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OB Proctor Review{NURS 306} With Answers LATEST 2021/2022

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OB Proctor Review 1. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (select all that apply) A. Occupation B. Menstrual history C. Childhood infectious diseases D. History of falls E. Recent blood transfusions A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace, such as radiation, chemicals, herbicides, and pesticides. B. CORRECT: Menstrual history can identify hormone-related patterns, such as anovulation, pituitary disorders, and endometriosis. C. CORRECT: Childhood infectious diseases can identify the mail partner having the mumps. D. A history of falls is not a consideration in the assessment. E. A recent blood transfusion is not a consideration in the assessments. 2. A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15 A.CORRECT: April 1st minus 3 months plus 7days and 1 year equals an estimated date of delivery of January 8. B. This is incorrect using Nagele's Rule. C. This is incorrect using Nagele's Rule. D. This is incorrect using Nagele's Rule. A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record incudes this data: G3 T1 PO A1 L1. How should the nurse interpret this information? (select all that apply) A. Client has delivered one newborn term B. Client has experienced no preterm labor C. Client has been through active labor twice D. Client has had two prior pregnancies E. Client has one living child A. CORRECT: T1 indicates the client has delivered one newborn at term. B. CORRECT: PO indicates the client has had no preterm deliveries. C. A1 indicates the client has had one miscarriage. D. CORRECT: G3 indicates the client has had two prior pregnancies and the client is currently pregnant. E. CORRECT: L1 indicates the client has one living child. 3. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (select all that apply) A.Montgomery's glands B.Goodell's sign C. Ballottement D.Chadwick's Sign E. Quickening A. Montgomery's glands are a presumptive sign of pregnancy. B. CORRECT: Goodell's sign is a probable sign of pregnancy. C. CORRECT: Ballottement is a probable sign of pregnancy. D. CORRECT: Chadwick's' sign is a probable sign of pregnancy. E. Quickening is a presumptive sign of pregnancy. Page 1 of 13 OB Proctor Review 4. A nurse is teaching a client who is at 8 weeks of gestation about nutrition during pregnancy. Which of the following statements should the nurse include in the teaching? A. "You should consume 2 cups of milk daily." B. "You should consume 4 ounces of grains each day." C. "You should consume 2 cups of vegetables each day." D. "You should consume 6 ounces of protein foods daily." A. The nurse should instruct the client to consume 3 cups of dairy daily. It is best to select fat free or low fat dairy products. B. The nurse should instruct the client to consume 6 to 8 ounces of grains daily. The client should consume at least half of the servings as whole grains. C. The nurse should instruct the client to consume 2.5 to 3 cups of vegetables daily. The client should vary the type of vegetables to obtain various amounts of different nutrients. D. CORRECT: The nurse should instruct the client to consume 5.5 to 6.5 ounces of protein foods each day. The client should select highprotein foods, such as legumes, nuts, eggs and lean meat or poultry. 5. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A. "I should increase my protein intake to 60 grams each day." B. "I should drink 2 liters of water each day." C. "I should increase my overall daily caloric intake by 300 calories." D. "I should take 600 micrograms of folic acid each day." A. A client who is pregnant should increase protein intake to 71 grams each day during the second and third trimesters. B. A client who is pregnant should consume 3 liters of water each day. C. A client who is pregnant should increase caloric intake by 340 calories during the second trimester and 452 calories during the third trimester. D. CORRECT: A client who is pregnant should increase folic acid intake to 600mcg daily. Folic acid assists with preventing neural tube birth defects. 6. A nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (select all that apply)

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OB IProctor IReview


1. A Inurse Iin Ian Iinfertility Iclinic Iis Iproviding Icare Ito Ia Icouple Iwho Ihas Ibeen Iunable Ito Iconceive Ifor I18 Imonths. IWhich Iof Ithe Ifollowing
Idata Ishould Ibe Iincluded Iin Ithe Iassessment? I(select Iall Ithat Iapply)

A. Occupation
B. Menstrual Ihistory
C. Childhood Iinfectious Idiseases
D. History Iof Ifalls
E. Recent Iblood Itransfusions
A. CORRECT: IOccupational Ihazards Iinclude Iexposure Ito Iteratogenic Isubstances Iin Ithe Iworkplace, Isuch Ias Iradiation, Ichemicals, Iherbicides,
Iand Ipesticides.

