OB Final Exam PrepU Review
Questions and Answers/ Verified /Graded A+
Your patient regularly travels internationally for work and has a lot of job anxiety. She
also uses an electric heating blanket every night she is at home. Which of these fertility
awareness methods would you discourage her from using? - -Basal body temperature
-As part of a presentation on breast cancer being given to a local woman's group, the
nurse describes the need for early detection through screening. Which recommendation
would the nurse emphasize? - -Yearly mammograms for women over 40
-Which of the following is TRUE regarding intimate partner violence? - -1 in 4 will be a
victim of violence
-An elderly woman is seen in the clinic complaining of a lesion on her labia majora and
states that she has experienced some bleeding and itching as well. She states that this
has been going on for approximately three months. She tells the nurse that she has not
been to a doctor in over 10 years. What diagnosis would the nurse expect the physician
to make? - -Vulvar cancer
-The nurse who works in a woman's health clinic correctly identifies two key objectives
for 2020 National Health Goals that addresses violence against women as which of the
following? (Check two.) - -Reduce annual rate of rape or attempted rape
Reduce rate of physical assault
-A 20 year-old male has been diagnosed with a chlamydial infection, and his primary
care provider is performing teaching in an effort to prevent the client from infecting
others in the future. Which of the following statements by the client demonstrates the
best understanding of his health problem? - -"Even if I spread it to someone else,
there's a good chance she won't have any symptoms or know she has it."
, -Which of the following factors is it most important for the nurse to consider when
recommending different types of contraceptives to a female client? - -Client's ability to
tolerate side effects
-The nurse is developing a presentation for a group of young adult women about
premenstrual syndrome. Which of the following would the nurse include as possible
treatment options? Select all that apply. - -• Reduction of caffeine intake
• Vitamin and mineral supplements
• Diuretic therapy
• NSAIDs
-The physicain has prescribed estrogen replacement therapy (ERT) for a menopausal
woman who has been diagnosed with pelvic organ prolapse (POP). The patient asks the
nurse why she needs to be on hormones. The nurse's best response to this would be
which of the following? - -Hormone replacement will increase blood perfusion and the
elasticity of the vaginal wall.
-A client with vaginitis complains of itching and burning of the perineum. Which
suggestion would be most appropriate to relieve the client's symptoms? - -Take sitz
bath frequently
-The following are nursing measures commonly offered to women in labor. Which
nursing intervention probably would be most effective in applying the gate-control
theory for relief of labor pain? - -Rubbing her back
-A new mother has been reluctant to hold her newborn. A nurse can promote this
mother's attachment to her newborn by - -Bringing the newborn into the room
-Loss of blood during and after delivery can result in which of the following findings?
Select all that apply. - -Anemia
Pale conjunctiva
Orthostatic hypotension
,-The nurse has just administered butorphanol (Stadol) 2 mg IV to a laboring patient.
Which change in the fetal heart rate pattern would the nurse consider to be a result of
this medication? - -Decreased variability
-An episiotomy or a cesarean incision requires assessment. Which assessment criterion
for skin integrity is not initially noted? - -Temperature
-A new mother talking to a friend states, "I wish my baby was more like yours. You are
so lucky. My baby has not slept straight through the night even once. It seems like all
she wants to do is breastfeed. I am so tired of her." This is an example of which of the
following? - -Negative attachment
-A mother delivered 90 minutes ago and has just arrived to her room on the postpartum
unit. Her initial set of vital signs reveals blood pressure of 138/86. Her blood pressure
during labor never rose above 128/74. What is a possible explanation for this increase in
blood pressure? - -Her stroke volume has increased after delivery of the placenta, and a
physiologic response in blood pressure is evident.
