NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The primary health care provider
prescribes a contraction stress test, and the results are documented as
negative. How should the nurse document this finding?
1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for a cesarean section
Rationale: Contraction stress test results may be interpreted as negative
(normal), positive (abnormal), or equivocal. A negative test result indicates that
no late decelerations occurred in the fetal heart rate, although the fetus was
stressed by 3 contractions of at least 40 seconds’ duration in a 10-minute period.
Options 2, 3, and 4 are incorrect interpretations.
A rubella titer result of a 1-day postpartum client is less than 1:8, and a
rubella virus vaccine is prescribed to be administered before discharge. The
nurse provides which information to the client about the vaccine? Select all
that apply.
1. Breast-feeding needs to be stopped for 3 months.
2. Pregnancy needs to be avoided for 1 to 3 months.
3. The vaccine is administered by the subcutaneous route.
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
,NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
4. Exposure to immunosuppressed individuals needs to be avoided.
5. A hypersensitivity reaction can occur if the client has an allergy to eggs.
6. The area of the injection needs to be covered with a sterile gauze for 1 week.
Rationale: Rubella vaccine is administered to women who have not had rubella or
women who are not serologically immune. The vaccine may be administered in the
immediate postpartum period to prevent the possibility of contracting rubella in
future pregnancies. The live attenuated rubella virus is not communicable in breast
milk; breast-feeding does not need to be stopped. The client is counseled not to
become pregnant for 1 to 3 months after immunization or as specified by the
obstetrician because of a possible risk to a fetus from the live virus vaccine; the
client must be using effective birth control at the time of the immunization. The
client should avoid contact with immunosuppressed individuals because of their
low immunity toward live viruses and because the virus is shed in the urine and
other body fluids. The vaccine is administered by the subcutaneous route. A
hypersensitivity reaction can occur if the client has an allergy to eggs because the
vaccine is made from duck eggs. There is no useful or necessary reason for
covering the area of the injection with a sterile gauze.
The nurse in a health care clinic is instructing a pregnant client how to
perform “kick counts.” Which statement by the client indicates a need for
further instruction?
1. “I will record the number of movements or kicks.”
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
,NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
2. “I need to lie flat on my back to perform the procedure.”
3. “If I count fewer than 10 kicks in a 2-hour period, I should count the kicks again
over the next 2 hours.”
4. “I should place my hands on the largest part of my abdomen and
concentrate on the fetal movements to count the kicks.”
Rationale: The client should sit or lie quietly on her side to perform kick counts.
Lying flat on the back is not necessary to perform this procedure, can cause
discomfort, and presents a risk of vena cava (supine hypotensive) syndrome. The
client is instructed to place her hands on the largest part of the abdomen and
concentrate on the fetal movements. The client records the number of movements
felt during a specified time period. The client needs to notify the primary health
care provider (PHCP) if she feels fewer than 10 kicks over two consecutive 2-
hour intervals or as instructed by the PHCP.
The nurse is performing an assessment of a pregnant client who is at 28
weeks of gestation. The nurse measures the fundal height in centimeters and
notes that the fundal height is 30 cm.
How should the nurse interpret this finding?
1. The client is measuring large for
gestational age. 2. The client is measuring
small for gestational age.
3. The client is measuring normal for gestational age.
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
, NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
4. More evidence is needed to determine size for gestational age.
Rationale: During the second and third trimesters (weeks 18 to 30), fundal height
in centimeters approximately equals the fetus’s age in weeks ± 2 cm. Therefore, if
the client is at 28 weeks’ gestation, a fundal height of 30 cm would indicate that
the client is measuring normal for gestational age. At 16 weeks, the fundus can be
located halfway between the symphysis pubis and the umbilicus. At 20 to 22
weeks, the fundus is at the umbilicus. At 36 weeks, the fundus is at the xiphoid
process.
The nurse is performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy. The
nurse should assess for which probable signs of pregnancy? Select all that
apply.
1. Ballottement
2. Chadwick’s sign
3. Uterine enlargement
4. Positive pregnancy test
5. Fetal heart rate detected by a nonelectronic
device 6. Outline of fetus via radiography or
ultrasonography
Rationale: The probable signs of pregnancy include uterine enlargement, Hegar’s
sign (compressibility and softening of the lower uterine segment that occurs at
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
A nonstress test is performed on a client who is pregnant, and the results of
the test indicate nonreactive findings. The primary health care provider
prescribes a contraction stress test, and the results are documented as
negative. How should the nurse document this finding?
