Inpatient OB Review With Complete Test Questions
And Answers All Are Latest Solution
A client had a nonreactive NST and was sent for a BPP. Which of the following BPP findings would
confirm poor oxygenation to the fetus?
Two pockets of amniotic fluid
Well-flexed extremities
Decreased muscle tone
Presence of fetal breathing movement Correct Answers: Decreased muscle tone
RATIONALE: decreased muscle tone would be indicative of fetal hypoxia.
A patient's perception of pain may manifest as all of the following EXCEPT: Correct Answers:
Increased rationality and problem-solving
RATIONALE: Perception of pain occurs when stimulus from peripheral or visceral nerve sites reach
the CNS pain center. The body then responds physically and emotionally in response to this pain
perception.
A 32-week gestation client presents to the unit with complaint of "my water just broke." She denies
having any contractions. Her prenatal record reveals she has a vasa prevail. The nurse anticipates:
Giving the patient BMZ and waiting 24 hours to deliver
Adm the pt and monitoring fetal status until fetal lung maturity is achieved
A scheduled c/s delivery under spinal anesthesia
An emergency c/s delivery under general anesthesia Correct Answers: An emergency cesarean
section delivery under general anesthesia
RATIONALE: Fetal blood vessels cross over the cervical os and may rupture when the amniotic sac
ruptures.
A client in the latent phase of labor calls the nurse into the room stating her "water just broke." The
nurse notes the fetal heart rate is 60 BPM. What is the nurse's initial action?
Perform a vaginal exam
Prepare for an emergency cesarean section
Turn the patient supine
Start a second IV site Correct Answers: Perform a vaginal exam
Which condition may be missed if an infant has the newborn screening test performed before he has
tolerated protein feedings for at least 24-48 hours?
Hypothyroidism
Sickle cell anemia
Cystic fibrosis
Phenylketonuria Correct Answers: Phenylketonuria
, RATIONALE: for phenylketonuria to be detected in the newborn screening blood test, certain amino
acids found in breast milk or formula must first accumulate. Then the deficiency of the enzyme that
should metabolize these proteins can be detected.
Which one of the following sexually transmitted infections (STIs) does NOT cross the placenta?
Neisseria gonorrhea
HIV
Syphilis
Chlamydia Correct Answers: Neisseria gonorrhea
In the low-risk patient who is in the active stage of labor and being monitored electronically, the fetal
heart should be assessed every: Correct Answers: 30 minutes
A G2 P1 at 30 weeks gestation client is admitted to the antepartum unit with preterm labor. The client
has also been diagnosed with gestational diabetes. Which of the following tocolytics should NOT be
used with this patient?
Magnesium sulfate
Nifedipine (Procardia)
Terbutaline (Brethine)
Verapamil Correct Answers: Terbutaline (Brethine)
RATIONALE: Beta 2 receptor agonists have the potential to elevate blood sugars and should not be
used as tocolytics in diabetic patients. These drugs include terbutaline and ritodrine.
At 32 weeks, a prenatal patient reported decreased fetal movement. A non-stress test is reported as
non-reactive. Which of the following is appropriate for this patient?
Induction of labor
Biophysical profile (BPP)
Contraction stress test (CST)
Amniocentesis Correct Answers: Biophysical profile (BPP)
BPP measures fetal tone, movement, breathing rate, and amniotic fluid.
A low level of alpha fetoprotein may indicate which of the following conditions?
Down syndrome
Maternal fetal hemorrhage
Multiple gestation pregnancy
Neural tube defects Correct Answers: Down syndrome
RATIONALE: High levels may suggest a neural tube defect, esophageal defects, or the failure of the
abdominal wall to close. Low levels of AFP may indicate Trisomy 21 (Down syndrome), Trisomy 18
(Edwards syndrome), or other chromosomal abnormalities
A client arrives to the Labor & Delivery unit in active labor. She is 40+2 weeks gestation. The nurse
knows that a pregnancy is classified as post-term beginning at: Correct Answers: 42 weeks gestation
And Answers All Are Latest Solution
A client had a nonreactive NST and was sent for a BPP. Which of the following BPP findings would
confirm poor oxygenation to the fetus?
