NUR 418 Exam 2 OB Questions With Complete Solutions
A labor patient who has delivered is now experiencing increased
vaginal bleeding, blood pressure changes from 120/89 to 100/72,
and a spontaneous nosebleed. What therapeutic treatment should
the nurse anticipate that the physician will order? Select all that
apply.
A! "Administration of Pitocin."
B! "Type and screen for 4 units blood."
C! "Administration of platelets."
D! "Heparin therapy."
E! "Initiation of oxygen therapy." Correct Answers C D E
A mother brings her 1-week-old baby to the clinic with
complaints that the baby is not eating well. The mother is
attempting to bottle feed about 120 mL every 2 hours. What
action by the nurse is best?
A. Explain that this is too much volume at one time.
B. Have the mother demonstrate her feeding and burping
technique.
C. Reassure the mother that the baby is eating fine.
D. Weigh the baby and plot her weight on a graph. Correct
Answers A
A mother-baby nurse assesses newborns for their risk of
developing hypoglycemia. Which infant would the nurse assess
as being at highest risk?
A. Asian ethnic background
B. Delayed feedings after birth
C. Infant with heat stress
D. Maternal use of terbutaline (Brethine) Correct Answers D
,A new mother requests that prophylactic eye medication not be
given to her newborn as she is concerned about the impact on
the maternal bonding experience. How should the nurse respond
to this concern?
A. Document the mother's request and do not administer the
medication.
B. Tell the mother that the medication is required to be given at
this time.
C. Allow some time for the mother-infant to bond and then
administer the medication.
D. Suggest that the medication be withheld until the newborn is
transferred to the nursery Correct Answers C
A new mother with a 6-hour-old infant calls the nursing station
complaining that her baby is so cold he is shivering. What action
by the nurse is most appropriate?
A. Bring warm blankets to wrap the baby in.
B. Encourage the mother to feed him a warmed bottle.
C. Perform a thorough head-to-toe assessment.
D. Set the room temperature higher. Correct Answers C
A new nurse is assessing baseline fetal heart tones (FHTs) by
auscultation and notes that the heart rate increased during a
contraction from 140 to 158. What action by the nurse preceptor
is best?
A. Gather equipment for internal FHT monitoring.
B. Have the nurse document FHT rate as 140/158 on the chart.
C. Instruct the nurse to assess FHT between contractions.
D. Tell the nurse to count only for 30 seconds. Correct Answers
C
, A nulliparous woman has been admitted to the labor and birth
unit. Her Bishop score is 4. What medication does the nurse plan
to administer?
A. Betamethasone (Celestone)
B. Hydromorphone (Dilaudid)
C. Misoprostol (Cytotec)
D. Oxytocin (Pitocin) Correct Answers c
A nulliparous woman in labor is 3 cm dilated at 10:00 a.m.
Based on knowledge of the average nulliparous woman's
progression, when would the nurse expect her to be fully
dilated?
A. 12:00 p.m.
B. 2:00 p.m.
C. 5:00p.m.
D. 10:00 p.m. Correct Answers C
A nurse assesses the fetal heart rate at 188 beats/minute in a
woman who is receiving a tocolytic medication to halt
contractions. Which action should the nurse take first?
A. Assess the maternal temperature and call the primary care
provider.
B. Document the findings in the patient's chart.
C. Have the woman get up and walk or change position.
D. Perform a vaginal exam to assess for cord compression.
Correct Answers A
A nurse assessing a fetal heart monitor notes minimal baseline
variability not associated with a fetal sleep cycle. There is no
A labor patient who has delivered is now experiencing increased
vaginal bleeding, blood pressure changes from 120/89 to 100/72,
and a spontaneous nosebleed. What therapeutic treatment should
the nurse anticipate that the physician will order? Select all that
apply.
A! "Administration of Pitocin."
B! "Type and screen for 4 units blood."
C! "Administration of platelets."
D! "Heparin therapy."
E! "Initiation of oxygen therapy." Correct Answers C D E
A mother brings her 1-week-old baby to the clinic with
complaints that the baby is not eating well. The mother is
attempting to bottle feed about 120 mL every 2 hours. What
action by the nurse is best?
A. Explain that this is too much volume at one time.
B. Have the mother demonstrate her feeding and burping
technique.
C. Reassure the mother that the baby is eating fine.
D. Weigh the baby and plot her weight on a graph. Correct
Answers A
A mother-baby nurse assesses newborns for their risk of
developing hypoglycemia. Which infant would the nurse assess
as being at highest risk?
A. Asian ethnic background
B. Delayed feedings after birth
C. Infant with heat stress
D. Maternal use of terbutaline (Brethine) Correct Answers D
,A new mother requests that prophylactic eye medication not be
given to her newborn as she is concerned about the impact on
the maternal bonding experience. How should the nurse respond
to this concern?
A. Document the mother's request and do not administer the
medication.
B. Tell the mother that the medication is required to be given at
this time.
C. Allow some time for the mother-infant to bond and then
administer the medication.
D. Suggest that the medication be withheld until the newborn is
transferred to the nursery Correct Answers C
A new mother with a 6-hour-old infant calls the nursing station
complaining that her baby is so cold he is shivering. What action
by the nurse is most appropriate?
A. Bring warm blankets to wrap the baby in.
B. Encourage the mother to feed him a warmed bottle.
C. Perform a thorough head-to-toe assessment.
D. Set the room temperature higher. Correct Answers C
A new nurse is assessing baseline fetal heart tones (FHTs) by
auscultation and notes that the heart rate increased during a
contraction from 140 to 158. What action by the nurse preceptor
is best?
A. Gather equipment for internal FHT monitoring.
B. Have the nurse document FHT rate as 140/158 on the chart.
C. Instruct the nurse to assess FHT between contractions.
D. Tell the nurse to count only for 30 seconds. Correct Answers
C
, A nulliparous woman has been admitted to the labor and birth
unit. Her Bishop score is 4. What medication does the nurse plan
to administer?
A. Betamethasone (Celestone)
B. Hydromorphone (Dilaudid)
C. Misoprostol (Cytotec)
D. Oxytocin (Pitocin) Correct Answers c
A nulliparous woman in labor is 3 cm dilated at 10:00 a.m.
Based on knowledge of the average nulliparous woman's
progression, when would the nurse expect her to be fully
dilated?
A. 12:00 p.m.
B. 2:00 p.m.
C. 5:00p.m.
D. 10:00 p.m. Correct Answers C
A nurse assesses the fetal heart rate at 188 beats/minute in a
woman who is receiving a tocolytic medication to halt
contractions. Which action should the nurse take first?
A. Assess the maternal temperature and call the primary care
provider.
B. Document the findings in the patient's chart.
C. Have the woman get up and walk or change position.
D. Perform a vaginal exam to assess for cord compression.
Correct Answers A
A nurse assessing a fetal heart monitor notes minimal baseline
variability not associated with a fetal sleep cycle. There is no