1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for a cesarean section
Rationale: Contraction stress test results may be interpreted as negative
(normal), positive (abnormal), or equivocal. A negative test result indicates that
no late decelerations occurred in the fetal heart rate, although the fetus was
stressed by 3 contractions of at least 40 seconds’ duration in a 10-minute period.
Options 2, 3, and 4 are incorrect interpretations.
A rubella titer result of a 1-day postpartum client is less than 1:8, and a
rubella virus vaccine is prescribed to be administered before discharge. The
nurse provides which information to the client about the vaccine? Select all
that apply.
1. Breast-feeding needs to be stopped for 3 months.
2. Pregnancy needs to be avoided for 1 to 3 months.
3. The vaccine is administered by the subcutaneous route.
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
,NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
4. Exposure to immunosuppressed individuals needs to be avoided.
5. A hypersensitivity reaction can occur if the client has an allergy to eggs.
6. The area of the injection needs to be covered with a sterile gauze for 1 week.
Rationale: Rubella vaccine is administered to women who have not had rubella or
women who are not serologically immune. The vaccine may be administered in the
immediate postpartum period to prevent the possibility of contracting rubella in
future pregnancies. The live attenuated rubella virus is not communicable in breast
milk; breast-feeding does not need to be stopped. The client is counseled not to
become pregnant for 1 to 3 months after immunization or as specified by the
obstetrician because of a possible risk to a fetus from the live virus vaccine; the
client must be using effective birth control at the time of the immunization. The
client should avoid contact with immunosuppressed individuals because of their
low immunity toward live viruses and because the virus is shed in the urine and
other body fluids. The vaccine is administered by the subcutaneous route. A
hypersensitivity reaction can occur if the client has an allergy to eggs because the
vaccine is made from duck eggs. There is no useful or necessary reason for
covering the area of the injection with a sterile gauze.
The nurse in a health care clinic is instructing a pregnant client how to
perform “kick counts.” Which statement by the client indicates a need for
further instruction?
1. “I will record the number of movements or kicks.”
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
,NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
2. “I need to lie flat on my back to perform the procedure.”
3. “If I count fewer than 10 kicks in a 2-hour period, I should count the kicks again
over the next 2 hours.”
4. “I should place my hands on the largest part of my abdomen and
concentrate on the fetal movements to count the kicks.”
Rationale: The client should sit or lie quietly on her side to perform kick counts.
Lying flat on the back is not necessary to perform this procedure, can cause
discomfort, and presents a risk of vena cava (supine hypotensive) syndrome. The
client is instructed to place her hands on the largest part of the abdomen and
concentrate on the fetal movements. The client records the number of movements
felt during a specified time period. The client needs to notify the primary health
care provider (PHCP) if she feels fewer than 10 kicks over two consecutive 2-
hour intervals or as instructed by the PHCP.
The nurse is performing an assessment of a pregnant client who is at 28
weeks of gestation. The nurse measures the fundal height in centimeters and
notes that the fundal height is 30 cm.
How should the nurse interpret this finding?
1. The client is measuring large for
gestational age. 2. The client is measuring
small for gestational age.
3. The client is measuring normal for gestational age.
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
, NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
4. More evidence is needed to determine size for gestational age.
Rationale: During the second and third trimesters (weeks 18 to 30), fundal height
in centimeters approximately equals the fetus’s age in weeks ± 2 cm. Therefore, if
the client is at 28 weeks’ gestation, a fundal height of 30 cm would indicate that
the client is measuring normal for gestational age. At 16 weeks, the fundus can be
located halfway between the symphysis pubis and the umbilicus. At 20 to 22
weeks, the fundus is at the umbilicus. At 36 weeks, the fundus is at the xiphoid
process.
The nurse is performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy. The
nurse should assess for which probable signs of pregnancy? Select all that
apply.
1. Ballottement
2. Chadwick’s sign
3. Uterine enlargement
4. Positive pregnancy test
5. Fetal heart rate detected by a nonelectronic
device 6. Outline of fetus via radiography or
ultrasonography
Rationale: The probable signs of pregnancy include uterine enlargement, Hegar’s
sign (compressibility and softening of the lower uterine segment that occurs at
NURS 3550 OB ORANGE BOOK QUESTIONS and
ANSWERS Attained Score 99% Guaranteed Success
Latest Update 2022
