correct
OB Escape Room Study Guide Exam 4
1. What’s the correct definition of “subinvolution of the uterus”?
a. The uterus’s shape is not conducive to a vaginal
delivery b. Failure of the uterus to involute as expected
c. Success of the uterus in descending as expected
d. The process of the uterus contracting in the postpartum period
2. Which of the following are reasons a woman might experience stronger uterine
contractions in the postpartum period? (SATA).
a. Multiple
gestation b.
Multigravida
c. Breastfeeding
d. Baby is large for
gestation e. Polyhydramnios
3. The nurse is conducting discharge phone calls. A woman who vaginally delivered 4 days
ago at term reports the following symptoms. Which would be most concerning & requires
follow-up?
a. Light-moderate bleeding
b. Abdominal cramping
c. Persistent headaches
d. Puffy feet
4. The nurse conducts a routine postpartum check 30 minutes following a vaginal delivery.
The nurse finds that the uterus is boggy, is displaced above & to the right of the umbilicus.
What’s the nurse’s most appropriate response?
a. Call the provider immediately
b. Begin IV antibiotics
c. Assist the patient to empty her bladder
d. Conduct a fundal massage
5. The nurse is conducting a routine postpartum assessment. Upon assessment, the nurse finds
that the woman is heavily bleeding. What’s the nurse’s TOP priority at this time?
a. Call the provider immediately
b. Begin a fluid bolus
c. Assist the patient to empty her
bladder d. Conducts a fundal massage
6. The provider wishes to assess FHR, fetal movement, fetal tone, & the Amniotic Fluid
Index (AFI). Which of the following tests would the nurse anticipate?
a. Biophysical Profile (BPP)
b. Ultrasound
c. Nonstress test
d. Amniocentesis
, Family Escape Room study guide exam 4 answered 100%
correct
7. A pregnant woman presents to the clinic with a history of Diabetes Mellitus. The
nurse knows the mother & fetus are at greater risk for what? (SATA).
a. Pre-term birth
b. Polyhydramnios
c. Fetal congenital anomalies
d. Fetal hypoglycemia
8. The postpartum nurse is conducting a routine assessment of the mom & baby 24 hrs. after
delivery. The nurse notes that the baby appears somewhat yellow in the skin & eyes. The
mother reports the baby has a poor latch & suck when feeding & hasn’t had a bowel
movement since delivery. What does the nurse suspect?
a. Low blood sugar
b. Hyperbilirubinemia (jaundice)
c. Bowel obstruction
d. Prematurity
9. There are 2 forms of jaundice: physiological & pathological. What’s the cause
of physiological jaundice?
a. Increased dead RBCs due to RhO incompatibilities
b. Accumulation of bilirubin due to renal
immaturity c. Accumulation of bilirubin due to liver
immaturity
d. Allergies to breastmilk
10. Pathological jaundice is when a disorder exacerbates the normal physiological conditions
that lead to hyperbilirubinemia. Which is a true statement regarding pathological jaundice?
a. Is benign & corrects itself
b. Is always preventable
c. Noted usually after day 3 of life
d. Noted withing the first 24 hrs. of life
11. When a child has hyperbilirubinemia, the bilirubin may accumulate so much that it
spills across the blood-brain barrier & cause seizures & other long-term effects. What’s
this condition called?
a. Kernicterus
b. Extreme hyperbilirubinemia
c. Excessive hyperbilirubinemia
d. Brain jaundice
12. Because jaundice may not present itself until after discharge, what education should the
nurse provide to the parents? (SATA).
a. Ensure the baby feeds 8-12 times a day
b. Notify provider if yellowing of skin or eyes is noted
c. Notify provider if infant does not have a bowel movement within 24
hrs. d. Notify provider if infant does not wake to feed for 2 consecutive
feeds