NCLEX OB WITH QUESTIONS AND
CORRECT ANSWERS ACTUAL
EXAM 100% [GRADED A+]
Which of the following tasks may be delegated to the nursing assistant?
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen
saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it
in the chart - ANS✔✔---C- When working in L&D the UAP can help with
ADLs. They cannot be delegated tasks that require formulating a care plan,
taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a
physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
,D. A patient is having rectal pain - ANS✔✔---C. When caring for postpartum
patients, the nurse must be familiar with what conditions are common
occurrences following delivery and what situations warrant a call to the
physician for further help. Postpartum complications often include infection,
blood clots, and hemorrhage. Excess bleeding may occur when the uterus is
boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache
when she sits up in bed. The physician has instructed the patient that she
will need a blood patch. Which best describes this procedure?
A. Removing blood from a vein in the patient and injecting it into the epidural
space in the back
B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term
control
D. Placement of a nerve block in the spinal column at the location of the
affected epidural space - ANS✔✔---A- When CSF leaks out of the epidural
space a severe headache in the patient can occur. A blood patch can be
performed by a physician to close the site. The small amount of blood is
withdrawn from the mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to
breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and
needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed
a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the
physician comes to dismiss her - ANS✔✔---C. A patient with a hematoma is
at risk of hemorrhage and the nurse should assess her first
On the first following delivery, the physician ordered a hemoglobin level for
the patient; the result was 9.9 g/dL. The physician did not list any other
orders in the patient's chart since that time. Which response of the nurse is
most appropriate>
, A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result - ANS✔✔---B. A
postpartum patient is at risk of hemorrhage following delivery; often the
physician will order a hemoglobin level 1-2 days after delivery to check the
mother's risk status. A level of 9.9 g/dL is lower than normal for a female
patient, but is not necessarily low enough to warrant a blood transfusion.
The patient's medical record states that she tested positive for group B
Streptococcus infection. which of the following precautions should be given
in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary - ANS✔✔---B- B. Streptococcus can be
transferred to the baby during delivery to cause an infection. the test for the
bacteria is performed at approximately 35 weeks gestation, but antibiotics
are typically not given until the mother is in labor to reduce the chance that
she will pass the infection to her child
When reviewing information about infant care, the nurse should explain that
the postpartum client should call the physician if her infant developed which
of the following conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - ANS✔✔---D- If a baby has dry mouth or dry
mucous membranes, he or she could be dehydrated and not getting enough
to eat.
Which of the following patients would be at high risk of developing pre-
eclampsia? Select all that apply.
A. A patient who is pregnant with her 3rd child
CORRECT ANSWERS ACTUAL
EXAM 100% [GRADED A+]
Which of the following tasks may be delegated to the nursing assistant?
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen
saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it
in the chart - ANS✔✔---C- When working in L&D the UAP can help with
ADLs. They cannot be delegated tasks that require formulating a care plan,
taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a
physician for further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
,D. A patient is having rectal pain - ANS✔✔---C. When caring for postpartum
patients, the nurse must be familiar with what conditions are common
occurrences following delivery and what situations warrant a call to the
physician for further help. Postpartum complications often include infection,
blood clots, and hemorrhage. Excess bleeding may occur when the uterus is
boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache
when she sits up in bed. The physician has instructed the patient that she
will need a blood patch. Which best describes this procedure?
A. Removing blood from a vein in the patient and injecting it into the epidural
space in the back
B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term
control
D. Placement of a nerve block in the spinal column at the location of the
affected epidural space - ANS✔✔---A- When CSF leaks out of the epidural
space a severe headache in the patient can occur. A blood patch can be
performed by a physician to close the site. The small amount of blood is
withdrawn from the mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to
breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and
needs her morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed
a hematoma on her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the
physician comes to dismiss her - ANS✔✔---C. A patient with a hematoma is
at risk of hemorrhage and the nurse should assess her first
On the first following delivery, the physician ordered a hemoglobin level for
the patient; the result was 9.9 g/dL. The physician did not list any other
orders in the patient's chart since that time. Which response of the nurse is
most appropriate>
, A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result - ANS✔✔---B. A
postpartum patient is at risk of hemorrhage following delivery; often the
physician will order a hemoglobin level 1-2 days after delivery to check the
mother's risk status. A level of 9.9 g/dL is lower than normal for a female
patient, but is not necessarily low enough to warrant a blood transfusion.
The patient's medical record states that she tested positive for group B
Streptococcus infection. which of the following precautions should be given
in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
d. there is no treatment necessary - ANS✔✔---B- B. Streptococcus can be
transferred to the baby during delivery to cause an infection. the test for the
bacteria is performed at approximately 35 weeks gestation, but antibiotics
are typically not given until the mother is in labor to reduce the chance that
she will pass the infection to her child
When reviewing information about infant care, the nurse should explain that
the postpartum client should call the physician if her infant developed which
of the following conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - ANS✔✔---D- If a baby has dry mouth or dry
mucous membranes, he or she could be dehydrated and not getting enough
to eat.
Which of the following patients would be at high risk of developing pre-
eclampsia? Select all that apply.
A. A patient who is pregnant with her 3rd child
