NSG 1600 Unit 1 OB; Complete Q&A Spring 2023

Rx = prescription/medication order Hx = history Dx = diagnosis Tx = treatment 1) Which list of s/s most accurately describes hyperthyroidism? a) Weight gain, tiredness, and cold intolerance b) b) Bulging eyes, goiter, HR of over 100 c) SOB when lying supine, edema in lower extremities d) Seizure activity related to hypertension 2) A nurse is taking a gestational Hx of a mother presenting to an ER with preeclampsia like symptoms. She states “I’m currently 39 weeks pregnant, I have had two children born at 37 and 35 weeks. I lost 3 pregnancies prior to 12 weeks and have 2 living children.” Which of the following is the correct GTPAL breakdown? a) G6 T1 P1 A3 L2 b) G5 T2 P1 A2 L2 c) G6 T1 P1 A3 L1 d) G6 T1 P2 A2 L2 3) A nurse is counting “beats” as her pt’s foot relaxes after dorsiflexion. Her nursing student asks what she is testing for. What is the most likely response from the nurse? a) Opioid overdose b) GDM c) Mg toxicity d) Daily kick counts 4) What is the most common endocrine disorder during pregnancy? a) Hyperthyroidism b) Hypothyroidism c) Adrenal cancer a) Gestational diabetic mellitus 5) A nurse is orienting a new graduate nurse who barely passed their OB exam at Sinclair Community College, which statement about when to screen for GDM would not require correction from the precepting nurse? a) “We screen mom every 6 months” b) “Mom should be checked weeks 24-28” c) “Mom should be checked every 4 weeks after week 6” d) “I don’t know. I forgot all this stuff after the NCLEX” 6) A 23-year-old female presents to the emergency room with complaints of abdominal pain, dysuria, and purulent cervical discharge as well as a positive home pregnancy test. She reports frequent sexual activty with her partner, upon questioning she mentions her partner refuses to wear condoms and remains sexually active with other partners. Additionally she works as a radiology technician at a local hospital. Please answer the next few questions regarding her case study. Find answers at the end of each question. 6a) Which orders can you expect to see from the MD? 6b) What are the 5 P’s of sexual Hx and STI prevention? 6c) Are there any concerns with her daily environment? 6d) Which of the “Ps of Pregnancy” is the pt in? a) Presumptive b) Probable c) Positive d) Pleasant 6e) Given her current intimate situation, s/s, and demographic, what STI is most likely to appear? 6f) After confirming Dx of her STI and pregnancy at 5wks via ultrasound, MD Rx an antibiotic. What education should the nurse provide to the pt before discharging home? 7) While on a postpartum unit, a pt asks the nurse if she is at risk for future diabetes. Which answer from the nurse would be most appropriate? A a) “Yes, you are at risk for GDM as well as type 2 diabetes we will reassess in 6-12wks” b) “No, your risk of diabetes decreases once you give birth” c) “No, after delivering the placenta you body completely reverts to normal function” d) “No, you are no longer at risk for diabetes. However, your baby is at increased risk of pancreatitis” 8) A nurse manager is rounding on her intrapartum unit for high risk mothers. While assessing a GDM pts IV, which finding would the nurse manager require education to the pts nurse? a) An IV pump running an insulin infusion b) An IV pump running MgSO4 c) An IV running D5W d) An IV ru