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Obstetrics and Gynecology (OBS&GYN) / Fall 2021.
OBS&GYN 710 Final Exam Fall 2021/2022
1. Vaginal examinations reveal that a laboring client cervix is dilated 2cm, 70% effaced, with
presenting part at -2 station. The client tells the nurse " I need my epidural now! This hurts!"
The nurse response to the client should be based on which information.
2. The client will need to be catheterized before the epidural can be administered. A client who is
HIV+ is receiving zidovudine during labor. Which information should the nurse provide to the
client?
3. A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches
(33cm). The nurse notes that this infant has no molding, and was at breech presentation
delivery by c section. What action should the nurse take based on these data?
4. A three hour old newborn of a gestational diabetic mother who is asymptomatic and successful
breastfed after birth, heel stick glucose level is 36 mg/dL. Which intervention should the nurse
do first?
5. The nurse is caring for a female client, a primigravida with preeclampsia. Finding include +2
proteinuria, BP 172/112 mmHg, Facial and hand sweating, complaints of blurry vision, and a
severe frontal headache. Which medication should the nurse anticipate for this client?
6. When planning care for a laboring client, the nurse identifies the need to withhold solid foods
while the client is in labor. What is the most important reason for this nursing intervention?
7. Which action should the nurse take if an infant, who wa born yesterday weighing 7.5 lbs
8. A client at 20 week gestation comes to the antepartum clinic complaining of vaginal warts. HPV
What information should the nurse provide?
gestation, a primigravida is assessing at her bimonthly clinic visit. Which assessment finding is
important for the nurse to report to the HCP.
9. A client in preterm labor has had an infusion of magnesium sulfate running 8 hrs. Current
assessment finding are: RR 14 bpm, UOP 24
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10. the nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which
intervention has the highest priority.
11. The charge nurse working on a postpartum unit is making assignments for a staff consisting of a
nurse, practical nurse and 2 unlicensed assistive personnel. which client should the charge nurse
assign to the practical nurse?
12. The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks
gestation. Which prenatal lab assessment, prescribed at 28-weeks, should the nurse includes
13. A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is
best for the nurse to provide the mother?
14. The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to
establish adequate respirations. What priority issue should the nurse address to ensure the
newborn's...
15. An oxytocin induction was started for a gravid client 6 hours ago. When assessing the FHR on
the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which intervention should
the nurse implement first?
16. A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
began one hour ago. The nurse's assessment reveals approximately 30 ml of bright red vaginal
Obstetrics and Gynecology (OBS&GYN) / Fall 2021.
OBS&GYN 710 Final Exam Fall 2021/2022
1. Vaginal examinations reveal that a laboring client cervix is dilated 2cm, 70% effaced, with
presenting part at -2 station. The client tells the nurse " I need my epidural now! This hurts!"
The nurse response to the client should be based on which information.
2. The client will need to be catheterized before the epidural can be administered. A client who is
HIV+ is receiving zidovudine during labor. Which information should the nurse provide to the
client?
3. A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches
(33cm). The nurse notes that this infant has no molding, and was at breech presentation
delivery by c section. What action should the nurse take based on these data?
4. A three hour old newborn of a gestational diabetic mother who is asymptomatic and successful
breastfed after birth, heel stick glucose level is 36 mg/dL. Which intervention should the nurse
do first?
5. The nurse is caring for a female client, a primigravida with preeclampsia. Finding include +2
proteinuria, BP 172/112 mmHg, Facial and hand sweating, complaints of blurry vision, and a
severe frontal headache. Which medication should the nurse anticipate for this client?
6. When planning care for a laboring client, the nurse identifies the need to withhold solid foods
while the client is in labor. What is the most important reason for this nursing intervention?
7. Which action should the nurse take if an infant, who wa born yesterday weighing 7.5 lbs
8. A client at 20 week gestation comes to the antepartum clinic complaining of vaginal warts. HPV
What information should the nurse provide?
gestation, a primigravida is assessing at her bimonthly clinic visit. Which assessment finding is
important for the nurse to report to the HCP.
9. A client in preterm labor has had an infusion of magnesium sulfate running 8 hrs. Current
assessment finding are: RR 14 bpm, UOP 24
, [Type here]
10. the nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which
intervention has the highest priority.
11. The charge nurse working on a postpartum unit is making assignments for a staff consisting of a
nurse, practical nurse and 2 unlicensed assistive personnel. which client should the charge nurse
assign to the practical nurse?
12. The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks
gestation. Which prenatal lab assessment, prescribed at 28-weeks, should the nurse includes
13. A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is
best for the nurse to provide the mother?
14. The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to
establish adequate respirations. What priority issue should the nurse address to ensure the
newborn's...
15. An oxytocin induction was started for a gravid client 6 hours ago. When assessing the FHR on
the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which intervention should
the nurse implement first?
16. A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
began one hour ago. The nurse's assessment reveals approximately 30 ml of bright red vaginal
