Inpatient Obstetric Nursing Practice
Exam with Complete Solutions
a pt is admitted to the labor unit with possible preterm labor. nitrazine paper is use to
detect amniotic fluid. the result is positive with a reading of - ANS-7.1
clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea can be seen
when the blood loss reaches - ANS-1500 ml
an appropriante action in response to a non-reactive NST is to - ANS-consider acoustic
stimulation
while the exact mechanism of action is not fully known, mag sulfate inhibits smooth
muscle contractions by direct effect on myometrial - ANS-calcium activity
which of the following decelerations must drop at least 15 bpm from baseline (early,
late, prolonged) - ANS-prolonged
which is a risk factor for labor dystocia? - ANS-Advanced maternal age
how should a NB delivered with mec staining who is responsive be managed? - ANS-no
suction if baby is active and does not require resuscitation
The term used to describe the fetus settling down in the pelvic inlet (engagement)
during pregnancy is - ANS-lightening
Chadwick's sign is - ANS-Cyanosis/purle discoloration of vulva vagina and cervix
Helping the laboring woman into which position may promote rotation from OP to OA -
ANS-hands and knees
which of the methods used for induction of labor appears to be effective as
prostaglandin E2 gel or intravaginal misoprostol? - ANS-trans-cervical balloon catheter
in the normal NB, serum glucose levels fluctuate for how many hours following birth? -
ANS-2
C/S in a previous pregnancy increases risk for - ANS-placenta accreta
one indication for a classic uterine incision performed during a C/S is - ANS-transverse
lie
, In a woman experiencing a TOLAC, which of the following is contraindictated - ANS-
Prostoglandin E1
in order to address potential GA related problems, an estimation of GA should occur -
ANS-within 4 hours of birth
the lactation initiation stage is dependent on - ANS-a cascade of hormonal changes
prostaglandins administered for labor induction act directly on the - ANS-cervix
delayed cord clamping - ANS-decreases the need for blood transfusions
a hematological change in pregnancy that predisposes a patient to venous thrombosis
is - ANS-depressed fibrinolytic activity
the main complication that occurs with cordocentisis (percutaneous umbilical blood
sampling) is - ANS-fetal loss
a primigravida at 39 weeks gestation has been experiencing painful contractions for 24
hours. she has remained 1-2cm dilated and she verbalized that she is exhausted. the
fetal heart rate tracing is normal. the recommended management for the woman is
administration of - ANS-morphine for rest
the milk ejection reflex (let-down) occurs when there is a release of - ANS-oxytocin from
the posterior pituitary
during the initial assessment of a NB, the nurse palpates the femoral pulses and notes
that they are decreased bilaterally. the nurse knows that this indicates - ANS-
coarctation of the aorta and requires follow up
a pt has been moved to the surgery suite for a CS. there is an internal fetal scalp
electrode in place. this should be removed when the - ANS-abdominal prep is
completed
a vitamin k injection is necessary because of which of the following physiological states
present in the first few days of life? - ANS-absence of normal flora in the gut
one antenatal factor that predisposes a woman to PP infection is - ANS-anemia
a NB is at the highest risk for jaundice when delivery is - ANS-assisted
The NICHD definition of tachysystole refers to contractions from - ANS-both
spontaneous and stimulated labor
Exam with Complete Solutions
a pt is admitted to the labor unit with possible preterm labor. nitrazine paper is use to
detect amniotic fluid. the result is positive with a reading of - ANS-7.1
clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea can be seen
when the blood loss reaches - ANS-1500 ml
an appropriante action in response to a non-reactive NST is to - ANS-consider acoustic
stimulation
while the exact mechanism of action is not fully known, mag sulfate inhibits smooth
muscle contractions by direct effect on myometrial - ANS-calcium activity
which of the following decelerations must drop at least 15 bpm from baseline (early,
late, prolonged) - ANS-prolonged
which is a risk factor for labor dystocia? - ANS-Advanced maternal age
how should a NB delivered with mec staining who is responsive be managed? - ANS-no
suction if baby is active and does not require resuscitation
The term used to describe the fetus settling down in the pelvic inlet (engagement)
during pregnancy is - ANS-lightening
Chadwick's sign is - ANS-Cyanosis/purle discoloration of vulva vagina and cervix
Helping the laboring woman into which position may promote rotation from OP to OA -
ANS-hands and knees
which of the methods used for induction of labor appears to be effective as
prostaglandin E2 gel or intravaginal misoprostol? - ANS-trans-cervical balloon catheter
in the normal NB, serum glucose levels fluctuate for how many hours following birth? -
ANS-2
C/S in a previous pregnancy increases risk for - ANS-placenta accreta
one indication for a classic uterine incision performed during a C/S is - ANS-transverse
lie
, In a woman experiencing a TOLAC, which of the following is contraindictated - ANS-
Prostoglandin E1
in order to address potential GA related problems, an estimation of GA should occur -
ANS-within 4 hours of birth
the lactation initiation stage is dependent on - ANS-a cascade of hormonal changes
prostaglandins administered for labor induction act directly on the - ANS-cervix
delayed cord clamping - ANS-decreases the need for blood transfusions
a hematological change in pregnancy that predisposes a patient to venous thrombosis
is - ANS-depressed fibrinolytic activity
the main complication that occurs with cordocentisis (percutaneous umbilical blood
sampling) is - ANS-fetal loss
a primigravida at 39 weeks gestation has been experiencing painful contractions for 24
hours. she has remained 1-2cm dilated and she verbalized that she is exhausted. the
fetal heart rate tracing is normal. the recommended management for the woman is
administration of - ANS-morphine for rest
the milk ejection reflex (let-down) occurs when there is a release of - ANS-oxytocin from
the posterior pituitary
during the initial assessment of a NB, the nurse palpates the femoral pulses and notes
that they are decreased bilaterally. the nurse knows that this indicates - ANS-
coarctation of the aorta and requires follow up
a pt has been moved to the surgery suite for a CS. there is an internal fetal scalp
electrode in place. this should be removed when the - ANS-abdominal prep is
completed
a vitamin k injection is necessary because of which of the following physiological states
present in the first few days of life? - ANS-absence of normal flora in the gut
one antenatal factor that predisposes a woman to PP infection is - ANS-anemia
a NB is at the highest risk for jaundice when delivery is - ANS-assisted
The NICHD definition of tachysystole refers to contractions from - ANS-both
spontaneous and stimulated labor