B. CORRECT: IMenstrual Ihistory Ican Iidentify Ihormone-related Ipatterns, Isuch Ias Ianovulation, Ipituitary Idisorders, Iand Iendometriosis.
C. CORRECT: IChildhood Iinfectious Idiseases Ican Iidentify Ithe Imail Ipartner Ihaving Ithe Imumps.
D. A Ihistory Iof Ifalls Iis Inot Ia Iconsideration Iin Ithe Iassessment. IE. IA Irecent Iblood Itransfusion Iis Inot Ia Iconsideration Iin Ithe Iassessments.

2. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Ipregnant Iand Istates Ithat Iher Ilast Imenstrual Iperiod Iwas IApril I1st. IWhich Iof Ithe Ifollowing Iis Ithe
Iclient's Iestimated Idate Iof Idelivery?

A. January I8
B. January I15
C. February I8
D. February I15
A.CORRECT: IApril I1st Iminus I3 Imonths Iplus I7days Iand I1 Iyear Iequals Ian Iestimated Idate Iof Idelivery Iof IJanuary I8.
B. This Iis Iincorrect Iusing INagele's IRule.
C. This Iis Iincorrect Iusing INagele's IRule.
D. This Iis Iincorrect Iusing INagele's IRule.

A Inurse Iin Ia Iprenatal Iclinic Iis Icaring Ifor Ia Iclient Iwho Iis Iin Ithe Ifirst Itrimester Iof Ipregnancy. IThe Iclient's Ihealth Irecord Iincudes Ithis Idata: IG3 IT1 IPO IA1
IL1. IHow Ishould Ithe Inurse Iinterpret Ithis Iinformation? I(select Iall Ithat Iapply)

A. IClient Ihas Idelivered Ione Inewborn Iterm
IB. IClient Ihas Iexperienced Ino Ipreterm

Ilabor

C. IClient Ihas Ibeen Ithrough Iactive Ilabor Itwice
D. IClient Ihas Ihad Itwo Iprior
IpregnanciesIE. IClient Ihas Ione Iliving

Ichild

A. CORRECT: IT1 Iindicates Ithe Iclient Ihas Idelivered Ione Inewborn Iat Iterm.
B. CORRECT: IPO Iindicates Ithe Iclient Ihas Ihad Ino Ipreterm Ideliveries.
C. A1 Iindicates Ithe Iclient Ihas Ihad Ione Imiscarriage.
D. CORRECT: IG3 Iindicates Ithe Iclient Ihas Ihad Itwo Iprior Ipregnancies Iand Ithe Iclient Iis Icurrently Ipregnant.
E. CORRECT: IL1 Iindicates Ithe Iclient Ihas Ione Iliving Ichild.

3. A Inurse Iis Ireviewing Ithe Ihealth Irecord Iof Ia Iclient Iwho Iis Ipregnant. IThe Iprovider Iindicated Ithe Iclient Iexhibits Iprobable Isigns Iof Ipregnancy.
IWhich Iof Ithe Ifollowing Ifindings Ishould Ithe Inurse Iexpect? I(select Iall Ithat Iapply)

A. Montgomery's Iglands
B. Goodell's I sign
IC. IBallottement

ID.Chadwick's

ISign

E. IQuickening
A. Montgomery's Iglands Iare Ia Ipresumptive Isign Iof Ipregnancy.
B. CORRECT: IGoodell's Isign Iis Ia Iprobable Isign Iof Ipregnancy.
C. CORRECT: IBallottement Iis Ia Iprobable Isign Iof Ipregnancy.
D. CORRECT: IChadwick's' Isign Iis Ia Iprobable Isign Iof Ipregnancy.
E. Quickening Iis Ia Ipresumptive Isign Iof Ipregnancy.




Page I1 Iof I13

,OB IProctor IReview

4. A Inurse Iis Iteaching Ia Iclient Iwho Iis Iat I8 Iweeks Iof Igestation Iabout Inutrition Iduring Ipregnancy. IWhich Iof Ithe Ifollowing Istatements Ishould
Ithe Inurse Iinclude Iin Ithe Iteaching?

