ob test 1 questions (1) (2) (1) ALL ANSWERS 100% CORRECT ‘SOLVED’ 2022 EDITION GUARANTEED GRADE A+

1. The first question was figure out the G/P total # pregnancy and para: total #deliveries T/T/P/A/L: T: means total pregnancy, term: 37 weeks and later,pre: before 37, Abortion and total living o Calculate the Estimated date of delivery- o Naegles o Recall last period o Subtract 3 months o Add 7 days o Add one year o 2. What would be the nursing priority when providing teaching to a 16-year-old pregnant client? Nutritional needs/prenatal care- calcium and iron 3. The pregnant woman is experiencing cramping in her lower leg what do you suggest? Dorsiflex the foot toward the body • A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to: Dorsiflex the foot while extending the knee when the cramps occur 4. At what gestational age does the fetus begin to swallow amniotic fluid? 8-11 weeks 5. The patient asks When is the best time to take iron? Empty stomach or at bedtime if upsets in between meals 6. The question was if you see Trisomy XXY in a male fetus? Its Klinefelter syndrome 7. At what gestational age can the baby hear? 18weeks 8. A pregnant woman has a spontaneous abortion at 12-week gestation, and wants to know what caused it, what do you reply? Most cases of spontaneous abortion are due to genetics 9. What is the role of the genetic counseling nurse? Pg 55 -provide appropriate genetics information before, during, and after the initial genetics counseling session; -construct family pedigrees of three or more generations; -clarify the genetics information that family members receive during counseling sessions or from other sources such as the public library, the Internet, or support groups; -help families manage the challenges associated with living with a genetic disorder; -make referrals to support groups and national organizations; -provide long-term follow-up of families affected by genetic conditions 10. The nurse determines that she needs to intervene when the nursing student does what? Attempt a vaginal exam on a woman with placenta previa because they can bleed. 11. A 12-week gestational pregnant woman presents to the hospital with dark red blood and vaginal bleeding (Cullen’s sign) what do you suspect? Placenta abruption 12. The patient is on Mag sulfate and your assessment reveals 0 reflexes (mag is a muscle relaxer) I said call the doctor p664 mag toxicity 13. is of most concern? Weak pulse 14. The mom is having a stress test done and after 20 min it shows no decelerations what does the nurse document? Negative test- 2 or more accelerations of at least 15 bpm lasting at least 15 seconds during a 20 minute period this is considered reactive, if baby heart rate does not go up it is non-reactive 15. What is the nursing priority when measuring fundal height? have patient empty the bladder- From 18-32 weeks the height is measured in cm & w/an empty bladder should be approx. the same as the # of weeks 16. What can be assessed on an ultrasound at 20 weeks gestation? 2nd trimester – to confirm gestational age, confirm viability, detect polyhydramnios/oligohydramnios, detect congenital anomalies, detect IUGR, assess placenta location, use for visualization for amniocentesis 17. At 12 weeks what is the priority before performing an ultrasound? Instruct pt to drink 3 or 4 glasses of water. You want the bladder full on the early ultrasound. A full bladder is not needed if US is done transvaginally instead of abdominally 18. The other ultrasound question was empty the bladder because the woman was further along in pregnancy. . Amniocentesis-Empty bladder (if late) to avoid puncturing bladder 19. What test do you do to confirm Down syndrome? Chorionic Villi Sampling (CVS) 20. The quadruple test is used to diagnose what in a newborn? The quad screen can help estimate your baby's risk of Down syndrome, Edward's syndrome (trisomy 18), and neural tube defects. It works by testing the levels of four substances in your blood: alpha-fetoprotein (AFP), human chorionic gonadotropin, estriol, and inhibin A. 21. What assessment is performed by the health care provider to check for a soft cervix? Goodel test 22. A nurse is caring for 4 pregnant clients, which one should she assess first? I chose the one having pelvic pain 23. The pregnant patient presents to the clinical with no abnormal vital signs or symptoms but has vaginal bleeding, you suspect placenta previa, what is the intervention? a. If under 36 wk- Give steroid, IV, good heart tones i. Bed rest with limited activity (15-30 min at a time 4 times a day) ii. Pelvic rest iii. Monitor pads and linens iv. Mag- if contractions are identified b. If over 36 wks- induce, bad heart tones If placenta lies within 2 cm of cervix and in 3rd trimester Birth is indicated by cesarean if symptoms are present, if asymptomatic, continue with normal birth. 24. The husband of a pregnant client is experiencing symptoms of pregnancy, what do you tell him? Its normal Couvade symptoms- sympathetic pregnancy 25. The ideal glucose level for a pre-gestational diabetic client? 60-98 26. She presented a client with all these abnormal labs, the only one I saw that stood out was LDH of 100..I chose HELLP syndrome but Im still not sure if I was right HELPP : Hemolysis -Elevated Liver enzymes (AST, ALT &/or LDH) LDH- 160-450 for babies -Low Platelet count 27. The client with a pregestational BMI of 17 is expected to gain how many pounds and be in normal range? Recommended for women under 18.5 BMI is 28-40 pounds 28. The nursing interventions and priorities for a mom delivering at 41 weeks gestation?? 29. The nurse is providing education for a client who was exposed to Rubella and tells her what is her baby most at risk for when born? Hearing loss Fetal: congenital heart defects, IUGR, blind, deaf 30. When mom is RH negative and baby is positive, at what trimester (or week) is it safe to give Rhogam? 28 weeks 31. What symptoms would lead you to believe that a patient with mild preeclampsia has now escalated to severe preeclampsia? Severe Preclampsia: BP over 160/110 4 hours apart 32. At what weeks (or trimester) does the glucose need increase and decrease for a diabetic mom? Note that mom’s body becomes more insulin resistant in 2nd & 3rd trimester 33. How is the diagnosis of gestational diabetes made? 3hour fasting glucose 34. Pregnant woman who is considered at risk for preterm labor, what do you advise her not to do? a. Hydrate! Drink 3 glasses of water – decreases uterine irritability b. Empty bladder c. Lay on lef t side – increases perfusion to uterus d. If cramping or s/s go away, good. If not, notify provider, check for cervical change. If cervical change, admit to hospital and try to calm uterus, then send home i. If pt has to take mag sulfate, will remain in hospital because pt can only receive this IV e. Lifestyle modifications i. Home care (w/ uterine activity monitoring) ii. Bed rest/pelvic rest 35. Why do you tell the patient to stay away from cat litter? it can cause toxoplasmosis 36. The amniotic fluid is determined to be 300 cc, what is the baby most at risk for?