for signs of hemorrhage
by evaluating the degree of perineal pad saturation. What other
parameter can the nurse use to estimate blood loss in a
postpartum client?
1
Odor of the lochia
2
Color of the lochia
3
Presence of small clots on the pad
4
Time elapsed between pad changes - Answer Time elapsed
between pad changes
The nurse is assessing a newborn immediately after birth. Which
finding indicates normal development in a newborn?
,1
A body weight of 3500 g
2
A core body temperature of 96° F
3
Blood pressure of 70/60 mm Hg
4
Head circumference is 3 cm less than chest circumference -
Answer A body weight of 3500
**Normal is between 2700 and 4000**
A nurse is caring for a preterm neonate who is receiving gastric
feedings. Which neonatal clinical finding unique to necrotizing
enterocolitis (NEC) leads the nurse to suspect that the neonate is
experiencing this complication?
1
Persistent diarrhea
2
Decreased abdominal circumference
3
Small amount of vomitus after each gastric feeding
4
Increased amount of residual gastric volume from earlier feedings
- Answer Increased amount of residual gastric volume from
earlier feedings
, A nurse is caring for a mother and neonate. What is the priority
nursing action to prevent heat loss in the neonate immediately
after birth?
1
Bottle feeding the newborn immediately after birth
2
Dressing the newborn in a shirt and gown immediately
3
Bathing the newborn in warm water as soon as possible
4
Putting the naked newborn on the mother's skin and covering the
infant with a blanket - Answer Putting the naked newborn on the
mother's skin and covering the infant with a blanket
A nurse in the clinic determines that a 4-day-old neonate who was
born at home has a purulent discharge from the eyes. What
condition does the nurse suspect?
1
HIV infection
2
Chlamydia trachomatis infection
3
Retinopathy of prematurity (retrolental fibroplasia)
4