A. "You Ishould Iconsume I2 Icups Iof Imilk Idaily."
B. "You Ishould Iconsume I4 Iounces Iof Igrains Ieach Iday."
C. "You Ishould Iconsume I2 Icups Iof Ivegetables Ieach Iday."
D. "You Ishould Iconsume I6 Iounces Iof Iprotein Ifoods Idaily."
A. The Inurse Ishould Iinstruct Ithe Iclient Ito Iconsume I3 Icups Iof Idairy Idaily. IIt Iis Ibest Ito Iselect Ifat Ifree Ior Ilow Ifat Idairy Iproducts.
B. The Inurse Ishould Iinstruct Ithe Iclient Ito Iconsume I6 Ito I8 Iounces Iof Igrains Idaily. IThe Iclient Ishould Iconsume Iat Ileast Ihalf Iof Ithe Iservings
Ias Iwhole Igrains.

C. The Inurse Ishould Iinstruct Ithe Iclient Ito Iconsume I2.5 Ito I3 Icups Iof Ivegetables Idaily. IThe Iclient Ishould Ivary Ithe Itype Iof Ivegetables Ito
Iobtain Ivarious Iamounts Iof Idifferent Inutrients.

D. CORRECT: IThe Inurse Ishould Iinstruct Ithe Iclient Ito Iconsume I5.5 Ito I6.5 Iounces Iof Iprotein Ifoods Ieach Iday. IThe Iclient Ishould Iselect
Ihigh- Iprotein Ifoods, Isuch Ias Ilegumes, Inuts, Ieggs Iand Ilean Imeat Ior Ipoultry.




5. A Inurse Iis Iteaching Ia Iclient Iwho Iis Iat I10 Iweeks Iof Igestation Iabout Inutrition Iduring Ipregnancy. IWhich Iof Ithe Ifollowing Istatements Iby
Ithe Iclient Iindicates Ian Iunderstanding Iof Ithe Iteaching?

A. "I Ishould Iincrease Imy Iprotein Iintake Ito I60 Igrams Ieach Iday."
B. "I Ishould Idrink I2 Iliters Iof Iwater Ieach Iday."
C. "I Ishould Iincrease Imy Ioverall Idaily Icaloric Iintake Iby I300 Icalories."
D. "I Ishould Itake I600 Imicrograms Iof Ifolic Iacid Ieach Iday."
A. A Iclient Iwho Iis Ipregnant Ishould Iincrease Iprotein Iintake Ito I71 Igrams Ieach Iday Iduring Ithe Isecond Iand Ithird Itrimesters.
B. A Iclient Iwho Iis Ipregnant Ishould Iconsume I3 Iliters Iof Iwater Ieach Iday.
C. A Iclient Iwho Iis Ipregnant Ishould Iincrease Icaloric Iintake Iby I340 Icalories Iduring Ithe Isecond Itrimester Iand I452 Icalories Iduring Ithe
Ithird Itrimester.

D. CORRECT: IA Iclient Iwho Iis Ipregnant Ishould Iincrease Ifolic Iacid Iintake Ito I600mcg Idaily. IFolic Iacid Iassists Iwith Ipreventing Ineural Itube Ibirth
Idefects.




6. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Iat I14 Iweeks Igestation Iand Ihas Ihyperemesis Igravidarum. IThe Inurse Ishould Iidentify Ithat Iwhich Iof
Ithe Ifollowing Iare Irisk Ifactors Ifor Ithe Iclient? I(select Iall Ithat Iapply)

A. Obesity
B. Multifetal Ipregnancy
C. Maternal Iage Igreater Ithan I40
D. Migraine Iheadache
E. Oligohydramnios
A. CORRECT: IObesity Iis Ia Irisk Ifactor Ifor Ihyperemesis Igravidarum.
B. CORRECT: IMultifetal Ipregnancy Iis Ia Irisk Ifactor Ifor Ihyperemesis Igravidarum.
C. Maternal Iage Iless Ithan I30 Iis Ia Irisk Ifactor Ifor Ihyperemesis Igravidarum.
D. CORRECT: IMigraine Iheadache Iis Ia Irisk Ifactor Ifor Ihyperemesis Igravidarum.
E. Oligohydramnios Iis Inot Ia Irisk Ifactor Ifor Ihyperemesis Igravidarum.

