WITH CORRECT ANSWERS GRADED A+
◍ How often is a pregnant patient that is 12 weeks go to the provider?.
Answer: Monthly
◍ A patient comes in for the 1st prenatal visit. She is tested for rubella and is
non-immune. What education should we provide to the patient?.
Answer: Stay away from anyone that may have rubella, including children
◍ What is one method to relieve a patient who is experiencing preeclampsia?.
Answer: deliver the infant
◍ A patient is taking an estrogen-progestin therapy drug for reduction of
menopause symptoms.What is the patient at risk for taking this long term?.
Answer: Can lead to breast cancer
◍ Risk to taking amniocentesis.
Answer: -Spontaneous miscarriage-vaginal bleeding-leaking of amniotic
fluid
◍ A female client has just been diagnosed with condylomata acuminata
(Genital warts). What information is appropriate to tell the client?.
Answer: This condition puts her at a higher risk for cervical cancer;
therefore, she should have a Papanicolaou (pap) Smear annually
◍ What medication can be used to prevent preterm labor?.
Answer: indomethacin
◍ You are providing patient teaching to a patient that is 6 weeks pregnant.
What is the priority teaching for this patient?.
Answer: The dangers of vaginal bleeding
◍ Trisomy 21.
, Answer: Down syndrome
◍ What is hyperemesis gravidarum?.
Answer: excessive vomiting during pregnancy
◍ A patient arrives for an OB visit. Upon vaginal exam, the patient is noted to
have a bluish cervix. What sign is this?.
Answer: Chadwick's sign
◍ You have a patient that comes in for a prenatal apt at 26 weeks. She has had
2 other term pregnancies and 1 SAB (spontaneous abortion) what would be
her GTPAL?.
Answer: G4 T2 P0 A1 L2
◍ TORCH infections include.
Answer: - Toxoplasmosis - Other (Hep B)- Rubella
-Cytomegalovirus-Herpes
◍ DIC.
Answer: - Secondary condition- Random bruises- Give heparin- Worried
about platelets and clotting
◍ The nursing instructor explains to a class that important effects of estrogen
in theproliferative phase of the uterine cycle include which of the
following?.
Answer: Cause changes in cervical mucus to facilitate sperm penetration
◍ A patient is 20 weeks pregnant and comes into the office complaining of
tightening in herstomach. She states, "It does not hurt, and they just come
and go." She wants to know what is happening, and if she should be
concerned. How would you teach the patient about Braxton Hicks
contractions?.
Answer: Educate the patient Braxton- Hicks contractions are painless,
staying hydrated and walking will relieve the Braxton Hicks contractions.
◍ A 22-year-old woman who is 35 weeks gestation presents with supine
hypotension. What would be the most appropriate action for the nurse to do
, next?.
Answer: position the pt on their left lateral side
◍ A patient arrives to the OB office with her partner. Upon arrival the partner
seemsdisinterested in the visit, how could you get the partner engaged?.
Answer: Invite the partner to listen to the FHR
◍ A patient comes to the office complaining of fatigue. Upon CBC her hgb is
10g/dl. Whateducation would we provide to the patient?.
Answer: Your Hgb is a little low, make sure you are drinking 6-8 glasses of
water a day, and eat meals that are high in protein.
◍ A patient is 38 weeks pregnant and is complaining of SOB, and has a history
of asthma. What education would you provide to the patient?.
Answer: Take prescribed asthma medication when necessary
◍ Nifedipine.
Answer: Calcium channel blocker used to inhibit preterm labor by
decreasing the activation of smooth muscles.
◍ If you have a patient that is suspected to have placental abruption what is the
1st thing we want to make sure she has?.
Answer: Large bore IV access
◍ What are S/S of danger to educate patient on in First Trimester?.
Answer: ○ n/v- leads to dehydration○ Bleeding- spontaneous abortion, pain,
emotional support○ Infection- notify MD
◍ Diagnosis and management of placental abruption?.
Answer: -Depends on size could include immediate delivery-ultrasound
evidence of hemorrhage
◍ A 35-year-old female suspects she may be pregnant. The physician notes in
the chart that the lower uterine segment is soft. As the nurse, you know this
as?.
Answer: Hegar's Sign
◍ Hysterosalpingogram.