OB: AQ Wrap Up Questions and Answers Rated A
A multiparous client with a history of gestational therapeutic response?
hypertension and previous history of abruption is
in the transition phase of labor. The electronic A) "I guess you wanted a son very much."
fetal monitor shows fetal bradycardia, and a
change is seen in the contour of the client's B) "It must be difficult to think of him now."
abdomen. What is the nurse's priority
intervention? C) "I'm sure he would have been a wonderful
child."
A) Checking the client's vital signs
D) "If you dwell on this now, your grief will be
B) Placing the client on her left side harder to bear." - ANSWER -B) "It must be
difficult to think of him now."
C) Immediately placing an internal scalp
electrode on the fetus Stating that it must be difficult to think of him now
demonstrates empathy; the nurse is attempting to
D) Alerting others regarding the need for show understanding of the client's feelings.
immediate cesarean delivery - ANSWER - Stating that the patient must have wanted a son
D) Alerting others regarding the need for very much is nontherapeutic; the nurse has no
immediate cesarean delivery way of knowing this. Stating the certainty that the
infant would have been a wonderful child
Another nurse should be asked to notify the switches the focus away from the client, whose
operating room staff, primary healthcare needs should be met at this time. Stating that
provider, anesthesiologist, and neonatal team to dwelling on the death will make her grief harder
prepare. The client's nurse should monitor vital to bear denies the client's feelings and implies
signs, watch for signs of hypotension and that the client should curb painful emotions.
tachycardia, insert an indwelling catheter, and
stay as calm as possible while explaining to the
client that the staff are working together to bring
about a safe outcome. The client is exhibiting The nurse is caring for a pregnant client with type
signs of uterine rupture. An emergency cesarean 1 diabetes. Which complication is the result of
birth is the priority. Vital signs may be checked type 1 diabetes?
immediately after another nurse has been asked
to bring the team together. Placing an internal A) Increased risk of hypertensive states
fetal monitor is a poor use of valuable time and
requires a prescription from the primary B) Abnormal placental implantation
healthcare provider. Client history, fetal
bradycardia, and change of abdominal contour C) Excessive weight gain because of increased
indicate uterine rupture. appetite
D) Decreased amount of amniotic fluid as the
pregnancy progresses - ANSWER -A)
After a difficult labor a client gives birth to a 9-lb Increased risk of hypertensive states
(4 kg) boy who expires shortly afterward. That
evening the client tearfully describes to the nurse The likelihood of gestational hypertension
her projected image of her son and what his increases fourfold in the client with diabetes
future might have been. What is the nurse's most mellitus, probably because of a preexisting
, OB: AQ Wrap Up Questions and Answers Rated A
vascular disorder. Abnormal implantation occurs Prophylactic antibiotics are given to clients with
because of scarring or uterine abnormalities, not heart disease to reduce their risk for bacterial
because of diabetes. Most pregnant women endocarditis. A vaginal birth, with a shortened
have an increased appetite; excessive weight second stage and an assisted birth involving
gain may be caused by a macrosomic fetus and forceps or vacuum extraction, is preferred. The
hydramnios. More than 2000 mL of amniotic fluid data do not indicate which class of heart disease
(hydramnios, polyhydramnios) is associated with the client has; if it is class I and there is no
diabetes; its exact cause is unknown. It also cardiac decompensation, activities may be
occurs with major congenital fetal anomalies, Rh restricted; however, bed rest is not necessary.
sensitization, and infections (e.g., syphilis, Increasing the dosages of the client's cardiac
toxoplasmosis, cytomegalovirus, herpes, and medications may or may not be necessary;
rubella). dosages are based on each individual's response
to the stress imposed by pregnancy.
Test-Taking Tip: After you have eliminated one
or more choices, you may discover that two of Test-Taking Tip: Pace yourself when taking
the options are very similar. This can be very practice quizzes. Because most nursing exams
helpful, because it may mean that one of these have specified time limits, you should pace
look-alike answers is the best choice and the yourself during the practice testing period
other is a very good distractor. Test both of these accordingly. It is helpful to estimate the time that
options against the stem. Ask yourself which one can be spent on each item and still complete the
completes the incomplete statement examination in the allotted time. You can obtain
grammatically and which one answers the this figure by dividing the testing time by the
question more fully and completely. The option number of items on the test. For example, a 1-
that best completes or answers the stem is the hour (60-minute) testing period with 50 items
one you should choose. Here, too, pause for a averages 1.2 minutes per question. The NCLEX
few seconds, give your brain time to reflect, and exam is not a timed test. Both the number of
recall may occur. questions and the time to complete the test
varies according to each candidate's
performance. However, if the test taker uses the
maximum of 5 hours to answer the maximum of
A pregnant woman with a history of heart 265 questions, each question equals 1.3 minutes.
disease visits the prenatal clinic toward the end
of her second trimester. Which intervention does
the nurse anticipate will be part of this client's
care plan? A teenager at 32 weeks' gestation is hospitalized
with preeclampsia. She is anorexic and appears
A) Preparation for a cesarean birth depressed. Which comment indicates to the
nurse that further exploration of the client's
B) Bed rest during the last trimester emotional status is indicated?
C) Prophylactic antibiotics at the time of birth
A) "I'm tired of feeling so clumsy."
D) Increasing dosages of cardiac medications as
pregnancy progresses - ANSWER -C) B) "I'll be glad when I can sleep all night."
Prophylactic antibiotics at the time of birth
C) "I dreamed my baby only had one arm."
