OB - Maternity Exam 3 Questions with Complete Solutions
1. The priority nursing responsibility when caring for a woman experiencing
postpartum hemorrhage is to:: ( New answer, perform firm fundal massage)
2. Dr. Matthews also wants to discuss Viviana's possible complications due to
her Type 1 DM. What are the possible maternal complications related to type
1 DM?: HTN, preeclampsia/eclampsia, c/s, preterm birth, polyhdramnios, ketoacidosis/dka, hypoglycemia/hyper-
glycemia, risk for future diabetes
3. Naomi a 41-week G3P2 presents in L&D after a non-reactive nonstress test
(NST) indicates that her baby could be experiencing some difficulties in utero.
Which diagnostic tool yields the most appropriate detailed information about
her baby's well-being in this case?: Biophysical Profile (BPP)
4. Rachel, who is 33 weeks pregnant, went out to get the mail and
slipped on ice 3 hours ago. She twisted her right ankle landed on her right
hip. She is complaining of hip and ankle pain but not abdominal pain.
Her certified
nurse-midwife (CNM) ordered 4 hours of continuous fetal monitoring to rule
out what condition?: Placenta Abruption
5. Tessa asks her nurse, "My doctor told me that he is concerned with the
grade of my placenta because I am overdue. What does that mean?" What is
the nurse's best response?: Your placenta changes as your pregnancy progresses, and it is given a score
1/
10
, that indicates how well it is functioning.
6. A woman has come to the clinic for preconception counselling because she
wants to start trying to get pregnant. Which nutritional guidance should she
expect to receive?: Make sure you include adequate folic acid in your diet.
7. Becky is attempting the TOLAC. During augmentation of labor with IV
Pitocin she becomes pale & diaphoretic and reports severe lower abdominal
pain. Fetal distress shown as a prolonged deceleration is noted on the
monitor. The nurse should suspect a/an:: Rupture of the uterus.
8. Robin is 22 weeks pregnant with her first child. She has had an uncomplicated
prenatal course so far with a history of a LEEP procedure done 3 years ago. She
presents at the office for her routine ultrasound. The fetal measurements are WNL
and the vaginal ultrasound shows her cervix is already funneling down to
2.1cm. With these current findings you expect:: A consult for cervical insufficiency and expect a
rescue cerclage to be placed. (Pre Term Birth)
9. Joanne is a 40-year-old primigravida who delivered a 9 pound, 4 ounce
baby after 3 hours of pushing. A vacuum extractor was used and she
sustained a 4th degree laceration. A laceration of this type extends:: Anal sphincter &
rectum tear
10. After the delivery of a LGA baby, the nurse notes the mother has
bright red blood continuously trickling from her vagina. Her fundus is firm and
2/
10
1. The priority nursing responsibility when caring for a woman experiencing
postpartum hemorrhage is to:: ( New answer, perform firm fundal massage)
2. Dr. Matthews also wants to discuss Viviana's possible complications due to
her Type 1 DM. What are the possible maternal complications related to type
1 DM?: HTN, preeclampsia/eclampsia, c/s, preterm birth, polyhdramnios, ketoacidosis/dka, hypoglycemia/hyper-
glycemia, risk for future diabetes
3. Naomi a 41-week G3P2 presents in L&D after a non-reactive nonstress test
(NST) indicates that her baby could be experiencing some difficulties in utero.
Which diagnostic tool yields the most appropriate detailed information about
her baby's well-being in this case?: Biophysical Profile (BPP)
4. Rachel, who is 33 weeks pregnant, went out to get the mail and
slipped on ice 3 hours ago. She twisted her right ankle landed on her right
hip. She is complaining of hip and ankle pain but not abdominal pain.
Her certified
nurse-midwife (CNM) ordered 4 hours of continuous fetal monitoring to rule
out what condition?: Placenta Abruption
5. Tessa asks her nurse, "My doctor told me that he is concerned with the
grade of my placenta because I am overdue. What does that mean?" What is
the nurse's best response?: Your placenta changes as your pregnancy progresses, and it is given a score
1/
10
, that indicates how well it is functioning.
6. A woman has come to the clinic for preconception counselling because she
wants to start trying to get pregnant. Which nutritional guidance should she
expect to receive?: Make sure you include adequate folic acid in your diet.
7. Becky is attempting the TOLAC. During augmentation of labor with IV
Pitocin she becomes pale & diaphoretic and reports severe lower abdominal
pain. Fetal distress shown as a prolonged deceleration is noted on the
monitor. The nurse should suspect a/an:: Rupture of the uterus.
8. Robin is 22 weeks pregnant with her first child. She has had an uncomplicated
prenatal course so far with a history of a LEEP procedure done 3 years ago. She
presents at the office for her routine ultrasound. The fetal measurements are WNL
and the vaginal ultrasound shows her cervix is already funneling down to
2.1cm. With these current findings you expect:: A consult for cervical insufficiency and expect a
rescue cerclage to be placed. (Pre Term Birth)
9. Joanne is a 40-year-old primigravida who delivered a 9 pound, 4 ounce
baby after 3 hours of pushing. A vacuum extractor was used and she
sustained a 4th degree laceration. A laceration of this type extends:: Anal sphincter &
rectum tear
10. After the delivery of a LGA baby, the nurse notes the mother has
bright red blood continuously trickling from her vagina. Her fundus is firm and
2/
10
