OB exam 2 practice questions With Complete
Solutions
a 34 yr old women at 36 weeks of gestation has
been scheduled for a biophysical profile. She asks
the nurse why the test needs to be preformed. The
nurses says
a. determines how well her baby will breathe after
its born
b. evaluates the response of her babys heart to
uterine contractions
c. measures the babys head and length
d. observes her babys activites to utero to ensure
that her baby is getting oxygen Correct Answers
D
A client has undergone an amniocentesis for
evaluation of fetal well-being. Which intervention
would be included in the nurse s plan of care after
the procedure? (Select all that apply.)
Select all that apply.
a. Observe the client for possible uterine
contractions.
b. Perform a minicatheterization to obtain a urine
specimen to assess for bleeding.
c. Perform ultrasound to determine fetal
positioning.
d. Administer RhoGAM to the client if she is Rh
negative. Correct Answers a d
,A client who admits to substance abuse during the
pregnancy tells the nurse. "I know I am just a really
weak person, but I will try to cut down while I am
pregnant." Which response by the nurse would be
most therapeutic?
1."I don't believe that you are weak at all; you just
need to say no to drugs."
2." I have heard this before. You need to get
serious now or your baby will suffer."
3."That is a very positive plan. Could you tell me
more about feeling like a weak person?"
4."I am concerned about you and your baby. .
What can I do to help you?" Correct Answers 3
A client who is 28 weeks just completed her 1 hr
GTT and 3 hr GTT which she failed and has been
diagnosed with gestational diabetes. Which of the
following statements indicates she needs further
education?
1." My baby will need closely monitored for low
blood pressure after delivery."
2." I should not exercise as it may interfere with
my glucose control."
3."My insulin requirements may double or
quadruple in my last trimester."
4." I need to eat about 6 times per day and never
skip a meal." Correct Answers 2
,A client who is pregnant already has Type 2
diabetes with a hemoglobin A1c value of 7. The
nurse would categorize this client as having:
a. Pregestational diabetes mellitus.
b. Insulin-dependent diabetes complicated by
pregnancy.
c. Gestational diabetes.
d. Non-insulin-dependent diabetes with
complications. Correct Answers a
A group of nurses are discussing the concept of
pain experience during labor. Which statement
should the nurses identify as correct?
a. Sensory pain for nulliparous women often is
greater than for multiparous women during early
labor.
b. Affective pain for nulliparous women usually is
less than for multiparous women throughout the
first stage of labor.
c. Women with a history of substance abuse
experience more pain during labor.
Multiparous women have more fatigue from labor
and therefore experience more pain. Correct
Answers a
A multigravida woman 34 weeks gestation
presents to the clinic and is worried she might be
developing HELLP syndrome. Which of the
following is a true statements regarding HELLP?
, 1.HELLP usually develops during the postpartum
period.
2.African American women are more likely to
develop HELLP syndrome.
3.HELLP is characterized by hepatic dysfunction
and is recognized by low platelet counts and
elevating liver enzymes.
4.HELLP is characterized by renal dysfunction and
characterized by elevating Blood pressures,
proteinuria, and decreased urinary output. Correct
Answers 3
A nurse administers an opioid agonist analgesic to
a woman in active labor. Which medication should
the nurse identify as being used cautiously due to
potential impact on the fetus?
a. Meperidine (Demerol)
b. Fentanyl (Sublimaze)
c. Promethazine (Phenergan)
d. Nalbuphine (Nubain) Correct Answers a
A nurse is assessing a client at 42 weeks of
gestation. Which finding, if noted by the nurse
requires more assessment?
a. Cervix dilated 2 cm and 50% effaced
b. Score of 8 on the biophysical profile
c. Fetal heart rate of 116 beats/min
d. One fetal movement noted in 1 hour of
assessment by the mother Correct Answers d
Solutions
a 34 yr old women at 36 weeks of gestation has
been scheduled for a biophysical profile. She asks
the nurse why the test needs to be preformed. The
nurses says
a. determines how well her baby will breathe after
its born
b. evaluates the response of her babys heart to
uterine contractions
c. measures the babys head and length
d. observes her babys activites to utero to ensure
that her baby is getting oxygen Correct Answers
D
A client has undergone an amniocentesis for
evaluation of fetal well-being. Which intervention
would be included in the nurse s plan of care after
the procedure? (Select all that apply.)
Select all that apply.
a. Observe the client for possible uterine
contractions.
b. Perform a minicatheterization to obtain a urine
specimen to assess for bleeding.
c. Perform ultrasound to determine fetal
positioning.
d. Administer RhoGAM to the client if she is Rh
negative. Correct Answers a d
,A client who admits to substance abuse during the
pregnancy tells the nurse. "I know I am just a really
weak person, but I will try to cut down while I am
pregnant." Which response by the nurse would be
most therapeutic?
1."I don't believe that you are weak at all; you just
need to say no to drugs."
2." I have heard this before. You need to get
serious now or your baby will suffer."
3."That is a very positive plan. Could you tell me
more about feeling like a weak person?"
4."I am concerned about you and your baby. .
What can I do to help you?" Correct Answers 3
A client who is 28 weeks just completed her 1 hr
GTT and 3 hr GTT which she failed and has been
diagnosed with gestational diabetes. Which of the
following statements indicates she needs further
education?
1." My baby will need closely monitored for low
blood pressure after delivery."
2." I should not exercise as it may interfere with
my glucose control."
3."My insulin requirements may double or
quadruple in my last trimester."
4." I need to eat about 6 times per day and never
skip a meal." Correct Answers 2
,A client who is pregnant already has Type 2
diabetes with a hemoglobin A1c value of 7. The
nurse would categorize this client as having:
a. Pregestational diabetes mellitus.
b. Insulin-dependent diabetes complicated by
pregnancy.
c. Gestational diabetes.
d. Non-insulin-dependent diabetes with
complications. Correct Answers a
A group of nurses are discussing the concept of
pain experience during labor. Which statement
should the nurses identify as correct?
a. Sensory pain for nulliparous women often is
greater than for multiparous women during early
labor.
b. Affective pain for nulliparous women usually is
less than for multiparous women throughout the
first stage of labor.
c. Women with a history of substance abuse
experience more pain during labor.
Multiparous women have more fatigue from labor
and therefore experience more pain. Correct
Answers a
A multigravida woman 34 weeks gestation
presents to the clinic and is worried she might be
developing HELLP syndrome. Which of the
following is a true statements regarding HELLP?
, 1.HELLP usually develops during the postpartum
period.
2.African American women are more likely to
develop HELLP syndrome.
3.HELLP is characterized by hepatic dysfunction
and is recognized by low platelet counts and
elevating liver enzymes.
4.HELLP is characterized by renal dysfunction and
characterized by elevating Blood pressures,
proteinuria, and decreased urinary output. Correct
Answers 3
A nurse administers an opioid agonist analgesic to
a woman in active labor. Which medication should
the nurse identify as being used cautiously due to
potential impact on the fetus?
a. Meperidine (Demerol)
b. Fentanyl (Sublimaze)
c. Promethazine (Phenergan)
d. Nalbuphine (Nubain) Correct Answers a
A nurse is assessing a client at 42 weeks of
gestation. Which finding, if noted by the nurse
requires more assessment?
a. Cervix dilated 2 cm and 50% effaced
b. Score of 8 on the biophysical profile
c. Fetal heart rate of 116 beats/min
d. One fetal movement noted in 1 hour of
assessment by the mother Correct Answers d
