OB MIDTERM EXAM NEWEST 2 LATEST VERSIONS 2024 (VERSION A AND B) COMPLETE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)

A nurse is caring for a client in active labor who is experiencing hypotension following epidural placement. Which of the following actions should the nurse take? A. Decrease IV fluid B. Give oxygen at 2L/min via nasal cannula C. Place the client in a lateral position D. Administer Indomethacin - ANSWERS,C. Place the client in a lateral position A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which of the following actions should the nurse take following the procedure. A. Send a sample of amniotic fluid to the lab to screen the client for chlamydia. B. Send a sample of amniotic fluid to the lab to test for an elevated Rh-negative titer C. Administer immune globulin to the client to prevent fetal isoimmunizations D. Administer IV antibiotics to prevent an infection - ANSWERS,C. Administer immune globulin to the client to prevent fetal isoimmunizations A nurse is assessing a client who has a placenta previa. Which of the following findings should the nurse expect? A. Painless, bright red bleeding B. Board-like uterus C. Persistent uterine contractions D. Abdominal pain - ANSWERS,A. Painless, bright red bleeding A nurse is teaching a client who is pregnant and has gestational diabetes about dietary changes. Which of the following statements should the nurse include in the teaching? A. "Carbohydrates should make up 55% of your diet." B. "Protein should make up 70% of your diet." C. " Fats should make up 40% of your diet." D. "Fiber should make up 10% of your diet." - ANSWERS,A. "Carbohydrates should make up 55% of your diet." A nurse is providing education to a client who is at 35 weeks gestation about a nonstress test. Which of the following pieces of information should the nurse include? A. "It will take about 10 minutes to complete the test." B. "You might have to drink orange juice during the test." C. "During the test you will be asked to massage your nipples." D. "During the test, you will receive a medication to relax your uterus." - ANSWERS,B. "You might have to drink orange juice during the test." While caring for a client in active labor, a nurse notes late decelerations on the fetal monitor. Which of the following actions should the nurse take? A. Administer methyl-prostaglandin IM B. Encourage the client to use the shower C. Place the client in a supine position D. Apply oxygen at 8-10 L/min via a nonrebreather face mask - ANSWERS,D. Apply oxygen at 8-10 L/min via a nonrebreather face mask A nurse is assisting with fetal heart monitoring during labor for a client who is at 40 weeks gestation. The nurse should identify that which of the following findings on the fetal monitoring tracing requires intervention? A. A fetal heart rate of 180/min for 15 min B. A deceleration that returns to baseline at the end of the contraction C. An acceleration of 20/min for 18 seconds during a contraction D. An occasional variable deceleration in fetal heart rate - ANSWERS,A. A fetal heart rate of 180/min for 15 min A nurse receives a report for a client wh