ELITE COMPREHENSIVE
NCLEX-RN OBSTETRICS AND GYNECOLOGY TEST
Antenatal Care, Intrapartum Management and
Postpartum Nursing|| Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
Which of the following situations would most likely warrant contact with a physician for
further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain
✓ C. When caring for postpartum patients, the nurse must be familiar
with what conditions are common occurrences following delivery and
what situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is boggy
and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache when she
sits up in bed. The physician has instructed the patient that she will need a blood patch.
Which best describes this procedure?
1
A. Removing blood from a vein in the patient and injecting it into the epidural space in
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the back
, B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term control
D. Placement of a nerve block in the spinal column at the location of the affected
epidural space
✓ When CSF leaks out of the epidural space a severe headache in the
patient can occur. A blood patch can be performed by a physician to
close the site. The small amount of blood is withdrawn from the
mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and needs her
morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed a
hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the physician
comes to dismiss her
✓ C. A patient with a hematoma is at risk of hemorrhage and the nurse
should assess her first
On the first following delivery, the physician ordered a hemoglobin level for the patient;
the result was 9.9 g/dL. The physician did not list any other orders in the patient's chart
since that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
2
D. continue to monitor the patient and document the result
Page
, ✓ B. A postpartum patient is at risk of hemorrhage following delivery;
often the physician will order a hemoglobin level 1-2 days after
delivery to check the mother's risk status. A level of 9.9 g/dL is lower
than normal for a female patient, but is not necessarily low enough to
warrant a blood transfusion.
The patient's medical record states that she tested positive for group B Streptococcus
infection. which of the following precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary
✓ B- B. Streptococcus can be transferred to the baby during delivery to
cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not
given until the mother is in labor to reduce the chance that she will
pass the infection to her child
When reviewing information about infant care, the nurse should explain that the
postpartum client should call the physician if her infant developed which of the following
conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth
✓ D- If a baby has dry mouth or dry mucous membranes, he or she
3
could be dehydrated and not getting enough to eat.
Page
NCLEX-RN OBSTETRICS AND GYNECOLOGY TEST
Antenatal Care, Intrapartum Management and
Postpartum Nursing|| Final Spring Exam
QUESTIONS AND ANSWERS|| GRADE A+
Which of the following situations would most likely warrant contact with a physician for
further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain
✓ C. When caring for postpartum patients, the nurse must be familiar
with what conditions are common occurrences following delivery and
what situations warrant a call to the physician for further help.
Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is boggy
and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache when she
sits up in bed. The physician has instructed the patient that she will need a blood patch.
Which best describes this procedure?
1
A. Removing blood from a vein in the patient and injecting it into the epidural space in
Page
the back
, B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term control
D. Placement of a nerve block in the spinal column at the location of the affected
epidural space
✓ When CSF leaks out of the epidural space a severe headache in the
patient can occur. A blood patch can be performed by a physician to
close the site. The small amount of blood is withdrawn from the
mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and needs her
morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed a
hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the physician
comes to dismiss her
✓ C. A patient with a hematoma is at risk of hemorrhage and the nurse
should assess her first
On the first following delivery, the physician ordered a hemoglobin level for the patient;
the result was 9.9 g/dL. The physician did not list any other orders in the patient's chart
since that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
2
D. continue to monitor the patient and document the result
Page
, ✓ B. A postpartum patient is at risk of hemorrhage following delivery;
often the physician will order a hemoglobin level 1-2 days after
delivery to check the mother's risk status. A level of 9.9 g/dL is lower
than normal for a female patient, but is not necessarily low enough to
warrant a blood transfusion.
The patient's medical record states that she tested positive for group B Streptococcus
infection. which of the following precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary
✓ B- B. Streptococcus can be transferred to the baby during delivery to
cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not
given until the mother is in labor to reduce the chance that she will
pass the infection to her child
When reviewing information about infant care, the nurse should explain that the
postpartum client should call the physician if her infant developed which of the following
conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth
✓ D- If a baby has dry mouth or dry mucous membranes, he or she
3
could be dehydrated and not getting enough to eat.
Page
