OB/PEDS Final Questions Study Guide

A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? ANS: - C. Shortness of Breath Most side effects associated with combined oral contraceptives are due to: ANS: - estrogen Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger sign of COC's you would ask her to report? ANS: - D. Severe migraine headache Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last menstrual flow began on July 20, which due date would the nurse estimate? ANS: - A. April 27 Which of the following nursing interventions is appropriate when preparing a woman for an amniocentesis? ANS: - B. Be certain she knows that there is a slight risk of complication, such as preterm labor, from amniocentesis. T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either blood serum or urinalysis: ANS: - True A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity. ANS: - B. Lecithin/sphingomyelin (L/S) ratio Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is successful, what instructions would be best to give her before this procedure? ANS: - A. Void immediately before the procedure to reduce the size of your bladder. A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in teaching? ANS: - C. You should empty your bladder prior to the procedure A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy, which of the following finding should the nurse expect? (select all) ANS: - B. Goodell's sign C. Ballottement D. Chadwick's sign _____________ or objective symptoms are experienced by the woman but cannot be documented. ANS: - Presumptive Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means, your best answer would be which of the following? ANS: - D. Your vagina looks dark in color, a typical pregnancy sign. Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit should you cite when responding to Sandra's statement? ANS: - C. It provides time for education about pregnancy and birth. Protein is found in large quantities in meat. How many servings per day are recommended for women during pregnancy? ANS: - C. 6 What calorie intake is recommended during pregnancy? ANS: - A. An additional 300 calories per day 16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs. ANS: - complex carbs What vitamins come from what foods • Vitamin A • Vitamin C • Vitamin D • Folic Acid ANS: - • Vitamin A- dark green and yellow vegetables and fruits and in animal sources such as liver, milk, butter, cheese, and eggs • Vitamin C-fresh vegetables and fruits • Vitamin D- fortified milk, cheese, eggs, and salmon • Folic Acid- vegetables and fruits If a fetus is in an ROA position during labor, how would the nurse understand the fetus be positioned? A. In a longitudinal lie facing the left posterior. B. Facing the right anterior abdominal quadrant. C. In a common breech delivery position. D. Presenting with the face as the presenting part. ANS: - A. In a longitudinal lie facing the left posterior. Although the time frame for labor differs with individual women, which time period would you find excessive for a nullipara woman? A. A latent phase of labor of 24 hours B. A deceleration phase of 2 hours C. A phase of maximum slope of 1.5 cm per hour D. A fetal descent slope of 1 cm per hour ANS: - A. A latent phase of labor of 24 hours 20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? a. Apply palms of hands to sides of the uterus. b. Palpate the fundus of the uterus c. Grasp lower uterine segment between thumb and fingers d. Stand facing the client with fingertips outlining cephalic prominence ANS: - b. Palpate the fundus of the uterus You are collaborating with celeste baileys obstetrician and you are planning possible interventions in light of fetal position. Which of the following positions is considered ideal and is most conductive to a birth that requires few interventions by the obstetrician? A. Right occipoanterior with full flexion. B. left transverse anterior in moderate flexion C. right occipitoposterior with no flexion D. left sacroanterior with full flexion ANS: - A. Right occipoanterior with full flexion. You assess Celeste's uterine contractions and the FHR. Which of the following would you document as a late deceleration? a. The FHR began increasing 45 seconds after the contraction was over b. The FHR decreased in rate 30 seconds after the start of a contraction c. The FHR decreased in strength after the start of a contraction d. A decrease in FHR occurs but is totally unrelated to timing. ANS: - b. The FHR decreased in rate 30 seconds after the start of a contraction A 19-year-old first-time mother in the second stage of labor who has been given an epidural reports severe, unrelenting abdominal pain and rates it as 10 on a scale of 0 to 10. As the nurse, what should you do? A- Proceed with standard care; the nurse knows that this is typical in the second stage of labor and that younger women and those who are first-time mothers are more likely to report severe pain. B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other undiagnosed complication. C- Call the anesthetist, who is responsible for managing the epidural and should be monitoring the woman's pain. D- Discuss with the woman the additional pain medication options available to her at this stage in her labor so that she can choose which option she prefers. ANS: - B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other undiagnosed complication The nurse is assisting a woman through labor, monitoring her closely now that she has received an epidural. The nurse would report which finding to the anesthesiologist? A. Dry, cracked lips B. Urinary retention C. Rapid progress of labor D. Inability to push ANS: - D. Inability to push