7. A Inurse Iin Ia Iprenatal Iclinic Iis Icaring Ifor Ifour Iclients. IWhich Iof Ithe Ifollowing Iclients' Iweight Igain Ishould Ithe Inurse Ireport Ito Ithe Iprovider?
A. 1.8 Ikg I(4 Ilb) Iweight Igain Iand Iis Iin Iher Ifirst Itrimester.
B. 3.6 Ikg I(8 Ilb) Iweight Igain Iand Iis Iin Iher Ifirst Itrimester.
C. 6.8 Ikg I(15 Ilb) Iweight Igain Iand Iin Iher Ifirst I& Isecond Itrimester.
D. 11.3 Ikg I(25 Ilb) Iweight Igain Iand Iin Iher Ifirst Isecond I& Ithird Itrimester.
A. This Iclient Ihas Igained Ithe Iappropriate Iweight Iof I2 Ito I6 Ilb Ifor Ia Iclient Iin Iher Ifirst Itrimester.
B. CORRECT: IThe Inurse Ishould Ibe Iconcerned Iabout Ithis Iclient Ibecause Ishe Ihas Iexceeded Ithe Iexpected I2 Ito I6 IIb Iweight Igain Iof Ia Iclient
Iin Iher Ifirst Itrimester.

C. The Iclient Ihas Igained Ithe Iappropriate Iweight Iof I6 Ito I6 Ilb Iin Ithe Ifirst Itrimester Iand Iapproximately I1-1 I1/2 Ilb Iper Iweek Iin Ithe
Isecond Itrimester.

D. The Iclient Iis Iwithin Ithe Irecommended Iweight Igain Iof I25 Ito I35 Ilb Iduring Ithe Ithird Itrimester.




Page I2 Iof I13

, OB IProctor IReview

8. A Inurse Iin Ia Iprenatal Iclinic Iis Iassessing Ia Igroup Iof Iclients. IWhich Iof Ithe Ifollowing Iclients Ishould Ithe Inurse Isee Ifirst?
A. A Iclient Ihow Iis I11 Iweeks Iif Igestation Iand Ireports Iabdominal Icramping.
B. A Iclient Iwho Iis Iat I15 Iweeks Iof Igestation Iand Ireports Itingling Iand Inumbness Iin Ithe Iright Ihand.
C. A Iclient Iwho Iis Iat I20 Iweeks Iof Igestation Iand Ireports Iconstipation Ifor Ithe Ipast I4 Idays.
D. A Iclient Iwho Iis Iat I8 Iweeks Iof Igestation Iand Ireports Ihaving Ibloody Inoses Ifor Ithe Ipast Iweek.
A. CORRECT: IWhen Iusing Ithe Iurgent Ivs Inonurgent Iapproach Ito Iclient Icare, Ithe Inurse Ishould Idetermine Ithat Ihe Ipriority Ifinding Iis Ia Iclient
Iwho Iis Iat I11 Iweeks Iof Igestation Iand Ireports Iabdominal Icramping. IAbdominal Icramping Ican Iindicate Iectopic Ipregnancy Ior

Imanifestations Iof Ispontaneous Iabortion. IThe Inurse Ishould Irequest Ithat Ithe Iprovider Isee Ithis Iclient Ifirst.

B. Tingling Iand Inumbness Iof Ithe Iright Ihand Iis Inonurgent Ibecause Iit Iis Ia Icommon Idiscomfort Irelated Ito Ipregnancy Ifor Ia Iclient Iwho Iis Iat
I15 Iweeks Iof Igestation. ITherefore, Ithere Iis Ianother Iclient Ithat Ithe Iprovider Ishould Isee Ifirst.

C. Constipation Iis Inonurgent Ibecause Iit Iis Ia Icommon Idiscomfort Irelated Ito Ipregnancy Ifor Ia Iclient Iwho Iis Iat I20 Iweeks Igestation. ITherefore,
Ithere Iis Ianother Iclient Ithat Ithe Iprovider Ishould Isee Ifirst.

D. Epitasis Iis Inonurgent Ibecause Iit Iis Ia Icommon Idiscomfort Irelated Ito Ipregnancy Ifor Ia Iclient Iwho Iis Iat I8 Iweeks Igestation. ITherefore, Ithere
Iis Ianother Iclient Ithat Ithe Iprovider Ishould Isee Ifirst.



9. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Ipregnant Iand Iis Ito Iundergo Ia ICST IWhich Iof Ithe Ifollowing Ifindings Iare Iindications Iof Ithis
Iprocedure? I(select Iall Ithat Iapply)

A. Decreased Ifetal Imovement
B. Intrauterine Igrowth Irestriction I(IUGR)
IC. IPost Imaturity

D. IPlacenta Iprevia
E. IAmniotic Ifluid Iemboli
A. CORRECT: IDecreased Ifetal Imovement Iis Ian Iindication Ifor Ia ICST.
B. CORRECT: IIUGR Iis Ian Iindication Ifor Ia ICAT.
C. CORRECT: IPostmaturity Iis Ian Iindication Iof Ia ICST.
D. Placenta Iprevia Iis Ia Icontraindication Iof Ia ICST.
E. Amniotic Ifluid Iemboli Iare Ia Icomplication Iof Ian Iamniocentesis, Itrauma Ior Ipost Ilabor.

10. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis I15 Iweeks Igestation, Iis IRh Inegative, Iand Ihas Ijust Ihad Ian Iamniocentesis. IWhich Iof Ithe
Ifollowing Iinterventions Iis Ithe Inurse's Ipriority Ifollowing Ithis Iprocedure?

A. Check Ithe Iclient's Itemperature
B. Observe Ifor Iuterine Icontractions
C. Administer IRho(D) Iimmune Iglobulin
D. Monitor Ithe IFHR

11. A Inurse Iin Ia Iprenatal Iclinic Iis Iproviding Ieducation Ito Ia Iclient Iwho Iis Iin Ithe I8th Iweek Iof Igestation. IThe Iclient Istates Ithat Ishe Idoes Inot
Ilike Imilk. IWhich Iof Ithe Ifollowing Ifood Ishould Ithe Inurse Irecommend Ias Ia Igood Isource Iof Icalcium?

A. Dark Igreen Ileafy Ivegetables
B. Deep Ired Ior Iorange Ivegetables
C. White Ibreads Iand Irice
D. Meat, Ipoultry Iand Ifish
A. CORRECT: IGood Isources Iof Icalcium Ifor Ibone Iand Iteeth Iformation Iinclude Ilow-oxalate, Idark Igreen Ileafy Ivegetables, Isuch Ias Ikale, Iartichokes, Iand
Iturnip Igreens.

B. Deep Ired Ior Iorange Ivegetables Iare Igood Isources Iof Ivitamins IC Iand IA.
C. White Ibreads Iand Irice Ido Inot Icontain Ihigh Ilevels Iof Icalcium.
D. Meat, Ipoultry Iand Ifish Iare Isources Iof Iprotein Ibut Ido Inot Icontain Ihigh Ilevels Iof Icalcium.

12. A Inurse Iis Ireviewing Ia Inew Iprescription Ifor Iferrous Isulfate Iwith Ia Iclient Iwho Iis Iat I12 Iweeks Iof Igestation IWhich Iof Ithe Ifollowing
Istatements Iby Ithe Iclient Iindicates Iunderstanding Iof Ithe Iteaching?

A. "I Iwill Itake Ithis Ipill Iwith Imy Ibreakfast"
B. "I Iwill Itake Ithis Imedication Iwith Ia Iglass Iof Imilk"
C. "I Iplan Ito Idrink Imore Iorange Ijuice Iwhile Itaking Ithis Ipill"
D. "I Iplan Ito Iadd Imore Icalcium-rich Ifoods Ito Imy Idiet Iwhile Itaking Ithis Imedication"
A. Ferrous Isulfate Ishould Ibe Itaken Ion Ian Iempty Istomach.
B. Milk Iwill Idecrease Ithe Iabsorption Iof Iferrous Isulfate.
C. CORRECT: IA Idiet Iwith Iincreased Ivitamin IC Iimproves Ithe Iabsorption Iof Iferrous Isulfate.
D. Although Ia Idiet Iof Icalcium-rich Ifoods Iis Iappropriate Ifor Ithe Iclient Iduring Ipregnancy, Iit Idoes Inot Iimprove Ithe Ieffectiveness Iof Iferrous Isulfate.

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