-The nurse is reviewing the uterine contraction pattern and identifies the peak
intensity, documenting this as which of the following? - -Acme
-A 33-year-old G4P2012 has just had an epidural placed. Before the procedure, her vital
signs were as follows: BP 120/70, P90 bmp, R18 per min, and O2 sat 98%. Now, 3
minutes after the procedure, the patient says she feels light-headed and nauseous. Her
vital signs are BP 80/40, P100 bmp, R20 per min, and O2 sat 96%. Which interventions
should the nurse perform? - -Assist the patient to semi-Fowler's position, assess the
fetal heart rate, start an IV bolus of 500 mL, and administer oxygen via face mask.
-How would the nurse counsel a patient who is about to receive Demerol (meperidine)
25 mg IV? - -"It's possible you may feel a bit sleepy or nauseous after I administer this
medication."
, -After teaching a postpartum woman about postpartum blues, which statement
indicates effective teaching? - -"I might feel like laughing one minute and crying the
next."
-Which finding would indicate to the nurse that a postpartum woman is experiencing
bladder distention? - -Percussion reveals dullness
-There are advantages and disadvantages to any kind of method used to control pain
during labor and delivery. What is an advantage of opioid administration? - -Ability to
be administered by the nurse
-You are the nurse preparing an educational event for pregnant women on the topic of
labor pain and delivery. You know that you will need to include the origin of labor pain
for each stage of labor. What information will you present for the first stage of labor? - -
Pain originates from the cervix and lower uterine segment
-Which instructions should be given by the nurse to the patient in the second stage of
labor to facilitate natural childbirth? - -Use a squatting position and use the squat bar
for support
-Marie, a 21-year-old first-time mother in the second stage of labor, has been moaning
and screaming and generally vocal throughout her labor. Her husband is distraught
seeing his wife this way and comes to the nurse asking that his wife receive more pain
medication. How should the nurse respond? - -Ask Marie to describe the intensity of
her pain on a scale of 0 to 10
-When an infant smiles at the mother and the mother in turn smiles and kisses her
baby, this would be which phase of attachment? - -reciprocity
-A pregnant woman's pulse fluctuates throughout pregnancy and the early postpartum
period. When assessing a 1-day postpartum woman's pulse, what is the first action a
Questions and Answers/ Verified /Graded A+
Your patient regularly travels internationally for work and has a lot of job anxiety. She
also uses an electric heating blanket every night she is at home. Which of these fertility
awareness methods would you discourage her from using? - -Basal body temperature
-As part of a presentation on breast cancer being given to a local woman's group, the
nurse describes the need for early detection through screening. Which recommendation
would the nurse emphasize? - -Yearly mammograms for women over 40
-Which of the following is TRUE regarding intimate partner violence? - -1 in 4 will be a
victim of violence
-An elderly woman is seen in the clinic complaining of a lesion on her labia majora and
states that she has experienced some bleeding and itching as well. She states that this
has been going on for approximately three months. She tells the nurse that she has not
been to a doctor in over 10 years. What diagnosis would the nurse expect the physician
to make? - -Vulvar cancer
-The nurse who works in a woman's health clinic correctly identifies two key objectives
for 2020 National Health Goals that addresses violence against women as which of the
following? (Check two.) - -Reduce annual rate of rape or attempted rape
Reduce rate of physical assault
-A 20 year-old male has been diagnosed with a chlamydial infection, and his primary
care provider is performing teaching in an effort to prevent the client from infecting
others in the future. Which of the following statements by the client demonstrates the
best understanding of his health problem? - -"Even if I spread it to someone else,
there's a good chance she won't have any symptoms or know she has it."
, -Which of the following factors is it most important for the nurse to consider when
recommending different types of contraceptives to a female client? - -Client's ability to
tolerate side effects
-The nurse is developing a presentation for a group of young adult women about
premenstrual syndrome. Which of the following would the nurse include as possible
treatment options? Select all that apply. - -• Reduction of caffeine intake
• Vitamin and mineral supplements
• Diuretic therapy
• NSAIDs
-The physicain has prescribed estrogen replacement therapy (ERT) for a menopausal
woman who has been diagnosed with pelvic organ prolapse (POP). The patient asks the
nurse why she needs to be on hormones. The nurse's best response to this would be
which of the following? - -Hormone replacement will increase blood perfusion and the
elasticity of the vaginal wall.