Two pockets of amniotic fluid
Well-flexed extremities
Decreased muscle tone
Presence of fetal breathing movement Correct Answers: Decreased muscle tone
RATIONALE: decreased muscle tone would be indicative of fetal hypoxia.
A patient's perception of pain may manifest as all of the following EXCEPT: Correct Answers:
Increased rationality and problem-solving
RATIONALE: Perception of pain occurs when stimulus from peripheral or visceral nerve sites reach
the CNS pain center. The body then responds physically and emotionally in response to this pain
perception.
A 32-week gestation client presents to the unit with complaint of "my water just broke." She denies
having any contractions. Her prenatal record reveals she has a vasa prevail. The nurse anticipates:
Giving the patient BMZ and waiting 24 hours to deliver
Adm the pt and monitoring fetal status until fetal lung maturity is achieved
A scheduled c/s delivery under spinal anesthesia
An emergency c/s delivery under general anesthesia Correct Answers: An emergency cesarean
section delivery under general anesthesia
RATIONALE: Fetal blood vessels cross over the cervical os and may rupture when the amniotic sac
ruptures.
A client in the latent phase of labor calls the nurse into the room stating her "water just broke." The
nurse notes the fetal heart rate is 60 BPM. What is the nurse's initial action?
Perform a vaginal exam
Prepare for an emergency cesarean section
Turn the patient supine
Start a second IV site Correct Answers: Perform a vaginal exam
Which condition may be missed if an infant has the newborn screening test performed before he has
tolerated protein feedings for at least 24-48 hours?
Hypothyroidism
Sickle cell anemia
Cystic fibrosis
Phenylketonuria Correct Answers: Phenylketonuria
, RATIONALE: for phenylketonuria to be detected in the newborn screening blood test, certain amino
acids found in breast milk or formula must first accumulate. Then the deficiency of the enzyme that
should metabolize these proteins can be detected.
Which one of the following sexually transmitted infections (STIs) does NOT cross the placenta?
Neisseria gonorrhea
HIV
Syphilis
Chlamydia Correct Answers: Neisseria gonorrhea
In the low-risk patient who is in the active stage of labor and being monitored electronically, the fetal
heart should be assessed every: Correct Answers: 30 minutes
A G2 P1 at 30 weeks gestation client is admitted to the antepartum unit with preterm labor. The client
has also been diagnosed with gestational diabetes. Which of the following tocolytics should NOT be
used with this patient?
Magnesium sulfate
Nifedipine (Procardia)
Terbutaline (Brethine)
Verapamil Correct Answers: Terbutaline (Brethine)
RATIONALE: Beta 2 receptor agonists have the potential to elevate blood sugars and should not be
used as tocolytics in diabetic patients. These drugs include terbutaline and ritodrine.
At 32 weeks, a prenatal patient reported decreased fetal movement. A non-stress test is reported as
non-reactive. Which of the following is appropriate for this patient?
Induction of labor
Biophysical profile (BPP)
Contraction stress test (CST)
Amniocentesis Correct Answers: Biophysical profile (BPP)
BPP measures fetal tone, movement, breathing rate, and amniotic fluid.
A low level of alpha fetoprotein may indicate which of the following conditions?
Down syndrome
Maternal fetal hemorrhage
Multiple gestation pregnancy
Neural tube defects Correct Answers: Down syndrome
RATIONALE: High levels may suggest a neural tube defect, esophageal defects, or the failure of the
abdominal wall to close. Low levels of AFP may indicate Trisomy 21 (Down syndrome), Trisomy 18
(Edwards syndrome), or other chromosomal abnormalities
A client arrives to the Labor & Delivery unit in active labor. She is 40+2 weeks gestation. The nurse
knows that a pregnancy is classified as post-term beginning at: Correct Answers: 42 weeks gestation
