OB Test QUESTIONS AND ANSWERS ALL CORRECT

OB Test Which of the following findings from a woman's initial prenatal assessment would be considered a possible complication of pregnancy that requires reporting to a physician for management? A.) Frequent Urination B.) Nasal congestion and swollen nasal membranes C.) Persistent Vomiting D.) Palpitations when supine C.) Persistent Vomiting Which of the following types of anemia is the most common found in pregnancy and is preventable or easily treated with iron supplements? A.) Folic Acid Deficiency Anemia B.) Blood Loss Anemia C.) Sickle Cell Anemia D.) Baseline Anemia E.) Iron Deficiency Anemia E.) Iron Deficiency Anemia In the last trimester of pregnancy a pregnant women would want to report which of the following to her HCP immediately rather than waiting for her next prenatal visit a week later? A.) Constipation with hemorrhoids B.) Blurred Vision, rings on fingers becoming tight, headaches C.) Fatigue and inability to sleep D.) SOB while climbing the stairs E.) INCREASED whitish colored vaginal discharge B.) Blurred Vision, rings on fingers becoming tight, headaches Which of the following would be considered a s/s of Hyperemesis Gravidarum? A.) DECREASED Pulse Rate & DECREASED BP B.) Persistent & Severe N/V after 12 wks gestation C.) INCREASED Urinary Output with NEGATIVE Ketones in Urine D.) INCREASED BP & Edema in Extremities E.) Weight Gain B.) Persistent & Severe N/V after 12 wks gestation A 27 y/o Gravida ONE comes to the office. Which of the following would be a concern during the FIRST Trimester of pregnancy? A.) Urinary Frequency B.) Heart Palpitations C.) Nasal Congestion D.) N/V upon awakening E.) Vaginal Bleeding & Abdominal Cramping E.) Vaginal Bleeding & Abdominal Cramping Which of the following nursing interventions is important for the pregnant pt. taking an iron supplement? A.) Encourage her to take her iron with a food that is HIGH in Vitamin C B.) Iron should be taken with dairy to help prevent diarrhea C.) To aid in absorption, the iron should be taken with a High Protein Food D.) The iron should ALWAYS be taken on an empty stomach E.) The iron should be taken 30 minutes BEFORE bed A.) Encourage her to take her iron with a food that is HIGH in Vitamin C A nurse you know is 5 weeks pregnant. She works on a unit where chemotherapy is administered. Which of the following statements would make you believe she needs additional health teaching about avoiding teratogens during pregnancy? A.) "I don't wear gloves because the powder irritates my hands" B.) "I find giving emotional support difficult right now." C.) "I care for an average of 5 pts per day." D.) "I never accompany pts to the x-ray department." A.) "I don't wear gloves because the powder irritates my hands" A 26 week pregnant pt complains of constipation. Which of the following would be an appropriate nursing intervention? A.) Reduce her iron supplement B.) INCREASE her fluid intake C.) INCREASE intake of meat in her diet to provide fiber D.) Encourage her to take mineral oil as needed B.) INCREASE her fluid intake Which of the following is NOT one of the 5 parameters of the Biophysical Profile (BPP)? A.) Fetal Breathing B.) Amniotic Fluid Volume C.) Fetal HR Reactivity D.) Fetal Weight E.) Fetal Movement D.) Fetal Weight A 42 y/o, Gravida 1, who is 12 weeks pregnant comes in for a prenatal visit. She verbalizes concern about her age and her pregnancy. Which of the following will you most likely include in your plan of care? A.) Evaluating her tolerance for pain B.) Scheduling her for fetal chromosomal analysis C.) Scheduling her for special electrolyte analysis D.) Helping her decide on appropriate clothing during pregnancy B.) Scheduling her for fetal chromosomal analysis Teratogens taken during this period may cause the MOST damage to the organs of the fetus during which of the following? A.) During the SECOND trimester of pregnancy B.) The FIRST 8 weeks gestation C.) The LAST 4 weeks gestation D.) From 28-32 weeks gestation E.) During the THIRD trimester of pregnancy B.) The FIRST 8 weeks gestation A woman who is assessing fetal movement EVERY day should notify the physician if: A.) The fetal movements remain the same every day B.) She is unsure if the fetus is having adequate fetal movements C.) Fetal movements are MORE THAN the minimum set by the physician D.) MORE THAN 5 movements during a 30-60 minute period E.) Fetal movements are MORE FREQUENT during the day than the night B.) She is unsure if the fetus is having adequate fetal movements A pregnant pt asks you why amniotic fluid is so important to the fetus. An appropriate response would be: A.) "It will transport oxygen and nutrients to the fetus." B.) "It will return waste products from the fetus to the placenta." C.) "The amniotic fluid will help to protect the umbilical cord from pressure." D.) "The amniotic fluid will protect the fetus by restricting movement." C.) "The amniotic fluid will help to protect the umbilical cord from pressure." Danger signs of pregnancy would include ALL OF THE FOLLOWING EXCEPT: A.) Braxton Hicks Contractions