A multiparous client with a history of gestational therapeutic response?
hypertension and previous history of abruption is
in the transition phase of labor. The electronic A) "I guess you wanted a son very much."
fetal monitor shows fetal bradycardia, and a
change is seen in the contour of the client's B) "It must be difficult to think of him now."
abdomen. What is the nurse's priority
intervention? C) "I'm sure he would have been a wonderful
child."
A) Checking the client's vital signs
D) "If you dwell on this now, your grief will be
B) Placing the client on her left side harder to bear." - ANSWER -B) "It must be
difficult to think of him now."
C) Immediately placing an internal scalp
electrode on the fetus Stating that it must be difficult to think of him now
demonstrates empathy; the nurse is attempting to
D) Alerting others regarding the need for show understanding of the client's feelings.
immediate cesarean delivery - ANSWER - Stating that the patient must have wanted a son
D) Alerting others regarding the need for very much is nontherapeutic; the nurse has no
immediate cesarean delivery way of knowing this. Stating the certainty that the
infant would have been a wonderful child
Another nurse should be asked to notify the switches the focus away from the client, whose
operating room staff, primary healthcare needs should be met at this time. Stating that
provider, anesthesiologist, and neonatal team to dwelling on the death will make her grief harder
prepare. The client's nurse should monitor vital to bear denies the client's feelings and implies
signs, watch for signs of hypotension and that the client should curb painful emotions.
tachycardia, insert an indwelling catheter, and
stay as calm as possible while explaining to the
client that the staff are working together to bring
about a safe outcome. The client is exhibiting The nurse is caring for a pregnant client with type
signs of uterine rupture. An emergency cesarean 1 diabetes. Which complication is the result of
birth is the priority. Vital signs may be checked type 1 diabetes?
immediately after another nurse has been asked
to bring the team together. Placing an internal A) Increased risk of hypertensive states
fetal monitor is a poor use of valuable time and
requires a prescription from the primary B) Abnormal placental implantation
healthcare provider. Client history, fetal
bradycardia, and change of abdominal contour C) Excessive weight gain because of increased
indicate uterine rupture. appetite
D) Decreased amount of amniotic fluid as the
pregnancy progresses - ANSWER -A)
After a difficult labor a client gives birth to a 9-lb Increased risk of hypertensive states
(4 kg) boy who expires shortly afterward. That
evening the client tearfully describes to the nurse The likelihood of gestational hypertension
her projected image of her son and what his increases fourfold in the client with diabetes
future might have been. What is the nurse's most mellitus, probably because of a preexisting
, OB: AQ Wrap Up Questions and Answers Rated A
vascular disorder. Abnormal implantation occurs Prophylactic antibiotics are given to clients with
because of scarring or uterine abnormalities, not heart disease to reduce their risk for bacterial
because of diabetes. Most pregnant women endocarditis. A vaginal birth, with a shortened
have an increased appetite; excessive weight second stage and an assisted birth involving
gain may be caused by a macrosomic fetus and forceps or vacuum extraction, is preferred. The
hydramnios. More than 2000 mL of amniotic fluid data do not indicate which class of heart disease
(hydramnios, polyhydramnios) is associated with the client has; if it is class I and there is no
diabetes; its exact cause is unknown. It also cardiac decompensation, activities may be
occurs with major congenital fetal anomalies, Rh restricted; however, bed rest is not necessary.
sensitization, and infections (e.g., syphilis, Increasing the dosages of the client's cardiac
toxoplasmosis, cytomegalovirus, herpes, and medications may or may not be necessary;
rubella). dosages are based on each individual's response
to the stress imposed by pregnancy.
Test-Taking Tip: After you have eliminated one
or more choices, you may discover that two of Test-Taking Tip: Pace yourself when taking
the options are very similar. This can be very practice quizzes. Because most nursing exams
helpful, because it may mean that one of these have specified time limits, you should pace
look-alike answers is the best choice and the yourself during the practice testing period
other is a very good distractor. Test both of these accordingly. It is helpful to estimate the time that
options against the stem. Ask yourself which one can be spent on each item and still complete the
completes the incomplete statement examination in the allotted time. You can obtain
grammatically and which one answers the this figure by dividing the testing time by the
question more fully and completely. The option number of items on the test. For example, a 1-
that best completes or answers the stem is the hour (60-minute) testing period with 50 items
one you should choose. Here, too, pause for a averages 1.2 minutes per question. The NCLEX
few seconds, give your brain time to reflect, and exam is not a timed test. Both the number of
recall may occur. questions and the time to complete the test
varies according to each candidate's
performance. However, if the test taker uses the
maximum of 5 hours to answer the maximum of
A pregnant woman with a history of heart 265 questions, each question equals 1.3 minutes.
disease visits the prenatal clinic toward the end
of her second trimester. Which intervention does
the nurse anticipate will be part of this client's
care plan? A teenager at 32 weeks' gestation is hospitalized
with preeclampsia. She is anorexic and appears
A) Preparation for a cesarean birth depressed. Which comment indicates to the
nurse that further exploration of the client's
B) Bed rest during the last trimester emotional status is indicated?
C) Prophylactic antibiotics at the time of birth
A) "I'm tired of feeling so clumsy."
D) Increasing dosages of cardiac medications as
pregnancy progresses - ANSWER -C) B) "I'll be glad when I can sleep all night."
Prophylactic antibiotics at the time of birth
C) "I dreamed my baby only had one arm."