-A client with vaginitis complains of itching and burning of the perineum. Which
suggestion would be most appropriate to relieve the client's symptoms? - -Take sitz
bath frequently
-The following are nursing measures commonly offered to women in labor. Which
nursing intervention probably would be most effective in applying the gate-control
theory for relief of labor pain? - -Rubbing her back
-A new mother has been reluctant to hold her newborn. A nurse can promote this
mother's attachment to her newborn by - -Bringing the newborn into the room
-Loss of blood during and after delivery can result in which of the following findings?
Select all that apply. - -Anemia
Pale conjunctiva
Orthostatic hypotension
,-The nurse has just administered butorphanol (Stadol) 2 mg IV to a laboring patient.
Which change in the fetal heart rate pattern would the nurse consider to be a result of
this medication? - -Decreased variability
-An episiotomy or a cesarean incision requires assessment. Which assessment criterion
for skin integrity is not initially noted? - -Temperature
-A new mother talking to a friend states, "I wish my baby was more like yours. You are
so lucky. My baby has not slept straight through the night even once. It seems like all
she wants to do is breastfeed. I am so tired of her." This is an example of which of the
following? - -Negative attachment
-A mother delivered 90 minutes ago and has just arrived to her room on the postpartum
unit. Her initial set of vital signs reveals blood pressure of 138/86. Her blood pressure
during labor never rose above 128/74. What is a possible explanation for this increase in
blood pressure? - -Her stroke volume has increased after delivery of the placenta, and a
physiologic response in blood pressure is evident.
-The nurse is reviewing the uterine contraction pattern and identifies the peak
intensity, documenting this as which of the following? - -Acme
-A 33-year-old G4P2012 has just had an epidural placed. Before the procedure, her vital
signs were as follows: BP 120/70, P90 bmp, R18 per min, and O2 sat 98%. Now, 3
minutes after the procedure, the patient says she feels light-headed and nauseous. Her
vital signs are BP 80/40, P100 bmp, R20 per min, and O2 sat 96%. Which interventions
should the nurse perform? - -Assist the patient to semi-Fowler's position, assess the
fetal heart rate, start an IV bolus of 500 mL, and administer oxygen via face mask.
-How would the nurse counsel a patient who is about to receive Demerol (meperidine)
25 mg IV? - -"It's possible you may feel a bit sleepy or nauseous after I administer this
medication."
, -After teaching a postpartum woman about postpartum blues, which statement
indicates effective teaching? - -"I might feel like laughing one minute and crying the
next."
-Which finding would indicate to the nurse that a postpartum woman is experiencing
bladder distention? - -Percussion reveals dullness
-There are advantages and disadvantages to any kind of method used to control pain
during labor and delivery. What is an advantage of opioid administration? - -Ability to
be administered by the nurse
-You are the nurse preparing an educational event for pregnant women on the topic of
labor pain and delivery. You know that you will need to include the origin of labor pain
for each stage of labor. What information will you present for the first stage of labor? - -
Pain originates from the cervix and lower uterine segment
-Which instructions should be given by the nurse to the patient in the second stage of
labor to facilitate natural childbirth? - -Use a squatting position and use the squat bar
for support
-Marie, a 21-year-old first-time mother in the second stage of labor, has been moaning
and screaming and generally vocal throughout her labor. Her husband is distraught
seeing his wife this way and comes to the nurse asking that his wife receive more pain
medication. How should the nurse respond? - -Ask Marie to describe the intensity of
her pain on a scale of 0 to 10
-When an infant smiles at the mother and the mother in turn smiles and kisses her
baby, this would be which phase of attachment? - -reciprocity
-A pregnant woman's pulse fluctuates throughout pregnancy and the early postpartum
period. When assessing a 1-day postpartum woman's pulse, what is the first action a
