OB Exam 1 Questions and Answers Rated A+
A 22 yr old client has come to the clinic because impede uterine contractions which can lead to
her menstrual period is 10 days late. She tells uterine atony which may lead to pp hemorrhage if
the nurse "I'm sure I'm pregnant because my we don't intervene
period is late and my breasts are tender" Which
of the following responses by the nurse would be **KEY WORDS: deviated to the left side**
most accurate?
A. "those are positive signs of pregnancy"
B. "those are presumptive signs of pregnancy" A client is in active labor at term with cervical
C. "those are probable signs of pregnancy" findings of 7/80/-1. The FHR baseline is 130bpm.
D. "those are negative signs of pregnancy" - Four early decelerations were noted within the
ANSWER -B. Breast tenderness and last hour. Which of the following nursing actions
missed menses are presumptive signs. Other would be most appropriate?
presumptive signs include: N/V, fatigue, urinary A. Position client on her back so the monitor
frequency and quickening gives more accurate results
B. perform vaginal exam
C. turn client on her left side
A client delivered a term infant 7 hours ago. D. document and continue to monitor both FHR
Which of the following postpartum assessment and laboring women - ANSWER -D. early
findings indicate normal postpartum progression? decelerations indicate head compression. It is
A. Firm fundus at 1-2 fingerbreadths above the benign and no interventions are needed. just
umbilicus with moderate lochia rubra document and continue monitoring
B. Firm fundus at the umbilicus and midline with
moderate rubra **KNOW VEAL CHOP**
C. Firm fundus at 1-2 fingerbreadths below
umbilicus, deviated to the right side with
moderate lochia rubra The nurse gives a 35 yr old primigravida client a
D. Soft fundus at 1-2 fingerbreadths below RhoGAM injection for her 28th week of
umbilicus with severe lochia rubra - pregnancy. Which of the following client
ANSWER -A. Within 12 hours, fundus can situations requires the nurse to take this action.
rise to approx. 1 cm above the umbilicus. The A. Rh + mother and Rh - father
fundus descends 1-2 cm every 24 hours. B. Rh - mother and Rh + father
Located about halfway between umbilicus and C. Rh + mother and Rh + father
symphysis pubis, not longer palpable after 2 D. Rh - mother and Rh - father - ANSWER -
weeks, returned to pre-pregnant state by 6 B. RhoGAM is only needed if the mother is Rh-
weeks pp and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to
have a Rh+ baby
A client delivered at 39 weeks 6 hours ago. Upon
assessment, the nurse palpated a soft, boggy
fundus deviated to the left side. Which action of A client has just started the third state of labor.
the nurse would be most appropriate? Which of the following nursing actions have
A. Massage the fundus until firm priority at this time?
B. Call HCP immediately A. Encourage the client to push
C. Assist woman to the restroom B. Administer Pitocin
D. Increase Pitocin per HCP order - C. Place baby skin to skin on mom
ANSWER -C. A distended bladder can D. Assess maternal vital signs Q1hr -
, OB Exam 1 Questions and Answers Rated A+
ANSWER -C. skin to skin contact is D. Perform a vaginal exam - ANSWER -C.
contributes to mother and baby bonding You have to look at the UTERINE incision, not
the abdominal one, the only way to do that is to
**KEY WORDS: just started** look at the chart
pitocin is administered after the placenta is
delivered at the end of stage 3, maternal vital **ABDOMINAL INCISION AND UTERINE
signs are assessed Q15min after delivery for first INCISION MIGHT NOT MATCH**
2 hours. Then hourly assessments are done
classic vertical incision labor is contraindicated -
risk for uterine rupture!
A client's first day of her LMP was July 18, 2015.
Which of the following should the nurse tell the transverse incision vaginal delivery is possible
client is her EDB?
A. April 18, 2016
B. May 23, 2016 What statement from the postpartum pt about
C. April 25, 2016 DVT precautions requires further teaching?
D. March 25, 2016 - ANSWER -C. A. "I need the change positions frequently in bed
and avoid prolonged flexed knee positions
B. "I will let my husband massage my legs for
A primigravida woman delivered her baby boy 12 pain relief"
hours ago. She acquired a 3rd degree midline C. "I can keep breastfeeding while I'm on
episiotomy during labor. She expresses heparin"
moderate discomfort and a pain level of 2 out of D "I will evaluate my legs and apply moist heat to
10. Which of the following nursing intervention decrease discomfort" - ANSWER -B.
would be most appropriate? rubbing the affected area could cause clots to be
A. Instruct patient to apply ice packs to the dislodged
perinium
B. Encourage a sitz bath Heparin and warfarin are administered as
C. Call provider ordered and they do not excrete in significant
D. Give ordered acetaminophen (Tylenol) for amounts into the breastmilk
prophylaxis - ANSWER -A. During first 24
hours, ice packs decrease edema formation and
increase comfort, after first 24 hours after birth An L&D nurse is teaching a nursing student
prn to provide anesthetic effect about importance of adequate placental
perfusion. Which statement should the nurse
include in her teaching? Select all that apply
A woman admitted in your OB unit, currently on A. Lateral recumbent position is ideal for
her 2nd pregnancy for this delivery states she placental perfusion
wants to try vaginal birth rather than rather than B. Low maternal MAP can decrease uterine
C/S which she had for her first pregnancy. What blood flow
is the priority action the nurse should perform? C. Contractions that last more than 2 minutes
A. Call the provider and let her/him know about need immediate action - ANSWER -All of
the pt's wishes the above. Factors that decrease uterine blood
B. Assess her abdominal C/S incision flow can starve the baby of oxygen.
C. Look at pt's chart for notes regarding her first
delivery
A 22 yr old client has come to the clinic because impede uterine contractions which can lead to
her menstrual period is 10 days late. She tells uterine atony which may lead to pp hemorrhage if
the nurse "I'm sure I'm pregnant because my we don't intervene
period is late and my breasts are tender" Which
of the following responses by the nurse would be **KEY WORDS: deviated to the left side**
most accurate?