B.) Temperature of 100.9 Orally C.) DECREASED Fetal Movement D.) Abdominal Pain E.) Vaginal Bleeding A.) Braxton Hicks Contractions DECREASED fetal movements may indicate: A.) Inaccurate due date B.) Indication that labor is about to begin C.) DECREASED placental perfusion/fetal hypoxia D.) A reactive NST (Nonstress Test) E.) Intrauterine growth restriction C.) DECREASED placental perfusion/fetal hypoxia A pt in her SECOND trimester of pregnancy begins to complain of urinary frequency and dysuria. She should: A.) Attempt to lie down and rest B.) Notify the HCP of these symptoms C.) Immediately come to the ER D.) DECREASE her fluid intake to DECREASE urinary frequency E.) Realize this is a normal finding during this trimester B.) Notify the HCP of these symptoms A 22 y/o Gravida 2 Para 0 comes in for a prenatal visit. She is due in approximately ONE WEEK. She asks the nurse if she has a bladder infection since she urinates so much. She has no pain or burning upon urination. What should the nurse tell this pt.? A.) A urine test needs to be done since UTI's are common RIGHT BEFORE BIRTH B.) The fetus is lower in the pelvis area putting pressure on her bladder C.) It is important for her to limit her fluid intake at this time D.) Frequent urination is a sign that labor is about to start E.) She will need medication to help prevent a UTI B.) The fetus is lower in the pelvis area putting pressure on her bladder Which of the following would be considered a presumptive sign of pregnancy? A.) Audible Fetal Heart B.) Goodell's Sign C.) Amenorrhea D.) Ballottement E.) Braxton Hick's Contractions C.) Amenorrhea An ultrasound is used for ALL of the following EXCEPT: A.) To identify multiple gestations B.) To predict fetal maturity C.) To determine if preterm labor is a potential complication D.) To determine the position of the fetus E.) To establish threr are no gross abnormalities C.) To determine if preterm labor is a potential complication At 5 hours AFTER birth the nurse assesses a pt's fundus. It is found to be ONE fingerbreath (cm) ABOVE the umbilicus and DEVIATED to the RIGHT. What is your interpretation of this assessment data? A.) This indicates normal uterine involution B.) The pt should be evaluated for a full bladder C.) She had a large for gestation age (LGA) baby D.) She is sitting up in bed E.) The pt is experiencing postpartum hemorrhage B.) The pt should be evaluated for a full bladder A Gravida TWO pt is being discharged on her FIRST postpartum day. Which of the following should she be intructed to report? A.) No lochia AFTER FOUR weeks B.) Bright red lochia with NO clots on her SEVENTH postpartum day C.) Yellowish white vaginal discharge on her FOURTEENTH day postpartum D.) Serosanguineous drainage on the FOURTH postpartum day E.) Small amount of bright red lochia with a pea size clot B.) Bright red lochia with NO clots on her SEVENTH postpartum day A 30 y/o Gravida ONE had a vaginal birth with NO complications TWO hours ago. She has an IV of LR with 20 units of Pitocin infusing at 125 ml/hr. Upon assessing her you note that her peripad is saturated. What is the PRIORITY nursing intervention? A.) Change her peripad and explain pericare to the pt B.) NO nursing intervention is necessary; this is normal 2 hours after delivery C.) Change her IV solution to LR with 50 units of Pitocin D.) Palpate and Assess the fundus and ensure patency of the IV E.) Call the physician and notify him/her of the lochia D.) Palpate and Assess the fundus and ensure patency of the IV The pt who is planning to bottle feed her baby rather than breast feed should be educated on breast care. The nurse should teach the nonlactating postpartum pt to: A.) Use warm compresses whenever she feels discomfort B.) Pump her breasts with a manual pump if she is uncomfortable C.) Allow the warm water in the shower to run over her breasts D.) Wear a tight fitting bra E.) Limit her fluid intake to suppress milk production D.) Wear a tight fitting bra Which of the following should the postpartum pt report to her HCP? A.) Oral temperature of 37.2 C (99 F) in the mornings B.) INCREASED appetite C.) Reappearance of red lochia after it changes to serosa D.) Descent of the fundus ONE fingerbreadth (cm) each day E.) Uterine cramping whenever the infant breast feeds C.) Reappearance of red lochia after it changes to serosa The nurse assists the pt to the bathroom to void 3 hours AFTER delivery. She suddenly has a LARGE gush of rubra lochia. The nurse's PRIORITY intervention is: A.) Determine if bleeding continues or slows to normal after void B.) Check documentation to see what her lochia was previously C.) Notify the physician D. Assess her vital signs E.) Identify pain relief mediations used in labor A.) Determine if bleeding continues or slows to normal after void When assessing a pt's fundus 16 hours AFTER a repeat C-Section for her SECOND baby, the nurse palpates the fundus at the umbilicus, firm and midline. What is the appropriate nursing action? A.) Determine the last time the pt voided B.) Document the normal assessment finding C.) Massage her fundus