A. "those are positive signs of pregnancy"
B. "those are presumptive signs of pregnancy" A client is in active labor at term with cervical
C. "those are probable signs of pregnancy" findings of 7/80/-1. The FHR baseline is 130bpm.
D. "those are negative signs of pregnancy" - Four early decelerations were noted within the
ANSWER -B. Breast tenderness and last hour. Which of the following nursing actions
missed menses are presumptive signs. Other would be most appropriate?
presumptive signs include: N/V, fatigue, urinary A. Position client on her back so the monitor
frequency and quickening gives more accurate results
B. perform vaginal exam
C. turn client on her left side
A client delivered a term infant 7 hours ago. D. document and continue to monitor both FHR
Which of the following postpartum assessment and laboring women - ANSWER -D. early
findings indicate normal postpartum progression? decelerations indicate head compression. It is
A. Firm fundus at 1-2 fingerbreadths above the benign and no interventions are needed. just
umbilicus with moderate lochia rubra document and continue monitoring
B. Firm fundus at the umbilicus and midline with
moderate rubra **KNOW VEAL CHOP**
C. Firm fundus at 1-2 fingerbreadths below
umbilicus, deviated to the right side with
moderate lochia rubra The nurse gives a 35 yr old primigravida client a
D. Soft fundus at 1-2 fingerbreadths below RhoGAM injection for her 28th week of
umbilicus with severe lochia rubra - pregnancy. Which of the following client
ANSWER -A. Within 12 hours, fundus can situations requires the nurse to take this action.
rise to approx. 1 cm above the umbilicus. The A. Rh + mother and Rh - father
fundus descends 1-2 cm every 24 hours. B. Rh - mother and Rh + father
Located about halfway between umbilicus and C. Rh + mother and Rh + father
symphysis pubis, not longer palpable after 2 D. Rh - mother and Rh - father - ANSWER -
weeks, returned to pre-pregnant state by 6 B. RhoGAM is only needed if the mother is Rh-
weeks pp and there is possibility of the baby being Rh+. If
the father is not Rh+ then there is no chance to
have a Rh+ baby
A client delivered at 39 weeks 6 hours ago. Upon
assessment, the nurse palpated a soft, boggy
fundus deviated to the left side. Which action of A client has just started the third state of labor.
the nurse would be most appropriate? Which of the following nursing actions have
A. Massage the fundus until firm priority at this time?
B. Call HCP immediately A. Encourage the client to push
C. Assist woman to the restroom B. Administer Pitocin
D. Increase Pitocin per HCP order - C. Place baby skin to skin on mom
ANSWER -C. A distended bladder can D. Assess maternal vital signs Q1hr -
, OB Exam 1 Questions and Answers Rated A+
ANSWER -C. skin to skin contact is D. Perform a vaginal exam - ANSWER -C.
contributes to mother and baby bonding You have to look at the UTERINE incision, not
the abdominal one, the only way to do that is to
**KEY WORDS: just started** look at the chart
pitocin is administered after the placenta is
delivered at the end of stage 3, maternal vital **ABDOMINAL INCISION AND UTERINE
signs are assessed Q15min after delivery for first INCISION MIGHT NOT MATCH**
2 hours. Then hourly assessments are done
classic vertical incision labor is contraindicated -
risk for uterine rupture!
A client's first day of her LMP was July 18, 2015.
Which of the following should the nurse tell the transverse incision vaginal delivery is possible
client is her EDB?
A. April 18, 2016
B. May 23, 2016 What statement from the postpartum pt about
C. April 25, 2016 DVT precautions requires further teaching?
D. March 25, 2016 - ANSWER -C. A. "I need the change positions frequently in bed
and avoid prolonged flexed knee positions
B. "I will let my husband massage my legs for
A primigravida woman delivered her baby boy 12 pain relief"
hours ago. She acquired a 3rd degree midline C. "I can keep breastfeeding while I'm on
episiotomy during labor. She expresses heparin"
moderate discomfort and a pain level of 2 out of D "I will evaluate my legs and apply moist heat to
10. Which of the following nursing intervention decrease discomfort" - ANSWER -B.
would be most appropriate? rubbing the affected area could cause clots to be
A. Instruct patient to apply ice packs to the dislodged
perinium
B. Encourage a sitz bath Heparin and warfarin are administered as
C. Call provider ordered and they do not excrete in significant
D. Give ordered acetaminophen (Tylenol) for amounts into the breastmilk
prophylaxis - ANSWER -A. During first 24
hours, ice packs decrease edema formation and
increase comfort, after first 24 hours after birth An L&D nurse is teaching a nursing student
prn to provide anesthetic effect about importance of adequate placental
perfusion. Which statement should the nurse
include in her teaching? Select all that apply
A woman admitted in your OB unit, currently on A. Lateral recumbent position is ideal for
her 2nd pregnancy for this delivery states she placental perfusion
wants to try vaginal birth rather than rather than B. Low maternal MAP can decrease uterine
C/S which she had for her first pregnancy. What blood flow
is the priority action the nurse should perform? C. Contractions that last more than 2 minutes
A. Call the provider and let her/him know about need immediate action - ANSWER -All of
the pt's wishes the above. Factors that decrease uterine blood
B. Assess her abdominal C/S incision flow can starve the baby of oxygen.
C. Look at pt's chart for notes regarding her first
delivery
